What researchers learnt from five baby boys in KwaZulu-Natal about an HIV cure

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What researchers learnt from five baby boys in KwaZulu-Natal about an HIV cure
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A groundbreaking study published in Nature Medicine gives insight into what an HIV cure could look like during infancy

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The five babies all had one thing in common: they were all boys, they were all infected with HIV in the womb, and they’d all been given antiretroviral treatment minutes after their first breath. Most infants start treatment in the first two days of life. Four of the five boys had gone without treatment for periods of three to 10 months. These mothers explained that for various social reasons, they weren’t able to keep collecting HIV medicine to give to their children, Goulder says.

Goulder and his colleagues ran immune system tests on mothers and their babies to understand what was happening. If the mother becomes infected with HIV and she doesn’t get treatment, the virus will be free to infect both babies. When the virus reaches the male foetus, his immune system isn’t yet able to use interferons to put up a fight, so the virus can infiltrate his cells easily without any interferon-specific defences.

Once the baby boy is born, his body begins to make interferons, which the virus can’t handle, and it’s also not able to replicate enough to maintain an infection. That means the virus circulating in the baby boy is toast. Once the virus is past the mother’s system, it will have to mutate again to infect the baby girl but will sail past the male twin’s defences largely unchanged.

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