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Diskusija o HIV-u, podrska, iskustva...

Moderatori: IriS, Moderators

By zoom
#1787083
Нисам приметио да је ико отворио ову тему, па ме занима шта се збива са тим... како иду истраживања поводом овог случаја :) ?

У Берлину је 2008. забележен случај пацијента који је излечен од сиде. Он је боловао од леукемије и трансплантиране су му матичне ћелије коштане сржи особе која је генетички имуна на вирус ХИВ (захваљујући мутацији познатој као CCR5 коју има око 3% Европљана). Овај случај је подстакао даља истраживања у области генетске терапије пацијената са сидом.

http://sr.wikipedia.org/wiki/Сида

Такође ме занима, ко су ти Европљани који спадају у ових 3%? Сви генерално или је више сконцентрисано у (лупам) Скандинавији, на Балкану :bubbles: итд...?

Верујем да ко од вас више зна о овоме... па, проћаскајмо :)
By zoom
#1848885
http://edition.cnn.com/2009/HEALTH/02/1 ... index.html

A 42-year-old HIV patient with leukemia appears to have no detectable HIV in his blood and no symptoms after a stem cell transplant from a donor carrying a gene mutation that confers natural resistance to the virus that causes AIDS, according to a report published Wednesday in the New England Journal of Medicine.

"The patient is fine," said Dr. Gero Hutter of Charite Universitatsmedizin Berlin in Germany. "Today, two years after his transplantation, he is still without any signs of HIV disease and without antiretroviral medication."

The case was first reported in November, and the new report is the first official publication of the case in a medical journal. Hutter and a team of medical professionals performed the stem cell transplant on the patient, an American living in Germany, to treat the man's leukemia, not the HIV itself.

However, the team deliberately chose a compatible donor who has a naturally occurring gene mutation that confers resistance to HIV. The mutation cripples a receptor known as CCR5, which is normally found on the surface of T cells, the type of immune system cells attacked by HIV.

The mutation is known as CCR5 delta32 and is found in 1 percent to 3 percent of white populations of European descent.

HIV uses the CCR5 as a co-receptor (in addition to CD4 receptors) to latch on to and ultimately destroy immune system cells. Since the virus can't gain a foothold on cells that lack CCR5, people who have the mutation have natural protection. (There are other, less common HIV strains that use different co-receptors.)

People who inherit one copy of CCR5 delta32 take longer to get sick or develop AIDS if infected with HIV. People with two copies (one from each parent) may not become infected at all. The
stem cell donor had two copies.

While promising, the treatment is unlikely to help the vast majority of people infected with HIV, said Dr. Jay Levy, a professor at the University of California San Francisco, who wrote an editorial accompanying the study. A stem cell transplant is too extreme and too dangerous to be used as a routine treatment, he said.

"About a third of the people die [during such transplants], so it's just too much of a risk," Levy said. To perform a stem cell transplant, doctors intentionally destroy a patient's immune system, leaving the patient vulnerable to infection, and then reintroduce a donor's stem cells (which are from either bone marrow or blood) in an effort to establish a new, healthy immune system.

Levy also said it's unlikely that the transplant truly cured the patient in this study. HIV can infect many other types of cells and may be hiding out in the patient's body to resurface at a later time, he said.

"This type of virus can infect macrophages (another type of white blood cell that expresses CCR5) and other cells, like the brain cells, and it could live a lifetime. But if it can't spread, you never see it-- but it's there and it could do some damage," he said. "It's not the kind of approach that you could say, 'I've cured you.' I've eliminated the virus from your body."

Before undergoing the transplant, the patient was also found to be infected with low levels of a type of HIV known as X4, which does not use the CCR5 receptor to infect cells. So it would seem that this virus would still be able to grow and damage immune cells in his body. However, following the transplant, signs of leukemia and HIV were absent.

"There is no really conclusive explanation why we didn't observe any rebound of HIV," Hutter said. "This finding is very surprising."

Hutter noted that one year ago, the patient had a relapse of leukemia and a second transplant from the same donor. The patient experienced complications from the procedure, including temporary liver problems and kidney failure, but they were not unusual and may occur in HIV-negative patients, he said.

Researchers including Hutter agree that the technique should not be used to treat HIV alone. "Some people may say, 'I want to do it,'" said Levy. A more logical -- and potentially safer -- approach would be to develop some type of CCR5-disabling gene therapy or treatment that could be directly injected into the body, said Levy.

