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Patient in Remission from HIV After Bone Marrow Transplant in Marseille – Breakthrough in Treatment

Eighth HIV Cure Case Emerges: French Patient Marks New Milestone in ​HIV Research

In a groundbreaking ‌development, an eighth individual has been declared ‌cured of HIV ‌following an allogeneic bone marrow transplant. ⁣The patient, a French man in his sixties treated at Sainte-Marguerite Hospital in⁣ Marseille, was diagnosed with HIV‌ in 1999 and underwent the transplant in 2020 to treat acute myeloid leukemia, a common form of blood and ⁤bone marrow⁢ cancer ⁣in adults. This ⁤case, announced by the AP-HM (Public Hospitals of⁣ Marseille) on January 10, marks⁤ another⁤ significant step in the fight against HIV, though experts caution ⁣that the procedure’s risks and complexity prevent‍ it from ⁣being a universal⁢ solution.

The Marseille patient joins a small but​ growing list of individuals cured of HIV through bone marrow transplants, following the Berlin patient in 2009, the London patient ‍in 2019, and the ⁣ Geneva patient ⁣ in ‍2023. These ⁤cases, while rare, have opened new avenues for research into the virus. As ⁢Yazdan Yazdanpanah, director of the ‍ANRS emerging infectious diseases, explains, ‍ “On the one hand, the transplant induces a ‌whole⁤ immunological storm. We deeply renew the immune system and lower the defense ‍so ‍that the‍ body does not reject ⁣the‍ transplant, which helps⁣ empty the reservoir [where the virus hides].”

⁢ ​

A key⁢ factor ⁤in these cures is the presence of​ a rare genetic mutation in ​the donor’s bone marrow. Six of⁤ the eight ⁢cured⁣ patients, including the ⁣Marseille case,⁣ received transplants from donors with a deletion⁤ in⁢ the CCR5 gene, which HIV‍ typically uses⁢ to ‌enter and destroy cells. Without this receptor,the virus⁤ cannot replicate,effectively halting its progression.

A Boost​ for Research,But Challenges Remain

While the Marseille case is a ‌scientific‍ triumph,it ⁤underscores ⁤the limitations of ​current treatments. Bone marrow transplants are high-risk⁣ procedures, primarily used to treat cancers like leukemia or lymphoma, and ⁣are not feasible for the vast majority of people living with HIV.Though, the success of these ‍cases has spurred⁣ researchers ‌to explore new protocols. Yazdanpanah notes that‌ “currently, two or three‍ protocols are underway at the ANRS to see if it ‍is⁤ indeed possible to put patients ​into remission.”

At the European level,efforts are ​also underway to systematically type the CCR5 gene in donors,ensuring that patients requiring transplants can benefit from this mutation. This approach⁢ could pave the⁤ way for more⁣ targeted treatments in the​ future.

Prevention ⁣Must Not Be‌ Overlooked

despite the⁤ optimism surrounding these breakthroughs,‍ advocates emphasize⁣ that ‌prevention remains critical. Emmanuel Bodoignet, a member of the Aides office, warns ​that “these are eight cases of healing out of millions of deaths over the last forty years.” With‍ 38 million people worldwide ⁣living with HIV, the focus must remain on accessible prevention tools​ like PrEP (pre-exposure prophylaxis), widespread ‌screening, and robust ⁤healthcare infrastructure. ‌

Bodoignet ​highlights ‍ongoing ⁣challenges,‌ including the uneven ​availability of​ antiretroviral medications, difficulties in accessing screening, and ⁤a shortage of doctors in free details, ​screening, ‌and diagnosis centers (Cegidd). “In reality,⁢ we still⁢ have difficulty making PrEP available everywhere, and the issue of screening remains‍ complicated,” he says.

The Political Context:​ A Crucial ‌Factor

The future of​ HIV treatment and prevention is also deeply intertwined with political decisions. The‍ annual report⁤ from UNAIDS, published‌ in November, revealed that new HIV infections fell‍ to between 1 and 1.7 million in 2023—the ‍lowest ⁢level in‍ history. However, the progress made could be jeopardized by funding cuts and⁢ policy changes.

In France, discussions ⁤around the social security financing bill (PLFSS) for 2025 have raised concerns about the ​future of hospital services, access⁤ to PrEP, and state medical aid (AME) for immigrants.As Bodoignet notes, “What future for hospital services? Will we have more hands ⁢for‌ PrEP and ⁤serology tests? will people ⁣from immigrant ​backgrounds still be able to benefit ​from AME? So many ​questions that a case of remission should ⁤not‌ brush aside.”

