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Posts Tagged ‘hiv’

Estrogen applied to the human penis could stop the spread of HIV [trash]

In a world first, a University of Melbourne study has shown that topical estrogen could help prevent HIV infection by blocking entry of the virus into the human penis.

[editor's note] (Andrew): The only reason I’m not scrubbing this trash study off my website is to mock it.

First, there is no clinical application. Rather than a CONDOM, which costs nothing, works immediately, is everywhere, works for everyone, has no side effects, and prevents every STD up to and including pregnancy itself by almost 100%, I’m supposed to sagely ponder rubbing female hormones on my penis to “toughen it up” by “15%” which might increase my resistance to HIV a week later? And this is suggested as viable solution for AIDS control in countries with pervasive cultural taboos about the penis? Total, absolute bullshit.

Second, the sample size of this study is: TWO. Yes, two. Ok, eight if you include the foreskin donors. And the study only tested keratin coverage and presented some untested hypotheses regarding a couple tangential studies as conclusions regarding HIV prevention.

But good news for readers, because I’m awarding a Think Gene coffee mug to the first reader who forwards me a spam email hawking topical oestrogen as an “all natural” penis cream to “u last longr.”

The study to be published in PLoS ONE journal today reveals that application of estrogen to the human penis increased the thickness of the natural keratin layer on the skin, which could prevent HIV from infecting the male.

The epithelium of the human penis is richly supplied with estrogen receptors suggesting it could respond to topical estrogen.

Dr Andrew Pask from the Department of Zoology at the University of Melbourne analyzed the tissue samples from 12 foreskins and made the discovery.

“This suggested that estrogen could induce a thickening of the keratin layer of the foreskin epidermis in the same way as it acts in the vagina,” said Dr Pask.

“Keratin on our skin acts a barrier to viral infection. We hope to be able to enhance this protection with the use of a naturally occurring, weak estrogen,” said Professor Roger Short of the Faculty of Medicine, Dentistry and Health Sciences who lead the research.

To confirm its effect, topical estrogen was applied to the human foreskin for a two week trial. This resulted in a rapid and substantial increase in keratin thickness.

“We have found a new avenue to possibly prevent HIV infection of the penis.”

HIV is one of the greatest health crises the world has ever seen, and affects over 40 million people worldwide.

Source: The University of Melbourne

Kevin: HIV is on the rise around the world and a treatment such as this could have impact where condoms are not socially acceptable because of adverse societal influence. Estrogen on the penis would be fine, and while it’s nothing like condoms for preventing HIV (and anti-retrovirals at your local free HIV drug stand) this could mean something in terms of harm reduction.

Pask AJ, McInnes KJ, Webb DR, Short RV (2008) Topical Oestrogen Keratinises The Human Foreskin and May Help Prevent HIV Infection. PLoS ONE 3(6): e2308. doi:10.1371/journal.pone.0002308

Cold Spring Harbor scientists reveal a protein’s role in enabling AIDS virus to reproduce

A team of scientists at Cold Spring Harbor Laboratory (CSHL) has discovered new details about how a simian strain of the AIDS virus replicates. The findings are significant because they suggest new strategies to prevent replication, and because they are applicable to human strains of the virus, which, despite the persistent efforts of scientists over two decades, can only be slowed by drug treatments but neither cured nor prevented.

Jacek Skowronski, Ph.D., CHSL associate professor, led a team that studied a virulent strain of simian immune-deficiency (SIV) virus called SIVsm/mac, named for two species of monkeys in which it occurs, sooty mangabeys and macaques. The team included members of Dr. Skowronski’s CSHL lab and researchers at Stowers Institute for Medical Research in Kansas City, Missouri, and the Skirball Institute of Biomolecular Medicine in New York City.

Like versions of the virus that occur in humans, SIV viral particles, or virions, are composed of a few fundamental parts. At their heart are two identical but separate strands of RNA surrounded by a protective envelope of roughly 2,000 proteins called a capsid.

This tiny, conical capsule, in turn, is surrounded by multiple defensive rings, somewhat like the walls of a medieval city. Immediately surrounding it is a protective protein shell, or matrix, and beyond it a formidable double-walled viral envelope. Poking through the outer envelope are the viral equivalent of grappling hooks, protein molecules designed to lock onto receptors on the surface of the unfortunate cell that the virus will attach to and then invade.

Viruses Hijack Living Cells to Reproduce

Viruses, unlike cells, are not living things. They must penetrate a living cell and commandeer its internal machineries in order to reproduce. HIV and its simian cousin SIV are members of a viral subspecies called retroviruses that invert the usual reproductive procedure. Their genetic raw material is not DNA but rather RNA, and before they can begin to replicate, they must first convert their RNA into DNA, using a special enzyme that they encode, called reverse transcriptase.

Once its RNA has been reverse-transcribed into DNA, the virion, having invaded a cell whose genetic material consists of DNA, can shed its protein coat and immediately proceed to integrate its newly converted DNA — containing 9 genes — into the host cell’s DNA. In this way the virion effectively hijacks the cell and reproduces itself whenever the cell reproduces.