Less invasive options to alter CCR5 could be on the horizon within the next five years, said Levy. "It's definitely the wave of the future," he said. "As we continue to follow this one patient, we will learn a lot."

One drug that's currently on the market that blocks CCR5 is called maraviroc (Selzentry). It was first approved in 2007 and is used in combination with other antiretroviral drugs.
By zoom
#1848889
http://www.cqs.com/aidscure.htm

A cure for AIDS?

That is what appears to be the focus of an uncommon book, written over ten years ago, and ignored by the world’s medical establishment, and the more recent groundbreaking research by Dr. Matthias Rath.

In The AIDS Fighters Dr. Ian Brighthope documents how in case after case of people with AIDS, treated at his clinic in Australia, survive AIDS and go on to lead normal lives. Dr. Brighthope uses immune system enhancing nutrients such as vitamin C (in absolutely massive doses) and zinc to help the AIDS patients’ body fight off the disease and become healthy.

Dr. Brighthope’s well-documented practice – and his claim that not a single AIDS patient who had maintained the regimen had died – should have sent shock waves through the world’s AIDS research and medical communities. But instead they have ignored him, searching instead for complex and expensive "silver bullet" drugs such as AZT that focus on destroying HIV (meanwhile killing the patient) rather than rebuilding the patient’s immune system to control and conquer the disease.

Dr. Brighthope’s regimen involves increasing the oral dose of Vitamin C to "body tolerance" dosage – to the point of diarrhea – upwards of 30 grams per day, in addition to intravenous Vitamin C in much larger doses, depending on the level of immune suppression of the patient (50-150 grams per day). He has found no toxic dose.

In 1991, Dr. Matthias Rath discovered that AIDS - like cancer - spreads by destroying collagen, and therefore that therapeutic amounts of the primary collagen-building compounds - lysine and vitamin C - were also enzyme blocks that could stop the progression of AIDS and similar acute and chronic illnesses. But the pharmaceutical industry, rather than embracing this new information and making this information available to doctors, chose to synthesize expensive, patentable protease inhibitors. These drugs cost upwards of $5000 per patient per year. The supplement regimen, even at retail vitamin store prices, costs one-fifth of that.

The reaction of the medical community – silence and marginalization – to these simple, cheap regimens is in keeping with the prevailing attitude toward "alternative" cancer and heart disease cures and preventives, and is indicative of the systemic connections between the medical profession and the drug companies. The worldwide AIDS epidemic could be stopped if this information were widespread and the pharmaceutical industry was willing to sell the supplements at cost.
By zoom
#1848910
http://www.technewsworld.com/story/6925 ... 1272101776

Breakthrough Could Lead to Cure for AIDS and Other Deadly Viruses

The discovery of a chemical given the unassuming name "LJ001" could mark the beginning of a new era of medicine. Because it attacks virus membranes, LJ001 may form the basis for treating a variety of ills, from annoying cases of flu to deadly outbreaks of Ebola, to HIV and many other viral killers, without any serious side effects.

Viruses have long been the bane of the medical world. For centuries, healthcare experts have struggled to treat everything from virus-induced sniffles to lethal epidemics. At the very core of the problem is the constant emergence of new viruses and the continuous flux of old ones. It doesn't help that even the strongest antibiotics are impotent against even the weakest virus. This is why the recent discovery of a new broad spectrum antiviral treatment is nothing to sneeze at.

Researchers at UCLA, the University of Texas Medical Branch, Harvard University, Cornell University and the United States Army Medical Research Institute of Infectious Diseases have developed an antiviral compound that attacks a wide variety of viruses through a common feature: their outer coating.

How a Virus-Killer Works

Essentially, there are two kinds of viruses: one is enveloped in a membrane, and the other is bare-naked.

The clothed ones are covered, or enveloped, in a lipid substance that is central to their attack arsenal. The virus uses the membrane to insert its genome into a host cell, causing an infection.

The newly discovered compound, a rhodanine derivative that the researchers have dubbed "LJ001," inactivates the membrane and thus disrupts infection.

Why 'Broad-Spectrum' Doesn't Cover Everything

Obviously, since LJ001 works by attacking a virus membrane, it doesn't work against viruses that naturally exist without a membrane.

However, a large number of membrane-enveloped viruses could be treated with this approach: These include HIV-1, influenza A, filoviruses, poxviruses, arenaviruses, bunyaviruses, paramyxoviruses and flaviviruses.

