News (Updated July 12,
2003)
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Thu Jul 10, 3:16 PM ET
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By Paul Simao
ATLANTA (Reuters) - The number of new HIV
diagnoses among intravenous drug users in the United States rose in 2000,
halting five years of steady declines, according to a federal study released on
Thursday.
Data collected by the Centers for Disease Control and Prevention from 25
states revealed that 2,514 people who injected drugs had been diagnosed with the
virus that causes AIDS in 2000. That figure was about 5 percent higher than in 1999, though considerably
lower than the 4,226 infections reported in 1994.
The CDC said more data was needed before researchers could conclude that AIDS
was poised for a comeback among intravenous drug users, one of the groups at
highest risk for the disease.
People who inject drugs and their sex partners represent about one-third of
all those who have been infected with HIV in the United States since the virus
first surfaced in 1981.
Tanya Sharpe, a behavioral scientist and an AIDS expert with the CDC, said
the increase in diagnoses could have resulted from expanded AIDS testing or a
change in risk behavior among intravenous drug users.
"It could be that some of the prevention messages have lost their fervor
in the communities and the advances in anti-retroviral drug treatment may have
lulled some people into a false sense of security," Sharpe said.
She said routine AIDS testing and drug treatment and counseling were the keys
to controlling the epidemic among intravenous drug users.
Making AIDS tests more common is at the heart of the CDC's strategy to
increase the proportion of HIV-infected persons who are aware that they carry
the virus from 70 percent to 95 percent by 2005.
As many as 30 percent of the estimated 850,000 to 950,000 people living with
the virus in the United States do not know that they are infected. About 16,000
Americans die each year from AIDS and another 40,000 become infected with HIV. PARIS (AFP) - Scientists in the United States believe the AIDS virus craftily
hijacks an immune cell to help it evade elimination by powerful anti-retroviral
drugs. Dismaying evidence started to emerge a few years ago that highly active
anti-retroviral therapy (HAART), introduced in 1995, was not the HIV slayer that
it initially appeared to be.
It was discovered that HAART can beat the human immunodeficiency virus (HIV)
back to below detectable levels in the bloodsteam -- but, as soon as the
medication is stopped, the virus bounces back from some hidden
"reservoir," presumed to be the lymph glands.
So a frantic search was launched to find out how the virus did this
disappearing trick. Until now, it has thrown up few clues.
Reporting in Thursday's issue of the British weekly journal Nature, a team
led by Mario Stevenson of the University of Massachusetts Medical School says
that HIV-1 uses a "pirate protein" to hide inside inactive immune
cells, then reappears at a later date.
The virus first infects a cell called a macrophage, inducing it into
producing a viral protein called Nef.
Nef then prompts the macrophage into releasing a couple of other proteins
called soluble factors, which go on to stimulate other components of the immune
system that are called B cells.
These subverted B cells then come into contact with inactive defenders of the
immune system -- resting T cells -- and in effect open up the T cells, making
them vulnerable to infection by HIV.
It amounts to an astonishingly complex ballet by signalling molecules.
In particular, it smashes a hole in the prevailing belief that HIV-1 could
infect only T cells that had been activated after encountering an invader and
were starting to replicate.
"Nef seems to engage in molecular piracy, taking over an existing
cellular pathway and allowing HIV-1 to replicate in T cells in diverse
activation states," said Roger Pomerantz, of Thomas Jefferson University,
Philadelphia, in an commentary published in Nature.
The data show "there is an entire spectrum of interactions between the
virus and host cells, which together produce the general pattern of HIV-1
reservoirs and residual disease."
HIV-1 is by far the dominant strain of the two strains of HIV virus that have
been discovered in the 22-year AIDS epidemic.
More than 60 million people have been infected by the virus, over a third of
whom have died.