Dr. Skowronski has devoted years to the study of various molecular factors — think of them as assistants — that immune-deficiency viruses employ to perform a range of essential tasks. The idea behind his approach is to understand with great precision all of the details of the processes by which the virus lives and propagates, as a means of identifying points of vulnerability, where drugs might be inserted to foul up the works.

In the research just completed, results of which appeared in PLoS Pathogens on May 9, Skowronski and his team focused on a so-called accessory protein called Vpx (Viral protein x). Prior studies had shown that Vpx was produced by simian, as well as a subset of human, immunodeficiency viruses, and was somehow active at the heart of their reproductive processes in a subset of immune cells called macrophages. The question was how, and to what effect.

How Vpx Enables the Virus to Replicate

Macrophages are central players in the mammalian immune system. Immune-deficiency viruses are devastating because they specifically seek out, invade, and commandeer the machinery of these particular cells — macrophages, dendritic cells, helper T-cells — which protect the mammalian system from foreign invaders.

Skowronski and colleagues knew from prior work that Vpx was a key enabler: it somehow facilitated an “early event” in the viral life cycle that helped the virus invade macrophage target cells. Recent studies had further shown that Vpx proteins in both monkey and human viruses promoted the process of reverse transcription that underlies the conversion of viral RNA to DNA.

In their study, which consisted of several steps, the CSHL team showed that when the vpx gene (the gene that encodes the Vpx protein) was deliberately deleted, the virus went about reverse transcription “very inefficiently.”

“This suggests that the Vpx protein is key to the process by which the virus infects macrophages,” Dr. Skowronski comments, “and further, that it seems to be acting either before and/or during the reverse transcription process.” This new view of Vpx’s role contrasts with a prior hypothesis that it was involved in the transporting of genetic material that had already undergone reverse transcription.

The team’s experiments revealed that the Vpx protein in the SIVmac virus binds to a complex of three cellular proteins that in turn engage a molecular machinery involved in the degradation of proteins. Thus, the team revealed for the first time not only that Vpx interacted with this system — called the ubiquitin-dependent proteosomal protein degradation mechanism — but also identified precisely the way it does so, via a series of intermediate steps.

“The net result,” says Dr. Skowronski, “is that we show how Vpx enables efficient reverse transcription in the simian virus, and in so doing, overcomes an innate block that otherwise prevents viral replication.”

By implication, this suggests a strategy by which a future drug might interfere with the reproductive machinery of the virus to prevent or limit is ability to spread. “There are no guarantees, of course, that such an approach will work,” Dr. Skowronski says, “but unless we understand molecular mechanisms such as this one that empower this remarkable virus, we are not likely to devise a means of stopping it.”

Source: Cold Spring Harbor Laboratory

“Lentiviral Vpx accessory factor targets VprBP/DCAF1 substrate adaptor for Cullin 4 E3 ubiquitin ligase to enable macrophage infection”. Smita Srivastava, Selene K. Swanson, Nicolas Manel, Laurence Florens, Michael P. Washburn, Jacek Skowronski. PLoS Pathogens. May 9, 2008.

Josh says:

I just skimmed the paper, but it seems that the protein prevents an E3 ubiquitin ligase from targetting the viral proteins for degredation by the proteasome. This will definitely be a drug target in the future. I think the “cure” for HIV will be a cocktail of medications that all target different parts in the viral replication and infection pathway.

Anti-HIV drugs reduce the cause of some forms of vision loss

A potential new therapeutic use for anti-HIV drugs known as protease inhibitors has been suggested by a team of researchers from Harvard Medical School, Boston, and Inserm U848, France, as a result of their work in a mouse model of retinal detachment.

An important cause of vision loss in many diseases of the eye is the death (by a process known as apoptosis) of nerve cells in the eye (known as photoreceptors) after retinal detachment. In the study, administration of HIV protease inhibitors by mouth markedly decreased photoreceptor apoptosis in the mouse model of retinal detachment. Mechanistic analysis in mouse retinal cell cultures and in mice expressing decreased amounts of specific proteins established that the HIV protease inhibitors disrupted two molecular pathways that cause apoptotic cell death, both of which affect the cell compartments known as mitochondria. As the same apoptotic cell death–inducing pathways were shown to be activated in human retinas after retinal detachment, the authors suggest that although the HIV protease inhibitors cannot reattach the retina, they might be of clinical benefit through their ability to prevent the photoreceptor apoptosis that has a central role in vision loss after retinal detachment.

Source: Journal of Clinical Investigation

HIV protease inhibitors provide neuroprotection through inhibition of mitochondrial apoptosis in mice. Toshio Hisatomi, Toru Nakazawa, Kousuke Noda, Lama Almulki, Shinsuke Miyahara, Shintaro Nakao, Yasuhiro Ito, Haicheng She, Riichiro Kohno, Norman Michaud, Tatsuro Ishibashi, Ali Hafezi-Moghadam, Andrew D. Badley, Guido Kroemer, and Joan W. Miller. The Journal of Clinical Investigation.

