Breakthrough in HIV/AIDS research

Thorn

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HIV/AIDS drug puzzle cracked
By Kate Kelland Kate Kelland
1 hr 31 mins ago

LONDON (Reuters) – Scientists say they have solved a crucial puzzle about the AIDS virus after 20 years of research and that their findings could lead to better treatments for HIV.

British and U.S. researchers said they had grown a crystal that enabled them to see the structure of an enzyme called integrase, which is found in retroviruses like HIV and is a target for some of the newest HIV medicines.

"Despite initially painstakingly slow progress and very many failed attempts, we did not give up and our effort was finally rewarded," said Peter Cherepanov of Imperial College London, who conducted the research with scientists from Harvard University.

The Imperial and Harvard scientists said that having the integrase structure means researchers can begin fully to understand how integrase inhibitor drugs work, how they might be improved, and how to stop HIV developing resistance to them.

When the human immunodeficiency virus (HIV) infects someone, it uses the integrase enzyme to paste a copy of its genetic information into their DNA, Cherepanov explained in the study published in the Nature journal on Sunday.

Some new drugs for HIV -- like Isentress from Merck & Co and elvitegravir, an experimental drug from Gilead Sciences -- work by blocking integrase, but scientists are not clear exactly how they work or how to improve them.

The only way to find out was to obtain high-quality crystals -- a project that had defeated scientists for many years.

"When we started out, we knew that the project was very difficult, and that many tricks had already been tried and given up by others long ago," said Cherepanov.

"Therefore, we went back to square one and started by looking for a better model of HIV integrase which could be more amenable for crystallization."

The researchers grew a crystal using a version of integrase borrowed from another retrovirus very similar to its HIV counterpart.

It took more than 40,000 trials for them to come up with one a crystal of sufficiently high quality to allow them to see the three-dimensional structure, they said.

They tested the Merck and Gilead drugs on the crystals, and were able to see for the first time how the medicines bind to, and block, integrase.

Almost 60 million people have been infected with HIV and 25 million people have died of HIV-related causes since the beginning of the AIDS epidemic. There is no cure and no vaccine, although drug cocktails can keep patients healthy.

United Nations data for 2008 show that 33.4 million people had HIV and 2 million people died of AIDS. The worst-affected region is sub-Saharan Africa, accounting for 67 percent of all people living with HIV.
 
hey thorn, i was going to ask you about something. I read a book on molecular biology of the cell last week. In the chapter in regards to Cancer I couldnt help but notice how they talked of how when cancer metastasizes it flows via blood routs looking for new host site to continue the spread. As far as I know blood donors are not screened for cancer. You know of any research in regards to transmission of cancer from one person to another?

Purely hypothetical on my part as im a math guy and not a medical person.
 
hey thorn, i was going to ask you about something. I read a book on molecular biology of the cell last week. In the chapter in regards to Cancer I couldnt help but notice how they talked of how when cancer metastasizes it flows via blood routs looking for new host site to continue the spread. As far as I know blood donors are not screened for cancer. You know of any research in regards to transmission of cancer from one person to another?

Purely hypothetical on my part as im a math guy and not a medical person.
Such cancer cells present in a blood transfusion would be identified and taged by the immune system quite quickly.

Keep in mind that those cancer cells from the blood transfusion do not have the same DNA as the host and are, usually, easily identified by the immune system as foreign bodies and quickly eliminated by PMN's (Polymorphonuclear phagocytes). Blood transfusions work because blood cells are anuclear (and therefore do not contain nuclear DNA) and share the same histocompatibility traits as the hosts red blood cells.

Cancer cells in a blood transfusion would not be able to transmit cancer for two reason. The first one, as stated above, is that they are quickly identifed as foreign bodies and eliminated by the immune system. The second reason is that cancer cells are somatic cells (not involved in sexual reproduction) and somatic cells, though they can reproduce asexually, do not readily transfer their DNA to other cells. So even if the immune system did not eliminate these cancer cells they could not really transfer their cancerous DNA to the host (recipient).
 
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Ok thanks. Just a business guy with an interest in science here so dont mind my ignorance on the subject. I thought a cancer cells mutation was that it overly reproduces as an example a tumor cluster in the epithelium overgrowing to point where it busts thru the basal lamina and invades the capillary and then possibly adhering to blood vessel wall say in the liver before proliferating into the liver.
 
Thanks, Mott. Your answer was better than what I could have said. I'm a whole lot better with questions that deal with things going on above the neck. :)
 
Thanks, Mott. Your answer was better than what I could have said. I'm a whole lot better with questions that deal with things going on above the neck. :)
Well I'm definately good about things that go on below the neck but were probably not talking about the same thing. ;)
 
Ok thanks. Just a business guy with an interest in science here so dont mind my ignorance on the subject. I thought a cancer cells mutation was that it overly reproduces as an example a tumor cluster in the epithelium overgrowing to point where it busts thru the basal lamina and invades the capillary and then possibly adhering to blood vessel wall say in the liver before proliferating into the liver.
Well you do have the big idea on how cancer spreads but for it to do so from a blood transfusion it would have to be able to transfer the defective DNA to the hosts somatic cells and, as I explained, that's very difficult for that to occur.
 
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