These viruses cause some of the world's deadliest diseases: AIDS, Nipah virus encephalitis, Ebola, hemorrhagic fever and Rift Valley fever. The compound should also work against viruses we haven't yet discovered or that have not yet emerged on the scene, as long as they have a membrane.
No Friendly Fire

What makes LJ001 doubly-cool is that it doesn't hurt normal (human) cell walls.

"We provide evidence that the small molecule binds to both cellular and viral membranes, but its preferential ability to inactivate viral membranes comes from its ability to exploit the biogenic reparative ability of metabolically active cells versus static viral membranes," said Benhur Lee, associate professor of microbiology, immunology and molecular genetics at the David Geffen School of Medicine at UCLA and the primary investigator in the four-year study.

"That is, at antiviral concentrations, any damage it does to the cell's membrane can be repaired, while damage done to static viral membranes, which have no inherent regenerative capacity, is permanent and irreversible," Lee added.

The U.S. government has recently set its sights on broad-spectrum antivirals in an attempt to gun down as many virus-caused diseases as possible with a single treatment.

"Since the government has changed its priorities to support development of broad spectrum therapeutics, more and more groups have been screening compound libraries for antivirals that are active against multiple viruses in a specific class," said Lee.

This newfound interest raises the question of why the government feels a need to so aggressively seek cures for viral infections. One part of the answer is particularly ominous: Viral diseases have been stockpiled by some governments as leading components of biological warfare.

That stockpiling leads to an urgent need to find antivirals to combat even diseases that once were thought extinct. For example, it has been over 30 years since the last incident of smallpox -- yet it is now feared again, as a primary biological weapon. The disease is aggressively contagious and deadly.

One result: U.S.-based SIGA Technologies, a drug development company in the biodefense arena, told TechNewsWorld that it anticipates approval from the U.S. Food and Drug Administration in 2011 for its antiviral smallpox cure.

SIGA has responded to BARDA's (Biomedical Advance Research and Development Authority) RFP for the procurement of 1.7 million courses of smallpox antiviral for the U.S. stockpile to protect against bioterrorism attacks.

However, virus attacks aren't necessarily acts of war or terrorism. Viral illnesses such as the recent H1N1 flu outbreak pose sweeping threats to entire countries with little regard for geopolitics.

Even so, FDA-approved broad spectrum antivirals are relatively rare. These drugs have, thus far, delivered mixed results at best. For example, Ribavirin affects both virus proteins and the host cell and is effective on only a limited number of viruses. An antiviral that attacks the hepatitis C virus, a-interferon, produces unwanted side effects and is too expensive for widespread use.

Since LJ001 does not harm normal cells, it is a particularly promising treatment option.

Successful antiviral drugs are not limited to those that attack the outside structure of the virus. There are many fronts on which to attack a given virus. The precise way a specific drug works is thus often less clear than the studies that report the outcome would seem to indicate.

For example, a research project led by Iowa State University's Mei Hong, published in the Feb. 4 issue of the journal Nature, focuses on clarifying previous studies with conflicting views on how antiviral drugs that block influenza A viruses work.

This new study finds that antivirals prevent influenza A viruses from reproducing and spreading by attaching to a site within a proton channel necessary for the virus to infect healthy cells. In effect, the antiviral blocks the channel much like cholesterol shuts off an artery.

Similarly, the exact mechanism of LJ001's viral membrane inactivation is unknown, and the researchers are seeking an explanation. What knowledge is available is for the most part reassuring, including that the drug does not appear to be toxic in vitro or in animals at normal dosages.

By attacking a common feature such as channels in flu viruses and sticky membranes in even deadlier viruses, an antiviral becomes effective against an entire group rather than just against a single virus. This is all very hopeful stuff in light of the growing viral threats on both the natural and man-made fronts.
Korisnikov avatar
By group
#1848939
a nije se niko setio da pokrene temu ili bilo kakvu diskusiju o tome koliko se nasih ljudi, odnsono koliko se nas forumasa (konkretnije) testiralo i koliko to redovno cinimo?!
Korisnikov avatar
By Insorcer
#1849106
Originally posted by zoom


Такође ме занима, ко су ти Европљани који спадају у ових 3%? Сви генерално или је више сконцентрисано у (лупам) Скандинавији, на Балкану :bubbles: итд...?

Верујем да ко од вас више зна о овоме... па, проћаскајмо :)
U Skandinaviji je skoncentrisano više mutiranog CCR5-Δ32 alela u homozigotnom stanju...u tom regionu se frekvencija alela kreće do 15%, prosek za čitavu Evropu je tih 1%-3%.

Koliko je meni poznato, alel su favorizovale epidemije Yersinia pestis.
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