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	<title>Comments on: Turning Off HIV?</title>
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	<link>http://www.republicoft.com/2007/02/28/turning-off-hiv/</link>
	<description>Black. Gay. Father. Vegetarian. Buddhist. Liberal.</description>
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		<title>By: Bill</title>
		<link>http://www.republicoft.com/2007/02/28/turning-off-hiv/comment-page-1/#comment-46865</link>
		<dc:creator>Bill</dc:creator>
		<pubDate>Sun, 04 Mar 2007 05:34:46 +0000</pubDate>
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		<description>This actually opens up an entirely different possibility in HIV therapy: turning the virus back ON.  

That sounds like exactly what you don&#039;t want, but in fact part of the problem in HIV infection is that there are always latent copies of the virus: viral genome copies inserted into the DNA of cells that are not actively producing virus particles.  Those copies are pretty much immune to any protein-target-based therapy, so even when you get the viral titer down below measurable levels, you can still be certain that you *haven&#039;t* eliminated the virus from the patient&#039;s body.  This is largely the reason why patients cannot stop HAART once their CD4 counts get back to normal.

One of the long-running Big Questions in HIV medicine is how to get these latent copies to reveal themselves without provoking a dangerous rebound viraemia.  Having identified the components of the system that enables latency, perhaps we can more effectively manipulate that process and find a real, final, permanent cure.  (Don&#039;t mind me, I used to work on HIV molecular biology.)</description>
		<content:encoded><![CDATA[<p>This actually opens up an entirely different possibility in HIV therapy: turning the virus back ON.  </p>
<p>That sounds like exactly what you don&#8217;t want, but in fact part of the problem in HIV infection is that there are always latent copies of the virus: viral genome copies inserted into the DNA of cells that are not actively producing virus particles.  Those copies are pretty much immune to any protein-target-based therapy, so even when you get the viral titer down below measurable levels, you can still be certain that you *haven&#8217;t* eliminated the virus from the patient&#8217;s body.  This is largely the reason why patients cannot stop HAART once their CD4 counts get back to normal.</p>
<p>One of the long-running Big Questions in HIV medicine is how to get these latent copies to reveal themselves without provoking a dangerous rebound viraemia.  Having identified the components of the system that enables latency, perhaps we can more effectively manipulate that process and find a real, final, permanent cure.  (Don&#8217;t mind me, I used to work on HIV molecular biology.)</p>
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