Posts tagged antiviral medicine
New Anti-HIV Drugs
9 years ago
by ADMIN
in HIV Therapy
New Anti-HIV Drugs: Research in Stopping AIDS
In December of 2013, researchers at the University of Minnesota published some very striking and uniformly positive findings in the fight against HIV. They discovered several compounds that uniquely targeted HIV cells. These compounds – ribonucleoside analogs 8-azaadenosine, formycin A, 3-deazauridine, 5-fluorocytidine and 2’-C-methylcytidine – stop HIV replication by blocking DNA synthesis. This is achieved by causing the HIV cells to drop their DNA load before they are ready to and not within blood cells. The compounds also cause the HIV cells to mutate so rapidly that the cells essentially mutate themselves into extinction. The findings were a surprise to most of the anti-HIV research community, because the compounds in question were not on anyone’s radar. In fact, they seemed to have no potential for stopping HIV. Another major benefit to these compounds is the low cost of synthesizing them into new anti-HIV drugs. This is always an important factor, as it lessens the burden for the future prevention and treatment of HIV.
In fact, this is what has been occurring over the past year. The new anti-HIV drugs, which were synthesized version of these compounds, have been introduced in tangent with currently approved HIV medications. So far, the reports have been positive. Although the drugs do not fully eradicate HIV from an infected person’s system, the new drugs can be used along with lower doses of more expensive medications. With this tandem approach, the infection is kept low and extremely manageable. Having a minimal viral load results in low immune activity and prevents the virus cells from spreading throughout the body. Because of this symptoms are virtually absent. This translates into lower costs for a lifelong regimen of anti-HIV medication, both for the individual patients and for health care systems worldwide.
Life After AIDS
Life After AIDS: A Realistic Timetable
Up until 2001 and the advent of antiretroviral (ART) medications, HIV and AIDS was considered an epidemic, with death almost a certainty. Or, at least this was the case for those who were not wealthy or heavily covered by health insurance. AZT, the first popular antiretroviral drug, was extremely expensive. It was also only available in limited quantities, as manufacturers strained to produce enough of the drug for the needs of the worldwide population. This has all changed. Because of new research, a greater awareness of HIV, and insight into what the virus is and how it works, many scientists and doctors are reasonably hopeful in a future life after AIDS. In fact, some are even creating realistic timetables as to when this could be realized.
There is still no known cure for HIV infection. It is this virus – when left untreated – that causes acquired immune deficiency syndrome (AIDS). There are several drugs available today, however, which can either deactivate HIV cells or kill them outright. Through a regimen of these drugs, a person can survive with HIV for many years, even decades, without ever developing AIDS.
Moreover, this new phase of research into anti-HIV medications has resulted in an outpouring of education and understanding about the virus and disease. Certainly, the stigmas that were once attached to AIDS in the 1980’s have lessened. Because of the new treatments and changing attitudes, many have come forward to be tested who, in the past, might have assumed they would die and didn’t come forward for treatment to avoid the ‘shame’ of being HIV positive. Thanks to this domino effect of research and awareness the number of deaths from AIDS, although still unacceptably high, has been drastically reduced to 3 million per year. It has also led to fewer new infections from HIV, which numbers around 3.5 million per year.
In impoverished countries, those without adequate access to drug therapies, medical facilities, and proper HIV education, the number of deaths to AIDS along with new cases of HIV is still on the rise. This is the biggest hurdle to achieving the lofty goal of a life after AIDS. Even so, with the dramatic results in the past 13 years in countries like the United States, many are hopeful that by the later end of the 21st century, it is possible there will be no new infections. This will only happen when drugs have advanced to the point that they can completely sterilize the virus and when said drugs are accessible to everyone in the world.
HIV Requires Early Treatment
9 years ago
by ADMIN
in HIV Research
HIV Requires Early Treatment: B Cells Are the Key in Infected Subjects
It was very clear early on in HIV research that the earlier treatment for the disease begins, the better a person will respond to the antiretroviral medications. However, the exact reason for this has eluded researchers. A recent study of the blood of nearly 100 treated and untreated HIV-infected volunteers has provided a possible explanation as to why HIV requires early treatment. The study underscored the need to begin treatment as close to viral exposure as possible, as it not only means saved lives but it also can ensure a healthier and better quality of life for those living with HIV.
B cells are immune system cells that produce antibodies to viruses like HIV. However, in the above mentioned study, some previously unknown characteristics of B cells were discovered. The researchers found that the antibodies the B cells produced in infected but untreated people were abnormal. These B cells were more activated, more unstable and unresponsive to further stimulation as compared to normal B cells. This may explain why HIV antibodies naturally produced in the body are unable to clear the infection.
