. Medical and Hospital News .




.
EPIDEMICS
Women with HIV too often unseen: US advocate
by Staff Writers
Washington (AFP) July 25, 2012

Cancer drug flushes out lurking AIDS virus: study
Paris (AFP) July 25, 2012 - Scientists in the United States said Wednesday they had used a cancer drug to flush out the AIDS virus lurking dormant in trial patients' white blood cells -- a tentative step towards a cure.

The ability of the HIV genome, or reproductive code, to hide out in cells and be revived after decades poses a major obstacle in the quest for a cure.

Being able to expose the virus in its hiding place would allow scientists to target the host white blood cells in a killing blitz.

"It is the beginning of work toward a cure for AIDS," David Margolis, co-author of the study published in the journal Nature, told AFP as the International AIDS Conference was under way in Washington.

HIV is a retrovirus, inserting its DNA into the genome of host white blood cells, CD4+T cells in this case, and turning them into virus factories. Sometimes it goes into hiding in some cells even as others keep on producing.

Some 34 million people around the world are living with HIV, which destroys the immune system and has caused about 30 million AIDS-related deaths since the disease first emerged in the early 1980s.

In the latest study, researchers in the United States used the chemotherapy drug vorinostat to revive and so unmask latent HIV in the CD4+T cells of eight trial patients.

The patients were also on antiretroviral drugs, which stops HIV from multiplying but have to be taken for life because they do not kill the virus hidden away in reservoirs.

"After a single dose of the drug, at least for a moment in time, (vorinostat) is flushing the virus out of hiding," Margolis said of the trial results -- the first drug ever shown to do so.

"This is proof of the concept, of the idea that the virus can be specifically targeted in a patient by a drug, and essentially opens up the way for this class of drugs to be studied for use in this way."

The drug targets an enzyme that allows the virus to lie latent.

The researchers cautioned that vorinostat may have some toxic effects and stressed this was merely an early indication of feasibility that had to be explored further.

Exactly what would happen after the virus was unveiled in reservoir cells was also not certain, said Margolis.

"We know that many cells that produce HIV die in the process. We know many cells that produce HIV can be identified and killed by the immune system. As far as we can tell, all the viruses floating around while patients are taking therapy don't get into cells because they are blocked by the therapy," he said.

Without a host cell, the virus would die within a few minutes.

"There is a possibility that this could work. But ... if it is only 99 percent true and one percent of the virus escapes, it won't succeed. That is why we have to be careful about our work and what we claim about it."

In a comment published with the study, HIV researcher Steven Deeks said the research provided "the first evidence that ... a cure might one day be feasible".

But, as is common with early clinical trials, the study raised more questions than answers -- including ethical concerns about giving potentially toxic drugs to HIV-infected people who are otherwise healthy, he said.

"These data from the lab of David Margolis are genuinely exciting for those exploring pathways to achieving a cure for AIDS," Oxford University HIV researcher John Frater told AFP, calling for investment in further research.

HIV immunologist Quentin Sattentau called the findings promising, but said other types of reservoir cells, including in the brain, may not respond to this treatment.

"Thus there is a long way to go before we will know if this can work to completely eradicate HIV from an infected person."


As a black American woman with HIV, Linda Scruggs said Wednesday that she represents a group that is disproportionately affected by the pandemic and must get more involved in advocacy and research.

In the United States, black heterosexual women made up the next largest group of new infections after gay men of all races in 2009, with about 5,400 cases according to data from the US Centers for Disease Control and Prevention.

And worldwide, AIDS remains the top killer of women of reproductive age, said a UNAIDS report released last week, signaling that women of all races are particularly vulnerable to the 30-year-old disease.

Scruggs was first diagnosed with HIV 22 years ago, when she was 25 years old and took a routine blood test related to her pregnancy.

She was 13 weeks along, and recalls her doctors telling her she was HIV positive and could either have the baby and perhaps live three years, or abort the fetus and maybe live for about five years.

Scruggs expressed her pride for the son she decided to have, Isaiah, who recently turned 21 and was born without HIV, as she began her talk to the International AIDS Conference aimed at highlighting the struggles of women.

"We are not asking you. We are telling you. It is time to address the inequality of women globally ... we need to be part of the solution," she told a cheering auditorium at the world's largest meeting on HIV/AIDS.

The political backdrop to the pandemic is inescapable in Washington. The US capital is struggling with its own soaring HIV rates and embroiled in partisan bickering over healthcare reform.

