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Vaccine for HIV/AIDS available within 10 years, says U.S health expert

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The Associated Press



MELBOURNE, Australia (AP) Researchers are optimistic a vaccine for HIV/AIDS will be available within 10 years, though the cost could be beyond the reach of many countries and its efficacy will probably be limited, a U.S. health expert said Sunday.
Dozens of vaccine prototypes are under development around the world, with some 9,000 people participating in clinical trials, said Margaret Johnston, associate director of AIDS vaccines at the National Institutes of Health in the United States.

"There's never been more optimism than there is now that an HIV vaccine can be identified," Johnston told delegates to the 6th International Congress on AIDS in Asia and the Pacific in Melbourne.

"However, we don't know what it will look like just yet. We don't know how it will act. Clinical trials will take a long time and it's likely the first (vaccines) ... will not be 100 percent effective," she added.

Some 36 million people around the world are living with HIV, the virus that leads to AIDS, according to the United Nations AIDS agency, UNAIDS. Since the epidemic began about 20 years ago, AIDS has killed almost 22 million people.

Johnston said the most advanced vaccine now being tested is GP-120, developed by the California-based VaxGen biotech company. The product is made from a protein that forms the outer surface of the HIV virus and stimulates antibodies to neutralize or stop the virus from spreading.

Now being tested in Thailand, North America and the Netherlands, results could be available as early as next month. If they are promising, another larger trial over 3 years would be conducted, she said.

"The very soonest we can have a vaccine is maybe four to five years from now and that's wildly optimistic more likely in the real world (it) will take seven to nine or 10 years," Johnston said.

Johnston said it was anticipated a future vaccine would protect people from contracting HIV/AIDS and, when given to those who already have the virus, prevent its spread.

Production costs and pricing were difficult to estimate, she said.

Costs would be increased by the need to license and buy patent rights, while manufacturing costs would depend on the vaccine design, Johnston said.

"For example, a DNA-based vaccine might be mass-produced at a cost of pennies to dollars per dose. But a vaccine that requires a more high-tech approach to manufacturing will likely cost tens of dollars if not $100 or more to produce," she added.

Johnston said a purchase fund of between $500 million and $1 billion set up by the World Bank and other international bodies would encourage the drug companies to produce the vaccine, and ensure it was available to those countries most in need of it.


Copyright 2001 The Associated Press. All rights reserved.
 
the one they aretesting only works against one of the 2 HIV strains unfortunately

good news is its the one most prevalant on europe. wa-hey :)
 
This vaccine will 1) never work effectively and 2) most likely not be approved within 10 years.

1) GP120, the viral glycoprotein, undergoes too much antigenic shift for a vaccine based on this to be effective. In english--GP120 mutates too much and the antibodies in the vaccine will not recognize the mutants effectively (100%). HIV-1 and HIV-2 gp120's are very similar, so the antibodies should react similarly.

2) No valid clinical trials are being conducted in the US. The FDA will probably never approve a vaccine that has been tested only in Thailand! There are some being conducted here, but the control groups aren't so controlled, so the efficacy of the vaccine will not be determined easily. For any vaccine to be approved, it has to be tested on a control group that receives a placebo and engages in high risk behavior. Since HIV infection is 100% fatal, the ethics of testing cloud everything. But, since the vaccine is based of off gp120 and not the live attenuated virus, it is much safer and may actually be approved. Slight chance.

For a vaccine to be effective against HIV (and any retrovirus) a DNA vaccine needs to be developed against one of the structural proteins of the virus (they don't mutate much at all). This, in combination with a synthetic peptide that inhibits RT formation, should be very very effective. And safe.
 
usersatch said:
This vaccine will 1) never work effectively and 2) most likely not be approved within 10 years.

1) GP120, the viral glycoprotein, undergoes too much antigenic shift for a vaccine based on this to be effective. In english--GP120 mutates too much and the antibodies in the vaccine will not recognize the mutants effectively (100%). HIV-1 and HIV-2 gp120's are very similar, so the antibodies should react similarly.
i thought the 'vaccine' was injecting macrophages which destroy HIV into the other person (dont ask me how that works out immunologically uinless the macrophage had NO antigens on it)

wouldnt that/shouldnt that kill any HIV with minor mutations? the vaccine was based off ethiopian prostitues and their macrophages being able to destroy HIV if memory serves me right
 
Injecting macrophages wouldn't be a vaccine it would be more of a treatment. You are quite right to question why the macrophages wouldn't elicit an immunological response--they would!!! And not a pleasant one!

