HIV Research

New Study Clarifies the Link Between HIV and Tuberculosis

The link between HIV infection and the progression of other conditions is still a bit of a mystery. This is certainly the case when it comes to the body’s inability to keep in check the bacteria that causes tuberculosis, while in the presence of HIV. However, new insight into how the connection between the two conditions work, and how the immune system comes into play, has recently been published. This information could lead to further understanding of how to best treat the two conditions and support important immune system functions.

A large percentage of the population has the bacterium that develops into tuberculosis in their system. The immune system is generally quite adept at keeping the pathogen under control. For those who have this bacterium and are also infected with HIV, the tendency is to eventually develop tuberculosis as the HIV progresses. It was generally assumed that a weakened immune system, brought about by HIV infection, was the reason behind tuberculosis development in infected patients. This is not necessarily the case.

How HIV Progression Affects Tuberculosis in the Body

The published information painstakingly compared what was happening during each stage of HIV infection—with the effect on the immune system. What researchers found was that in the early stages of HIV infection, a function of the immune system diminishes. That component, called IL-10, is used to reduce inflammation. As HIV progresses, interferon response is noted. This is an antiviral immune response, but it dampens defense against tuberculosis.

The imbalance of immune support when the two infections are both present seems to be what accounts for the progression into tuberculosis. It should also be noted that other dangerous conditions can present suddenly in such an environment. Regulating the imbalance is what researchers are hoping to achieve as they continue to examine their findings. If successful, they will be able to modify the responses of the immune system to effectively combat both pathogens. This is important research as it relates to helping HIV-positive individuals to deal with secondary diseases as HIV progresses.

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.

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.

HIV and Stroke Are Linked – Long-Term Treatment Reduces Risk

HIV has long been connected with certain secondary conditions and complications. With treatment, some can be managed, and risks can be reduced. One surprising study has revealed a strong link between HIV and stroke. It had been noticed that the number of young individuals presenting with a stroke were HIV-positive. New studies have found definite ties between the two conditions.

The trend has been noted especially across much of the southern portion of Africa.

  • Young adults reporting stroke had no history to suggest risk.
  • For example, few had a history of high blood pressure, were obese, smoked, or had diabetes.
  • Researchers found that in one study, almost half of the participants who had strokes were HIV positive.
  • These individuals were all under 45 years old.
  • Consistent with what was being seen, these patients also had no previous history that would suggest a high risk of stroke.

Another interesting piece of information that had been uncovered during the ongoing study was that those who had just started therapy for HIV had the highest risk of stroke. The risk declined after six months of treatment. Those who had been on the antiretroviral therapies for a while had a much lower risk of stroke. Medical personnel are eager to learn what the specific link is between the virus and stroke. Particularly alarming is the high risk during the first stages of the therapy.

What Does the HIV and Stroke Link Mean Globally?

While these findings were uncovered on the African continent, the link between HIV and stroke is definite. The findings here will have tremendous effects globally when it comes to HIV and its treatment.

There is clear evidence that continued treatment not only maintains health and controls the HIV infection, but also greatly reduces stroke risk. Bridging the gap between the starting point and less risk is now the main focus. Continued investigation is necessary at this juncture to find answers, and then come up with ways to protect patients until they are out of the high-risk category.

HIV Prevention in Adolescents Faces Legal Barriers

Laws vary from state to state regarding parental consent when it comes to medical treatment for adolescents. This in itself is not a bad thing as parents have defined rights when it comes to their children’s health. However, when it comes to HIV prevention and research, these laws could pose a public health issue. For some regions, lines are blurred between what constitutes treatment or therapy, and prevention (particularly for HIV and other STDs), and what types of rights adolescents have when it comes to these matters.

Studies are conclusive when it comes to the number of young adults contracting HIV. The facts are:

  • The second largest at-risk population are individuals aged 13 to 24.
  • Of the new infections reported in the United States, researchers found 23% are in this age group.
  • Out of that number, over 70% are young gay and bisexual men.
  • This high-risk group would greatly benefit from certain preventative measures, such as safer sex practices, and using antiretroviral therapies for those who are not HIV-positive.

This latter method has been shown to greatly reduce the risk of contracting the virus. Not only would these measures aid young persons who are at the highest risk of transmitting and contracting the virus, but it could also help stem the growing tide of HIV outbreaks.

What Can Aid Prevention in Adolescents?

The ethical side is clear, and poses no threat. The legalities are what stand in the way. Each state has different laws governing parental consent. Most of these hinge on treatment, not necessarily prevention. It would essentially clear the roadblock if lawmakers and health officials collaborated, amending certain laws to allow for prevention of HIV and other sexually transmitted infections in minors without parental consent.

Another approach is to create clear legal boundaries between treatment and prevention. This could help in areas where laws are not clear-cut, yet tie the hands of healthcare workers as far as aiding the younger population in preventative care. Lastly, having a consistent law code in this regard would also help assure that this particular type of care could be given and received anywhere within the US.

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