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Doctors Will Test Gene Editing On HIV Patients

Soychemist writes "Some people have a mutation that makes them highly resistant to HIV, and scientists think that they can give that immunity to anyone with a new type of gene therapy. The first human trials will start at the University of Pennsylvania this week. Researchers will draw blood from people with drug-resistant HIV, clip the CCR5 gene out of their T-cells with a nuclease enzyme, grow the modified cells in a dish, and then return 10 billion of them to the patient's bloodstream. Those cells will be immune to the virus, and they will keep the patient's T-cell count up even if the rest are destroyed. 'We will see if it is safe and if those cells inhibit HIV replication in vivo,' said the lead researcher. 'We know they do in the test tube.'"

263 comments

  1. might as well guinea pig at that point by Clover_Kicker · · Score: 5, Insightful

    What's the worst that could happen, they screw it up and you die?

    1. Re:might as well guinea pig at that point by LaskoVortex · · Score: 5, Insightful

      What's the worst that could happen, they screw it up and you die?

      Or they could not treat you and you'd die.

      --
      Just callin' it like I see it.
    2. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Hope not, that would mean no more Slashdot :(

    3. Re:might as well guinea pig at that point by areusche · · Score: 1

      Will Smith becomes the last human to save humanity from CGI super demons?

    4. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 5, Insightful

      This is what we need. Medicine is far too conservative in so many cases. Death would be a welcome accident in many diseases of terminal illness. Not saying the patient shouldn't decide, but they should certainly have the option to try experimental treatments if they want.

    5. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      What's the worst that could happen, they screw it up and you die?

      Fuck you, my friend died from AIDS you insensitive clod.

    6. Re:might as well guinea pig at that point by lee1026 · · Score: 0, Redundant

      The worst that can happen is that they screw up and you die much sooner then you otherwise would.

    7. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 1, Funny

      Mr. Wozniac? Is that you?

      Probably shouldn't mention it at the next keynote, then.

    8. Re:might as well guinea pig at that point by RelaxedTension · · Score: 5, Funny

      Or you volunteer, and be the one to get the placebo.

    9. Re:might as well guinea pig at that point by Mauzl · · Score: 5, Informative

      If you RTFA, its people who have drug-resistant HIV who are being experimented on.

    10. Re:might as well guinea pig at that point by bruno.fatia · · Score: 1

      You can't really blame him for not reading the article.. this is slashdot afterall.

    11. Re:might as well guinea pig at that point by dunezone · · Score: 4, Insightful

      Yeah, those modern anti-retroviral are not so perfect though. Most of them are combo drugs which means you take multiple pills at a time. As a result of that the side effects can be extremely painful and dangerous. And I know, its better then death if you don't take them but finding a better alternative is a must. These drugs are expensive and the majority of individuals who have HIV don't have access to these them.

      And just like anti-bioitics. After a certain period of time these drugs become ineffective. Hell, if you start missing doses or cant afford them it could easily be game over.

      The people in these studies are failing current treatment methods. There is nothing left at this point.

    12. Re:might as well guinea pig at that point by linhares · · Score: 4, Funny

      Hope not, that would mean no more Slashdot :(

      You must be old here.

    13. Re:might as well guinea pig at that point by tjstork · · Score: 3, Interesting

      With modern antiretroviral drugs HIV positive patients can live for decades

      Have you looked at federal expenditures on medical care lately? Let's face it, with skyrocketing costs of all of these medical treatments, we're going to need to rethink who lives and who dies, particularly when it comes to preventable diseases that are hideously expensive to treat.

      HIV, lung cancer, some forms of heart disease, ultimately, people will just have to be made comfortable unless they plan on paying for their medical care themselves. It would be one thing if people got insurance for HIV and lung cancer through private insurers who accepted the risks, but, once all taxpayers have to accept that risk, well, its an entirely different contract.

      In that sense, this new genetic treatment is the shape of things to come, where the government experiments on treating on some people with some new drug, because, they aren't going to get anything else.

      --
      This is my sig.
    14. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 1, Funny

      What could go wrong? Barclay's Protomorphosis Syndrome.

    15. Re:might as well guinea pig at that point by MichaelSmith · · Score: 3, Insightful

      This is what we need. Medicine is far too conservative in so many cases.

      I think we need more engineers involved in Medicine, particularly on the implementation side. I wish I could point to this but I remember reading about a scientist who had invented something quite revolutionary who spent the next seven years rebuilding his machine to be small enough for general use. That is the kind of job which should be given to an engineer, but it won't keep the scientist employed.

    16. Re:might as well guinea pig at that point by ThrowAwaySociety · · Score: 4, Insightful

      Or you volunteer, and be the one to get the placebo.

      In which case, you are no worse off, and at least get careful observation and conventional treatments for your symptoms.

    17. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 1, Interesting
      I'm sure your stance would change if you were someone who was in need of treatment and didn't have the appropriate medical insurance.

      I think the real problem is the outrageous cost of treatment. Some drugs being manufactured have higher marketing costs then they do for research.

      Anyway, you seem to have a rather callous view on who should or shouldn't get treatment and I think its deplorable. Your tax dollars pay for far many things that I believe most people would agree that they are not necessary, and I think that its justifiable to pay for treatment for those who need it.

      If your are ever yourself stuck in a situation where you could not afford adequate treatment for health care, though I wish this never happens to you or anyone else for that matter, then I hope you remember what you said in your post.

    18. Re:might as well guinea pig at that point by CodeBuster · · Score: 1

      Experimental treatments are already available to HIV patients who wish to try them and have been for years now. The FDA loosened the rules on that back in the early to mid 1990s because of the growing epidemic and terminal nature of the illness. Although in recent years the consequences of experimental treatment have to be weighed against the known efficacy of the anti retro viral cocktails that are now available and manage the infection quite well (albiet with some moderate to severe side effects). Should a patient be able to risk a premature demise with experimental treatment when their prognosis on HAART is good? If they are not insane then the answer is probably yes, but any ethical doctor would probably recommend, at the very least, serious reflection and possibly some sort of third party counseling before signing up their patients on a first request.

    19. Re:might as well guinea pig at that point by Fluffeh · · Score: 1, Interesting

      Whoops, that's me there, hit AC by mistake.

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    20. Re:might as well guinea pig at that point by daveime · · Score: 4, Insightful

      No, the only thing we need to rethink is how the pharma companies can ever justify selling a medication that costs $200 for a single dose.

      You know, Chris Rock summed it up nicely. No one will ever cure AIDS, the money isn't in the cure, it's in keeping you alive and helping you live with it. Just get your "fix" and live for one more day.

    21. Re:might as well guinea pig at that point by beav007 · · Score: 4, Informative

      Not to be a wet blanket for your argument, but this is being tried on drug-resistant HIV patients.

    22. Re:might as well guinea pig at that point by binarylarry · · Score: 4, Funny

      CGI super demons... who cannot be stopped by AIDS alone.

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    23. Re:might as well guinea pig at that point by TubeSteak · · Score: 5, Insightful

      These drugs are expensive and the majority of individuals who have HIV don't have access to these them.

      Those drugs are expensive in (mostly Western) countries that kowtow to pharmaceuticals and have not stood up and supported generics.

      India was the first country to start cranking out generics and is probably the sole reason that Big Pharma dropped prices from $10,000~15,000 per year to less than $1,000 on what are now considered second-line drugs.

      Generics were the only thing pulling down insane prices and the USA's response was to setup TRIPS (Trade-Related Aspects of Intellectual Property Rights) which enormously complicated the process of issuing compulsory licenses.

      Off the top of my head: India, Brazil, Thailand and South Africa have all issued compulsory licenses for AIDS drugs.
      AFAIK, Thailand and Brazil are the only two countries to do so post-TRIPS.

      In response to Thailand's compulsory license, the price of one drug dropped by half for many other developing countries. OTOH, a major pharmaceutical said they wouldn't be applying for licenses to sell new drugs in Thailand... and the USA put Thailand on a watch list of countries considered to be committing intellectual property theft. So it was something of a Pyrrhic victory for Thailand.

      Long story short: Big Pharma's bottom line is getting in the way of preventing major health catastrophes in developing countries.

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    24. Re:might as well guinea pig at that point by tjstork · · Score: 4, Insightful

      I'm sure your stance would change if you were someone who was in need of treatment and didn't have the appropriate medical insurance.

      Probably would. But the way I see it now is, I smoke, I've smoked for 20 years, and I'm starting to get the first reduced lung function and I should quit but probably won't and I'll die from it, dragging myself and the rest of society down for a million bucks in chemo and treatment. What's up with that? Why should I keep 50 kids out of college because I was a dumbass? That's not right. Same thing with HIV. For the most part, you can prevent HIV. You can stay monogamous as much as you can. Don't be a slut, and use a rubber. Don't use needles. Sometimes you have to think about what your impact is on society.

      I think the real problem is the outrageous cost of treatment. Some drugs being manufactured have higher marketing costs then they do for research.

      Maybe the stuff is expensive because it is, well, actually complicated to research, make and produce. Science is a craft and crafts are expensive. I don't doubt that the workflow in a pharma company is probably retarded, and that makes it more expensive, but, at the same time, the problem is really that all the knowledge is completely new, so there's no automation in any of the research. It's not like McCoy can just drop a blood sample into the computer and whip up a batch of cure.

      Anyway, you seem to have a rather callous view on who should or shouldn't get treatment and I think its deplorable.

      That's Democracy. If you want to have private health insurance, have private insurance. Otherwise, accept that, there's going to be people who will make the argument that we should not blow too much medical money on sufferers of illnesses resulting from lifelong self indulgence or excessive risk taking.

      --
      This is my sig.
    25. Re:might as well guinea pig at that point by jsse · · Score: 5, Funny

      What's the worst that could happen, they screw it up and you die?

      You'll lose all your body hair; become a human-biting-albino that're very sensitive to sunlight; start biting humans and then turn them into your kind; you'll keep your biting until the T-virus in your body because air-bourne infecting disease, when you'd find no human alive for you to bite.

      I didn't mean it'd happen, but since you asked for the worse...

    26. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      I don't particularly mind this. As long as they don't come one day and say: "We've got a bad news and a bad news, the bad news is we made a deadlier HIV, the bad news is that it got released in the wild."

    27. Re:might as well guinea pig at that point by KungFuSoi · · Score: 1

      just as in cancer or other infectious diseases, the natural selection placed on the hiv population within the patient by therapy (haart) will make it likely for the emergence of drug-resistant strains. thus, even patients who do not have drug-resistant strains of hiv will benefit if this therapy is a success.

      of course, one cannot be sure that the selection pressure exerted by the t-cells with the ccr5 (\delta 32?) deletion will not result in hiv strains capable of invading t-cells via a new mechanism.

    28. Re:might as well guinea pig at that point by aussie_a · · Score: 1

      Here's the thing. They've done all the research they can to test this without using it on humans. All the research indicates that this works.

      So we've got a choice. Not test it on humans and allow HIV to continue to spread uninhibited. Test it on humans and possibly find a way to make people less likely to contract HIV.

      You seem to suggest we stick with option 1. I'm glad someone is willing to go with option 2.

    29. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 2, Interesting

      +1, Interesting? Really?

      You kids today. You make karma whoring too easy.

    30. Re:might as well guinea pig at that point by aussie_a · · Score: 1

      These drugs are expensive and the majority of individuals who have HIV don't have access to these them.

      But goddamnit! You won't be having any of that socialised medicine in your country! If people can't afford treatment, they deserve to die!

    31. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      This is what WILL happen, not what MIGHT happen, as with concerns that the LHC MIGHT create black holes. No, I'm not talking about what MIGHT happen, I am talking about what WILL happen. They will do this gene mutation test thing. They'll test it on 100 people who are about to die from AIDS. They'll be instantly cured. The whole world will jump for joy in celebration. Then it will be what happened in the movie I Am Legend. The people who received the treatment will suddenly turn into insane monsters and it will be highly contagious. Within three years, the entire world, except a very small percentage who are immune for some reason, will have turned into these monsters. Most of the immune people will be eaten by these monsters. The monsters will come out at night and go into hiding during the day. That's not what MIGHT happen as a result of these treatments. That's what WILL happen. I guarantee it. Everyone's talking about how 2012 will be the end of the world. It's because that's three years from now, three years from the date this treatment begins. We're all going to die.

    32. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 1, Interesting

      I want to mod it interesting now just to spite you.

    33. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 2, Interesting

      +1, Interesting? Really?

      You kids today. You make karma whoring too easy.

      Interesting.

    34. Re:might as well guinea pig at that point by glennpratt · · Score: 1

      He's probably referring to poor countries; contrary to popular belief, we don't just let sick people die in the US.

      http://en.wikipedia.org/wiki/Medicaid#HIV

      http://en.wikipedia.org/wiki/Uninsured_in_the_United_States#Emergency_Medical_Treatment_and_Active_Labor_Act_.28EMTALA.29

      PS I don't like the US health care system, but it isn't the wild wild west out here either. And fully socialized medicine isn't the only solution; I much prefer a mandatory level of insurance for those that can afford it.

    35. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Chris rock is common comedian. Fuck Chris Rock and how he summed up anything regards to AIDS.

    36. Re:might as well guinea pig at that point by PatrickThomson · · Score: 2, Insightful

      HIV research is in danger of being halted because it's not seen as profitable; now that *would* be a major health catastrophe.

      --
      I am one of many. My idea is not unique, nor do I expect my voice alone to sway you. I speak in a chorus of opinion.
    37. Re:might as well guinea pig at that point by davester666 · · Score: 1, Interesting

      You could be worse off, as the study may require that you go off the regular HIV cocktail you are taking to suppress it.