HIV loves macrophages and T cells! That is why we can never get rid of it--it hides in our immune cells (amongst neuronal cells). All macrophages have CCR5 co-receptors (which complement the other receptor-CD4) and are the primary cell to be infected in the body. A few (very very very few) have been known to be lacking the CCR5 receptor and are supposedly immune to HIV infection--although the validity of this claim can't be substantiated. A good vaccine could target this receptor....

Personally, I wouldn't want ethiopian prostitutes' macrophages in me!

I am not discounting what you are saying, but this smells of an urban legend.
 
usersatch said:
Injecting macrophages wouldn't be a vaccine it would be more of a treatment. You are quite right to question why the macrophages wouldn't elicit an immunological response--they would!!! And not a pleasant one!

HIV loves macrophages and T cells! That is why we can never get rid of it--it hides in our immune cells (amongst neuronal cells). All macrophages have CCR5 co-receptors (which complement the other receptor-CD4) and are the primary cell to be infected in the body. A few (very very very few) have been known to be lacking the CCR5 receptor and are supposedly immune to HIV infection--although the validity of this claim can't be substantiated. A good vaccine could target this receptor....

Personally, I wouldn't want ethiopian prostitutes' macrophages in me!

I am not discounting what you are saying, but this smells of an urban legend.

no....im very certain on this being 'kosher' ;)

a small community of ethiopian prostitutes ahve been shown to be immune to HIV...their macrophages are somehow resistant to the virus and can also recognise it and destroy it.

a homosexual man in san fransisco i believe (lived through the AIDS thang there) had a similar thing where HIV couldnt penetrate his cells but the virus still remained in his body

its been on numerous scientific documentary shows here and on the BBC.....how on earth they stop the recipient of the vaccine's blood curdling due to him wanting to attack these new macrophages is beyond me buty apparentlythey found a way past that too. an MP in britain volunterred to be a test subject in trials. it however only protects against 1 type of HIV apparently

thanx for the reply btw :)
 
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Ok, so I have looked all over PubMed and the internet for this topic and haven't found shit. Where are you getting your info? Cause, like you, I am very interested in how foreign immune cells can escape the xenobiotic response. Do you remember what show or website you saw/heard it at?

I have heard and read about people missing the CCR5 receptor, and those people are currently suing the drug companies for money that they deserve when they donated their blood for research. But nothing about the macrophage stuff.
 
usersatch said:
Ok, so I have looked all over PubMed and the internet for this topic and haven't found shit. Where are you getting your info? Cause, like you, I am very interested in how foreign immune cells can escape the xenobiotic response. Do you remember what show or website you saw/heard it at?

I have heard and read about people missing the CCR5 receptor, and those people are currently suing the drug companies for money that they deserve when they donated their blood for research. But nothing about the macrophage stuff.

never seen it on the net :(

just the bbc and programs on it. they werent very scientifc in detail so maybe they meant something different (i.e. the macrophages are able to ingest and destroy some HIV virus and present 'bits' of the virus it on class 2 HLA to lymphocyrtes for antibodies to be made and they use this for the vaccine.....i havent seen any papers on it. :(

i havent heard anything about it recently im afraid
 
Ok so I finally found some info on the vaccine. From what i can gather, they discovered that some prostitutes in Kenya constantly come up negative to HIV infection. It turns out that they have an unusually strong CD8 Tcell response, which is supressed in HIV patients normally. I am guessing, cause this is where the details get shaky, that they figured out the pathway to ellicit a strong CD8 response in normal people too. I think they use a version of the smallpox vaccine (to get a good CD8 count started) and then use DNA from HIV (to identify HIV). The CD8 boosting could work.

This is the same principle used ina lot of cancer vaccines--use a pathogen to ellicit a healthy immune response and then introduce the cancer DNA for CD8/4 and Ab recognition.

This will be interesting...
 
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