Posts tagged HIV prevention

Understanding Antibodies

Understanding Antibodies: The Next Step in HIV Vaccine Research

Researchers are looking at certain antibodies that seem to prevent the infection of HIV. They recognize the need to know what kind of response they need to trigger with a vaccine to make it the most effective. Understanding antibodies may be the next step in HIV vaccine research.

Based on past studies, many scientists have thought if the V1V2 regions of HIV were removed, the virus would be more susceptible to attacks by the body’s immune system, i.e. immunoglobulins, or antibodies, thus decreasing the viral load in the body. New studies, however, are finding that there is only one type of these immunoglobulins, IgG3, that can possibly lower the risk of infection by triggering an antiviral response.

Another study found that immunoglobulin G3, when used in vaccines, was involved in the HIV elimination process. Researchers found that the number of the antibody V1V2- IgG3 in the blood of the patient who had received the vaccine went down. The efficiency of the vaccines tested in this trial also went down by almost 50 percent over a three-and-a-half year period. To sum, this particular study showed that the vaccine scientists dubbed RV144 had some antibodies that could coordinate more than one organized process to get rid of HIV. These processes came mostly through the V1V2-IgG3 antibodies.

Further research is required to truly test the effectiveness of IgG3 antibodies in preventing HIV infection. Scientists also want to uncover the connection between the rapid decline in the amount of IgG3 and the efficiency of the trial vaccine. Understanding antibodies may unlock the key to discovering an effective HIV vaccine to eliminate the virus by building on the foundation laid by the success or failure of the previous test.

Low Cholesterol Helps HIV Immunity

Low Cholesterol Helps HIV Immunity: A Link that can Prevent AIDS Progression

With current HIV therapies, those who are HIV-positive can live for decades without the infection progressing to AIDS. The antiretroviral treatments given today greatly improve the quality of life for many. In the past, once a person became infected with HIV, it would only take 1-2 years for the infection to take hold and overwhelm the immune system. High mortality rates were a direct result of this quick-moving process. After decades of meticulous study, research and record-keeping, certain links have been discovered that could help fight off the infection within the body, namely low cholesterol helps HIV immunity.

While the average person once infected with HIV would manifest with AIDS quickly if left untreated, there is a small percentage of the population that could avoid this. Some could go as long as 10 years or more without HIV progressing to AIDS. Through careful documentation, the link may have been discovered. The common denominator seems to be low levels of cholesterol in certain immune system cells. The interesting part is that this level has nothing to do with blood cholesterol levels. It appears to be an inherent trait and is present even before an infection takes place. Seeing as HIV needs cholesterol within the cells to invade and replicate, low cholesterol helps HIV immunity by greatly slowing down the virus. The result is better protection against HIV and prevention of AIDS. 

While researchers are not exactly sure how this works or why some have this trait, they are hopeful. By investigating further, a new way to treat and prevent AIDS could come about in the near future. The premise that low cholesterol helps HIV immunity has taken over a decade to deduce. Thanks to the painstaking tasks of monitoring and documenting what was observed through the years, these results could mean even better treatment options for those who are HIV-positive and possibly even help in preventing an initial infection.

 

New Protein Could Be Breakthrough in HIV Prevention

The race to eradicate HIV and improve the vaccine has led to an exciting new development. Researchers within the last few weeks have published new findings regarding a protein and sugar molecule that has the potential to not only neutralize HIV, but that can connect to various strains of the virus as well.

The protein that was created mimics the outer layer of the HIV. The part of the layer that can bind to antibodies is the area researchers were targeting. This key part of the cell is where neutralizing the virus takes place. One of the factors that make the creation of this protein so important is that it may help scientists answer some of the most complex issues facing the prevention of HIV. For one thing, an antibody that can target multiple strains of the virus is hard to come by. Another problem is the response of the immune system: At times it is beneficial, but other responses can be negative and unwanted. Researchers are hoping that, with this protein, the immune system will be free to respond in a positive, beneficial way. The protein with the sugar molecule is better able to bond to the outer coat of the virus. It is hoped that broad-spectrum antibodies will be allowed to form. If this happens, the antibodies that can do the most neutralizing will have a better chance to complete their task.

Another benefit to the proteins is the potential to trigger a response from the white blood cells that produce antibodies. Should the antibodies produced by these B cells do what researchers are hoping, results could be disastrous for the virus. This aspect is what scientists are focusing on to develop an effective vaccine. Much more information is needed, as well as testing on animal subjects. This does not, however, negate the importance that this finding will have on the future of the battle against HIV.

HIV Screening for All

A recent study has shown that a more effective way of diagnosing those with HIV is to screen everyone who comes into an ER at random, rather than only offering testing to those who are considered to be at high risk for the disease. Of course, emergency departments are busy enough without adding HIV testing to the mix, but that doesn’t mean it isn’t a good idea for implementation.

Those who defend targeted testing as being the best method will point to its cost-effectiveness by reducing the number of tests performed; it also saves time for ER staff. The problem: People who aren’t considered at risk are far more likely to never think about getting tested. Thus, more can slip through the cracks without ever knowing that they have the disease. This leads to further spread of the virus.

A recent study has made a good case for random HIV screening. The test included nearly 10,000 ER patients. The patients who were screened randomly revealed more HIV-positive individuals than targeted testing. Also, the difference in the number of random tests performed was only slightly more than the number of targeted tests.

While about 60% of the randomly approached patients declined the test (this accounts for the number of patients tested being similar to that of targeted screening), testing on those who consented resulted in 6 individuals learning for the first time that they had HIV. This is crucial so they could begin antiretroviral therapy as soon as possible; it may have also resulted in these 6 individuals being able to take extra precautions so as not to spread the disease.

The verdict is, then, that targeted testing really doesn’t save that much time for ER staff, and it certainly doesn’t catch more undiagnosed cases of the disease. The better method is to implement a more random screening procedure if the staff cannot handle offering the test to every patient.

New Protein Could Be Breakthrough in HIV Prevention

The race to eradicate HIV and improve the vaccine has led to an exciting new development. Researchers within the last few weeks have published new findings regarding a protein and sugar molecule that has the potential to not only neutralize HIV, but that can connect to various strains of the virus as well.

The protein that was created mimics the outer layer of the HIV. The part of the layer that can bind to antibodies is the area researchers were targeting. This key part of the cell is where neutralizing the virus takes place. One of the factors that make the creation of this protein so important is that it may help scientists answer some of the most complex issues facing the prevention of HIV. For one thing, an antibody that can target multiple strains of the virus is hard to come by. Another problem is the response of the immune system: At times it is beneficial, but other responses can be negative and unwanted. Researchers are hoping that, with this protein, the immune system will be free to respond in a positive, beneficial way. The protein with the sugar molecule is better able to bond to the outer coat of the virus. It is hoped that broad-spectrum antibodies will be allowed to form. If this happens, the antibodies that can do the most neutralizing will have a better chance to complete their task.

Another benefit to the proteins is the potential to trigger a response from the white blood cells that produce antibodies. Should the antibodies produced by these B cells do what researchers are hoping, results could be disastrous for the virus. This aspect is what scientists are focusing on to develop an effective vaccine. Much more information is needed, as well as testing on animal subjects. This does not, however, negate the importance that this finding will have on the future of the battle against HIV.

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