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New York Woman Cured Of HIV With New Treatment

The patient has been living without HIV since 2017 and is no longer taking drugs to suppress the virus

New Delhi: A woman from New York was cured of HIV after receiving a stem cell transplant from umbilical cord blood, scientists announced.

She is said to be among a few people cured of the virus with a new method that increases the odds of making a cure available to a more racially diverse group of people.

Published as a medical case report in the journal Cell, the patient has been living without HIV since 2017 and is no longer taking drugs to suppress the virus.

Researchers Identify A Plant-based Compound That Inhibits Reactivation Of The HIV Viral Reservoir

Could be a potential treatment in combination with ART

Wistar Institute's Dr. Ian Tietjen

Wistar Institute's Dr. Ian Tietjen (left) with student

PHILADELPHIA, March 30, 2023 (GLOBE NEWSWIRE) -- As of 2022, approximately 1.2 million people in the United States are living with HIV. Antiretroviral therapies have enabled many of these individuals to live productive, symptom-free lives, but a cure that permanently eliminates HIV from an infected person's body is still a long way off. However, researchers at The Wistar Institute, an international biomedical research leader in cancer, immunology, infectious disease, and vaccine development, have zeroed in on a promising compound that targets HIV reservoirs that persist in people living with HIV despite the presence of anti-HIV therapy.

In a recent paper published in Antimicrobial Agents and Chemotherapy, Wistar Institute researchers identified hopeaphenol, a natural plant-based compound, as possessing antiviral properties that are effective against HIV. Specifically, the compound helps to block not only viral replication but also to inhibit reactivation of the "viral reservoir" that persists after anti-HIV therapy within human immune cells and can make new virus at any time, even when patients are receiving ART and exhibit no viral symptoms.

"This is important because anti-HIV therapy can stop the symptoms, but it doesn't eliminate the potential of the underlying HIV reservoir from re-emerging. The virus is still there and still a little bit active—kind of rumbling and turning on—and the immune system is stressed about that," said Ian Tietjen, Ph.D., the lead author on the paper and a research assistant professor in the laboratory of Luis Montaner, D.V.M., D.Phil., senior author, in Wistar's Vaccine & Immunotherapy Center.

Tietjen explained that the expression of persistent HIV can stress immune cells even in the presence of anti-HIV therapy, which has been linked to inflammation and higher risk of cancers, metabolic disease, heart disease, and other conditions associated with advanced aging in persons living with HIV.

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"So, we think that something like hopeaphenol, which we've identified, could prevent the HIV reservoir from reactivating— reducing stress on the immune system and potentially decreasing these age-related conditions."

Tietjen discovered hopeaphenol's potential for suppressing HIV expression by first testing a collection of 512 compounds. Hopeaphenol proved to be the most active, so they performed some additional testing. With the help of students from Cheyney University and Philadelphia area high school students participating in Wistar's Education and Training Programs, they were able to verify their results and to analyze how the compound was working. Then, they conducted two experiments to demonstrate hopeaphenol's therapeutic potential against HIV.

In the first experiment, Tietjen and his colleagues isolated lymphocytes, or white blood cells, from human blood and infected those cells with HIV in the laboratory. They let the virus replicate and then treated the infected cells with hopeaphenol. After treatment, the virus stopped replicating.

In the second experiment, the researchers took CD4+ T cells—i.E., "helper T-cells"—from several people living with HIV taking anti-HIV therapy and divided the cells into two groups. One group of helper T-cells was pre-treated with hopeaphenol; the other group (the control) was left untreated. Then, Tietjen and his colleagues activated the cells' that had viral reservoirs to start producing virus. They found that cells pre-treated with hopeaphenol reduced viral production—indicating that hopeaphenol was able to dampen viral reactivation.

"These observations suggest to us that hopeaphenol, in addition to just stopping active replication and spread, might also help silence the HIV reservoir by inhibiting viral reactivation not otherwise accomplished by current anti-HIV medicines" said Tietjen.

Prior research has demonstrated that hopeaphenol is well tolerated in animal models, and because it can be derived from a variety of plants, its isolation can be scaled up easily. Due to these factors and his study's results, Tietjen is optimistic that hopeaphenol can eventually contribute to a better quality of life for patients with HIV, although further study is still needed before it can be tested in humans.

"I think in time it could become a promising additive on top of existing antiretrovirals as a more potent anti-HIV therapy," he said.

Co-authors: Amanda Sciorillo, Toshitha Kannan, Andrew V. Kossenkov, Jocelyn Rivera-Ortiz, Colin Hart, Kwasi Gyampoh, Zhe Yuan, Kristy Shuda McGuire, and Luis J. Montaner from The Wistar Institute; Cole Schonhofer, Maya E. Naidu, and Zahra Haq from Simon Fraser University; Karam Mounzer from Jonathan Lax Immune Disorders Treatment Center; Karren D. Beattie and Rohan A. Davis from Griffith University; and Topul Rali from The University of Papua New Guinea.

