Posts tagged HIV/AIDS
HIV Treatment Funding Is Out of Reach for Countries in Need
The battle against HIV has come a long way. Those living with the infection benefit from therapies now available. One of these benefits is a longer life expectancy. Worldwide, these implemented treatments not only improve quality and quantity of life, but it also limits the spread of the disease. Unfortunately, longer life equals more expense in lifetime treatment costs, which underdeveloped nations cannot support.
In spite of the good things being accomplished, the cost of maintaining what had been put into effect is already high and is increasing. Some of the countries hardest hit by HIV will experience the biggest cuts in funding. For these areas, future long-term care could be compromised. In Sub-Saharan Africa, home to some of the countries with the highest cases of HIV infections, studies were done to determine the cost of long-term therapy. The numbers are staggering. In order to maintain current treatment, account for new cases, and continue with prevention plans through the year 2050, it is estimated to cost over $260 billion. It’s a figure African countries simply can’t sustain.
Some Countries with the Greatest Need Have the Least Resources
The areas that were investigated are the ones that account for well over two-thirds of HIV infections in all of Africa. These nations do not have the resources to continue to provide necessary and ongoing care for HIV patients. Experts feel it’s vital to collect the needed funding now to ensure it is there for the future. Otherwise, lack of funds for treatment could lead to an increased prevalence of AIDS, as well as an increase in the spread of HIV.
As previously mentioned, long-term care is important for each individual who is HIV-positive. Part of the treatments include inhibiting the transfer of the virus. Stopping the spread of the disease is vital. Researchers emphasized the need for continued support in the fight against HIV, not only for the financial reasons but the moral ones as well. With so many people able to have a relatively healthy and normal life because of current plans in place, their lives are dependent on continued care and the funding that backs it.
New Look into HIV Cellular Infiltration
HIV is adept at making its way through cellular defenses in order to overtake the cell. Just how this happens has been the center of study for a long while. A better understanding of the processes involved can open doorways to keeping infections from spreading, or even occurring in the first place.
Cellular Infiltration and Cyclophilin A
The protein named cyclophilin A carries out numerous duties. It plays a key role in immune response, particularly when it comes to inflammation. Folding and sending off new proteins is also on its list of tasks. This protein is found in multiple tissues throughout the body. While much good is accomplished by cyclophilin A, too much of a good thing can be bad. In this case, conditions ranging from asthma to cancer can be responsible for the malfunction or overproduction of the protein. How does this relate to HIV and cellular infiltration?
HIV has an outer shell made up of proteins called a capsid. It is not known how, but the virus can dupe the cyclophilin A into creating a cover. This cloak binds to the HIV, which is then escorted into the nucleus of its cellular host. Once inside the center of the cell, the virus commandeers it. HIV then begins to copy its own genetic code, using the cellular mechanisms it overtook.
The picture painted by this information seems bleak, but there is a catch to the system. Like anything, balance is the key to success. The delicate systems cooperating together are likewise balanced in their own way. For example, researchers have found that too much of the protein can cause issues when binding to the virus. This can lead to a failed mission for the HIV. On the other hand, too little cyclophilin A, and the virus can be detected and destroyed by the immune system.
Now, scientists have the task of determining how best to use this new information in the fight against HIV infection. Having a better understanding of the inner workings can prove vital to developing new strategies against the virus, and the continued research is very promising.
HIV Protein Image May Be the Next Step Toward a Vaccine
A boost to the war against HIV would be to produce an effective vaccine. Over the decades, research has continued to provide promising strategies for disengaging the viral attack on a host. However, much of this research comes to a halt when it comes time to implement the information. The reason for this standstill has to do with the actual physical makeup of the virus. Creating an antibody has proven not to be out of the scientists’ reach, but getting that antibody to stick to the virus has.