      --
      Sleep your way to a whiter smile...date a dentist!
    38. Re:might as well guinea pig at that point by MoellerPlesset2 · · Score: 4, Insightful

      Chris Rock summed it up nicely. No one will ever cure AIDS, the money isn't in the cure, it's in keeping you alive and helping you live with it. Just get your "fix" and live for one more day.

      Yeah, because Chris Rock has a unique level of insight into the realities of drug development

      It's bullshit. Utter bullshit of the kind that can only come from the cynicism and arrogance that follows total cluelessness.
      Do you think bio-medical researchers are some kind of wizards? Do you think we know so much that we have the luxury of being able to pick and choose between solutions? Bullshit.

      Do we know how the human body works? No, we do not.
      Do we know how diseases work? In most cases, no.
      If we did - Cancer is a good example of an illness known in great detail - does that mean we know what to do about it? It does not.
      If you have an idea of what to do - does that mean it'll work? It doesn't.
      If it works in lab, does that mean it'll work in a live human? It does not. (see the first point)

      Do you know how many drug concepts (that is, ideas) that make it to becoming a finished, FDA-approved drug? It's not even one in ten thousand. With a situation like that, you do not have the luxury of picking and choosing. You go with whatever idea you have, and you take it as far as it'll go. If you're lucky, it might turn into a drug. And it most certainly won't work exactly as imagined from the start.

      Do you know how Viagra, that blockbuster bestseller of 'lifestyle' drugs came about? It was a side effect of a drug originally developed for angina and pulmonary hypertension - a heart drug. The main factor in drug development remains: luck.

      But if you still think there are plenty of good, uninvestigated options for AIDS drug development out there, I suggest you go do it yourself. Maybe then you'll gain some real insight into how complicated reality really is.

    39. Re:might as well guinea pig at that point by aussie_a · · Score: 1

      Your post implies people are willing to get raped and then get infected with HIV. This is clearly not the case just based on the very definition of rape.

    40. Re:might as well guinea pig at that point by BlueParrot · · Score: 2, Interesting

      Otherwise, accept that, there's going to be people who will make the argument that we should not blow too much medical money on sufferers of illnesses resulting from lifelong self indulgence or excessive risk taking.

      And people who know what they are talking about will point out that the availability of antivirals drastically reduces the rate at which the disease spreads in the population, encourages people to get tested ( which again reduces the rate at which it spreads ), and that the costs to society associated with having a diseased population rather than a reasonably healthy workforce makes it patently retarded to not fund the treatment even if you're a completely selfish individual. Seriously, have a look at South Africa and then compare it to Uganda and you will see the difference between what happens when health policy is run in accordance to expert recommendations and when self righteous moralizers set policy based on their judgmental attitudes. Now before you start, yes I know Uganda also introduced a lot of changes in social policies and awareness campaigns, but there is no reason you can't do both and without doubt their situation would be much worse had they gone with the prejudiced bullshit that caused the tragedy that has hit South Africa.

      Seriously, you can blame the victims of the disease all you like, at the end of the day the virus will spread if measures are not taken, and we are all better of by offering infected individuals treatment, no matter how stupid they were when they got infected.

    41. Re:might as well guinea pig at that point by Squeeonline · · Score: 0

      I'd be more afraid of being transmutated into superhero and having my next month ruined by having to save people. I'm busy enough as it is.

    42. Re:might as well guinea pig at that point by N1AK · · Score: 2, Insightful

      That's Democracy. If you want to have private health insurance, have private insurance. Otherwise, accept that, there's going to be people who will make the argument that we should not blow too much medical money on sufferers of illnesses resulting from lifelong self indulgence or excessive risk taking.

      I prefer to look at it from the other angle. No country in the world has a social healthcare system that will give people unrestricted access to any and all available treatments. In the UK this is often most visibly seen when the NHS decides not to provide certain very expensive drugs that can extend the lifetime of Cancer victims.

      I don't have a figure available to say what providing truely top level healthcare to everyone so I don't want to make sweeping statements about how unaffordable it would be, but this is exactly what needs to be considered when saying everything should be on social healthcare.

      Is it moral for me to suggest that some treatments aren't provided socially, and then pay money into insurance that gives me those treatments? I'm not 100% sure, but I already pay money into a private pension scheme which will help me avoid being stuck on the tiny state pension when I retire and have mortgage insurance through work that protects my house if I become employed, something that everyone doesn't have. Life saving medicine is a more complex issue because one of the arguements ultimately boils down to saying it costs me too much to pay for healthcare that will save someone else's life.

    43. Re:might as well guinea pig at that point by marquis-cablewitch · · Score: 1

      Same thing with HIV. For the most part, you can prevent HIV. You can stay monogamous as much as you can. Don't be a slut, and use a rubber. Don't use needles. Sometimes you have to think about what your impact is on society.

      Except of course people who get it from contaminated blood transfusions and that sort of thing, those people have no blame or fault in your model but are still going to die slowly and painfully.

    44. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      "Medicine is far too conservative in so many cases."

      Really?

    45. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 1, Informative

      They have drug resistant HIV: they're aren't taking a cocktail, as it doesn't work.

    46. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      ...we should not blow too much medical money on sufferers of illnesses resulting from lifelong self indulgence or excessive risk taking.

      You are an idiot.

    47. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 2, Insightful

      So, HIV is mostly preventable, eh? Go tell that to one or two of the millions of kids infected at birth. Make sure you look them in the eyes when you do.

      How about the millions of Americans who weren't told smoking is BAD(tm) when they were young? For your second exercise in compassion, go visit a cancer ward one of these days and try to pick the old folk who deserve treatment for kidney cancer from the undeserving. Make sure you tell them what you decided.

    48. Re:might as well guinea pig at that point by giafly · · Score: 1

      The worst outcome is these "doctors" help HIV evolve to defeat this mutation and the donors die too.
      It sounds like the equivalent of giving low doses of antibiotics to people or animals with conventional diseases.
      Antibiotic resistance

      --
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    49. Re:might as well guinea pig at that point by CarpetShark · · Score: 0, Redundant

      Fuck you, my friend died from AIDS you insensitive clod.

      Which is precisely why you should encourage this, since he died anyway, but this sort of thing might have saved him.

    50. Re:might as well guinea pig at that point by CarpetShark · · Score: 5, Insightful

      Like it or not, being a dumbass is part of the human condition. Compassion is recognition of that.

    51. Re:might as well guinea pig at that point by CarpetShark · · Score: 3, Funny

      Do we know how the human body works? No, we do not. Do we know how diseases work? In most cases, no. If we did - Cancer is a good example of an illness known in great detail - does that mean we know what to do about it? It does not. If you have an idea of what to do - does that mean it'll work? It doesn't. If it works in lab, does that mean it'll work in a live human? It does not.

      Enough with the negativity. I want my monkey-man, goddamnit!

    52. Re:might as well guinea pig at that point by Slashcrap · · Score: 1

      But the way I see it now is, I smoke, I've smoked for 20 years, and I'm starting to get the first reduced lung function and I should quit but probably won't and I'll die from it, dragging myself and the rest of society down for a million bucks in chemo and treatment.

      Don't worry - I'm sure you can cure that with a Powershell script, you irritating prick.

    53. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 2, Funny

      And then you're boyfriend switches you on the real drug, it gives you a brain tumor and he almost losses his licence.

    54. Re:might as well guinea pig at that point by daveime · · Score: 4, Insightful

      Ah you poor blinkered fool. The pharmas spend all their time playing these kind of tricks, and very little time actually developing ANYTHING new.

      ----------

      In Malcolm Gladwell's story in The New Yorker, Gladwell discusses the evolution of Prilosec, a popular heartburn medication that, in one five year stretch alone, earned twenty-six billion dollars. With the patent about to expire in 2001 a good thing was about to come to an end for the drug patent's owner, AstraZenneca. The company set out to create the "new and improved" version of Prilosec, one that would qualify for a new patent and keep the money machine rolling. Ultimately, the company discovered that by making a very subtle change in the chemical engineering of Prilosec, they would have an entirely new drug. But to be issued a patent, they had to prove that the new version was better than the old. They decided that their best opportunity was to focus their testing on something called erosive esophagitis, a condition where stomach acid bubbles up and harms the lining of the esophagus.

      For the first month of the study, the new drug's impact on this problem was identical to Prilosec's. Bad news for the drug company. But in the second month, tests showed that there was a 90% heal rate with the new drug versus 87% with Prilosec, a difference of only 3% for one month but good enough to qualify for patent protection. Thanks to this small and insignificant improvement, AstraZenneca gained FDA approval, was awarded a new patent and put the drug on the market under the name Nexium. The cost for a month's supply of Nexium is about $120. The cost for the now generic version of Prilosec? About $20 for a month's worth of pills.

    55. Re:might as well guinea pig at that point by Giloo · · Score: 1

      Or they could do.. whatever.. and you'd still die in the end.

    56. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Do you mean the control group?

      Researchers don't do control groups in situations where the control group would die. In this case they're probably not using a control group since it's easy to test for and verify T-cell count. If they do, it'll be a control group taking existing medicines.

    57. Re:might as well guinea pig at that point by Breakfast+Pants · · Score: 1

      Uhh how would the donors die? Their aids virus molecules don't suddenly evolve when the patients' do. Life is prototype based, like javascript, not class based, like java.

      --

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      WHO ATE MY BREAKFAST PANTS?
    58. Re:might as well guinea pig at that point by divisionbyzero · · Score: 1

      I have heard similar stories about medical devices like the artificial heart but I was under the impression engineers were involved but I could be wrong.

    59. Re:might as well guinea pig at that point by GlassWhale · · Score: 5, Insightful

      I don't know what you'd achieve by telling HIV-infected children that many adults contract HIV through their own carelessness. Likewise I can't see the point of telling them there's no Santa Claus. Doesn't make it less true though.

    60. Re:might as well guinea pig at that point by h4rm0ny · · Score: 1


      It's HIV, not a headache. Would a placebo really make that much difference to whether someone starts producing antibodies to fight it?

      --

      Aide-toi, le Ciel t'aidera - Jeanne D'Arc.
    61. Re:might as well guinea pig at that point by fprintf · · Score: 4, Informative

      There are lots of engineers involved. My father ran a small medical startup some years ago and they made a very high tech (for the time) artificial ventilator that used rapid pulses of air rather than the typical high pressure slow pulses. They did lots of experiments on animals and had to jump through all kinds of hoops with the FDA just to be allowed to put the ventilator on a human subject. Essentially the only way, after the animal trials, to get the ventilator on a human patient was for the patient to be unresponsive to conventional treatment, at significant risk of death without intervention, and received signed autorization from the patient or guardian. (get those living wills drawn up and signed if you haven't already!)

      It took years, huge personal and venture capital investment, and eventually the company was bought out and I think the techology disappeared or otherwise got incorporated into standard ventilators. I posted this to illustrate all the work that needs to go into a medical device before it is allowed to be tried on humans... and even then, promising, even successful technology does not always make it in the marketplace. Believe it or not, Doctors are some of the *worst* luddites around and it is incredibly difficult to get enough momentum for a new technology to take hold.

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    62. Re:might as well guinea pig at that point by tjstork · · Score: 1

      Don't worry - I'm sure you can cure that with a Powershell script, you irritating prick

      I probably could, actually. Except for its screwed up syntax, Powershell is the greatest scripting environment ever.

      --
      This is my sig.
    63. Re:might as well guinea pig at that point by zwarte+piet · · Score: 3, Funny

      What if the placebo works.....

    64. Re:might as well guinea pig at that point by sqldr · · Score: 1, Interesting

      Interesting.

      So all I have to do is reply to this thread, and I get marked up as "interesting"? Wow! I never knew how simple it was!

      --
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    65. Re:might as well guinea pig at that point by joaommp · · Score: 1

      and if he ever participates in drug trials again, the drug company will be on his ass.

      You're watching too much House, boy. Let ebony and ivory have their love.

    66. Re:might as well guinea pig at that point by stranger_to_himself · · Score: 4, Informative

      You could be worse off, as the study may require that you go off the regular HIV cocktail you are taking to suppress it.

      They would find it hard if not impossible to get ethical approval for that kind of study. If an effective treatment exists, controlled trials are controlled against that, and not against a placebo.

    67. Re:might as well guinea pig at that point by tjstork · · Score: 1

      How about the millions of Americans who weren't told smoking is BAD(tm) when they were young?

      We've known smoking is bad now for 40 years.

      For your second exercise in compassion, go visit a cancer ward one of these days and try to pick the old folk who deserve treatment for kidney cancer from the undeserving

      For your first exercise in reality, why don't you go see the billing department of said cancer ward, and you pick who you are going to pay for, out your paycheck. Let me know how much you pay, and how much you leave for the future of your own children.

      --
      This is my sig.
    68. Re:might as well guinea pig at that point by Muad'Dave · · Score: 2, Informative

      Ditto for Claritin and Clarinex. Loratadine vs Desloratadine.

      --
      Tiller's Rule: Never use a word in written form that you've only heard and never read. You will end up looking foolish.
    69. Re:might as well guinea pig at that point by karlwilson · · Score: 2, Insightful

      Now THAT'S insightful.

    70. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      We don't even need socialized medicine, just get rid of patents and let the free market drive the price down.

      After all, we've already socialized their R&D costs with government grants, then they go and monopolize what was developed and paid for with taxpayer funds. Removing the second part seems to be the best option for the least amount of money.

    71. Re:might as well guinea pig at that point by postbigbang · · Score: 1

      There would be volunteers, especially sex workers. [please, no seemingly obligatory replies with additional volunteer types]

      --
      ---- Teach Peace. It's Cheaper Than War.
    72. Re:might as well guinea pig at that point by cpricejones · · Score: 1

      They will halt the study if you are a placebo and the results overwhelmingly suggest you are being given the short end of the stick. Otherwise it would be unethical to continue.

