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Introduction to Basic Science of HIV/AIDS BREAKDOWN OF HIV RESEARCH • BASIC SCIENCE • Seeks the fundamental understanding of the biological, chemical, and physical nature of HIV. • CLINICAL SCIENCE • Seeks the understanding of the prevention, treatment, and/or the diagnosis of HIV infection in humans. • SOCIAL/BEHAVIORAL SCIENCE • Seeks the systematic analysis and investigation of human behavior in the context of HIV. Relationship of the sciences Basic Science Translational Science Social/Behavioral Science Clinical Science Don’t’ be afraid to ask questions or have us slow down Scientists are people too… A lot of things seem obvious… OUTLINE OF BASIC SCIENCE Module 1.1 Natural History of HIV Data Interpretation and Biostatistics HIV Structure, Lifecycle, and Replication Overview of the Human Immune System Origins of HIV Immune Responses to HIV Pathogenesis of HIV Disease and Markers of Progression Immune Reconstitution Module 1.2 Community HIV Basic Science Introduction to Basic Sciences Model Systems to Study HIV Major Basic Science Discoveries in HIV Current HIV Basic Science Research Topics HIV Cure Translation Science – Bench to Bedside to History of HIV from the Basic Science Perspective • 1940’s: Evidence of the first infections of humans with HIV (discovered in the 00’s) • 1981: First clinical report of AIDS (UCLA) • 1983: Discovery of HIV • 1985: AZT, first antiretroviral drug • 1996: Effective combination therapy (HAART) • 2009: First reported “cure” of HIV infection History of HIV from the Basic Science Perspective (Contributions of Basic Science) •1940’s: Evidence of the first infections of humans with HIV •Identification and analysis of virus in frozen blood samples •1981: First Clinical report of AIDS (UCLA) •Identified CD4 T cell loss •1983: Discovery of HIV •HIV was grown in the lab from a patient’s blood •1985: AZT first antiretroviral drug •Addition of AZT to virus stopped its growth in the lab •1996: Effective combination therapy (HAART) •Development of new classes of drugs were due to greater understanding of the viruses structure and replication •2009: First reported “cure” of HIV infection •Identification of people who were not susceptible to infection due to lack of expression of an HIV receptor What to look Out for: Basic Science • Understanding of how the virus replicates • Understanding of how antiretroviral drugs work • Understanding of the human immune system and how it is important in HIV infection • Understanding of how HIV causes disease • Understanding of how passionate HIV researchers are in finding a cure and what these approaches may be. What basic scientists do needs to be conveyed to find a cure for HIV disease Understanding basic science aspects of HIV infection helps to communicate new research findings, better treatment options, and hope to your constituencies.