Josh says:

It makes me uneasy to disrupt apoptosis this way, as it could also contribute to cancer. However, certainly it would help in cases of retinal detachment. Perhaps there is a way to localize it to the retina.

HIV infection stems from few viruses

A new study reveals the genetic identity of human immunodeficiency virus (HIV), the version responsible for sexual transmission, in unprecedented detail.

The finding provides important clues in the ongoing search for an effective HIV/AIDS vaccine, said researchers at the University of Alabama at Birmingham (UAB). The UAB team found that among billions of HIV variants only a few lead to sexual transmission.

Earlier studies have shown that a ‘bottleneck’ effect occurs where few versions of the virus lead to infection while many variants are present in the blood. The UAB study is the first to use genetic analysis and mathematical modeling to identify precisely those viruses responsible for HIV transmission. … Continue Reading »

Compound has potential for new class of AIDS drugs

Researchers have developed what they believe is the first new mechanism in nearly 20 years for inhibiting a common target used to treat all HIV patients, which could eventually lead to a new class of AIDS drugs.

Researchers at the University of Michigan used computer models to develop the inhibiting compound, and then confirmed in the lab that the compound does indeed inhibit HIV protease, which is an established target for AIDS treatment. The protease is necessary to replicate the virus, says Heather Carlson, U-M professor of medicinal chemistry in the College of Pharmacy, and principal investigator of the study. … Continue Reading »

Molecular espionage shows a single HIV enzyme’s many tasks

Using ingenious molecular espionage, scientists have found how a single key enzyme, seemingly the Swiss army knife in HIV’s toolbox, differentiates and dynamically binds both DNA and RNA as part of the virus’ fierce attack on host cells. The work is described this week in the journal Nature.

The enzyme, reverse transcriptase (RT), is already the target of two of the three major classes of existing anti-HIV drugs. The new work, using single-molecule fluorescent imaging to trace RT’s activity in real time, not only reveals novel insights into how this critical viral enzyme functions, but also clarifies how some of the anti-HIV pharmaceuticals work. … Continue Reading »

Immune exhaustion in HIV infection

It’s the virus, stupid: immune exhaustion in HIV infection

As HIV disease progresses in a person infected with the HIV virus, a group of cells in the immune system, the CD8+ T lymphocytes, become “exhausted,” losing many of their abilities to kill other cells infected by the virus. For many years scientists have debated whether this exhaustion of CD8+ T cells is the cause, or the consequence, of persistence of the HIV virus. In a study published this week in PLoS Medicine, Marcus Altfeld and colleagues studied the immune response over time amongst 18 individuals who had very recently become infected with HIV.

These researchers found that the presence of high amounts of HIV in the blood seemed to cause CD8+ T cell exhaustion; when antigen was reduced, either as a result of treatment with antiretroviral drugs, or evolution of viral epitopes to avoid recognition by CD8+ T cells, these epitope-specific CD8+ T cells recovered some of their original functions. These findings suggest that CD8+ T cell exhaustion is the consequence, rather than the cause, of persistent replication of HIV.

In a related article, Sarah Rowland-Jones and Thushan de Silva (from the Medical Research Council in Gambia), who were not involved in the study, discuss approaches to treat HIV efficiently by suppressing the viral load early in infection aimed at preserving HIV-1-specific immune function. They evaluate whether such strategies are likely to be practical.

Streeck H, Brumme ZL, Anastario M, Cohen KW, Jolin JS, et al. (2008) Antigen load and viral sequence diversification determine the functional profile of HIV-1– specific CD8þ T cells. PLoS Med 5(5):e100.

Source: Public Library of Science

New ‘OPAL Therapy’ presents simple, cost-effective method of treating HIV infection

Australian researchers have unveiled a new immunotherapy technique to help prevent the progression from HIV infection to AIDS. Details of the simple, cost-effective technique are published May 2nd in the open-access journal PLoS Pathogens.

There is an overwhelming need for effective immunotherapies for HIV, as current therapies are expensive, impractical, and often highly toxic. The authors, led by Professor Stephen Kent, propose a technique named OPAL therapy—Overlapping Peptide-pulsed Autologous CeLls—a reinfusion of fresh blood cells incubating with overlapping SIV peptides. The OPAL technique was successfully tested in animal trials for stimulation of immunity, control of virus levels, and prevention of AIDS.

Vaccination diminished the levels of virus 10-fold lower than in controls, and was shown to be durable for over one year past initial vaccination. Therefore, viral replication was shown to be prolonged and more manageable, resulting in fewer deaths from AIDS.

Source: Public Library of Science

De Rose R, Fernandez CS, Smith MZ, Batten CJ, Alcântara S, et al. (2008) Control of Viremia and Prevention of AIDS following Immunotherapy of SIV-Infected Macaques with Peptide-Pulsed Blood. PLoS Pathogens 4(5): e1000055 doi:10.1371/journal.ppat.1000055