    73. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      But to be issued a patent, they had to prove that the new version was better than the old.

      not true. For a patent they need to show that it functions differently, not better. Basically you can't get a patent for a drug's HCL and then turn around and get a new patent for the freebase.

      The FDA is not the patent office. The FDA and proscribing doctors do need to be sold on the drug being unique. AstraZenneca managed that pretty well, but Omeprazole is one of the most widely prescribed drugs in the world.

      AstraZ only had about 5 years to make their money back on the drug and had to develop something else. The patent expired, and the generic form is widely used at little cost, and the company if forced to develope new products--which may or may not be accepted by the FDA and consumers.

      This is how the system is supposed to work. It allows most people to get access to a wide selection of effective drugs, and still inspires incremental progress.

      You can complain that they are spending more on marketing than developing drugs. You can complain that their marketing uses dishonest practices. You can rail against doctors prescribing non-generics without reason(you should do this while in their office, not just online).

      But how they respond to the patent issue is really pretty much what they should be doing. It is one of the few sectors where intellectual property laws do most of what they are supposed to. The general public benefits, and drug companies are motivate to produce better drugs.

      Consumers should take more time to educate themselves about their treatment options. Doctors should pay more attention to the non-medical needs of their patients(which isn't likely to ever happen in an Emergency Room). If consumers were able to make informed decisions about drugs, patent issues would not be a serious problem. That's something we want them to be able to do anyway, so rather than changing the laws to discourage innovation in a system that mostly works, how about we work on allowing people to make informed decisions.

      There are some very limited cases where Nexium is better than Prilosec. It should be available in those cases. The other 95% of the time the generic is the better value. If patients had a more active role in deciding their treatment, there would be no downside to a wider array of available treatments.

    74. Re:might as well guinea pig at that point by Alex+Belits · · Score: 1

      And how is it different from denying treatment? People don't die because ambulance didn't pick them up after they collapsed on the street, they die because diseases are left without treatment for months and years.

      And fully socialized medicine isn't the only solution; I much prefer a mandatory level of insurance for those that can afford it.

      "Mandatory insurance for those who can afford it" already exists -- it's called "income tax". It also does not include insurance companies' profits.

      --
      Contrary to the popular belief, there indeed is no God.
    75. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Death would be a welcome accident in many diseases

      Dr. Mengele? Is that you?

    76. Re:might as well guinea pig at that point by Abcd1234 · · Score: 1

      Like it or not, being a dumbass is part of the human condition. Compassion is recognition of that.

      As is practicality. Which would you prefer? A country where stupid people ran around infecting people while getting sick and dying, heavily burdening what little social safety net is in place, or a country that acts to compensate for human stupidity, investing today in order to reduce the burden in the future? Seems like a no-brainer to me, but hey... I'm a realist.

    77. Re:might as well guinea pig at that point by SatanicPuppy · · Score: 1

      Actually, studies have shown that people who live high risk lifestyles cost the system less, because they tend to actually die as opposed to the granola and sprout-eating crowd who tend to linger interminably in assisted living.

      Any argument about the cost to society from people with unhealthy habits is inherently flawed.

      --
      ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
    78. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Chris Rock summed it up nicely. No one will ever cure AIDS, the money isn't in the cure, it's in keeping you alive and helping you live with it. Just get your "fix" and live for one more day.

      Yeah, because Chris Rock has a unique level of insight into the realities of drug development

      It's bullshit. Utter bullshit of the kind that can only come from the cynicism and arrogance that follows total cluelessness.

      Do you think bio-medical researchers are some kind of wizards? Do you think we know so much that we have the luxury of being able to pick and choose between solutions? Bullshit.

      Do we know how the human body works? No, we do not.

      Do we know how diseases work? In most cases, no.

      If we did - Cancer is a good example of an illness known in great detail - does that mean we know what to do about it? It does not.

      If you have an idea of what to do - does that mean it'll work? It doesn't.

      If it works in lab, does that mean it'll work in a live human? It does not. (see the first point)

      Do you know how many drug concepts (that is, ideas) that make it to becoming a finished, FDA-approved drug? It's not even one in ten thousand. With a situation like that, you do not have the luxury of picking and choosing. You go with whatever idea you have, and you take it as far as it'll go. If you're lucky, it might turn into a drug. And it most certainly won't work exactly as imagined from the start.

      Do you know how Viagra, that blockbuster bestseller of 'lifestyle' drugs came about? It was a side effect of a drug originally developed for angina and pulmonary hypertension - a heart drug. The main factor in drug development remains: luck.

      But if you still think there are plenty of good, uninvestigated options for AIDS drug development out there, I suggest you go do it yourself. Maybe then you'll gain some real insight into how complicated reality really is.

      Its not bullshit, its just good business from business perspective. To get stuff approved requires vast bags of money. Big pharma will not invest in a cure, because it has zero ROI.

      The point being most research dollars are always funneled in the direction of treatments or something that has a maintenance/reoccuring cost.

      If one is unlucky enough to have a chronic disease which will vastly shorten their life, they are protected by the FDA from treatments which could save their life.

      Its amazing what the FDA has approved in short order, when the right money and influence is applied and found to be harmful to patient.

      Whilst at the same time treatments/drugs that could save lifes or lengthen the life of a person and are shown to be safe in phase 2 are forced to go through an additional lengthly safety process or denied.
      Just because they aren't part of the big pharma/FDA network.

      In the meantime the patient without treatment is suffering while these approvals are taking place.

      I'm not denying the difficulty, but at the same time these gifted people who do the research, need dollars to fund the research in the first place. And that often means with strings attached.

    79. Re:might as well guinea pig at that point by John+Bayko · · Score: 1

      I'm reminded of a study over a decade ago which linked bras to breast cancer. It was published in a book with complete data on about 4700 women, roughly half with breast cancer and half without. What it found, in brief, is that women who wore bras rarely or for very short periods had about the same breast cancer rates as men (who also don't wear bras). Here's an article about it:

      http://www.007b.com/bras_breast_cancer.php

      It is not a strict, peer reviewed study. There's a criticism of it here:

      http://www.sciam.com/article.cfm?id=fact-or-fiction-underwire-bras-cause-cancer

      However, notice that there's no evidence presented against the idea, only vague dismissals of "unlikely" or "far-fetched". The book's original authors admit that it's not definitive, but meant to be a basis for further investigation.

      http://www.selfstudycenter.org/doctor.htm

      What strikes me as odd is that there's been no followup studies at all. Even if the idea of bras causing cancer is wrong, that study stumbled across something which may be the cause of over 99% of breast cancers, and I would be very interested to find out what it was. And I'm sure a lot of women who's lives have been devastated because of it would like to know that too (those who died from it probably would have also been interested).

      But not only is preventing breast cancer not profitable, the prevention itself could cost a fortune, if it's that simple. Much like the fight to prevent the prevention of lung cancer has been fought to absurd lengths by the tobacco industry. Here's an article by one of the original authors of the bra/cancer study on the opposition to even presenting the idea and (scant, but growing) evidence to the public.

      http://ezinearticles.com/?Bras-and-the-Breast-Cancer-Cover-Up&id=795041

      This certainly supports the view that the money is all in the treatment after the fact, not in the prevention, so prevention will never get the same effort put into it as both promoting the disease (McDonalds) and treating it (cholesterol reducing drugs). Billions of dollars are deafening even when they whisper.

    80. Re:might as well guinea pig at that point by Nathrael · · Score: 2, Interesting

      It does not. All he says is that people who infect *themselves* through their own *choices* should not be given state funding which could be spent in a much better way. If you want a truly free society, you have to be free to succeed, but also free to fail. If someone else forces you to fail, that's a completely different issue.

      --
      A good education is a bit like a STD - it makes you unsuitable for a lot of jobs and gives you a desire to spread it.
    81. Re:might as well guinea pig at that point by GodfatherofSoul · · Score: 1

      Tbey screw it up and you UNDIE. Zombie attack, RUN!

      --
      I swear to God...I swear to God! That is NOT how you treat your human!
    82. Re:might as well guinea pig at that point by glennpratt · · Score: 1

      I won't try to defend people being denied preventative treatment, but single payer isn't the only solution. Even in a single payer system, hard decisions will be made about what is covered. Government insurance will be limited in what it can afford to cover, just like private - i.e. not utopia.

      I don't think I need to explain myself when I say I don't want the government taking control of the entire health industry. It can do a much better job of regulating health care without making half of the country a federal employee or federal contractor. Profits will still be made on health care in that situation, and the government will be the sole arbiter of who gets them - a bad situation if you ask me.

      Let me ask you a question, do profits explain the fact that it's cheaper, faster, easier and safer for me to send a package via UPS or FedEx than the US Postal Service? Does USPS have some profit motive for giving me crappy service?

    83. Re:might as well guinea pig at that point by geekoid · · Score: 1

      YOU should RTFA. Maybe at kleast the first couple paragraph. Like this:

      ", and the first people to receive the experimental treatment will be HIV patients with drug-resistance problems. "

      I added the bold because you seem stupid.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    84. Re:might as well guinea pig at that point by mcgrew · · Score: 1, Funny

      Funny...

    85. Re:might as well guinea pig at that point by eth1 · · Score: 1

      Your argument is true only if the condition is a communicable disease. In that case, yes, it's in everyone's best interest to do what we have to to keep it from spreading.

      The GP's example of lung cancer, however, was valid. Why the hell would I want to pay gobs of cash to fix a condition that is basically the choice of the sufferer.

      A third situation that rankles is people with expensive-to-treat genetic conditions that have children, knowing that there's almost a certainty that they will have the condition, too, and also knowing that they can't afford to treat it.

    86. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      Now you're just being a troll. And come to think of it, I guess I'm a troll too for responding to this thread. Mods: please mod me "troll" Thanks

    87. Re:might as well guinea pig at that point by feronti · · Score: 1, Redundant

      Wow. It seems to really work. Amazing, since the root of this thread is now modded Redundant. Which way will I go?

    88. Re:might as well guinea pig at that point by alpha_loopy · · Score: 1

      or you could become a cult figurehead, like James Delmore Shapely in the Bridge Trilogy

    89. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      I should quit but probably won't and I'll die from it, dragging myself and the rest of society down for a million bucks in chemo and treatment.

      Nah, don't quit. You'll be saving the rest of us a lot of money. You know all that money you paid into social security your whole life? Won't be needing that. All those old-age diseases like Alzheimer's? Won't be getting those. Plus you've paid for your treatment and then some with the exorbitant cigarette taxes. Go ahead, keep smoking. You're doing the rest of society a favor.

    90. Re:might as well guinea pig at that point by CarpetShark · · Score: 1
      You present a dichotomy here, where I'm not sure one is necessary. Also, you haven't been very clear about what your two actual opposing paths ARE. What are you suggesting an investment in exactly?

      I'm a realist.

      Since everyone's definition of reality is different, that remains to be seen ;)

    91. Re:might as well guinea pig at that point by dimethylxanthine · · Score: 1

      I think herbs would be a good place to start looking. Do you know how that drug that spun off Viagra first came about?

    92. Re:might as well guinea pig at that point by dimethylxanthine · · Score: 1

      But if you still think there are plenty of good, uninvestigated options for AIDS drug development out there

      I think herbs would be a good place to start. I'm sure you know how that drug that spun off Viagra first came about...

    93. Re:might as well guinea pig at that point by Phoenixhawk · · Score: 1

      This is why we receive band aides and treatments instead of cures for anything, after all which is more profitable a pill you take once and cures you of your sickness, or 30 pills a month, 12 months a year, for the rest of your life?

    94. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      This would NOT be a double-blind test. Those types of studies are only done when the results are expressed by the recipients (i.e. "I feel better on this drug" is immeasurable except at face value... which can be placebo effect). This type of study would simply be "give them the drug... did it have the desired effect?"

    95. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      For the most part, you can prevent HIV. You can stay monogamous as much as you can. Don't be a slut, and use a rubber. Don't use needles. Sometimes you have to think about what your impact is on society.

      Ah, I once thought like this. If someone's going to be careless, then they should have to live with the consequences of their actions, right?

      Then came some personal experience: I had a one-time unprotected "encounter" with someone I knew. (We'd been drinking, things just happened. It's not the sort of thing I usually do, at all.) A few weeks later, I came down with the flu. For those who don't know, when infected with HIV, most people have a short episode of flu-like symptoms a few weeks after the initial infection... when I realized this, I had a nice panic attack. I've since been tested, and happily, I'm clean.

      Long story short, in addition learning a damn good lesson about never having unprotected sex (I don't ever want to go through that type of panic again), I came to realize... good people make mistakes, innocent people get HIV, and regardless of how they got it (unless they were being REALLY risky, in which case I'm not quite as sympathetic), it's our responsibility to at least TRY and help them.

    96. Re:might as well guinea pig at that point by Phoenixhawk · · Score: 1

      I had a aunt that was a personal trainer and a total health freak, dead at 42 of lung cancer, never smoked a day in her life. (Her choice in preventing or causing the cancer 0% and in all honestly that woman did EVERYTHING you could ever do to prevent any illness)

      My Best friends dad, never smoked a day in his life, dead at 46 of lung cancer because he worked in a plant that was covered in asbestos. (His choice in preventing or causing it 0%)

      Now HIV I cant speak personally but I know large numbers of infected are so due to blood transfusions and being born.

      I'm 32 years old, I can remember smoking on TV & Movies, Races sponsored by Smoking, Smoking Ad's on everything and anything, Clothing and gear from turning in cigarette upc's. I remember smoking in the malls & workplace, smoking in restaurants only ended 3 years ago, It wasnt until after 2000 it "bad for you" before that was something that "could" be bad and it wasnt very public, a far cry from the unholy crusade that it is today. And Yes I used to smoke for 15 years before I managed to quit. (My choice in preventing or causing it about 75%)

      Cancer is something you are either genetically prone towards or not. I worked in health care for years and I've seen more people 80 to 100 that still smoked or used to smoked than those that never did. If your whole family dies from multiple forms of cancer, chances are smoker or not your going to die from it.