Key Takeaways ‍

| Aspect ‌ ⁣| Details ‍ ⁢ ⁢ ‌ ​ ‍ ​ ‍ ‌ |
|————————–|—————————————————————————–|
| Patient Profile ‌ | French man, 60s, diagnosed with HIV in 1999, treated for acute myeloid leukemia.|
| Treatment ⁣ ‍ ‍ ⁤ ⁣| Allogeneic bone marrow transplant in 2020. ⁢ ‌ ​ ​ ⁣ ‌ |
| Key Mutation ‍ ‌ | donor had a deletion in the CCR5 gene, preventing ​HIV from entering⁤ cells. |
|‍ Global Context ⁢ ⁢ | Eighth known case of HIV cure ‍via ⁤bone marrow transplant. ​ ​ ​ ⁤ |
| ⁤ Challenges ⁤ ‍ | High-risk procedure, ​not universally applicable; prevention remains​ critical. ⁢|
| Political Impact | Funding and policy decisions crucial for ​future HIV treatment and prevention. |

The case of the Marseille patient is a beacon of hope, but it also serves as a reminder of the work‌ still needed ⁢to combat HIV globally. While research continues⁢ to ‌push ⁢boundaries, the importance ⁣of prevention, accessible healthcare,‍ and political‌ support cannot ​be overstated.For more on the⁢ latest advancements ​in‌ HIV research, explore the ‍stories of the Berlin ‌patient, ‍the London ‍patient, and the Geneva patient.
Eighth HIV Cure case Emerges: French Patient Marks​ New Milestone in ​HIV Research

In a groundbreaking ‌advancement, an eighth individual has been ​declared ‌cured⁣ of HIV ‌following ⁤an allogeneic ⁣bone marrow ⁤transplant. ⁣The patient, a French man ⁣in his⁢ sixties treated at Sainte-Marguerite Hospital in⁣ Marseille, was diagnosed with HIV‌ in 1999⁢ and⁢ underwent the transplant in 2020 to treat acute myeloid leukemia, a common form of blood and ⁤bone ‌marrow⁢ cancer ⁣in adults. This ⁤case, announced ⁢by the AP-HM (Public Hospitals ‌of⁣ Marseille) on January‍ 10, marks⁤ another⁤ significant step in ‍the fight against HIV, though experts caution ⁣that the procedure’s ⁢risks and complexity prevent‍ it from ⁣being a ‍universal⁢ solution.

The Marseille ⁢patient joins a small⁤ but​ growing list of individuals cured of ⁤HIV through bone marrow transplants, following the Berlin patient in 2009, the London patient ‍in 2019, and the ‌⁣ Geneva patient ‌⁣ in ‍2023. These ⁤cases, ⁣while rare, have opened new avenues ⁣for research into the virus. As ⁢Yazdan Yazdanpanah, director of the ‍ANRS emerging ‌infectious diseases, explains, ‍ ​ “On the‍ one hand, the transplant induces a‌ ‌whole⁤ immunological storm. We deeply renew the immune system and lower the defence ‍so ⁢‍that the‍ body​ does not reject⁢ ⁣the‍ transplant, ⁢which helps⁣ empty the reservoir [where the virus hides].”

⁢⁤ ​

A key⁢ factor ⁤in these cures is the ⁤presence​ of​‌ a rare genetic mutation in ​the donor’s bone marrow. ⁢Six of⁤ the eight ⁢cured⁣ patients, including the ⁣Marseille case,⁣ received transplants from donors‍ with a deletion⁤ in⁢ the CCR5 gene, which HIV‍ typically ​uses⁢ to ‌enter and destroy cells.⁣ Without this receptor,the virus⁤ cannot replicate,effectively ‌halting its progression.

A boost​ ‌for Research,But Challenges Remain

While the Marseille case⁢ is a ‌scientific‍ triumph,it ⁤⁤underscores ⁤the limitations of ​current ⁣treatments. Bone marrow transplants are ​high-risk⁣ procedures, primarily used‌ to treat cancers like leukemia​ or lymphoma, ‍and ⁣are ‌not feasible​ for the⁤ vast majority of peopel living with HIV.Though, the success of‍ these ‍cases has spurred⁣ researchers ‌to explore new protocols. Yazdanpanah notes that‌ “currently,⁤ two or ⁣three‍ protocols are underway at the ANRS to​ see if it ‍is⁤ indeed possible to put patients ​into remission.”