Washington's city-wide prevalence rate of 2.7 percent (nearly 15,000 people) exceeds that of many developing countries.

Among the city's black population, about half the city's residents, the prevalence rate is 4.3 percent. One in 32 black US women can expect a diagnosis of HIV in her lifetime, the CDC has said.

AIDS advocates say President Barack Obama's plan to reform healthcare could help turn the tide on an epidemic that predominantly affects poor and minority communities by extending coverage to more people.

However, Obama's Republican foes say the costs would be too high and as many as 13 state governors are vowing to opt out of a plan to expand Medicaid coverage to the poor.

"This is an epidemic of communities of color," said Daniel Montoya, deputy executive director of the National Minority AIDS Council, saying minorities tend to have less access to healthcare, which can make them more vulnerable.

Nationwide, black women make up 60 percent of new cases among women and face infection rates that are 15 times the rate in white women, according to C. Virginia Fields, president of the National Black Leadership Commission on AIDS.

"We still need to have that national outrage to bring those numbers down," Fields said, referring to remarks in 2007 by Secretary of State Hillary Clinton, who was at that time a presidential candidate.

Reacting to CDC data showing HIV/AIDS as the top cause of death in black women aged 25 to 34, Clinton had said: "If HIV/AIDS were the leading cause of death of white women between the ages of 25 and 34, there would be an outraged outcry in this country."

While many groups are jostling for the spotlight at the conference, which has drawn more than 20,000 experts, policy makers and advocates to the US capital, Scruggs said her appeal should not take away from the need to help gay men, traditionally the focus of efforts to halt the disease.

Instead, it is time for women to take a greater role in research and leadership, and to express the complexities of their lives that may contribute to their high infection rates.

"My life had never been a cup of tea," said Scruggs, who recounted being molested by an uncle and raped multiple times as a young woman. She does not know which event may have infected her with HIV.

"I understood why me. I understood there were things in my life and my past that would get me there," she said.

Her own healing process took root in the 1990s when she was asked to stand in for a speaker and tell her story to a doctors' conference.

Afterwards, she realized talking publicly about her ordeal was helping to free her of a long-held burden.

But she also acknowledged that plenty of stigma remains, and women too often stay silent about their condition.

"We are here and we are a force to be reckoned with. We are changing the game," said Scruggs. "We don't have another 30 years. We don't need another 30 years. We need you to do it now."

Related Links
Epidemics on Earth - Bird Flu, HIV/AIDS, Ebola




.
.
Get Our Free Newsletters Via Email
...
Buy Advertising Editorial Enquiries


Being cured of HIV is 'wonderful,' US man says
Washington (AFP) July 24, 2012 - The only person believed to have been cured of HIV infection through a bone marrow transplant said Tuesday he feels wonderful and is launching a new foundation to boost research toward a cure.

Timothy Ray Brown, 47, an American from Seattle, Washington, rose to fame as the so-called "Berlin patient" after doctors tried a novel technique to use an HIV-resistant donor for a stem cell transplant to treat Brown's leukemia.

Since 2007, he has had two high-risk bone marrow transplants and continues to test negative for HIV, stunning researchers and offering new pathways for research into how gene therapy may lead to a more widely acceptable approach.

"I am living proof that there could be a cure for AIDS," Brown told AFP in an interview. "It's very wonderful, being cured of HIV."

Brown looked frail as he spoke to reporters in Washington where the 19th International AIDS Conference, the world's largest meeting of scientific experts, policymakers and advocates is taking place.

The bone marrow transplant he received carried significant risks and may be fatal to one in five patients who undergo it. But he said his only complaint these days is the occasional headache.

He also said he was aware that his condition has generated some controversy, but disputed the claims of some scientists who believe he may still have traces of HIV in his body and may remain infectious to others.

"Yes, I am cured," he said. "I am HIV negative."

Brown said he fully supports more aggressive efforts toward finding a universal cure, and has met with a number of top scientists in recent days who have treated him "like a rock star."

He said he hopes to harness some of that fame to encourage donors to fund more research, and noted that Europe and China spend far more on cure research than the United States.

"There are thousands of very able researchers who cannot get funded for research, so I want to change that. And there are a lot of researchers who are willing to work to find a cure for HIV."

Brown was a student in Berlin, Germany, when he tested positive for HIV in 1995 and was told he probably had about two years to live.