      Yes you can try in do things in order to help increase the odds of preventing some types of sickness and illness, but in the end you really have no control, unless of course you have personally figured out how to correctly manipulate your own genetic structure.

    97. Re:might as well guinea pig at that point by Anonymous Coward · · Score: 0

      You seem to have made a heated reply to things never stated in the first place.

    98. Re:might as well guinea pig at that point by blitziod · · Score: 1

      well what about all that money smokers pay in EXTRA taxes? 1 pack a day for 40 years is an extra 40k in taxes, twice that much in NY state. Should they not get something for that? Or are they just a minority with no rights to pay for every pet project of the majority and then die untreated of lung cancer? I know that the extra taxes do not pay for a single smokers cancer treatment, BUT if you factor in interest( put an extra 1000 a year in your 401k and see how much it increases it in 40 years) and that many people die cheaply OR never get cancer it amounts to a lot. PLUS many smokers may get cancer, but not live long enough to need nursing homes or other forms of healthcare that cost even more. The tabaco companies in europe used this data to win europes version of the lawsuits. They said that smokers saved the goverment money by reducing old aged care and national pension( social security) costs.

      --
      The only way to bust a doper--is when you yourself become a smoker!
    99. Re:might as well guinea pig at that point by Gizzmonic · · Score: 2, Informative

      If you understood anything at all about the HIV virus you would not promulgate this insipid argument. HIV is a retrovirus-it writes itself into your DNA, and you can't truly get rid of it (at least, not with today's technology). Don't let reality get in the way of your paranoid conspiracy theories.

      --
      (-1, Raw and Uncut is the only way to read)
    100. Re:might as well guinea pig at that point by Rycross · · Score: 1

      Yeah, you could be completely faithful and monogamous, and then your wife/husband cheats on you. Suddenly, you have the disease despite living a lifestyle that is completely safe.

    101. Re:might as well guinea pig at that point by Abcd1234 · · Score: 1

      You present a dichotomy here, where I'm not sure one is necessary

      I present no such dichotomy. My argument (and, by the way, looking back, it has little to do with your original comment :) goes thusly:

      1) Some people are stupid.
      2) We can choose to have the government attempt to compensate for such stupidity, or we can choose to have the government stay out.
      3) In the end, the cost of the government intervening is worth it for the social benefit.

      Excellent examples of this include free condoms and safe injection sites to reduce the spread of disease (thus addressing the GGPs comment about HIV). Could the government stay out? Sure. But if the government gets involved, the overall benefit to society will outweigh the costs. It's a very simple, practical matter. Which is why I consider myself a realist.

      As it happens, this is also why I favour universal healthcare. Then again, I'm also a Canadian. So maybe I'm not a realist after all. :)

    102. Re:might as well guinea pig at that point by dimeglio · · Score: 1

      It's called the placebo effect. Funny thing, you need a prescription to get some.

      --
      Views expressed do not necessarily reflect those of the author.
    103. Re:might as well guinea pig at that point by Aphoxema · · Score: 1

      That's only a concern on controlled experiments and FDA drug trials. I mean, that's how most people first get access to new drugs, but if get yourself in there fast enough you can go straight to primary testing, depending on the researchers. Then you have the fun of almost zero experience of what the procedure can do!

      --
      "Most people, I think, don't even know what a rootkit is, so why should they care about it?"
    104. Re:might as well guinea pig at that point by Aphoxema · · Score: 1

      Or make your other treatments somehow ineffective and cut your remaining time to a fraction.

      --
      "Most people, I think, don't even know what a rootkit is, so why should they care about it?"
    105. Re:might as well guinea pig at that point by Aphoxema · · Score: 1

      That's not the best comparison. There already existed and effective treatment.

      With AIDS, it's expensive and delaying the inevitable, and that inevitable without intervention is a considerably short amount of time. If this can be proven to be effective, it'll make it's way along pretty quickly.

      --
      "Most people, I think, don't even know what a rootkit is, so why should they care about it?"
    106. Re:might as well guinea pig at that point by Arterion · · Score: 1

      You say not with today's technology, but that's exactly what TFA is talking about. The GP does have a valid point: if it's more profitable to sell HAART than something more effective, why would they sell the something better?

      Or they'll do what a lot of other industries do and have lots of things "in the works", but release them on a slow schedule, so as to milk maximum profits out of their investments.

      --
      "That which does not kill us makes us stranger." -Trevor Goodchild
    107. Re:might as well guinea pig at that point by CarpetShark · · Score: 1

      Fair enough. The way you said it earlier, it sounded like you thought you could only have government intervention, or people dying by their own stupidity. Glad to see that was false impression :)

    108. Re:might as well guinea pig at that point by Eclipse-now · · Score: 1

      The worst that could happen? Let's see, they're making "goodies" in your blood? Could it be like the sports car the "badies" stole, only they are putting "goodies" in it? Hang on... sports cars, "goodies" and "badies" and Emma Thompson playing a scientist claiming she'd cured cancer.... oh no! It's I AM LEGEND!

    109. Re:might as well guinea pig at that point by HeadlessNotAHorseman · · Score: 1

      >For the most part, you can prevent HIV. You can stay monogamous as much as
      >you can. Don't be a slut, and use a rubber. Don't use needles. Sometimes >
      >you have to think about what your impact is on society.

      That's great advice for everyone who has ever been raped, or contracted HIV from blood transfusions etc. You should go to Africa and tell all those (former) virgins who have been raped by HIV carriers (in the faulty belief that such activities will *cure* aids) that they too should not be sluts.

      --
      I like my coffee the way I like my women - roasted and ground up into little tiny pieces.
    110. Re:might as well guinea pig at that point by anthraxq · · Score: 1

      this seems to be frighteningly similar to the whole "I Am Legend" story.

    111. Re:might as well guinea pig at that point by Alex+Belits · · Score: 1

      I won't try to defend people being denied preventative treatment, but single payer isn't the only solution. Even in a single payer system, hard decisions will be made about what is covered. Government insurance will be limited in what it can afford to cover, just like private - i.e. not utopia.

      You mean, universal healthcare system that is implemented in almost each and every developed country already?

      I don't think I need to explain myself when I say I don't want the government taking control of the entire health industry.

      Your explanation would be many decades too late because nothing in US healthcare is ever done without going through the government-mandated processes that involve government agencies.

      It can do a much better job of regulating health care without making half of the country a federal employee or federal contractor.

      Except, of course, universal healthcare does not work that way.

      Profits will still be made on health care in that situation, and the government will be the sole arbiter of who gets them - a bad situation if you ask me.

      Does it mean that you believe, insurance companies are now better at making this decision?

      Let me ask you a question, do profits explain the fact that it's cheaper, faster, easier and safer for me to send a package via UPS or FedEx than the US Postal Service?

      No. It means that you haven't sent enough packages to notice how often UPS and FedEx employees steal them.

      Does USPS have some profit motive for giving me crappy service?

      Actually it sucks surprisingly little considering the amount of retarded and corrupt people involved in it.

      --
      Contrary to the popular belief, there indeed is no God.
    112. Re:might as well guinea pig at that point by glennpratt · · Score: 1

      I'm not going for a line by line reply, but clearly you have an ideology about the role of government that I don't agree with. We could run down anecdotal reasoning forever.

      Anyway, I just want to make the point that universal health care is not something I'm opposed to - the idea that no one is allowed to fall through the cracks and become uncovered. I don't believe single payer is the best way to achieve that.

  2. Ha! by Anonymous Coward · · Score: 0

    This day has finally come.

  3. It's about time ... by Anonymous Coward · · Score: 0

    now I can go back to having anonymous sex at the local sexatorium. Mmmm glory holes....

    1. Re:It's about time ... by Anonymous Coward · · Score: 1, Funny

      be careful dude. I got a cigarette burn on my dick from some cocksucker on the other side of a glory hole.. Try explaining that to your wife.

    2. Re:It's about time ... by palegray.net · · Score: 1

      Sometimes I really, really wish I had access to Slashdot's server logs. I suggest you start a personal advice column.

  4. Cost by Anonymous Coward · · Score: 0

    What might modifying your DNA actually cost, efficiencies of a mature process taken into consideration?

  5. wait.... by ndik · · Score: 0, Troll

    Wait! Let me grab my gardening scissors to cut that gene out, oh.. we actually need proper medical equipment? I thought we're talking about HIV here.

  6. Re:Sounds expensive... by Idiomatick · · Score: 1

    I guess they didn't have sex ed when you were in school.

  7. AIDS cured on Slashdot? by Caboosian · · Score: 3, Funny

    You don't say.

  8. Price Tag? by Anonymous Coward · · Score: 4, Interesting

    Hopefully the researchers are successful in their endeavours but you've got to wonder about the costs associated with such a procedure. With something like a 33 million estimated people infected with HIV world-wide I wonder what percentage would actually be able to afford treatment :/

    1. Re:Price Tag? by kiwijapan · · Score: 0

      As with any new technology, there's going to be a large cost involved with the development and research in the early stages.

      Reading the article, it seems that the patient can only receive their original T-cells, but with enough experimentation and development, it may be possible to create a 'generic' T-cell that is close enough to natural T-cells to be accepted by anyone's body.

      If this is achieved, then it's just a matter of mass producing the 'generic' T-cell. It might even be possible to create a 'generic' T-cell that causes a mutation in the CCR5 cell in existing T-cells to render those cells inactive, which means that only a small amount would be needed per person.

      If we can advance the process this far, the only remaining problems would occur with patients or people being innoculated who have naturally occuring mutations or extreme differentations in their T-cells that prevent the developed T-cells from working properly. But by the time we reach this hurdle, it should be easier to develop the necessary T-cells for those people as required.

      Just a thought.

    2. Re:Price Tag? by 808Lupine · · Score: 1

      First steps are to see if the hypothesis produces valid results. If it does, then you need to perform a risk assessment based on side affects like other gene alterations or perhaps the creation of a super-virus (see I Am Legend).

      If those issues can be overcome, then you can look at the practicality of providing this therapy to a) everyone with drug-resistant strains, b) everyone infected at all, and/or c) everyone, for use as a vaccine (if viable).

      Still a LONG way away from looking at the price tag. This is at least 10 years away from that stage assuming no problems arise.

      I agree, however, that people should be given the option of participation in more extreme experiments given few to no other options. There isn't a whole lot to lose for them, in many cases.

      --
      Eagles may soar, but weasles don't get sucked into jet engines - Unknown
  9. Poor Vivo by syousef · · Score: 1

    'We will see if it is safe and if those cells inhibit HIV replication in vivo,'

    Alas, poor Vivo. I knew him, Horatio.

    --
    These posts express my own personal views, not those of my employer
  10. Re:Sounds expensive... by dunezone · · Score: 5, Informative

    Every time someone posts about HIV we get a jackass like you. There are people who have HIV and didnt contract it through sex or drugs.

    There are people who were born HIV+ because their mother was a carrier, there are people who have been raped and now carry the virus, there are people in the medical field that contract it because some drug addict freaks out while they tend to them. Hell, even though we test blood now many people contracted it through blood transfusions before they tested it.

    Oh and by the way. Condoms don't give 100% protection against HIV its about 80-85%.

    HIV is a bastard of a virus. Our immune systems can usually handle most viruses without intervention. You cant win on your own against HIV. It will destroy the immune system eventually.

    If this treatment is successful at this level. At least we can give life to those who didn't have the choice.

  11. bravo by Ritz_Just_Ritz · · Score: 4, Insightful

    While strides have been made in HIV treatment, it's still a death sentence. Doctors can keep the patient alive longer, but they can't prevent the inevitable.

    With so many people in the developing world suffering from HIV, it would be nice to see something like this fast tracked. I am sure that some of those folks, now intimately familiar with their own mortality, would be eager to participate knowing that they could potentially help other people.

    1. Re:bravo by BlueParrot · · Score: 5, Insightful

      While strides have been made in HIV treatment, it's still a death sentence. Doctors can keep the patient alive longer, but they can't prevent the inevitable.

      Life itself is a death sentence. We all die sooner or latter, it's merely a matter of how long it takes and many HIV positive patients die from unrelated causes ( such as car accidents ). If you catch HIV when you're 70 there's a good chance you will die from some completely unrelated condition, such as stroke, heart failure, or lung cancer from a lifetime of tobacco abuse. Not saying an HIV infection is to be taken lightly, but believe it or not, it is far from the worst diagnosis you can get.

    2. Re:bravo by MoellerPlesset2 · · Score: 2, Interesting

      With so many people in the developing world suffering from HIV, it would be nice to see something like this fast tracked.

      I doubt they view this as a 'cure'. It's research, in both gene therapy and HIV.
      If it works, I'd assume the next step would be to try to develop a procedure where they did this to bone marrow cells - the cells that produce T-cells - and thus let the body create its own HIV-resistant T-cells. That might work well enough to be a 'cure' - an HIV patient with leukemia was given an HIV-resistant (CCR5) bone-marrow transplant, and is now effectively 'cured'.
      (Though they're careful with the word since HIV virus may still be lurking in the body somewhere)

    3. Re:bravo by Anonymous Coward · · Score: 5, Informative

      Actually, this is far from the truth. I am an HIV-positive individual and based on the fact that my HIV was detected early and also that I started on HIV medications within the first year of contracting it my lifespan has been extended to the point where I will most likely live a full life. Before contracting HIV I thought it was a terrible thing to have and that I would kill myself if I ever got it. I have news for you: it is a terrible thing, but just like everything else in the world you get over it and with HIV medications having nearly NO side effects and once-to-twice daily dosing it makes life worth living.