Special thanks to: Brijesh Karanam, students of the Cheyney University Biomedical Research Methods (SLF-343) Spring 2022 course (Mohamedanwar Idress, Sophia Kurian, Michelle Lucas, Autumn Mitchell, Abdiel Mandella Reynolds, Angel Ross, and Kayla Thomas) and The Wistar Institute High School 2022 Summer Fellowship Program (Folasade Ajibade, Daniel Albarouki, Sean Alleyne, Tiffani Billups, Tyshawn Boone, Cassidy Olsen, Amal Oubarri, Rebecca Scarpati, Sophie Shapiro, Charlenne Tan, and Sabrina Yan) for cytokine ELISA experiments conducted as part of their biomedical laboratory training. Funding from Ben Franklin Technology Partners, Fred J. Brotherton Charitable Foundation, Gray Charitable Trust, Hassel Foundation, Justamere Foundation, Michael and Reina Cohen, and Richard Siegel supported the Wistar-Cheyney Program and funding from Citizens Bank, Christian R. And Mary F. Lindback Foundation, Pincus Family Foundation, and the Scholler Foundation supported the High School Summer Fellowship Program.

Work supported by: Canadian Institutes for Health Research (CIHR PJT-153057); New Frontiers in Research Fund – Explorations (NFRFE-2018-01386); Sub-Saharan African Network for TB/HIV Research Excellence, a DELTAS African Initiative (DEL-15-006); Griffith University–Simon Fraser University Collaborative Travel Grant; National Health and Medical Research Council (APP1024314); Australian Research Council (LE0668477, LE140100119, and LE0237908); linkage research grant (LP120200339); Beyond Antiretroviral Treatment (BEAT)-HIV Delaney Collaboratory Grant (UM1 AI164570); Robert I. Jacobs Fund of the Philadelphia Foundation; and the Penn Center for AIDS Research Grant (P30 AI 045008).

Publication information: The natural stilbenoid (–)-hopeaphenol inhibits HIV transcription by targeting both PKC- and NF-kappaB-signaling and cyclin-dependent kinase 9, Antimicrobial Agents and Chemotherapy, 2023. Online publication. ###

The Wistar Institute is an international leader in biomedical research with special expertise in cancer research and vaccine development. Founded in 1892 as the first independent nonprofit biomedical research institute in the United States, Wistar has held the prestigious Cancer Center designation from the National Cancer Institute since 1972. The Institute works actively to ensure that research advances move from the laboratory to the clinic as quickly as possible. Wistar.Org.

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CONTACT: Darien Sutton The Wistar Institute 215-870-2048 dsutton@wistar.Org

CDC Specialist Discusses Evolution Of HIV Prevention Campaign At Harvard School Of Public Health Workshop

Centers for Disease Control and Prevention communications specialist Jo Ellen Stryker discussed the future of HIV prevention in a student workshop at the Harvard School of Public Health last Thursday.

Chief of the Prevention Communications Branch in the Division of HIV Prevention at the CDC, Stryker explored the evolution of the HIV prevention campaign over recent years, including efforts to combat the stigma around the disease and promote testing, treatment, and care. The school's Center for Health Communication and the Health Communication Concentration co-sponsored Thursday's event.

One of the major ways the HIV campaign has evolved is in its shift in framing and messaging to be more inclusive, according to Stryker.

"It includes gay, bisexual, other men who have sex with men, transgender people, particularly transgender women, cisgender black women, and people who inject drugs," she said.

In recent years, the campaign has taken on a more positive tone from discussing the problem in combative terms to promoting collective resiliency. In line with these developments, the campaign changed its name from "Act Against Aids" to "Let's Stop HIV Together."

Stryker also said the campaign is taking an increasingly holistic approach. The campaign previously targeted specific audiences with distinct goals, like improving treatment and increasing the prevalence of testing.

"In the past, we had very discrete campaigns for discrete audiences," Stryker said.

Rather than having the desired effect, the campaign found this approach "can be very stigmatizing to people, feeling like you are singling out a particular group."

A communication scientist by training, Stryker focuses on taking public health data and applying it to communications campaigns.

"I was always a little bit on the fence as to whether I wanted to be in academia or not," Stryker said.

Stryker's passion has always fallen "where the science meets the practice," a quality which drew her to the CDC.

"Not every place at CDC is fortunate enough to have the resources to have a very robust communication program, but HIV does," Stryker said. "Having the opportunity to really adjust our communication practices and to be able to see the difference that it's making in our campaign, in our communities, with individuals — it's very rewarding."

Throughout her time leading the Let's Stop HIV Together campaign, Stryker worked to expand the program's outreach and communication initiatives. During the Covid-19 pandemic, Stryker spearheaded a self-testing pilot program for the CDC, offering HIV testing even during pandemic lockdowns.

Now, Stryker is working to launch a new testing initiative in partnership with Emory University. The program, called "Together Take Me Home," uses the Let's Stop HIV Together campaign to market free HIV tests to areas that are disproportionately affected by HIV. Over the next five years, Stryker hopes the program will distribute more than a million free tests.

After outlining the campaign's new initiative, Stryker told students at the School of Public Health that it is "impossible" to pursue a career in the field without honing communication skills.

"Be thoughtful and intentional about your messaging, your framing, and to be thinking always not just about the audience that you're trying to reach, but the potential effects of your messaging on others who might see it," Stryker said.

Beyond the field of public health, Stryker believes everyone can play a role in preventing HIV.

"Understanding the facts, talking openly about your sexual health with your sexual partners, and ensuring that you are supportive and caring for people living with HIV, those are things that we can all do," she said.

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