News (Updated August 14,
2004)
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BBC 10 August, 2004, 01:16 GMT 02:16 UK ![]()
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| HIV can modify itself very easily |
The key seems to be genetic variation in molecules that trigger the destruction of cells infected by HIV.
Oxford University researchers have found HIV is more likely to scupper this process for common forms of the molecule than for rarer versions.
The study is published in Proceedings of the National Academy of Sciences.
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Dr John Frater
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Under normal circumstances when a virus such as HIV infects a cell, HLAs trigger the activation of immune system T cells that move in and destroy the infected cell.
The Oxford researchers examined data from a long-term study of Swiss HIV patients.
They found that patients who showed signs of rapid disease progression often carried an HLA variation that failed to mobilise T cells in the normal way.
The scientists also found that rare HLA types were more likely to elicit an immune response than commonly occurring HLA types.
They believe that HIV, which has an astonishing ability to mutate to suit its circumstances, may be able to change to evade detection by the more commonly occurring HLA types.
However, because the virus has seldom encountered the more rare HLA types, it has not had the opportunity as yet to mutate, and escape detection in the same way.
Researcher Dr John Frater said the findings suggested that potential HIV vaccines based on commonly found HLA versions might be less likely to be effective.
He told BBC News Online: "HIV's profound ability to adapt to its environment, whether it be drug pressure, or the body's own immune system, continues to astound."
Hope for vaccine
Keith Alcorn, senior editor of the HIV information service NAM, told BBC News Online: "The findings help to explain why some people can live with HIV infection for years without illness.
"They also have implications for vaccine design because vaccine developers are trying to identify which viral peptides need to be included in a vaccine."
However, Mr Alcorn said to get a fuller picture it would be necessary to repeat the research on other groups of HIV patients who have been infected with different sub-types of the virus.
Deborah Jack, chief executive of the National Aids Trust said: "This kind of research makes an important contribution to our understanding of HIV and Aids and can contribute to the vital objective of discovering an effective Aids vaccine."
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Thu Aug 12, 2:14 PM ET
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JOHANNESBURG (AFP) - South Africa hopes to begin testing a preventative AIDS vaccine on teenagers under a new program announced that targets the group highest at risk.
"At the moment we think our best shot is at preventative treatment," spokeswoman for the South African AIDS Vaccine Initiative (SAAVI) Michelle Galloway said.
"There's an international move toward teenagers. Scientists are saying that at some point we are going to have to involve teenagers in trials because they are the most at risk group," she told AFP.
SAAVI, established by the health ministry to coordinate research and testing of AIDS vaccines, is currently testing two preventative AIDS vaccine candidates in South Africa. The trials are expected to take up to 10 years.
"We don't want to end up with a vaccine that won't work in teenagers because it is believed that their high level of hormonal changes may impact on the effectiveness of a vaccine," said Galloway.
SAAVI and the Nelson Mandela Foundation announced on Thursday that they would work together on the project.
"Both organisations have youth as one of their key constituencies," SAAVI director Tim Tucker said in a statement.
"As a result, the focus of this partnership between SAAVI and the Nelson Mandela Foundation will be... the responsible involvement of adolescents in HIV vaccine trials."
The Nelson Mandela Foundation was created by the anti-apartheid icon to promote democracy and development and is involved in several AIDS awareness and research campaigns.
"Our partnership with SAAVI will enable us to harness the best minds in the vaccine area, in the development of a meaningful prevention based response to the epidemic," said John Samuel, chief executive of the Nelson Mandela Foundation.
Galloway said the partnership with the Nelson Mandela Foundation involved sharing of resources, skills and information, and "further down the line probably some direct funding".
But she added that the logistics surrounding the involvement of teenagers such as consent from their parents had to be looked at before the trials could start. In many cases, the children do not want their parents to know that they are sexually active, which complicates matters.
South Africa has one of the highest AIDS rates in the world with UNAIDS estimating 5.3 million adults, or one in nine in the population, to be infected.
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Thu Aug 12, 1:07 PM ET
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PHNOM PENH (AFP) - Cambodian sex workers hailed
a decision by Prime Minister Hun Sen to halt a planned Bill Gates-funded HIV
human vaccine trial.
Hun Sen called off the plans to test Tenofovir in Asia's worst HIV-affected
nation because of potential side effects and human rights issues, the health
ministry said.
"He is worried that the drug testing will affect the health of Cambodian
people, human values and rights," Health Minister Nuth Sokhom told AFP.
The drug is used to treat HIV patients but the study was attempting to
discover if it could reduce the risk of HIV among uninfected but sexually active
adults.
Hun Sen said the trials should be carried out on animals and earlier this
month had urged Cambodians to opt out of the research, saying the nation was not
a test bed for "out-of-date" technologies.
Some 960 sex workers were slated to take part in the trial, partly funded by
the Bill and Melinda Gates Foundation, but boycotted it saying they wanted
medical insurance for side effects for up to 40 years after the study.
The Cambodian Women's Network for Unity, a group representing more than 5,000
sex workers, backed the decision.
"We are very happy with this order as we don't want to take part in this
drug test, there is no safety guarantee for us," director Kao Tha said.
"We are so poor that we don't have the money to pay for treatment if we
fall sick after the test.... We are very proud that Prime Minister Hun Sen
supports us."
The HIV prevalence rate has fallen from four to 2.6 percent over the past two
years in Cambodia, but remains the highest on the continent.
Researchers said they could not afford the insurance and the dispute had
delayed the trial by several months.