      While some may speculate on whether or not I really know what I'm talking about, I do. I am a healthcare professional. For those of you who are wondering why I didn't post this under my account, I would rather not taint Google's results with gossip for my next employer. :)

    4. Re:bravo by MichaelSmith · · Score: 1

      Life itself is a death sentence.

      Possibly not if we get the ability to directly edit our genes.

    5. Re:bravo by Anonymous Coward · · Score: 0

      While strives have been made in conception, its still a death sentence. Modern science can keep you alive longer, but they can't prevent the inevitable.

    6. Re:bravo by deathguppie · · Score: 1

      Yes indeed my observant friend, death is in fact also a disease. I say death to death!!!

      --
      once more into the breach
    7. Re:bravo by GradiusCVK · · Score: 1

      it is far from the worst diagnosis you can get

      Well of course... I would assume the worst diagnosis you could get would be somewhere along the lines of "He's dead, Jim".

    8. Re:bravo by Anonymous Coward · · Score: 1, Insightful

      That is not dead which can eternal lie.
              And with strange aeons even death may die.

    9. Re:bravo by The+FNP · · Score: 4, Insightful

      Actually, I figure this is exactly why /. has ACs. We put up with nearly every other AC troll post so that occasionally we can read 'Confessions of a HIV+ Slashdotter'. I don't need to know your identity to read your anecdote. Also, I respect your right to privacy and AC posting more in this case than if you were merely stating a preference for Windows over Linux.

    10. Re:bravo by aussie_a · · Score: 0, Troll

      A healthcare professional and HIV-positive. Why, you're the poster child of all the people who made previous posts to you saying how HIV aint such a big deal and we shouldn't bother with such expensive treatments such as this. I'm not saying you agree with them, simply that they'd love to

      Given you're just an anonymous user on the internet*, you're life experiences, no matter how dreadful or important they might have been, doesn't actually add anything to the discussion. Because I could have made the exact same post as you, but instead saying current HIV medications aren't good enough.

      When its so easy to lie, telling the truth becomes meaningless if it can't be verified. Also even if everything you say is true, this treatment will (at least) be for people who have the drug-resistant strain of HIV for which the current HIV medication isn't as effective.

      * even had you posted under your real account, you're still anonymous. I'm anyonmous and I've got my account, I can also create a new account claiming to be Steve Jobs. I'd just be as anonymous. There is no way to prove your identity on the internet to strangers so you're effectively anonymous.

    11. Re:bravo by Anonymous Coward · · Score: 1, Insightful

      You're going to die from AIDS and go to hell. Satan and his demons are going to make you their anal slut for all eternity. It's your fault for being a fag and taking it up the ass. Just realize your fate and know hell doesn't use condoms or give out breaks. 18 demon cocks in your faggot hole all the time. enjoy your little bit of time left here.

    12. Re:bravo by Anonymous Coward · · Score: 0

      ...Satan and his demons are going to make you their anal slut for all eternity...Just realize your fate and know hell doesn't use condoms...

      Ummm...what good is a condom in Hell? Do you suppose pregnancy is a concern for the presumably male tortured soul? And why do you presume none of those anal-loving demons would like using a "ribbed for his pleasure condom", even if just for some variety?

      - T

    13. Re:bravo by TheLink · · Score: 1

      Looking at all the people here who can't spell, giving them the ability to directly edit their genes will certainly result in death sentences.

      Heck they might not even get past the first word. :)

      --
    14. Re:bravo by TheLink · · Score: 1

      No. You're not trying hard enough.

      The doctor could say, "Hey don't tell anyone I said this, but there's this place in Switzerland where you can go get yourself euthanized before it gets really bad".

      Or imagine a diagnosis where the doctor runs away from you screaming, "Stay away from me!".

      And that's just a start.

      --
    15. Re:bravo by goose-incarnated · · Score: 1

      Doctors can keep the patient alive longer, but they can't prevent the inevitable.

      Technically that's true, with or without HIV

      --
      I'm a minority race. Save your vitriol for white people.
    16. Re:bravo by Anonymous Coward · · Score: 0

      You know, that's bullshit. A significant percentage (>5%!) of all people that have ever lived have never died; there's simply no rigorous basis for claiming that "we all die sooner or later".

    17. Re:bravo by Anonymous Coward · · Score: 0

      Just curious: on the job accidental exposure, or lifestyle? Good luck, btw.

    18. Re:bravo by Nathrael · · Score: 1

      Even if you are clinically immortal, you WILL die eventually. It's just a matter of time. As sad as it is, you cannot cheat eternity.

      --
      A good education is a bit like a STD - it makes you unsuitable for a lot of jobs and gives you a desire to spread it.
    19. Re:bravo by geekoid · · Score: 1

      If you get AIDS at 70..well go YOU~

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    20. Re:bravo by Anonymous Coward · · Score: 0

      It's always challenging to read /. threads about HIV -- thanks for posting. I could have written the first paragraph myself, and it was nice to see your words modded up so highly.

    21. Re:bravo by Anonymous Coward · · Score: 0

      So...

      1) Everyone on the internet is anonymous.
      2) Anonymous people on the internet add nothing to the discussion.

      Therefore: there are no discussions on the internet!

      If you'll excuse me, I do believe I just stopped existing.

    22. Re:bravo by compro01 · · Score: 1

      Editing genes likely won't help when you get hit by a bus.

      Even if you're ageless and we can cure every disease, there's still lots of other ways to die.

      --
      upon the advice of my lawyer, i have no sig at this time
    23. Re:bravo by NotBornYesterday · · Score: 1

      If you'll excuse me, I do believe I just stopped existing.

      Nope. Belief requires thought. Cogito ergo sum. You still exist. ;)

      --
      I prefer rogues to imbeciles because they sometimes take a rest.
    24. Re:bravo by Hork_Monkey · · Score: 1

      I say you're not trying hard enough.

      The doctor could say, "The only treatment available is that you must listen to either Yoko Ono or Hanson songs for the rest of your life, or your junk will fall off."

    25. Re:bravo by TheLink · · Score: 1

      Doesn't that come under the "there's this place in Switzerland where you can go get yourself euthanized" category? :)

      --
  12. Re:Sounds expensive... by Anonymous Coward · · Score: 1, Funny

    Let's not besmirch the guy's education. I'm sure they had sex-ed when he was in school, but you know how it is - if you never make use of something you soon forget it.

  13. M-x genotype-mode by Anonymous Coward · · Score: 5, Funny

    You *know* there's going to be an Emacs mode for gene editing.

    1. Re:M-x genotype-mode by Anonymous Coward · · Score: 1, Funny

      Screw it, I'll just use Genepad.

  14. Gene editing? by TFer_Atvar · · Score: 1, Redundant

    I'm (pretty) sure it's not like it sounds, but the idea of gene editing immediately conjures up something like a gene Wikipedia in 50 years or something, and that's terrifying and hilarious at the same time.

    1. Re:Gene editing? by 77Punker · · Score: 1

      or gene vim vs. emacs

    2. Re:Gene editing? by Rayban · · Score: 2, Funny

      I think of my accidental select-all, delete-key combos:

      "Oh shit... undo, undo!"

      --
      æeee!
    3. Re:Gene editing? by aussie_a · · Score: 1

      This is why you don't work in a live environment. Idiot.

    4. Re:Gene editing? by CarpetShark · · Score: 1

      There is already the human genome project.

  15. Mod parent down - didn't RTFA by LonghornXtreme · · Score: 4, Informative

    The test subjects have drug resistant HIV.

    1. Re:Mod parent down - didn't RTFA by powerspike · · Score: 1, Informative

      This isn't a drug, they are modifying the cells in such a way that the virus can't attach to them. Drugs genneraly add items into a body to counter an item, this is modifying the immune system directly itself, something that hasn't be done before. the CCR5 gene apparently is why around 50-60% of the English population survived the black plague in the dark ages, when the mortally rate in people without it is over 95%.

      There are a lot of deadly viruses that could be cured by this.

  16. Oblig, Blade Runner by MichaelSmith · · Score: 1

    Tyrell: The facts of life. To make an alteration in the evolvment of an organic life system is fatal. A coding sequence cannot be revised once it's been established.

    Roy: Why not?

    Tyrell: Because by the second day of incubation, any cells that have undergone reversion mutations give rise to revertant colonies like rats leaving a sinking ship. Then the ship sinks.

    Roy: What about EMS recombination.

    Tyrell: We've already tried it. Ethyl methane sulfonate as an alkylating agent a potent mutagen It created a virus so lethal the subject was dead before he left the table.

    Roy: Then a repressive protein that blocks the operating cells.

    Tyrell: Wouldn't obstruct replication, but it does give rise to an error in replication so that the newly formed DNA strand carries the mutation and you've got a virus again. But, uh, this-- all of this is academic. You were made as well as we could make you.

    copied from here BTW

  17. Potential Failure RIsks: by LonghornXtreme · · Score: 5, Informative

    There are 3 big risks / problems I see with this approach:

    #1: The modified T-Cells attack the host after they are reintroduced. Think of it like auto-immune disease or transplanted-organ rejection. This could cause effects ranging from a mild food allergy to death. Anyone know how much damage 10 billion rogue T-cells could do? I sure don't; however, I do know that they aren't a straight 1 T-Cell used up for each 1 antigen.

    #2: Unmodified T-cells attack the modified T-Cells because the surface of the modified T-Cells (i.e. the CCR5 protein) could possibly trigger an immune response. This would render the modified T-Cells kind of pointless. Seems like this would have better chance of working on patients with full blown AIDS rather than merely HIV+.

    3: Modified T-Cells survive and are unaffected by HIV; however, these surviving modified T-Cells are just clones of the one original T-Cell that the lab modified. So in essence, you have injected the test subject with 10 billion of the same T-Cell. Unless the doctors have a way of massaging the genes on a representative sample of T-Cells, then this is kind of useless to the patient. What good are 10 billion T-Cells if they are each only good for tagging one antigen? Meaning, that the 10 billion T cells could only respond to a single stimulus, i.e. they could all only fight one strain of the common cold, but not anything else.

    Disclaimer: I have a BA in bio from a public ivy; however, my GPA wasn't that great, and I didn't pursue a career in the field. I very well could be overlooking something substantial in immunology etc.

    1. Re:Potential Failure RIsks: by 10101001+10101001 · · Score: 2, Informative

      It sounds like what they're thinking of doing is more like: (1) draw up 10 billion T-Cells, (2) use an enzyme to cleave off the CCR5 proteins, (3) filter out the enzyme+proteins, and (4) reinject the T-Cells. Ie, I don't think issue 3 would crop up (or, at least, it'd be much more limited in scope). The real issue, as I see it, is that those 10 billion T-Cells will eventually die. Not knowing enough about how proteins on the cell membrane are created/carried over during mitosis, it'd seem the biggest issue is that those 10 billion T-Cells are likely to either duplicate and regenerate the CCR5 protein or simply die out before the HIV is eliminated. Either situation would seem to only delay the spreading of HIV in the body.

      On the other hand, if it happens that the CCR5 protein isn't regenerated, then perhaps HIV would be cured, but you'd be at risk of redevelopment a random assortment of childhood illnesses (which should just mean revaccination). Unfortunately, I don't know nearly enough about T-Cell reproduction and HIV to know exactly how it is HIV manages to permanently kill off T-Cell production.

      --
      Eurohacker European paranoia, gun rights, and h
    2. Re:Potential Failure RIsks: by LonghornXtreme · · Score: 1

      Thanks for the clarification.

      In response to T-Cell production, the HIV article on wikipedia states, "HIV primarily infects vital cells in the human immune system such as helper T cells (specifically CD4+ T cells), macrophages, and dendritic cells. HIV infection leads to low levels of CD4+ T cells through three main mechanisms: firstly, direct viral killing of infected cells; secondly, increased rates of apoptosis in infected cells; and thirdly, killing of infected CD4+ T cells by CD8 cytotoxic lymphocytes that recognize infected cells. When CD4+ T cell numbers decline below a critical level, cell-mediated immunity is lost, and the body becomes progressively more susceptible to opportunistic infections.HIV primarily infects vital cells in the human immune system such as helper T cells (specifically CD4+ T cells), macrophages, and dendritic cells. HIV infection leads to low levels of CD4+ T cells through three main mechanisms: firstly, direct viral killing of infected cells; secondly, increased rates of apoptosis in infected cells; and thirdly, killing of infected CD4+ T cells by CD8 cytotoxic lymphocytes that recognize infected cells. When CD4+ T cell numbers decline below a critical level, cell-mediated immunity is lost, and the body becomes progressively more susceptible to opportunistic infections."

    3. Re:Potential Failure RIsks: by timmarhy · · Score: 1

      i think the purpose of the test is to see if situation 1 and 2 happen, and to see if the extra t-cells help maintain the patients t-cell count since hiv can't kill them. obviously the next step is to see if they can get the new host to produce resistant cells and cure them of aids via a bone marrow transplant.

      --
      If you mod me down, I will become more powerful than you can imagine....
    4. Re:Potential Failure RIsks: by caitsith01 · · Score: 0, Redundant

      Tyrell: The facts of life: To make an alteration in the evolvement of an organic life system is fatal. A coding sequence cannot be revised once its been established.

      Roy: Why not?

      Tyrell: Because by the second day of incubation, any cells that have undergone reversion mutations give rise to revertant colonies like rats leaving a sinking ship; then the ship sinks.

      Roy: What about EMS recombination?

      Tyrell: We've already tried it. Ethyl methane sulfonate is an alkylating agent and a potent mutagen. It created a virus so lethal the subject was dead before he left the table.

