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CCR5-DELTA 32

March 6, 2019

An HIV-positive man in Britain has become the second known adult worldwide to be cleared of the AIDS virus after he received a bone marrow transplant from an HIV-resistant donor. He was treated with stem cell transplants from donors who carried a rare genetic mutation, known as CCR5-delta 32, that made them resistant to HIV.

CCR5: 

  • What is it? Cysteine-cysteine chemokine receptor 5 (CCR5) is a protein on the surface of white blood cells that is involved in the immune system as it acts as a receptor for chemokines. 

  • Prevalence: 
    • CCR5 is found in the cell membranes of many types of mammalian cells, including nerve cells and white blood cells. 

    • In humans, the CCR5 gene that encodes the CCR5 protein is located on the short (p) arm at position 21 on chromosome 3. 



  • Role: The role of CCR5 is to allow entry of chemokines into the cell—chemokines are involved in signalling the body’s inflammation response to injuries. 

CCR5-delta 32: 

  • Various mutations of the CCR5 gene are known that result in damage to the expressed receptor. 

  • One of the mutant forms of the gene is CCR5-delta 32, which results from deletion of a particular sequence of 32 base-pairs. 

  • This mutant form of the gene results in a receptor so damaged that it no longer functions. But surprisingly, this does not appear to be harmful. Moreover, this mutation can be advantageous to those individuals who carry it. 

  • The virus HIV normally enters a cell via its CCR5 receptors, especially in the initial stage of a person becoming infected. But in people with receptors crippled by the CCR5-delta32 mutation, entry of HIV by this means is blocked, providing immunity to AIDS for homozygous carriers and greatly slowing progress of the disease in heterozygous carriers. 

  • Up to 20% of ethnic western Europeans carry this mutation, which is rare or absent in other ethnic groups. This suggests that the CCR5-delta32 mutation was strongly selected for some time during European history. 

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