News (Updated October 18, 2009)

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Results of Tanzania HIV vaccine trials out soon

By WILFRED EDWIN  

October 19 2009 

Tanzania has reported progress on efforts aimed developing at an effective HIV vaccine after two years of extensive research and trials at the Muhimbili University of Health and Allied Sciences.

The study, whose preliminary trials have cost $3.8 million, is known as the “HIV Vaccine Safety and Immunogenicity” and has been carried out since 2007.

So far, the vaccine has proven positive in terms of safety and ability to stimulate the immune system.

The university intends to present the results in Arusha this week and later in Paris , France , at the 5th Aids Vaccine 2009 Conference.

The vice-chancellor, Prof Kisali Pallangyo who led the team of researchers, said that all vaccine trials were completed in mid-July, and were positive by 100 per cent.

The 60 volunteers, all from the police force — 45 men and 15 women — were immunised with DNA/placebo vaccination and later MVA/placebo boost, according to the researchers.

By being positive, the scientists say, the candidate vaccines stimulated the immune system of those vaccinated and almost all who were given the vaccine responded to it.

But the team said there was still a long way to go before a usable vaccine is developed.

The big challenge now is to determine in the laboratory if the immune responses are able to kill or limit multiplication of live HIV,” said Prof Pallangyo.

The university’s head of research programmes, Prof Eligius Lyamuya, said that shortage and cost involved in training laboratory technicians as the challenge to the project, saying that it cost at least $15,300 to train a single technician.

Preparations towards HIV trials began in 1989. In 2001, the European Union (EU) funded the HIVIS project, which aims at developing and evaluating a candidate HIV vaccine.

Other partners to Muhimbili study are the government of Sweden , EU , US Army and University of Munich in Germany , Cape Town University , South Africa and local health institutions.

In the early stages of the research, volunteers were first immunised with DNA candidate vaccination and later vaccinated with MVA boost, where two methods were employed, whereby 46 and 73 per cent of 52 and 48 volunteers respectively were immune responders, after the third HIV-DNA vaccination and HIV-MVA boost were administered.

The results for the second method indicated that 23 of 59 volunteers were immune responders, after the third HIV/DNA/placebo vaccination and 34 of 50 volunteers had the same results, after the HIV-MVA/ placebo boost.

The high immunogenicity of HIVIS 03 DNA-MVA vaccine is similarly consistent with the previous phase I study in Sweden .

After the positive response from preliminary trials in Dar es Salaam , Prof Pallangyo said his institution and other international partners now focus on more clinical trials in Mbeya and Mozambique .

Vaccine products namely HIV-1 DNA portions in a live non-multiplying pox virus boost was provided by the US Army, on agreement with Swedish partner institutions.

The other candidate vaccine product known as naked HIV-1DNA portions was conceived and manufactured in Sweden .

Similar vaccines in Thailand , gave a protection of 31 per cent of 16,000 people given the vaccine.

Other partners to Muhimbili study are the government of Sweden and her research institutions, EU, the US Army and University of Munich in Germany , Cape Town University , South Africa and some local health institutions.

 

HIV-1 treatment in pregnancy can prevent transmission

18 October 2009

In what could be good news to hundreds of HIV positive pregnant women, a new study by American researchers has found that mothers receiving

Mother and baby

HIV-1 treatment in pregnancy can prevent transmission (Getty Images)

antiretroviral therapy (HAART) to treat HIV-1 infection have less chances of transmitting the deadly virus to their newborn child through breastfeeding.

The research led by Taha E. Taha, MBBS, PhD, of Johns Hopkins University Bloomberg School of Public Health report, is accessible online in the Nov. 15 issue of The Journal Of Infectious Diseases.

The report suggest HAART regimens should be initiated as early as possible in eligible mothers in areas with limited resources, such as Africa, where most infant HIV-1 infections occur, and breastfeeding is common.

Researchers studied 2,318 infant/mother pairs in Malawi to come up with their conclusions and suggest that HAART regimens should be administered as soon as possible to mothers, especially in underdeveloped countries.

The author’s however, note that women who cannot take HAART due to a high CD4 count, the choices are not very definite. CD4 is a primary receptor used by HIV-1 tyo enter into host T cells.

Speaking about the research, Grace C. John-Stewart of the University of Washington School of Public Health, writes: "Recognizing the impact of prompt HAART initiation in eligible women and finding efficiencies in CD4 testing and delivery of HAART services will leverage antenatal HIV-1 testing to increase maternal survival and decrease infant infections."

 

Promising candidates for new HIV drugs found

Studying an HIV protein that plays a key role in AIDS progression has helped University of Pittsburgh School of Medicine researchers discover compounds that show promise as novel treatments for the disease.

Study author Thomas E. Smithgall explained that HIV drug discovery efforts have met with little success in finding compounds that interact with an important HIV virulence factor, called Nef, because it lacks biochemical activity that can be directly measured.

To get around that problem, Smithgall’s team developed an assay to measure Nef function indirectly by coupling it to another protein, called Hck, which Nef activates in HIV-infected cells.

Because Hck activity can be easily measured, the researchers were able to use it as a reporter for Nef activity in an automated high-throughput screening process.

The researchers screened a library of 10,000 chemical compounds against the coupled proteins to see which ones influenced Nef-induced activation of Hck.

After further testing, they confirmed that three compounds inhibited the activity of the Nef-Hck complex and, more importantly, all of them also interfered with HIV replication.

The researchers found that one compound was so effective that it suppressed HIV replication to undetectable levels in cell culture experiments.

“So we now have a way to rapidly and efficiently screen for inhibitors of Nef signaling through Hck. But the surprise was that some of those inhibitors also showed strong antiviral activity in cell culture models,” Smithgall said.

He said that there is evidence that people infected with HIV variants that have mutations in the Nef gene take substantially longer to develop disease symptoms or AIDS. In animal models, disrupting the production of Nef from the virus or its interaction with Hck also delays or prevents disease symptoms.

The study was published in the early, online version of ACS Chemical Biology. (ANI)

 

Research Shows Treating HIV-AIDS With Interleukin-2 Is Ineffective

ScienceDaily (Oct. 15, 2009) — A team of researchers at the MUHC/McGill and their international colleagues recommend halting

An international research team has demonstrated that treating HIV-AIDS with interleukin-2 (IL-2) is ineffective. As a result, the researchers recommend that clinical trials on this compound be stopped. Their finding was published in the New England Journal of Medicine in an article co-authored by 14 researchers, including Dr. Jean-Pierre Routy of the Research Institute of the McGill University Health Centre (RI-MUHC).

IL-2 is currently used as a complement to highly active antiretroviral therapy (known as HAART), which is administered to patients with HIV-AIDS. Since HAART controls replication of viruses in the blood, doctors thought that IL-2 would help regenerate more CD4+ immune cells, which serve as an indicator of viral progression. It was thought that IL-2 increased the natural immunity of patients by helping immune cells mature and multiply.

“Our results show that IL-2 has no effect on the development of AIDS or on patient survival,” says Dr. Routy. “More precisely, while the presence of IL-2 leads to a faster increase of CD4+ immune cells, these cells are less functional than the CD4+ cells that regenerate naturally in patients who do not receive IL-2. This means that IL-2 treatment provides no benefit and does not prevent AIDS-related infectious diseases.”

“For the first time, a study has shed light on recurring questions concerning the value of biological markers and their limitations in assessing patient health,” explains Dr. Routy. “Our challenge now will be to develop tests that assess the function of immune cells and not simply their quantity. This will ensure that HIV treatments indeed have a clinical benefit for patients.”

This 8-year study involved over 5000 patients in 25 countries, and was one of the largest ever conducted on HIV-AIDS. “The fact that data from developing countries was used in biomedical research on innovative compounds is very revolutionary in the history of HIV-AIDS research,” explains Dr. Routy.

Dr. Jean-Pierre Routy is a physician in the Division of Hematology and Immunodeficiency at the MUHC as well as a researcher in the Infection and Immunity Axis at the Research Institute of the MUHC. He is also an Associate Professor of Hematology at McGill University and a senior clinical researcher with the Fonds de la recherche en santé du Québec (FRSQ).

This study was funded by a grant from the National Institutes of Health (NIH), published at:

Interleukin-2 Therapy in Patients with HIV Infection. New England Journal of Medicine, October 15, 2009; ;361:1548-59

 

Discovery of enzyme structure points way to creating less toxic anti-HIV drugs

October 16, 2009

Researchers at the University of Texas at Austin say that new work unravelling the molecular structure of a mitochondrial enzyme called polymerase gamma could allow future drug developers to identify new nucleoside analogues that are less toxic. Their work was published this week in Cell.

"Many anti-HIV drugs are designed to stop the process of DNA replication," says Dr. Whitney Yin, assistant professor of chemistry and biochemistry. "That turns out to be a great thing to do to help cure virus infections, because it stop the processes of viral replication.

"At the same time, however, when you target such a critical process in viruses, you may also target human enzymes that perform similar functions in normal cells, and this is what causes harmful drug side effects."

When mitochondria are working normally, they produce most of the energy that sustains human cells. When the polymerase gamma enzyme comes into contact with certain antiretroviral drugs, however, it can incorporate the drug into mitochondrial DNA, and thus interfere with the normal replication process. This interferes with the ability of mitochondria to function.

Of the antiretroviral drugs currently in use, d4T (stavudine) and AZT (zidovudine) are most likely to be incorporated into polymerase gamma, leading to mitochondrial toxicities such as peripheral neuropathy (nerve damage), elevated lactate levels, neutropenia and myopathy (muscle damage).

Other antiretroviral drugs in the nucleoside or nucleotide analogue class such as 3TC, abacavir and tenofovir have a much lower tendency to be incorporated into mitochondrial DNA, and do not cause mitochondrial toxicity. Their side-effects emerge due to other mechanisms.

"This is a unique opportunity for drug design," says Yin. "Now you have two pictures side by side. You have the viral target protein and the human protein. You know not to do anything in this region where the two proteins are similar, but rather focus in areas where they're different."

The discovery may also prove useful in redesigning existing drugs, such as d4T, to make them less toxic. D4T is very cheap to manufacture, due in part to the low dose of the drug that is given. A version tweaked to make it less toxic would be of particular interest in the developing world, but a major obstacle to a less toxic version of d4T is the need for significant investment in clinical trials in order to prove its safety and efficacy.

Adapted from a University of Texas press release.

Johnson & Johnson gets approval for HIV test

October 14, 2009

NEW YORK (AP) -- Johnson & Johnson said Wednesday it received marketing approval for a diagnostic test that detects antibodies to HIV.

The Vitros Anti-HIV test is designed to be used on J&J's Vitros 3600 immunodiagnostic system and Vitros 5600 integrated system. The company said the test provides results in less than 50 minutes, and because it works on an integrated system, laboratories can run HIV tests and other screenings on a single platform, reducing their costs.

The product is made by J&J's Ortho Clinical Diagnostics business.

Johnson & Johnson shares lost 47 cents to $60.54 in afternoon trading.

 

Patients test for HIV exposure at Fla. hospital

Oct 13, 2009

WEST PALM BEACH , Fla. – A South Florida hospital, where officials say a nurse may have exposed more than 1,800 patients to HIV and hepatitis by reusing medical supplies, says patients are being tested.

Officials at Broward General Medical Center in Fort Lauderdale said Tuesday that 410 of the 1,851 potentially exposed patients have been tested. Test results haven't been confirmed.

Earlier this month, the hospital said it discovered that 59-year-old Qui Lan (kwee lan) was reusing IV tubing and saline bags during cardiac chemical stress tests.

A hospital official has said the chances of infection are low, but it can't be ruled out.

Police are investigating. Lan's lawyer said her client didn't do anything wrong.


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