      Roy: Then a repressor protein that blocks the operating cells.

      Tyrell: Wouldn't obstruct replication, but it does give rise to an error in replication so that the newly formed DNA strand carries a mutation and you've got a virus again. But this - all of this is academic. You were made as well as we could make you.

      Roy: But not to last.

      --
      Read Pynchon.
    5. Re:Potential Failure RIsks: by XMode · · Score: 1

      You forgot the worst one of them all.

      4: Zombies

    6. Re:Potential Failure RIsks: by sokoban · · Score: 2, Informative

      I don't think 1 will be a problem. All T Cells have a CCR5 membrane protein, but the HIV resistant ones have a mutant type CCR5 protein. CCR5 is the way in which T cells get infected by HIV, and people with mutant type CCR5 genes survive quite well.

      2 may be a problem, and I think will be the biggest hurdle here.

      3 Shouldn't be a problem. Zinc Finger nucleases are able to delete the genes from a bunch of different cells at once. The idea is that you get a whole lot of T-Cells, Remove the 32 base pair segment from the two copies of the CCR5 gene in each T-Cell using zinc finger nucleases to make them the HIV resistant mutant type, culture more T-Cells which should be HIV resistant since they have the mutant gene, and inject the T-cells back into the patient.

      --
      09 F9 11 02 9D 74 E3 5B D8 41 56 C5 63 56 88 C0 is the magic number.
    7. Re:Potential Failure RIsks: by sokoban · · Score: 1

      It sounds like what they're thinking of doing is more like: (1) draw up 10 billion T-Cells, (2) use an enzyme to cleave off the CCR5 proteins, (3) filter out the enzyme+proteins, and (4) reinject the T-Cells.

      Proteins aren't cleaved, a zinc finger nuclease is used to mutate the CCR5 gene so that it is the HIV resistant type. These are then cloned.

      --
      09 F9 11 02 9D 74 E3 5B D8 41 56 C5 63 56 88 C0 is the magic number.
    8. Re:Potential Failure RIsks: by johanatan · · Score: 0

      What the hell does your GPA have to do with anything? Surely you have a valid reason for having the low GPA besides 'I couldn't/didn't understand the material'?

    9. Re:Potential Failure RIsks: by LonghornXtreme · · Score: 1

      Thanks for the clarification Sokoban...

      I haven't had genetics in 5 or 6 years.

      How much control do we have over the zinc finger nucleases? I thought zinc fingers were pretty common DNA landmarks.

      I reached #1 thinking that ANY modification to a T-cell created some risk that the T-cells' immune response would be modfied. Granted, it would most likely be harmless, but we're talking about peoples' lives. Also, (i forget what it's called) but what if the reintroduction triggered the same type of hypersensitivity reaction similar to TSS?

    10. Re:Potential Failure RIsks: by LonghornXtreme · · Score: 1

      It was merely to let readers know that I wasn't claiming to be an infallible authority.

    11. Re:Potential Failure RIsks: by Muad'Dave · · Score: 2, Informative

      The article said that this first test was to see if the new T-cells would live and if there would be any effect on the HIV load. This isn't the cure, only a step in that direction.

      --
      Tiller's Rule: Never use a word in written form that you've only heard and never read. You will end up looking foolish.
  18. Unanswered questions by Michael+Woodhams · · Score: 2, Informative

    Alas, I have enough biology to have questions not answered in the short article, but not enough to extract the answers from the referenced paper. (I did notice that the news article was slightly incorrect on one point. They are not actually 'clipping out' the CCR5 gene. They cause a break in the gene which gets imperfectly repaired, so that the gene becomes nonfunctional.)

    Are these T cells capable of 'reproducing' and having an unlimited number of descendants? This is not the case for many types of cells - it is part of what makes stem cells special. The paper refers to T4 cell lines, which suggests that they can indefinitely reproduce.

    If the treatment works, how long will it last? (If the answer to the previous question is 'no', the answer to this one will likely be be 'about as long as the lifetime of a T cell.' If the answer to the previous question is 'yes', the answer might be 'for a lifetime.'

    Do the modified T cells have to come from the patient? If not, the treatment will be much cheaper: Do the extraction and genetic modification once, breed up a big batch, treat dozens of patients. If not, you need to do the genetic modification once for each patient.

    Once you have a bunch of immune T cells, will they be able to eliminate HIV from the body? (I suspect not: I understand that as a retrovirus, HIV is very good at hiding dormant for a long while.)

    The answers to these questions are the difference between this being a laboratory curiosity and this being the elimination of HIV in developed countries within 5 years.

    --
    Quattuor res in hoc mundo sanctae sunt: libri, liberi, libertas et liberalitas.
    1. Re:Unanswered questions by MoellerPlesset2 · · Score: 4, Informative
      Not that I'm an immunologist, but:

      Are these T cells capable of 'reproducing' and having an unlimited number of descendants?

      T cells are produced by the bone marrow. They don't reproduce on their own.

      If the treatment works, how long will it last?

      The lifespan of an average T cell is on the order of 10-20 weeks. I believe. Shorter in HIV patients.

      Do the modified T cells have to come from the patient?

      Who knows? But not necessarily. After all, you get plenty of foreign T-cells with a blood transfusion. But I don't think anyone is necessarily viewing this treatment as a 'cure' in itself.

      Once you have a bunch of immune T cells, will they be able to eliminate HIV from the body?

      That's not known. But they've done it, with positive effects. Note how 'cure' is put in quotes, as it should be.

      The answers to these questions are the difference between this being a laboratory curiosity and this being the elimination of HIV in developed countries within 5 years.

      That is ridiculous. It's neither.

  19. CANCER by Noirling · · Score: 1

    Hmm. Uncontrolled cell reproduction after the T-cells are replaced? In other words, cancer. Anybody know what happens to a person when they have too many T-cells? Do you become super immune to everything? How can you get rid of t-cells quickly if you have to?

    1. Re:CANCER by Wain13001 · · Score: 5, Informative

      For the most part, T-cells die off naturally.
      People infected with HIV do not have to deal with a problem of too many t-cells, so in this case it's not much of a concern.

      Most importantly though, T-cells do not replicate to create more T-cells. They come from a type of lymphocyte starter cell (a stem cell essentially), which reproduces in the bone marrow.

      Taking t-cells from your body, and then reintroducing them to your body will not give you leukemia (literally meaning "White Blood", refers to various cancers of white blood cells).

      More than likely this is just a test, not *the cure*. The point being to see if the modified t-cells survive long enough to keep the count from dropping (as it would via a normal HIV infection). If it does work, then we can start developing methods to modify bone-marrow in order to make the new t-cells your body creates have the altered gene.

      Of course, I'm not an expert, and the article is unfortunately slim on details, so this is basic speculation.

    2. Re:CANCER by Anonymous Coward · · Score: 0

      with too many T-cells, there's probably (me not am expert) a heightened risk that your immune system will attack your own body.

      I had a friend whose immune system attacked her nervous system. Forget the name of the disease but she missed a whole year of high school while being rehabilitated with physical therapy.

    3. Re:CANCER by ppanon · · Score: 2, Interesting

      Cancer's one possibility.

      Right now HIV can't attack cells that are missing that gene, and people with that mutation are rare enough that it isn't advantageous/necessary for HIV to develop another mechanism. However if you inject cells with this mutation into someone that doesn't normally have it, and they don't manage to clean out all the HIV from the person's system, then the combination of both of those cells in proximity is about as good as possible an environment for HIV to develop a mutation that can provide a new method of attack.

      Reservoir of HIV-infected cells - check.
      Depleted immune system that is subject to other viral infections that could cross contaminate with HIV - check.
      Small group of immune resistant T-Cells that might be incapable of wiping out well-settled-in, drug resistant HIV - check

      These guys theoretically could wind up spurring the evolution of a new strain of HIV that attacks the few people that are currently resistant. The bright side to this is that the T-Cells should die off naturally with no replacement. So if it doesn't work and they don't try to prolong the experiment with extended and repeated treatments, the window of risk is relatively short.

      --
      Laissez lire, et laissez danser; ces deux amusements ne feront jamais de mal au monde. - Voltaire
    4. Re:CANCER by LordKazan · · Score: 1

      i know a while ago i saw an article where someone who naturally had the immunity gene donated bone marrow to someone with HIV - and the bone marrow transplant took and the person gained immunity and their immune system was able to attack the virus succesfully.

      --
      If you cannot keep politics out of your moderation remove yourself from the Mod Lottery.. NOW!
    5. Re:CANCER by Metasquares · · Score: 1

      Yes, but stem cell transplantations carry a significant risk of treatment-related mortality. The transplant was performed because the patient had recurrent leukemia, IIRC - a scenario in which the mortality associated with the leukemia itself made the risk of treatment worth it.

      Something like this is less invasive, if less permanent. Periodic treatments could result in lasting immunocompetence even with HIV, since there will always be an available reserve of T-cells that the virus cannot infect. That is, until the virus mutates (as it is very prone to do) to infect the cells lacking CCR5-Delta32 and we start from square one again.

      In the best case, the immune system might fight the virus itself, although this would probably result in a remission rather than a complete cure.

  20. Mutations by Spooon69 · · Score: 2, Insightful

    The HIV virus has a high rate of mutation, one of the reasons it sticks around in your body and your immune system has to keep attacking it, it's pretty much a "new" virus every time. What's to keep the virus from mutating and avoiding the CCR5 requirement it currently has? CCR5 doesn't seem to be a requirement for a normal human immune system (one of the many types of backups the immune system has), thus some percentage of the population being perfectly healthy without that receptor. I'd even go as far as to say that if HIV mutates into not requiring CCR5, then this new strain could spread and theoretically be worse than the current HIV strain in the wild.

    1. Re:Mutations by smellsofbikes · · Score: 2, Informative

      >What's to keep the virus from mutating and avoiding the CCR5 requirement it currently has?

      The virus uses the CCR5 receptor as its binding and entry point into the cell. There are other receptors it might/may use, but CCR5 is the predominant one, especially early in the infection. As such, it's the gateway: if you can block it, that massively reduces the viral effectiveness.
      The process of developing a treatment for a disease is finding something the disease absolutely needs and targeting that. This is very difficult with HIV because, as you say, it has a high rate of mutation, but (as the wikipedia article says) at least in lab tests if you block CCR5, HIV infection drops by orders of magnitude -- so apparently, finding another route of entry is sufficiently complicated that it's highly unlikely that an otherwise viable mutation will evade this requirement.

      --
      Nostalgia's not what it used to be.
  21. The problem... by orkybash · · Score: 1

    Is that HIV mutates *very* rapidly. This is why patients on HIV drugs (AZT and the like) need to constantly change treatments and sometimes take medication vacations - otherwise they get a drug-resistant strain.

    That's not to make light of this discovery. It will definitely improve the quality of life for a few patients for a while, and that is a very good thing. Is it a cure for AIDS? Only time will tell.

    1. Re:The problem... by MichaelSmith · · Score: 1

      Is that HIV mutates *very* rapidly.

      I wonder if anybody has worked out how many permutations there are.

  22. Re:Sounds expensive... by Anonymous Coward · · Score: 0

    Unprotected sex with an HIV positive partner hs an infection rate of only about 1 in 2000. Throw a condom into that mix and you are pretty much good to go.

  23. two words: brazil nuts by tallvegdude · · Score: 0

    There is an argument that AIDS can be thought of as a symptom of severe selenium deficiency that has been triggered by the HIV virus. A recently retired geography prof, Harry Foster, has been doing some interesting work on the subject (his website is at www.hdfoster.com). The summary is: a few brazil nuts a day is a good thing for your immune system, if you aren't allergic to them.

    I've always tended to get really nasty colds, a couple a year. Since I started chowing down on the brazil nuts 10 months ago, I've been pretty much free of them. Just don't eat too many (two a day is safe), or you risk selenium poisoning.

    1. Re:two words: brazil nuts by MaskedSlacker · · Score: 1

      Anecdote != Data

      PhD Geology != MD Immunology

  24. Magic Johnson owns the real cure. by Anonymous Coward · · Score: 0

    Ask him.

  25. Re:Sounds expensive... by db32 · · Score: 1

    I only wish I had the mod points to give you for this one. However, there are is still a fairly wide variety of viruses that we aren't equiped to handle without vaccinations and the like, but all in all HIV is definitely a hell of a bastard. It stuns me to see the level of ignorance displayed regarding HIV at times. The treatment Ryan White recieved before his death was reprehensible due to ignorant shits. Testing of blood transfusions before that were basically unheard of. To this day I don't know if I am more disgusted by the homophobic bullshit or the mind boggling scientific ignorance that lead to the treatment he recieved.

    --
    The only change I can believe in is what I find in my couch cushions.
  26. Re:Sounds expensive... by Xenna · · Score: 2, Insightful

    HIV is a bastard of a virus. Our immune systems can usually handle most viruses without intervention. You cant win on your own against HIV. It will destroy the immune system eventually.

    HIV is a bastard because it's relatively benign and very hard to transmit. A normal deadly virus like Ebola kills you quickly, HIV keeps you healthy and able to infect others for years. It's mainly transferred by sex, which is a big bummer for all of us who like to sleep around which includes lots of gay men.

    But once you have it, you won't get rid of it. Nothing special either, because most people live with the chicken pox virus for most of their lives. That usually doesn't kill you, though...

    X.

  27. Not to dampen hopes, but... by wickerprints · · Score: 5, Insightful

    Instead of just making the typical /. armchair commentary about the zillion ways in which this proposal would be foolish or at best useless, I'm going to give a different angle on this.

