KENYA: Sex workers offer hope for HIV prevention
NAIROBI, (PlusNews) 8 September 2008: A study of Kenyan sex workers who appear to be immune to HIV could provide important clues to the development of an effective AIDS vaccine.
http://www.plusnews.org/Report.aspx?ReportId=80228
NAIROBI(PlusNews) 8 September 2008 - A study of Kenyan sex workers
who appear to be immune to HIV could provide important clues to the
development of an effective AIDS vaccine.
A team of researchers from Canada's University of Manitoba and Kenya's
University of Nairobi, who have been studying a group of Kenyan sex
workers for over 20 years, recently identified more than 15 proteins in
some of the women that appear to be markers for natural immunity to
HIV.
Dr Blake Ball, a professor of microbiology at the University of
Manitoba, one of the lead researchers, said 140 women in a cohort of
2,000 sex workers established in 1985 have remained HIV-negative
despite repeated exposure to the virus, and could provide "the best
chance to identify correlates of protection [against HIV
infection]".
In a pilot study, the researchers examined genital secretions from 10
of the sex workers who appeared to be resistant to HIV and compared
them to samples from HIV-negative and HIV-positive women.
They found 15 proteins present at higher levels in the HIV-resistant
women than in the other women, in some cases eight times higher. "We
think these proteins may be playing a role in protecting these women
from HIV infection," Ball told IRIN/PlusNews.
The findings have generated excitement in the HIV prevention field,
especially among vaccine researchers, who have suffered several recent
setbacks. In September 2007 a major vaccine trial was halted after
early results showed that not only did the candidate not protect people
from the virus, it may actually have put them at increased risk of
becoming infected.
In July 2008, the US National Institute of Allergy and Infectious
Diseases announced it would not move ahead with a vaccine trial
involving 8,500 participants to test a candidate with similar
properties to the one that failed last year.
"While not directly applicable to HIV vaccine design, these studies
[among Kenyan sex workers] may be informative," Ball said. "The most
direct application may be towards microbicide development, and these
proteins may be candidates for development of a microbicide based on
human proteins."
Microbicides include a range of female-controlled products - including
gels, films and sponges - undergoing clinical trials to see whether
they could help women protect themselves from HIV and other sexually
transmitted infections.
Pauline Irungu, the East Africa coordinator of the Global Campaign for
Microbicides, a coalition of organisations working to fast-track
microbicide research, described the Kenyan research as
"exciting".
"Although it is a little too early to say if this particular study will
lead to the development of new candidate microbicides, these sorts of
advances yield a better understanding of the biological and
socioeconomic factors that influence transmission of HIV and other
sexually-transmitted infections," she told IRIN/PlusNews. "It is this
type of basic research that will help us develop new tools to stop the
spread of HIV."
Ball emphasised that the findings were still preliminary and needed to
be replicated in a larger cohort of women. Further research will also
be needed to determine the precise biology of the isolated
proteins.

