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Elite controllers: people who control HIV without medicine — Level B1 — pink and white flower petals

Elite controllers: people who control HIV without medicineCEFR B1

26 Sept 2024

Adapted from Elna Schütz, SciDev CC BY 2.0

Photo by CDC, Unsplash

Level B1 – Intermediate
3 min
151 words

Elite controllers are a small group of people with HIV who keep the virus at undetectable levels without taking antiretroviral drugs. Researchers say this group is important because studying them could reveal ways to treat or even cure HIV. An undetectable viral load means there is not enough virus to be transmittable.

Thumbi Ndung'u, director for basic and translational science at the Africa Health Research Institute and a professor at the University of KwaZulu-Natal, says elite controllers seem to have a superior antiviral immune system, but the mechanisms are not uniform or fully understood. A person is often described as an elite controller after at least two years without ARVs and with an undetectable viral load.

Scientists are looking for genetic factors in African populations. The HIV Host Genome project aims to identify distinct genetic traits. Some elite controllers take part in research and donate samples to help the work.

Difficult words

  • elite controllerpeople with HIV who keep virus low
    Elite controllers
  • antiretroviral drugmedicine that stops or slows the virus
    antiretroviral drugs
  • undetectablenot able to be found by medical tests
  • viral loadamount of virus in a person's blood
  • transmittableable to pass from one person to another
  • mechanisma biological process that causes an effect
    mechanisms
  • genetic traita characteristic that comes from a person's DNA
    genetic traits
  • donateto give samples for research or medical use

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • Do you think studying elite controllers could help find a cure for HIV? Why or why not?
  • Would you donate biological samples to medical research? What would make you decide yes or no?
  • Why is it important to study genetic factors in different populations, such as African populations?

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