    First, on a global scale, the most sophisticated HIV treatments are administered to the relatively wealthy. Only when such a treatment is deemed effective does it start to spread down to the poor, due to economics. The old anti-retrovirals of yesterday are today's low-cost options for the millions of HIV+ individuals in developing nations. That's just the reality of the technological development of disease treatment. However, this "trickle-down" mechanism, combined with natural geographic and genetic variations, has led to the evolutionary branching of HIV into significantly distinct strains, with characteristically different disease modalities.

    Second, we have as yet no drug that is able to eliminate HIV in the body. The currently available treatments are at best able to turn HIV into a chronic, managed condition. This has some very interesting (some would say alarming) socioeconomic implications. What we are finding is that over time, HAART therapy has evolved from a multiple-dose-per-day regimen that was difficult to maintain, to a more easily managed schedule, leading to better therapy adherence in patients. However, some of these drugs are poorly tolerated in many individuals, and over time, HIV is known to develop multiple resistances due to poor adherence or tolerance. The more disturbing situation, however, is that in many gay communities, the practice of "pre-exposure prophylaxis" has become alarmingly common. What is happening is that some HIV- gay men are obtaining anti-HIV drugs and taking them prior to knowingly exposing themselves to potentially HIV+ individuals through unprotected sex.

    From a scientific standpoint, it is fascinating that this development is as successful as it has been. But from the standpoint of a gay man who takes every precaution to educate myself and follow safer sex practices and does everything in my power to serve as a role model for responsible behavior, I find it totally abhorrent that there are guys who expose themselves willingly to HIV in such an unethical manner, in light of all the AIDS deaths that have come before us and all the tireless work of our most brilliant scientists, medical care providers, and public health advocates. They have even given this "PrEP" cute names and euphemisms to disguise the utter insanity of what they are really doing (like they have done with the term "barebacking" to refer to unprotected anal intercourse). If there is anyone on the face of this earth that deserves to die of this terrible disease, it is them. And I don't say that lightly. Some of you might say that these people would have had unprotected sex with or without the drugs, but you have to realize that it is partly through the action of these individuals that drug-resistant HIV is spread. It is for this reason I dare stand in judgment against them.

    So this brings me to my third point. The CCR5 discovery is notable in that it confers strong resistance against HIV-1. Two copies of the gene are required for this resistance. However, the transmission of other strains of HIV may not be blocked by the presence of this gene. Even if this therapy were to work, I doubt it would be effective on a large scale. Some of these patients, if you cure them, will simply go out and have more unprotected sex. If you don't believe me, reread the previous paragraph.

    The only way human civilization will ever rid itself of the scourge of HIV is if we discover a vaccine or outright cure for all its strains. No chronic management or piecemeal therapy will be sufficient, because there are always people who will do things that will enable the virus to mutate and survive. Ever since the discovery and announcement of the virus in the 80s, this simple fact was apparent to me. But the untold billions of dollars in revenue that HIV research and managemen

    1. Re:Not to dampen hopes, but... by Anonymous Coward · · Score: 0

      The problem with HIV is both a medical problem, and a social one. As with any STI.

      The fundamentals are that sexual transmitted infections are transmitted via social means. They are medical in nature, but there are always social implications no matter what disease we're talking about.

      What happens when you compare HIV with other uncurable viruses, e.g. Hep C?. Ask yourself, why doesn't Hep C have the same social issues as HIV such as the one you mentioned related to the use of PEP. The answer is based on the medical nature of HIV, and the situation we're in as far as its manageability.

      Human nature is a strange thing.

    2. Re:Not to dampen hopes, but... by CodeBuster · · Score: 1

      However, the transmission of other strains of HIV may not be blocked by the presence of this gene.

      It is not the presence of "special" gene which most of us lack that confers immunity but rather a deletion mutation of that CCR5 gene which causes cell receptors required by the HIV virus for infection to be absent from the helper T cells. I am not a biologist or virologist, but from what I understand the portion of the HIV DNA that codes for the CCR5 receptor never changes between variants because if it did then the resulting virons would be duds (i.e. unable to infect and reproduce). Is it possible that HIV could mutate enough to get around this? I don't know...possibly perhaps, but it seems that evolving completely new abilities (i.e the ability to use an alternate receptor or infection route) is more difficult than incremental modifications to existing viral characteristics through mutation and natural selection.

      The problem of HIV is not medical or technological in nature. It is a social, cultural, and economic problem.

      It has been said before by others that HIV is the quintessential human virus; at once adaptable and uniquely in tune with the weaknesses of both our immune systems and our human nature.

  28. Herpes? by Anonymous Coward · · Score: 0

    Now if only they could have this therapy cure herpes patients.

  29. Cost? by failedlogic · · Score: 1

    I don't mean to be a pessimist, but it seems that this will, if approved, be a lengthy and costly procedure.

    I'm unaware of the types of legal wrangling for a doctor and a hospital before a procedure is taken. I'm also unaware if there are any ethics reviews done prior to risky operations/treatments (brian, heart, gene therapy). Given at least the legal risks, unless there's a 99.999% success rate, I'm not sure doctors or hospitals will want the procedure in-use (even if the person is likely to die of HIV/AIDS anyways).

    Since there's also process patents, I'm concerned a Pharmaceutical might buy the 'rights' to the procedure. If said Pharma already sells HIV/AIDS drugs, the price for this procedure will be very costly. I'm not sure some celebrity victims would be able to afford it.

    I'm just hopeful that this is a path to the magic-bullet. This is a devastating virus that has afflicted many countries and urban populations.

  30. will this select for more virulent HIV in CCR5null by OGmofo · · Score: 1

    So these HIV patients will simultaneously be hosting HIV in CCR5wt cells providing a steady stream mutant HIV particles to try their luck at cracking CCR5null T cells.

    Hopefully CCR5null is a real deal breaker for HIV or we might be creating the perfect situation for HIV to maximize its chances of overcoming that hurdle.

  31. Re:Sounds expensive... by johanatan · · Score: 0

    Actually they did. And, they told us not to shoot up meth and go on all-night-long no-condom buttfucking sprees.

  32. Re:Sounds expensive... by rrkap · · Score: 0, Troll

    But the big majority of people with HIV in the developed world have it because they are stupid. Avoid shooting up and receptive anal intercourse and you've dramatically cut your chances. Insist on only doing the nasty with clean partners in safe ways and you're very safe. Keep your dick dry, your asshole closed and don't shoot up and your chances of getting HIV are pretty much 0.

    --
    I like my beverages with warning labels!
  33. I'm retarded by LonghornXtreme · · Score: 1

    I just said zinc fingers were common DNA landmarks. That's completely wrong.

    Apologies in advance.

  34. Re:Sounds expensive... by rrkap · · Score: 4, Insightful

    I should add that this isn't a reason not to pursue research for cures for HIV. It's a very interesting problem and this technique may have broad application if it works. Also in some parts of the world HIV is very common and hard to avoid.

    Just as we would treat a heart attack in a 400 lb man, so we should also treat someone with HIV as best we can.

    --
    I like my beverages with warning labels!
  35. Everybody hates Kevin by clarkn0va · · Score: 1
    --
    I am literally 3000 tokens away from the chaotic crossbow --Stephen
  36. Ctrl-Z by Anonymous Coward · · Score: 0

    Will there be an Undo button?

  37. Re:Sounds expensive... by ragethehotey · · Score: 1

    There are people who have HIV and didnt contract it through sex or drugs.

    There are people who were born HIV+ because their mother was a carrier, there are people who have been raped and now carry the virus

    Does not compute.

    There are people who were born HIV+ because their mother was a carrier, there are people who have been raped and now carry the virus, there are people in the medical field that contract it because some drug addict freaks out while they tend to them. Hell, even though we test blood now many people contracted it through blood transfusions before they tested it.

    Care to back this up with anything? Although I agree with you 100% in spirit and i don't doubt that it HAS happened more than once, how about sticking to facts instead of what comes off as even more alarmist than a Fox News story on people sticking razor blades in Halloween candy? Or is "getting needle stabbed by a crazed junkie" now the most likely way one will contract the disease?

  38. confused by eneville · · Score: 1

    why doesn't the patients own immune system fight the modified gene?

    1. Re:confused by CarpetShark · · Score: 2, Informative

      Because it's a faulty/mutated gene, and not an alien organism, I imagine. I could (very easily) be wrong, but presumably the immune system doesn't deal with differences on that scale, unless they cause abnormalities further up the scale in the cell or something.

  39. Could I have my genes edited, please? by blind+biker · · Score: 3, Funny

    "I'd like darker skin and, uh... healthy eyes? The latter is kinda more important, so if I can have only one, then that should be it.

    On the other hand, if you give discounts for multiple edits, then why not. Throw in a large-penis-gene, too. I hear that's all the rage, these days."

    --
    "The agriculture ministry is not in charge of Gundam" - Japanese ministry official.
  40. It worked well in I Am Legend... by duanemc · · Score: 1

    Isn't this how a horde of ravenous mutant humans/zombies were unleashed to the world in the movie version of I Am Legend?

    Oh well, I have every confidence that Will Sm

    --
    Contrary to popular oppinion, London is not burning. It is, in fact, quite nippy.
    1. Re:It worked well in I Am Legend... by CarpetShark · · Score: 1

      Isn't this how a horde of ravenous mutant humans/zombies were unleashed to the world in the movie version of I Am Legend?

      No, I'm pretty sure that was caused by holywood directors wanting to make a buck ;)

  41. Great, just great... by Anonymous Coward · · Score: 0

    Here comes the zombie apocalypse :(

  42. Mutation? by Squeeonline · · Score: 0

    Hate to burst the bubble, but the HIV virus is one of the fastest to mutate, which is one of the reasons the body finds it hard to fight it. How can you fight what you cant see?

    No movie quotes please.

    I want it on the record here that I (as a biochemist) predict that the virus will mutate around the resistance genes within a few years. Too long to get the resistance to everybody.

    1. Re:Mutation? by Thiez · · Score: 1

      I'm no biochemist, but according to wikipedia the virus already has other methods of entering cells. Nevertheless, I think this kind of research should be done anyway, more experience in this gene-editing business would be nice, and if a few people live a few years longer and happier, that's a nice bonus.

    2. Re:Mutation? by Squeeonline · · Score: 1, Insightful

      The problem being that many cell receptors that these viruses bind to (eg CAR coxaci adenovirus receptor) are highly conserved in humans. If we could just mutate the gene(s) that code for that receptor and nothing else happened it would be fine.
       
      The reason that these genes and receptors are conserved is that they have essential functions, that may not yet be fully (if at all) understood.

    3. Re:Mutation? by durrr · · Score: 3, Interesting

      I wouldn't put any money on that scenario.

      HIV resistant people are carriers of the virus yet it's not a terminal disease for them. As such, it's a win-win situation for both man and virus. If the virus mutates to a more agressive variant that circumvents the resistance and kills the patient then that strain of HIV is dead and gone(maybe stored in a fridge somewhere).

      Is it likely such a mutation would happen in all resistant carriers? No way. And considering that todays model of HIV is actually less agressive than the original i'd say that if anything the virus will mutate to a more tame variant. After all from an evolutionary standpoint the fittest virus does no direct noticeable harm to it's host.

    4. Re:Mutation? by Squeeonline · · Score: 0

      Interesting idea. I hadnt thought of that.

      another idea is that the virus will mutate to one with a longer incubation period, but could have a higher mortality rate. I know HIV doesnt do much to the body directly but it screws up the T cells in the immune system. This new virus could work faster on the immune system once it starts. It would also spread more as it wouldnt be (easily) detected by current methods (testing for HIV antibodies) as the fibre knobs on the viron will have changed.

  43. Jessica Alba needs our help by Anonymous Coward · · Score: 0

    Valtrex only goes so far.

  44. CCR5 **delta 32** by CarpetShark · · Score: 2, Informative

    They are not actually 'clipping out' the CCR5 gene. They cause a break in the gene which gets imperfectly repaired, so that the gene becomes nonfunctional.

    Indeed. They seem to be trying to modify CCR5 to be CCR5 delta 32, which is the variant which is less prone to HIV (but not immune). The nonfunctional aspect is very important, as you wouldn't want to simply engineer a foetus to have this gene instead of normal CCR5 genes. From wikipedia:

    The [CCR5 delta 32] allele has a negative effect upon T cell function, but appears to protect against smallpox and HIV. Yersinia pestis was demonstrated in the laboratory to not associate with CCR5. Individuals with the d32 allele of CCR5 are healthy, suggesting that CCR5 is largely dispensable. However, CCR5 apparently plays a role in mediating resistance to West Nile virus infection in humans, as CCR5-d32 individuals have shown to be disproportionately at higher risk of West Nile virus in studies

  45. Re:Sounds expensive... by LBU.Zorro · · Score: 1

    There's a myth going around africa, or at least some of the countries in africa (and having found a link it appears a lot more than just africa) that sex with a virgin will cure AIDs... As a result of this there are many many young women who have been raped by an AIDs suffered who have subsequently contracted the disease.

    Does compute perfectly, just because it hasn't happened to you does not mean it hasn't happened.

    http://www.scienceinafrica.co.za/2002/april/virgin.htm

  46. Another point of view by Anonymous Coward · · Score: 0

    Well, Let's assume that the treatment is effective and people start having undetectable levels of HIV.

    This is for one side, good for the infected person, because can have a "healthy" life.

    BUT, this implies that many (and I mean many) will think they are cured and will have unprotected sex, and even if the person with which they are asks them for a blood test before starting unprotected sex, HIV would be undetectable.

    So, we will have even more infected people in this world.

    It is not that I'm a jerk, but have a different point of view, social instead of having pity for one person. Yes, I know many of HIV+ had it because of an accident, mother-baby transmission, a doctor helping....

    We have been changing the interpretation of Darwin's Law and this is taking us to an era where the fittest is not necessary the better genes, the healthier or anything like that.

