London man seems to be free of HIV in second such case
SEATTLE (AP) — A London man appears to be free of the virus that causes AIDS after a stem-cell transplant, the second success including the "Berlin patient," doctors reported.
The therapy had an early success with Timothy Ray Brown, a U.S. man treated in Germany who is 12 years post-transplant and still free of HIV. Until now, Brown is the only person thought to have been cured of infection with HIV, the virus that causes AIDS.
Such transplants are dangerous and have failed in other patients. They're also impractical to try to cure the millions already infected.
The latest case "shows the cure of Timothy Brown was not a fluke and can be recreated," said Dr. Keith Jerome of Fred Hutchinson Cancer Research Center in Seattle who had no role. He added that it could lead to a simpler approach that could be used more widely.
The case, published online Monday by the journal Nature, was presented today at an HIV conference in Seattle.
Brown sat in the front row, stood for a round of applause and shook hands with lead researcher Ravindra Gupta of University College London after Gupta presented details on the London patient.
The patient has not been identified. He was diagnosed with HIV in 2003 and started taking drugs to control the infection in 2012. It's unclear why he waited that long. He developed Hodgkin lymphoma that year and agreed to a stem cell transplant to treat the cancer in 2016.
With the right kind of donor, his doctors figured, the London patient might get a bonus beyond treating his cancer: a possible HIV cure.
Doctors found a donor with a gene mutation that confers natural resistance to HIV. About 1 percent of people descended from northern Europeans have inherited the mutation from both parents and are immune to most HIV. The donor had this double copy of the mutation.
That was "an improbable event," Gupta said. "That's why this has not been observed more frequently."
The transplant changed the London patient's immune system, giving him the donor's mutation and HIV resistance.
The patient voluntarily stopped taking HIV drugs to see if the virus would come back.