But combination antiretroviral therapy emerged on the global market a year later, and eventually transformed HIV from a death sentence into a manageable condition for millions of people worldwide.

Brown tolerated the medications well but due to persistent fatigue he visited a doctor in 2006 and was diagnosed with leukemia. He underwent chemotherapy, which led to pneumonia and sepsis, nearly killing him.

His doctor, Gero Huetter, had the idea of trying a bone marrow transplant using a donor who had a CCR5 receptor mutation.

People without that receptor appear to be resistant to HIV because they lack the gateway through which the virus can enter the cells. But such people are rare, and are believed to consist of one percent of the northern European population.

It would be an attempt to cure cancer and HIV at the same time.

Brown's leukemia returned in 2007, and he underwent a bone marrow transplant using stem cells from a CCR5 mutation donor, whom he has never met in person. He stopped taking antiretrovirals at the same time.

He soon had no HIV detectable in his system. His leukemia returned though, and he underwent a second bone marrow transplant in 2008, using stem cells from the same donor.

Brown said his recovery from the second operation was more complicated and left him with some neurological problems, but he continues to be free of leukemia and HIV.

Asked if he feels like his cure was a miracle, Brown was hesitant to answer.

"It's hard to say. It depends on your religious belief, if you want to believe it's just medical science or it was a divine intervention," he told AFP. "I would say it's a little bit of both."



.

. Comment on this article via your Facebook, Yahoo, AOL, Hotmail login.

Share this article via these popular social media networks
del.icio.usdel.icio.us DiggDigg RedditReddit GoogleGoogle



EPIDEMICS
AIDS cure may have two main pathways: experts
Washington (AFP) July 24, 2012
Investigators are looking into two main paths toward a cure for AIDS, based on the stunning stories of a small group of people around the world who have been able to overcome the disease. Despite progress in treating millions of people globally with antiretroviral drugs, experts say a cure is more crucial than ever because the rate of HIV infections is outpacing the world's ability to medica ... read more


EPIDEMICS
Disaster-hit Japan could use microfinance: Yunus

In Haiti, anger over slum eviction plans

EU discusses new NGO law with Russia

Japan probes claim workers' radiation levels faked

EPIDEMICS
SSTL announces the launch of exactView-1

GMV Leads Satellite Navigation Project In Collaboration With The South African National Space Agency

SSTL signs contract with OHB for second batch of Galileo payloads

Phone app will navigate indoors

EPIDEMICS
Japan women lose longest-lived title: government

Kissenger: virtual lips for long-distance lovers

Oregon's Paisley Caves as old as Clovis sites - but not Clovis

Unique Neandertal arm morphology due to scraping, not spearing

EPIDEMICS
Superfast evolution in sea stars

India's top court clamps down on tiger tourism

Search for mountain gorillas after DR Congo fighting

Asia fuels record elephant, rhino killings: WWF

EPIDEMICS
Mobile phones help bolster Uganda's fight against HIV

AIDS cure may have two main pathways: experts

'Cure' research suggests new paths to HIV control

Women with HIV too often unseen: US advocate

EPIDEMICS
China's 'unwanted' single women feel the pressure

US slams deteriorating human rights in China

Diplomats meet Frenchman in Beijing for Bo probe

China activist gets hard labour in Tiananmen row

EPIDEMICS
Somali pirates release Taiwan fishing boat

ONR Sensor and Software Suite Hunts Down More Than 600 Suspect Boats

Netherlands beefs up anti-piracy forces

Incidence, types of marine piracy studied

EPIDEMICS
China's economy to rebound in second half: IMF

Outside View: The coming economic collapse

China manufacturing data picks up in July: HSBC

Walker's World: The Spanish agony


Memory Foam Mattress Review

Newsletters :: SpaceDaily Express :: SpaceWar Express :: TerraDaily Express :: Energy Daily
XML Feeds :: Space News :: Earth News :: War News :: Solar Energy News

.

The content herein, unless otherwise known to be public domain, are Copyright 1995-2012 - Space Media Network. AFP, UPI and IANS news wire stories are copyright Agence France-Presse, United Press International and Indo-Asia News Service. ESA Portal Reports are copyright European Space Agency. All NASA sourced material is public domain. Additional copyrights may apply in whole or part to other bona fide parties. Advertising does not imply endorsement,agreement or approval of any opinions, statements or information provided by Space Media Network on any Web page published or hosted by Space Media Network. Privacy Statement