"Berlin Patient" Cured of HIV? Investigating a Miraculous Case

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Discussion Overview

The discussion centers around the case of the "Berlin patient," Timothy Ray Brown, who reportedly experienced a functional cure for HIV following a bone marrow stem cell transplant. Participants explore the implications of this case for HIV treatment and the feasibility of using similar methods for broader application in the fight against HIV.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • Some participants highlight the significance of the Berlin patient's case as a remarkable breakthrough in HIV treatment, noting the absence of replicating virus and the lack of medication required post-transplant.
  • Others express skepticism about the viability of bone marrow transplants as a widespread solution, citing challenges such as the need for a compatible donor and the lifelong requirement for immunosuppressants.
  • Concerns are raised regarding the potential trade-offs involved in the procedure, including increased susceptibility to infections and the risk of graft-versus-host disease.
  • A participant questions whether this approach truly addresses the HIV epidemic, suggesting that it may not provide a practical or scalable solution.

Areas of Agreement / Disagreement

Participants do not reach a consensus; while some view the case as a significant advancement, others argue that it is not a feasible or comprehensive solution to the HIV epidemic.

Contextual Notes

The discussion reflects varying perspectives on the implications of the Berlin patient's case, with limitations noted regarding the practicality of bone marrow transplants for the general population and the associated health risks.

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HIV "cure"?

http://news.yahoo.com/s/yblog_thelookout/20110603/us_yblog_thelookout/first-man-functionally-cured-of-hiv

Since HIV was discovered 30 years ago this week, 30 million people have died from the disease, and it continues to spread at the rate of 7,000 people per day globally, the UN says.

There's not much good news when it comes to this devastating virus. But that is perhaps why the story of the man scientists call the "Berlin patient" is so remarkable and has generated so much excitement among the HIV advocacy community.

Timothy Ray Brown suffered from both leukemia and HIV when he received a bone marrow stem cell transplant in Berlin, Germany in 2007. The transplant came from a man who was immune to HIV, which scientists say about 1 percent of Caucasians are. (According to San Francisco's CBS affiliate, the trait may be passed down from ancestors who became immune to the plague centuries ago. This Wired story says it was more likely passed down from people who became immune to a smallpox-like disease.)

What happened next has stunned the dozens of scientists who are closely monitoring Brown: His HIV went away.

"He has no replicating virus and he isn't taking any medication. And he will now probably never have any problems with HIV," his doctor Gero Huetter told Reuters. Brown now lives in the Bay Area, and suffers from some mild neurological difficulties after the operation. "It makes me very happy," he says of the incredible cure.
I'd like to know if it is the real deal or overhyped?
 
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Borek said:
Old news. Please read the last paragraph here: http://en.wikipedia.org/wiki/AIDS#Research_directions

But it doesn't look to me like a viable way of dealing with the disease. Finding a donor for each AIDS patient?

Not to mention you'll be on an equally expensive regime of immunosuppressants the rest of your life and more prone to infectious disease.

Its not a fix at all, its simply trading off one evil for another (not even necessarily the lesser one in some circumstance, ie; graft v host disease).
 


I didn't even know this was possible. Even if it was as you said "trading one evil in for another" it's still a big breakthrough.
 


sadsoul81 said:
I didn't even know this was possible. Even if it was as you said "trading one evil in for another" it's still a big breakthrough.

I'm not so sure it is to be honest. Bone marrow transplants are expensive, require trained physicians, require a close match and leave the patient on immunosuppressants for the rest of their life thus increasing their chance of getting ill and thanks to the transplant are always at the risk of rejection.

In terms of solving the HIV endemic I don't see this as a viable route to a cure. It's interesting but doesn't really solve anything.
 

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