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In SummaryFrom the clues given by the doctors that people were being exposed to HIV but not contracting the virus, scientists have discovered that a genetic "defect" in the CCR5 chemokine receptor is responsible for some protection against HIV-1. However, this is only a small part of the story and the mutation in the CCR5 gene represents only a small percentage of the individuals who are highly exposed but resistant to HIV-1 infection. Therefore, there are other mechanisms which await discovery. Regardless, The CCR5 deletion does provide some protection against HIV-1, however, it provides no protection against the T-tropic virus. That is, only in the M-tropic form does the HIV-1 virus rely on CCR5 for fusion. When the virus mutates into the T-tropic form, it utilizes a different chemokine receptor -primarily CXCR4 to enter T-cells. As such, even if a person was homozygous for the CCR5 deletion, they may eventually become infected with HIV-1 as is the case for at least three documented individuals. With each discovery that uncovers the way in which HIV-1 attacks the body, we discover a new way to possibly utilize these discoveries concerning the mechanisms of viral pathogenesis. In other words, if you take away the door. You leave the virus out in the cold. |
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