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AIDS 2012: Elite Control and Immune Activation in People with HIV and Hepatitis C

HIV "elite controllers" in a large women's study were found to still have low-level plasma HIV viral load, which could contribute to persistent immune activation and inflammation, researchers reported at the XIX International AIDS Conference (AIDS 2012) last month in Washington, DC. A series of related studies showed that immune activation was greater in people with HIV and hepatitis C coinfection, and that HIV controllers were also more likely to clear HCV -- though it is not clear why. alt

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Are HIV Non-Progressors Really Very Slow Progressors?

HIV positive people traditionally classified as long-term non-progressors or viral controllers may in fact progress slowly over time, according to research reported in the February 20, 2012, edition of the open-access journal PLoS ONE. These findings suggest that so-called altnon-progressors may in fact benefit from antiretroviral therapy and could provide clues to aid in development of immune-based therapies. 

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Genetic Variation in Elite Controllers Linked to Stronger T-cell Response against HIV

HIV positive people who naturally maintain a very low viral load and do not experience disease progression despite lack of treatment -- known as "elite controllers" -- are likely to carry a gene variation, HLA B57, that is associated with a stronger and more effective immune response against HIV, according to a study published in the May 5, 2010 advance online edition of Nature. When they emerge from the thymus, T-cells from elite controllers appear to be primed to recognize and respond strongly to HIV proteins, but they may also respond more to self proteins, potentially leading to autoimmune reactions.

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Cancer-Suppressing Protein May Inhibit HIV in Elite Controllers

Stepped up expression of the tumor-suppressor protein p21 may help explain how long-term natural HIV controllers keep the virus in check.

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