    I think that if you got cirrhosis because you are a F#### drunk, or got AIDS because you have unprotected promiscuous sex, or got lung cancer because you smoke, or whatever that is your fault, then, you deserve to die (and please die fast so you can not spread your tragedy to the world, and here is where HIV f### it up), instead of spending resources in you that could be better used for children education, research, or anything else.

    Not only that, it hast social implications, if we cure every as#%01e, that means that you can do whatever you want and we then take care of you, you will do it again, and the other that see that also will do s#it, just because, "others will fix me later", "F#%k the others". It is expensive not only in economic terms, but also in social terms.

  47. Anybody else read... by Anonymous Coward · · Score: 0

    "Doctors Will Test Gene Editing On HIV Patents "

    ...yeah, it's off-topic, but that's how I read it at first glance...

  48. Be honest, its not health, its freedom by tjstork · · Score: 1

    Seriously, you can blame the victims of the disease all you like, at the end of the day the virus will spread if measures are not taken, and we are all better of by offering infected individuals treatment, no matter how stupid they were when they got infected.

    This is just all not true and its really just buzzwords for doing the "right thing." The social interest that you advocate protecting is not public health but overall freedom. If we really wanted to do what is best for the public health, we would provide some modicum of public treatment for HIV and other chronic communicable diseases as an inducement to getting patients on board. Then, you mark them as infected both on their body and on an online database, so that you effectively quarantine them. Then they die and that's the end of the disease.

    What you are advocating is that society actually accept that some additional members of it will be infected and will be killed, in order to protect the rights of those who are already infected. What's really happening when people shout compassion and what not, and what about the rights of the disease carriers, is that, they are accepting that their decision will cause innocent people to be killed but it is a worthwhile trade for a greater good of freedom, because most disease carriers, once they know they have it, won't spread the disease, any more than most gun owners won't go shooting up a mall.

    So quit talking about this stupid ad-hominem attack of "well, blame the victim and all of these poor people and you have no soul..". Just be honest and say, yeah, I think more people will die from my health policies but it is better to have a free society than a police state.

    --
    This is my sig.
    1. Re:Be honest, its not health, its freedom by glennpratt · · Score: 1

      Wait, so they are dumb asses if they got the disease, but if the manage to pass it on to others, those people are innocent and it's societies fault?

      I'm sorry, but society doesn't take on all responsibility for people when it decides to help them in one situation. Do you think public schools are to blame for school shootings? Should we put brands on psychopaths? (Before you answer that, know their are a lot more of them than you know).

  49. Editing? by Anonymous Coward · · Score: 0

    vi or emacs?

  50. Re:Sounds expensive... by Anonymous Coward · · Score: 0

    We also get turd burlger like you who wants to ignore the 99% of AIDS that's caused by buttfucking and shooting up to focus on the few people who got AIDS second hand from someone that buttfucked or shot up. Sorry fag, but for most people, AIDS is a lifestyle choice.

  51. conservative lunatics will argue by Anonymous Coward · · Score: 0

    against this, claiming it will remove the 'moral hazard' from sex, just like they argued against the HPV vaccine that prevents cervical cancer.

    conservative lunatics are why we can't have nice things.

  52. Hmmm by kitsunewarlock · · Score: 1

    I guess after this they can get to work on the *important* things. Like giving us wings, tails, claws, snake-slit eyes and other mostly cosmetic features...
    I feel kinda sorry for the HIV Patients they are using as Guinea pigs though.

    --
    Ginga no Rekshiya Mata Each page.
  53. Buy The Generic by clonan · · Score: 1

    Ummmm.....

    If you don't think the extra 3% is worth $100 a month then

    BUY THE GENERIC

    Having an approved drug is not a license to print money! You still have to sell the thing. When you actually look at the history of pharma companies, this sort of name brand extension only works for about 5 years unless you have a trully novel improvment.

    They probably spent about 300-500 million to get that new drug...I know it didn't work because prilosec and its generics are all OTC now. The company failed at maintaining market dominance and lost probably around half a BILLION because of it.

  54. Re:Sounds expensive... by cpricejones · · Score: 1

    HIV is an excellent subject for studying cellular processes. The virus is only 9 proteins, and yet look what it can accomplish. Many discoveries about cellular processes have come to researchers who were studying HIV to learn more about the virus.

  55. Re:Sounds expensive... by Anonymous Coward · · Score: 0

    Maybe somebody ought to make it happen to him.

  56. But, what about this....? by fudgefactor7 · · Score: 1

    What if, instead of making the body more resistant to HIV infection, we take the track of forcing HIV to mutate into a non-viable form in vivo? Surely, there has to be some genetic sequence that says "Hey, I'm HIV and not soemthing else." Why not then tailor a genetic enzyme (or some such) to endemically locate anything with the proper genetic markers, alter those cells so infected, and grant not immunity but rather elimination? Or would that just not work?
     
    I'm just wondering, I have no bio degree but always thought if we took a different track we might be more successful. Ideas, anyone?

  57. Re:Sounds expensive... by geekoid · · Score: 1

    It's really important, so I'll take the time to reply to this troll.

    AIDS is rampant among all sexual preferences, barring abstinence.

    Some people are even born with it.

    You really need to grow up.
    Nice photographs, BTW.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  58. Re:Sounds expensive... by coren2000 · · Score: 1

    Actually they did. And, they told us not to shoot up meth and go on all-night-long no-condom buttfucking sprees.

    Really? They didn't teach me that in sex ed. But I did learn to put a condom on a banana!

  59. Will the editor respect my EMACS key bindings? by 140Mandak262Jamuna · · Score: 1

    Whatever editor they choose, if it is not going to respect my .emacs file and my special key bindings and macros, I am not interested.

    --
    sed -e 's/Chuck Norris/Rajnikant/g' joke > fact
  60. And it begins... by jjrff · · Score: 2, Informative

    the problem with that of course is it the basis for many a scifi movie; direct genetic manipulation resulting in a number of box office scenarios: - mass death (pick one...) - zombies (Resident Evil - the t-cell accident; was supposed to be a cure) - intentional mutation (Xmen 2 - the guy that made wolverine) - super soldiers (Super Soldier - the movies part 1 and 2, captain america) - Battlestar galactica (skin jobs and pro-creation attempts) - mutegenics wars - lots of super soldiers (Star Trek - not to be confused with Khan who is a eugenic offspring) - replicants (Blade Runner - note the replicants learned how to do this themselves...) - serenity (reavers were gene mutated - with the best of intentions of course) - I am Legend (someone else mentioned it already) I am sure the list goes on.

  61. a little more info: press release from Sangamo Bio by Anonymous Coward · · Score: 0

    Sangamo BioSciences Initiates Phase 1 Trial of CCR5-ZFP Therapeutic to Treat HIV/AIDS

    RICHMOND, Calif., Feb 03, 2009 /PRNewswire-FirstCall via COMTEX News Network/ -- Therapeutic Approach Provides HIV ResistantImmune Cells

    Sangamo BioSciences, Inc. (Nasdaq: SGMO) announced today that its collaborators at the University of Pennsylvania have opened a Phase 1 clinical trial to evaluate SB-728-T for the treatment of HIV/AIDS. Based on Sangamo's zinc finger DNA-binding protein nuclease (ZFN) technology, SB-728-T has been shown in an animal model of HIV infection to lead to an increase in CD4+ T-cell counts, a reduction in viral load and expansion of CCR5-modified T-cells, suggesting resistance to HIV.

    "This is the first time that we have had the ability to make a patient's T-cells permanently resistant to infection by CCR5-specific strains of HIV and we are very excited to begin a clinical trial of this novel ZFN-based therapy," said Carl June, M.D., Director of Translational Research at the Abramson Family Cancer Research Institute at the University of Pennsylvania School of Medicine. "The ability to protect immune cells from infection with HIV and the expansion of CCR5-modified T-cells has the
    potential to provide long-term control of both the virus itself and eventually the opportunistic infections characteristic of AIDS."

    CCR5 is a co-receptor that enables HIV to enter and infect cells of the immune system. About ten years ago, it was observed that individuals carrying a natural mutation of their CCR5 gene, CCR5-delta32, were highly resistant to infection by HIV. These individuals, lacking a functional CCR5 (approximately 1-2% of the general population), are immunologically "normal". A variety of small molecule and antibody antagonists of CCR5 binding have been tested and developed as potential therapeutic agents for the treatment of HIV infection. In addition, there is a recent report of a patient who had both HIV infection and leukemia and received a bone marrow transplant from a donor carrying the CCR5 mutation. After the successful bone marrow transplant, HIV treatment was discontinued and the virus could not be found in the circulating blood several months after the procedure.

    Sangamo's ZFNs are designed to modify the DNA sequence encoding CCR5. This modification can occur directly in T-cells with only a brief exposure to the ZFNs. Once the modification is made to the T-cell's CCR5 gene it is permanently disrupted. "Our ZFN approach is very well-validated by naturally occurring mutations in man and the recent bone marrow transplant
    report," commented Dale Ando, M.D., Sangamo's vice president of therapeutic development and chief medical officer. "However, allogeneic bone marrow transplantation (bone marrow taken from a different person) is not widely applicable as a therapeutic approach for HIV as it is a risky procedure requiring irradiation and ablation of the immune system and matched donors who also carry the CCR5-delta32 mutation are likely to be rare. Small molecule or antibody antagonists require the constant presence of a high concentration of drug in order to block therapeutically relevant numbers of the CCR5 protein. In contrast, we believe that our ZFN technology provides an approach that circumvents the dosing and potential toxicity issues of a systemic therapy and provides a simpler approach than a transplant. We specifically modify the patient's own CD4+ T cells, the principal target of HIV infection, with a one-time exposure of the cells to CCR5-specific ZFNs. This generates a population of T-cells that lack the CCR5 receptor, are resistant to HIV and can be infused back into the patient to provide a reservoir of HIV-resistant functional immune cells and, more importantly, may expand and provide an HIV immune response."

    "Our ZFP technology functions at the DNA level and, as this application demonstrates, enables us to address highly validated therapeutic targets that have proven difficult to drug at the protein and RNA levels," commented

  62. Re:Sounds expensive... by Anonymous Coward · · Score: 0

    His point, I believe, is that rape (nonconsensual sex) is still sex. This is an accurate point; people who contract HIV by being raped contract it through sex. It isn't a flaw in your logic, but in the rigor with which you choose your terminology.

  63. Re:resistance by GargamelSpaceman · · Score: 1

    After a while HIV becomes resistant to the drugs. Now HIV can evolve to be resistant to the rare human immunity to it. Yay. Now nobody is safe.

    --
    ...
  64. Re:resistance by QuoteMstr · · Score: 1

    The CCR5-32 mutation, which this article discusses, is present naturally in 5-14% of Europeans. If HIV could easily develop a resistance to it, it would have already.

  65. Minor correction: CCR5 Delta 32 != Antibodies by JoeGee · · Score: 1

    CCR5 is not about antibodies. I'm one of the individuals with the homozygous (two copies) CCR5 Delta 32 mutation. It's a deletion mutation, meaning that I lack functional receptors HIV-1 binds to on the surface of my T-cells. My understanding is that except for theoretical strains of HIV that bind to the CXCR4 co-receptor, most of the strains prevalent in the wild will have no more effect on me than parvo virus.

    That doesn't mean I get a free pass to be irresponsible, but it does mean that I stand a significantly reduced chance of contracting HIV through stupid behavior, that if smallpox ever breaks out I'll be really busy helping to heal the sick, that bubonic plague isn't too much of a problem for me either, but that West Nile can really screw me up.

    --

    Get off my virtual lawn, you damned virtual kids!
    1. Re:Minor correction: CCR5 Delta 32 != Antibodies by h4rm0ny · · Score: 1


      Thanks for the correction. It's interesting, and particularly that you have the genetic variation. So how do you feel about the human race being modified by science to emulate your genes? ;)

      Point of clarity for the OP, though - his point about placebos still doesn't stand.

      --

      Aide-toi, le Ciel t'aidera - Jeanne D'Arc.
  66. You have a lot of good points and one great one. by tjstork · · Score: 1

    Cancer is something you are either genetically prone towards or not..

    That's really interesting. I saw one study that indicated a genetic link between smoking and lung cancer.

    Yes you can try in do things in order to help increase the odds of preventing some types of sickness and illness, but in the end you really have no control, unless of course you have personally figured out how to correctly manipulate your own genetic structure.

    That's the one argument that, in my mind, comes to mind when considering the case for national health insurance. I tend to be opposed to it on ideological grounds, but, the three arguments that sway me, are 1) that it simplifies economic integration with the EU and Japan 2) encourages the formation of small businesses and 3) the risks of various diseases are not so random as we might think.

    As far as smoking warnings go, I remember that packs had the warnings that cigarette smoking was hazardous to your health as far back as the 1970s. I remember as a kid having classes going over, in the late 1970s all the way through h.s. in the 1980s, that smoking probably caused cancer, definitely caused emphysema, and was just all around bad for you. So, someone today, I think, in their 40-50s, ought to know that smoking is bad and should quit by now... but the thing is, I think the dirty secret is that its already too late, as you allude to.

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    This is my sig.
  67. Anyone else think this can go horribly wrong? by Anonymous Coward · · Score: 0

    Is anyone else thinking that this can't go totally wrong?

    Make a more dangerous HIV or some danger that we have not thought of (yet)?

  68. Re:Sounds expensive... by famebait · · Score: 1

    Thank you for your well-intentioned and reasoned suggestion for stopping AIDS: encouraging people to not have sex.

    Unfortunately, the empirical data after repeated trials of this technique is that it fails miserably.

    You are welcome to try again. Some handy hints for the next round: try to focus on results rather than blame. The latter does not in fact improve anything.

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    sudo ergo sum
  69. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion