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title: HIV: Preventing HIV Without a Vaccine Through CRISPR
description: Researchers may have found a way to give people &quot;natural&quot; immunity against HIV through a gene editing technique called CRISPR
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og:title: It May Be Possible To Prevent HIV Even Without a Vaccine
og:description: Researchers may have found a way to give people &quot;natural&quot; immunity against HIV through a gene editing technique called CRISPR
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# It May Be Possible To Prevent HIV Even Without a Vaccine

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<!-- video src="https://cdn.jwplayer.com/manifests/gU8OrICe.m3u8" -->
## Video: The Nantucket Project: Meet the Non-Profit Developing a Free HIV Vaccine

[Watch (HLS stream): The Nantucket Project: Meet the Non-Profit Developing a Free HIV Vaccine](https://cdn.jwplayer.com/manifests/gU8OrICe.m3u8) (7:01)

![The Nantucket Project: Meet the Non-Profit Developing a Free HIV Vaccine](https://cdn.jwplayer.com/v2/media/gU8OrICe/poster.jpg?width=720)

_Published 2014-10-20. This Amazing Non-Profit is Developing an HIV Vaccine to Offer the World for Free_


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 6, 2014 5:07 PM UTC

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 6, 2014 5:07 PM UTC

Natural immunity is the most reliable way to protect yourself from viruses, bacteria and parasites. And the best way to acquire such immunity, in most cases, is to expose your immune system to the bug in question—either by getting infected or getting immunized.

Until now, such protection was only possible with diseases like chicken pox or polio. But now, scientists at Harvard University say that people might soon arm themselves against HIV in a similar way, but through a different method.

Chad Cowan and Derrick Rossi, both in the department of stem cell and regenerative biology at Harvard University, and their colleagues [report](http://www.cell.com/cell-stem-cell/abstract/S1934-5909%2814%2900455-X) in the journal _Cell Stem Cell_ that they have successfully edited the genomes of blood cells to make them impervious to HIV. In order survive, HIV needs to insert its genome into that of a healthy cell, and to infect these cells, HIV latches onto a protein on their surface called CCR5\. If CCR5 is mutated, however, it’s as if the locks have been changed and HIV no longer has the right key; it can’t attach itself and the cells are protected from infection. So the scientists tried a new gene editing technique called CRISPR that allows them to precisely snip out parts of a cell’s genome, and they spliced out the CCR5 gene. To their surprise, the technique was relatively efficient, transforming about half of the cells they treated with CRISPR into CCR5-free, or HIV-resistant, cells.


“It was stunning to us how efficient CRISPR was in doing the genome editing,” says Cowan.

Scientists have [previously used CRISPR](http://time.com/3012981/hiv-drug-aids-virus-splice/) to make another change in how HIV infects cells; they snipped out the HIV genes that the virus inserted into healthy cells. That process essentially returned HIV infected cells back to healthy ones.

The latest results, however, suggest that the technique may be useful even before HIV gets inside cells. CRISPR could be useful in treating HIV patients if it can replace patients’ own immune cells with the blockaded versions. The cells Cowan and Rossi used were blood stem cells, which give rise to the body’s entire blood and immune system. In order to work as a potential treatment for HIV, patients would provide a sample of blood stem cells from their bone marrow, which would be treated with CRISPR to remove the CCR5 gene, and these cells would be transplanted back to the patient. Since the bone marrow stem cells populate the entire blood and immune system, the patient would eventually have blood cells that were protected, or “immunized,” against HIV. “We’re removing the doorway that HIV uses to get into cells,” says Cowan.


To test this idea, they are already working with another research group to see if the HIV-impervious cells can treat mice infected with HIV.

Because healthy cells would be barricaded from HIV, the process might also lead to a cure for the disease. While the results are currently being tested to treat animals already infected with HIV, it may also be possible to one day transform a person’s immune cell genomes to be protected against the virus. Some people are already fortunate enough to be protected this way—a small percentage of people of European ancestry have natural immunity against HIV because they have two copies of mutated CCR5\. They have been well studied and so far, their CCR5 aberrations don’t seem to be linked to any known health issues. “They are totally normal except for the fact that they are resistant to HIV,” says Cowan. “That’s a heartening thing: to have a group of people who are alive today who have been studied and looked at and seem totally fine.”


That’s why clinicians who research the virus and treat HIV patients are excited by the possibilities of CRISPR-aided strategies. If it’s possible to close the door on HIV, then it may be realistic to start thinking about closing the door on the AIDS epidemic in the near future.

_Read next:_ [_How Meditation May Help People With HIV_](http://time.com/3548563/transcendental-meditation-hiv-aids/?iid=time%5Freadnext)

[_Listen to the most important stories of the day._](http://time.com/newsletter/the-brief/?sl%5Fautoplay=true&xid=spl-fullbrief-article)


## Transcript

[ MUSIC ] [ APPLAUSE ] I know this is a little confusing, because there are actually two Naveen Jains at this conference [ LAUGH ] so and funny story about that, we actually have the same middle name. So we're both Naveen Kumar Jain. But any case I'm Naveen Jain the cofounder of Immunity Project. We're a non- profit initiative dedicated to developing a nasal inhalable room temperature stable HIV vaccine to give away to the world for free. [ APPLAUSE ] So we're, we're actually backed by Y Combinator. Which is actually the top tech accelerator in the world. They've backed many startups that you've probably heard of, including Airbnb, Dropbox, Stripe and Reddit.

So our approach for this vaccine project is radically different. Because we're copying something that already works. You probably didn't know this but 1 in 300 people who are living with HIV have a netted virus. We call these people HIV controllers. The goal of our vaccine is to turn everyone into an HIV Controller. So obviously an HIV vaccine of any kind would be a great thing to have. Why hasn't this happened already? What are we doing differently? Well, two things. So number one, we're using machine learning software developed by Dr. David Heckerman at Microsoft Research. That helps us understand how HIV controllers defeat the virus.

His work is foundational and leading edge. In fact, it was peer of getting published. Exactly one month ago on August 27th in the Journal of Virology. Number two we're using a, a novel drug delivery system that we actually invented. So this is the drug delivery system that our team invented. These are microspheres that are actually a Trojan horse. Your body attacks them as if they were an infectious disease. And learns how to become an HIV controller. We have ten issued patents on this technology and many more filed. This is very important. This is a programmable vaccine platform. This video I'm about to play for you shows our vaccine in action in a sample of human blood.

So, those are our micro- sphere, in other words our vaccine particles. And those are dendrocytes, a type of humanoid blood cell. And those are the human dendrocytes attacking our infectious disease tar, attacking our micro- spheres as if they were an infectious disease target. Through a process called phagocytosis. If this vaccine works, it has the potential to be both therapeutic and preventative. That means that we could potentially help the over 35 million people who are currently living with HIV all over the world today. So, so how do we take this great idea for a vaccine forward? You know, what are the steps?

So first thing we need to do is to test our vaccine in animals. So we successfully tested our approach in over 100 mice and our data was previewed and published in the Medical Journal of Vaccine. Next, based on the strength of that results, we decided to test our vaccine using human blood in a test tube. Now, these experiments are notoriously difficult, because there are over 1, 000 steps per subject, and it's very hard to get human blood to do anything in a test tube compared to a living system. Despite these challenges. We were successful. So we were able to actually show that we could take vaccinated blood in a test tube, and that the vaccinated blood kills HIV infected cells.

Our data was strong enough to be accepted for presentation at a major HIV conference, and has been well- received by investigators from Africa to South America, who are interested in pursuing a human clinical trial with us. The world desperately needs an HIV vaccine. Our plan is to complete a phase 1 / 2 human clinical trial by the end of next year. So the title of this, of this session is God- like technology. As huge as an, as an, as a cure or a, a vaccine for HIV will be there may be a bigger, bigger opportunity here. So, remember when I said that our platform, our vaccine is actually a programmable vaccine platform.

Think about this. If there are people out there who have a natural immunity to HIV. It stands to reason that there are people out there who have a natural immunity to other infectious diseases. In fact we know that 13 % of the North American population has a natural immunity to hepatitis C. We believe there are controllers out there for common cold, viruses that cause many forms of cancer, possibly even Ebola. Now let's take this one step further. If Mother Nature is doing her job, we're all probably controllers for something. So if, if we're all controllers for something, that means that we can take our strengths.

And potentially give them to everyone else all over the world. This is my co- founder, Dr. Reid Rubsamen. This is a picture of him in 1985 when he was an intern in medicine in San Francisco at the height of the AIDS epidemic. He had many patients with AIDS. And every single one of them died. There was nothing he could do about it then, now there is. We're actually very lucky to have Dr. Rubsamen here in the audience with us today. [ APPLAUSE ] [ APPLAUSE ] During the course of this presentation 14 people died of AIDS. The only way to end this epidemic is with a vaccine. We'd love to work with each and every one of you to end AIDS and to create vaccines for many other viruses.

Thank you for taking the time to hear our presentation. And thank you to the Nantucket Project Family, for having us. [ APPLAUSE ] [ MUSIC ]

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