The research further discovered that those who were HIV infected—but had undergone early antiretroviral treatment—had B cell responses that were dramatically different from those who had not received treatment. In the treated patients their antibodies were normal, although there were less of them than in the untreated volunteers. The treated patient’s antibodies were also stronger and more effective on the HIV cells. This resulted in a lower amount of virus in the blood, known as a viral load. It also meant a low level of immune activation, which results in a stronger and healthier immune system. All of this underscores the fact that HIV requires early treatment. Antiretroviral medication, when prescribed during the early stages of the infection can stabilize the mutation of any cells – T cells or B cells. This means that the infected person’s natural immune defenses will be robust and better able to defend against HIV for the long run.
Computers Against HIV
9 years ago
by ADMIN
in HIV Science
Computers Against HIV: A Striking Ally
Research into eliminating HIV and AIDS has always been a battle against time. Certain compounds that were once successful in destroying the virus cells, or in causing them to become sterile or inefficacious, are now worthless against the virus. This is a direct result of the ability of HIV to constantly mutate and adapt. Thus, new compounds are continually needed, and new methods of treatment are constantly sought after. One group of researchers, based at the University of Southern Denmark, are exploring methods that would accelerate the very process of finding new compounds that can be used against the HIV cells. What they’ve successfully done is to use computers to find potential compounds against HIV—at a rate magnified by several hundred percent! It might be said, then, that the use of computers against HIV has enlisted a formidable new ally in the war against HIV.
The problem is not the lack of compounds that have the potential to destroy or effectively stop the HIV cells. These days, scientists are able to reproduce almost anything imaginable in their laboratories. The problem is to effectively find and identify those compounds. By using computers based on quantum physics – which speed up processing times by several fold – the researchers at USD were able to pinpoint compounds that have varied effects on the HIV cells.
Many of these compounds do not kill the cells outright but, instead, stop HIV cells from being able to reproduce. ‘HIV is a retrovirus that contains enzymes which make it able to copy itself with the help of host genetic material and thus reproduce. If you can block these enzymes’ ability to replicate itself, the virus cannot reproduce.’ This is according to Vasanthanathan Poongavanam, a member of the research team at Southern Denmark. The group was able to identify 25 promising compounds. When the 25 compounds were then tested using the group’s advanced computer systems the field was narrowed to 14, which inhibited the virus’s ability to reproduce. ‘It took us only a few weeks to find these 14 very interesting compounds, whereas before it would have taken years.’ All of this illustrates that using computers against HIV has brought a daunting new player onto the field.
Mutating HIV Into Extinction
Mutating HIV into Extinction: One Answer to the Dilemma of HIV
In the late 1990’s a group of scientists and researchers faced with the dilemma of HIV and its resistance to a cure, decided to try to force the virus to over-mutate. The idea was to cause HIV to mutate at a rate much greater than the average HIV cell normally does, thus making the cells weaker and more prone to being eradicated. Essentially, they were attempting to cure people by mutating HIV into extinction. Many thought this approach would ultimately prove fruitless, but they pressed on.
Fast forward to 2011 and we find that, indeed, the group has developed a drug that causes rapid mutation in HIV cells. In the lab the drug forced a mutation explosion such that the HIV cells could no longer produce enough protein to survive. This essentially ‘killed’ the virus (although, technically, viruses are not alive in the first place, which is one of the reasons they are so difficult to eliminate). In clinical trials, however, the mutation was not great enough to cause the test patients’ HIV cells to collapse.
In a new study, released in July in Proceedings of the National Academy of Sciences (PNAS), the researchers discovered how the drug – currently known as KP1212 – was able to cause the HIV cells to mutate beyond their normal rate. Armed with this new knowledge, they are confident that they will be able to strengthen the effects of the drug and eliminate the HIV cells on a permanent basis. If they are successful we are talking about an actual cure for HIV.
HIV cells normally mutate quite frequently due to the way HIV reproduces. HIV makes copies of its genetic material, which is very error-prone and unstable, in a rapid mutation that actually helps the virus cells evade elimination from both the body’s immune system and man-made drugs. If HIV can essentially be forced into overdrive (roughly double the normal mutation rate), it will cause weaknesses that will result in the immediate elimination of HIV. Or, at the very least, cause the virus to become highly susceptible to drug elimination. This kind of forced over-mutation can, and in some cases already does, work for other viruses. For example, this is how Ribavirin works in patients with the hepatitis C virus. Similarly, some of the drugs developed for certain strands of influenza work in the same way. All of this good news suggests that we could be on the road to mutating HIV into extinction.
