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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