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...human immunodeficiency virus (HIV) is a pathogen so wily and protean that researchers rarely talk about curing infected patients, focusing instead on treatment and prevention. But in an announcement that caused a flutter of excitement and a wave of prudent skepticism, Berlin-based hematologist Gero Huetter claimed on Thursday that he has cured an HIV infection in a 42-year-old man through a bone-marrow transplant...

Author: /time Magazine | Title: Can a Bone-Marrow Transplant Halt HIV? | 11/13/2008 | See Source »

...patient, a U.S. citizen living in Germany, was suffering from advanced leukemia and HIV two years ago when Huetter treated the cancer with a bone-marrow transplant at Berlin's Charité hospital. As a side experiment, he inserted the bone marrow of a donor naturally resistant to HIV, the virus that causes AIDS. (Researchers have long known that about 1% of Europeans carry a genetic mutation that makes their cells resistant to HIV infection.) Bone marrow produces the cells that HIV attacks. So, the thinking went, inserting marrow that produces HIV-resistant cells might endow the patient with...

Author: /time Magazine | Title: Can a Bone-Marrow Transplant Halt HIV? | 11/13/2008 | See Source »

...this a viable cure for HIV? Not by a long shot. Even Huetter says bone-marrow transplants, which kill about a third of patients, are so dangerous that "they can't be justified ethically" in anything other than desperate situations like late-stage leukemia. Nor is it clear that Huetter's claim to have cured his patient is yet justified. HIV has a frustrating ability to hide in hard-to-detect "reservoir" cells in various parts of the body. Current antiviral drugs, for example, can lower a patient's "viral load" to the point that HIV is undetectable...

Author: /time Magazine | Title: Can a Bone-Marrow Transplant Halt HIV? | 11/13/2008 | See Source »

...Huetter's patient has not received antivirals for two years and remains virus-free even in the known HIV hiding spots of brain and rectal tissue, according to Huetter's tests. But many researchers remain skeptical about whether these tests have been thorough enough. Dr. Andrew Badley, director of the HIV and immunology research lab at the Mayo Clinic, told the Associated Press, "A lot more scrutiny from a lot of different biological samples would be required to say it's not present...

Author: /time Magazine | Title: Can a Bone-Marrow Transplant Halt HIV? | 11/13/2008 | See Source »

...only has Mbeki failed as an objective mediator, but he also provides a poor example of leadership himself. The Harvard School of Public Health recently found that Mbeki’s decision to reject HIV drugs as unsafe nine years ago cost 330,000 lives. And, in 2001, he made wild accusations against three leaders of his own political party—who were later defended by Nelson Mandela—that they were plotting his ouster. A man with such partiality and dangerously fickle leadership could never be a legitimate mediator...

Author: By Alexander R. Konrad | Title: Optimism’s Test | 11/12/2008 | See Source »

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