Next Step Toward a Vaccine
In order to neutralize the invading virus, the antibody must attach itself. HIV is so well protected that this has proven futile. In an effort to see vulnerabilities in the viral membrane, researchers have tried to get a closer look at some of the external parts that are attached to the membrane. For years, this also seemed out of reach. Many of the proteins that are attached to the virus are delicate and unstable. Attempts at capturing the image resulted in breaking the structure because of its fragile nature. This losing streak, though, just came to an end. Finally, a high-resolution image of a key protein on the outside of the viral wall has been taken. Now, scientists will be able to study the segment and see what approach to take so that antibodies can adequately attach themselves.
This protein is not only a vulnerable part of the virus, but it also happens to be very consistent among various strands of HIV. In other words, it does not mutate as much as other structures. This means that when a vaccine is produced with antibodies that can attach to this protein, it should be able to cover a vast array of HIV infections. There will be no need for multiple vaccines. Also discovered is that while this would be an ideal site to neutralize the virus, there is a shield around it. This sugar-like substance conceals the area and will make contact difficult for antibodies. Taking a closer look at these molecules will help researchers break down the defense so that the immune system can do its job.
Making HIV Testing Acceptable to Patients
Around the globe, 37 million individuals are HIV-positive. While that figure is staggering enough, it is estimated that nearly half of all infections are left undiagnosed. Advancements in therapies, preventative education, and a better understanding of how the disease works, all aid in slowing the epidemic. However, if the infection is left undiagnosed, it works against progress, and millions could be at risk for exposure or infection.
With this is mind, researchers have been looking into simple ways to encourage patients to be tested for HIV. They are hoping that what they learn will help medical institutions around the world to be able to convince more people to agree to screening.
Asking Patients the Right Way
It is all in the approach. This is what has been most notable throughout these studies. How a question is phrased can make the difference between someone agreeing to HIV testing—or refusing the exam. Basically, here are three ways to approach:
- Notifying the patient that testing for HIV is available, and that he or she could request the test if they wanted (also called the opt-in approach). This approach yielded the poorest result, with just over one-third of those asked accepting an exam.
- Using the “active choice.” In this instance, a patient was asked directly if he or she would like an exam. This second phrasing came up with better results than the first. Over half of the patients who were asked directly, agreed to the testing.
- The “opt-out” approach simply informed patients that they would be tested for HIV unless they declined. Two-thirds of those who were informed this way were tested, making this approach the most successful.
The Right Method Gets Results
During these trials, patients who were in higher risk categories were more likely to agree to testing than those in lower risk groups. This reaffirms that how a patient is asked can make a big difference in the outcome. It is not completely understood why patient behavior varies with how questions are phrased, but a few simple changes in how healthcare workers ask their questions can do a lot of good.
Protein HIV Used to Hijack Human Genes
Four years ago, it was estimated that 1.2 million people living in the United States had HIV. Add to that an average of 50,000 new cases per year, and the results are staggering. As the disease progresses into AIDS, the outlook is bleak. One estimate put the number of patients with the advanced stages of HIV at over 26,000. While it is true that therapy can give a person who is HIV-positive a promising future, these treatments are lifelong, and the effects of the infection still manifest themselves in different ways as a patient ages.
A Protein Called Tat
In order to better understand how this wily virus is able to get such a strong hold on its host, experts meticulously performed experiments and studies. The results have brought to light how HIV uses a tiny protein, called Tat, to shut down certain human genes. HIV (a retrovirus) does not have many of its own genes, which is why it searches out and eventually takes over a host cell’s genes. Here is where the small protein, Tat, comes in. Once the command center of the cell has been overtaken, Tat manipulates the genes in order to create a more appealing environment for the virus. Studies show that nearly 400 human genes bind with Tat—and then shut down. When the scientists compared the symptoms of an HIV infection to the genes that were shut down, the two were compatible.
What this tiny protein is able to accomplish is astounding. It does provide useful knowledge that could be applied to halt infection and keep the disease from progressing to AIDS. One European country has already begun working on a vaccine which inhibits Tat in order to try and stop HIV. The results have been promising. However, it will take some more time for anything concrete to be established. In the meantime, more information is being gathered and used to come up with even more effective ways to treat, prevent, and hopefully completely eradicate HIV in the future.