At ​the European level,efforts‍ are ​also underway ⁣to systematically ⁣type the⁤ CCR5 gene in donors,ensuring that patients requiring ⁣transplants can benefit from this mutation. This⁣ approach⁢ could pave the⁤ way for ‌more⁣ targeted treatments in the​ future.

Prevention⁤ ⁣Must Not Be‌‌ Overlooked

despite the⁤ optimism surrounding these breakthroughs,‍ advocates ‍emphasize⁣ that ‌prevention‍ remains critical. Emmanuel Bodoignet,a member of the Aides office,warns that “the cure must not make us forget the importance of⁣ medical prevention campaigns,which remain essential to‍ stopping ‍the ‍epidemic.” For the⁤⁢ 38.4 million ⁤people globally⁤ ⁤living with HIV, the‍ focus must ⁢remain on accessible ​prevention tools​ like PrEP (pre-exposure ⁢prophylaxis), widespread ‌screening, and⁢ robust ⁤healthcare⁢ infrastructure. ‌ ⁤

Bodoignet ​highlights ‍ongoing ⁣challenges,‌ including the uneven ​availability of​ antiretroviral medications, ‍difficulties in accessing screening, and ⁤a shortage of doctors in free details, ​screening, ‌and diagnosis centers (Cegidd).“In reality,⁢ we still⁢ have difficulty making PrEP ⁢available everywhere,and the issue ⁣of screening remains‍‍ complicated,” he says.

The Political Context:​ A Crucial ‌Factor

The future of​ HIV treatment and​ prevention is also deeply intertwined with political ‌decisions. The‍ annual report⁤ from UNAIDS,‌ published‌ in November, ‌revealed that new​ HIV​ infections fell‍⁢ to between 1⁢ and 1.7 million in 2023—the ‍lowest ⁢level in‍ history. However, the⁤ progress made could be ⁤jeopardized by funding cuts and⁢ policy ‍changes.

in France, discussions ⁤around‌ the social security financing ​bill (PLFSS) for​ 2025 have raised concerns about the ​future of hospital services, access⁤ to PrEP, and state medical ⁣aid (AME)⁣ for immigrants.As bodoignet ⁢notes, “What future ​for‍ hospital services? Will ‍we ​have more hands ⁢for‌ ‌PrEP and ⁤serology tests? will people ⁣from immigrant ​backgrounds still be ⁤able to benefit ​from AME? So many ​questions that​ a case ‌of remission ⁢should‍ ⁤not‌ brush aside.”

Key Takeaways ‍ ‌

| Aspect ‌ ‌ ‌ ‌ ‌ ‌ ⁣| Details ⁢ ​ ⁣ ⁣ ‌ ⁢ ​ ‍ ⁣ ‍ ‍ ⁢​ ‌ ⁤ ⁢ ⁣ ‌ ​ ‍ ‌ ​ ‍ ‌ |

|————————–|—————————————————————————–|

| Patient Profile ‍ ‌ ‍ | french man, 60s, diagnosed with HIV in 1999, treated for acute myeloid leukemia.|

| Treatment ‍ ​ ⁣ ⁤ ‍⁣ ‍ ‌ ⁤ ⁣ ⁣| Allogeneic ⁣bone marrow transplant in 2020. ‍ ⁢ ⁣‌ ​ ​ ‍ ⁣⁣ ⁤ ​ ‍ ‌⁢ ‌⁢ |

|⁤ Key Mutation ‍ ‌ ‍ | donor had a deletion in the ‌CCR5 ‌gene,preventing ​HIV⁣ from entering⁤ cells.|

|‍ Global Context ‌ ‍ ​ ⁢ ⁢ ⁤ ⁢ | Eighth known case of HIV cure​ ‍via ⁤bone marrow transplant. ⁢ ‌ ‌ ​ ⁢ ​ ​​ ⁣⁤ |

| ​⁤ Challenges ​ ⁤ ⁤ ⁤ ⁢ ‍ ‍ | High-risk procedure, ​not universally ⁤applicable; prevention remains​ critical.⁢|

| Political Impact | Funding and policy decisions crucial for ⁣​future HIV treatment and prevention. |

The ‌case of the Marseille patient is a beacon​ of hope, but it‍ also serves as a reminder of​ the work‌ still ‌needed ⁢to combat HIV globally. While research continues⁢ to ‌push ⁢boundaries, ​the importance ⁣of prevention, accessible healthcare,‍ and political‌ support⁣ cannot ​be overstated.For more on the⁢⁣ latest advancements ​in‌ HIV research, explore the ‍stories of the Berlin ​‌patient, ‍the London⁤ ‍patient, and the Geneva ​patient.

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