All the info is collected from sci.med.aids. From: fm.raaphorst@azvu.nl (Frank Raaphorst) There is a lot of information available at the searchable HIV/AIDS Information Center of the American Medical Association (http://www.ama-assn.org/special/hiv/hivhome.htm). A few helpful links/factsheets include: http://www.ama-assn.org/special/hiv/treatmnt/updates/neurcomp.htm http://www.ama-assn.org/special/hiv/newsline/reuters/07203412.htm http://www.thebody.com/step/neuro.html by the way, DDI and Zerit are both linked linked to neuropathy: http://www.ama-assn.org/special/hiv/treatmnt/druginfo/zerit.htm http://www.ama-assn.org/special/hiv/treatmnt/druginfo/videx.htm regarding possible treatment and dietary supplements: http://www.thebody.com/cgi/treat_ans/3782Tre.html http://www.thebody.com/atn/250.html#Neuropathy: (section 9) http://www.thebody.com/jossey/romeyn.html From: sharon@hivresources.com (Sharon Ann Meyer) http://www.hivresources.com (nutrition to enhance immune system) From dmlima@uninet.com.br Thu Nov 12 15:06:54 1998 From: dmlima@uninet.com.br (Dante Moreira Lima) Subject: The disruption of the stromal architecture is associated with the transition from M- to T-Tropic HIV? Newsgroups: sci.med.aids Date: 7 Nov 1998 08:00:11 -0600 Organization: UNINET (Unisys Brasil Internet Access Service) Path: uw.edu.pl!news.icm.edu.pl!newspump.monmouth.com!newspeer.monmouth.com!logbridge.uoregon.edu!arclight.uoregon.edu!wubios.wustl.edu!wubios.wustl.edu!not-for-mail Lines: 32 Sender: sma@wubios.wustl.edu Approved: Yes: Marty Howard,"S. Hall" Message-ID: <53056@sci.med.aids> NNTP-Posting-Host: wubios.wustl.edu X-Auth: PGPMoose V1.1 PGP sci.med.aids iQBVAwUANkRSasAkkj4XV8rpAQH7lwH9HbvwKakBo/lPV97uh9pomqGTT8g+NAi5 24DcVcs2Spk4KfDUapCZRioxwcCOB2lYg/lu+1xPCh9k77HhP6DhDg== =/0g7 I am an undergraduate student at Universidade Estadual do Rio de Janeiro (Brazil) Faculty of Medicine and I am doing a bibliography review on AIDS immunopathogenesis. Some questions came up and I wasn't able to find the answers. I'll be glad with any help. Thank you. The eventual transition from M-tropic to T-tropic strains usually coincides with the dramatic reduction in CD4+ T cell counts and the development of full-blown AIDS. Is this transition to T-tropic virus the cause of the drop in CD4+ T cell count and the development of AIDS? SDF-1 is the natural ligand for CXCR4 (the T-tropic major coreceptor). SDF-1 is produced by stromal cells. Disruption of the stromal architecture of lyphoid tissue is characteristic os progressive HIV disease. On this subject Fauci (1996) comments: "...removal of a major inhibitor of T-tropic virus at the main site of viral replication could certainly initiate or exacerbate the shift to T-tropic strains." The SDF-1 levels from diferent stages of HIV disease correlates with the transition to T-tropic strains? What are the causes of stromal disruption? Reference: Anthony S. Fauci. Host factors and the pathogenesis of HIV-induced disease. Nature 1996 Dec; 384:529-534. Abstract: The level of human immunodeficiency virus (HIV) replication in patients reflects a balance between stimulatory and inhibitory host factors (particularly endogenous cytokines). New information concerning the cellular co-receptors for HIV and the cellular tropism of different strains of virus will advance our understanding of HIV-induced pathogenesis and suggests new therapeutic and preventive strategies. From BiGoldberg@aol.com Thu Nov 12 15:11:32 1998 From: BiGoldberg@aol.com Subject: CD8 CTLs & Cancer Newsgroups: sci.med.aids Date: 9 Nov 1998 09:44:57 -0600 Organization: unspecified Path: uw.edu.pl!news.nask.pl!news.man.lodz.pl!newsfeed1.telenordia.se!howland.erols.net!newsfeed.direct.ca!cyclone.bc.net!logbridge.uoregon.edu!arclight.uoregon.edu!wubios.wustl.edu!wubios.wustl.edu!not-for-mail Lines: 69 Sender: sma@wubios.wustl.edu Approved: Yes: Marty Howard ,"S. Hall" Message-ID: <53069@sci.med.aids> NNTP-Posting-Host: wubios.wustl.edu X-Auth: PGPMoose V1.1 PGP sci.med.aids iQBVAwUANkcN98Akkj4XV8rpAQEzqAH/TzOM360jmdijRW+xevINkbmUh2Fx0CUm wrKrvzBdpMn/ZIPjs/F5Ri62GojZCvhagxJ0PNjOvf+i+W5qa5GXbw== =bbbn Monstrous article in the 11/2/98 Journal of Medicine "proving" that tumor-specific CD8 CTLs exist in vivo. These CTLs are critical for controlling cancers that develop in HIV disease. Using tetramers, Romero et al. (1998) state: "These data also indicate that strong CTL responses to melanoma often occur in vivo, and that the reactive CTLs have substantial proliferative and tumoricidal potential." In the Patricia Reaney PR, it is stated: The discovery of the killer cells, known as cytotoxic T lymphocytes, will be a valuable tool for testing the efficacy of vaccines and treatments and could lead to new ways to fight cancer. "We have, for the first time, been able to accurately identify and count the killer cells which are geared up to attack cancer cells," Dr Vincenzo Cerundolo, of the John Radcliffe Hospital in Oxford, England, said in a statement. ============================= Scientists Spot Cancer-Killing Cells In Patients 1.10 p.m. ET (1810 GMT) November 7, 1998 By Patricia Reaney LONDON— Scientists have identified killer cells in the immune system of skin cancer patients that can recognize and attack the disease, they said Saturday. The discovery of the killer cells, known as cytotoxic T lymphocytes, will be a valuable tool for testing the efficacy of vaccines and treatments and could lead to new ways to fight cancer. . . . "Immuno-therapy, the idea of using the body's own defense to recognize and fight cancer, is a very exciting area of cancer research. But up to this point there has been no accurate way of knowing what kind of response, if any, the body makes to cancer," he said. . . . ============================= Romero P, Dunbar PR, Valmori D, Pittet M, Ogg GS, Rimoldi D, Chen J-L, Lienard D, Cerottini J-C, Cerundolo V. Ex vivo staining of metastatic lymph nodes by class I major histocompatibility complex tetramers reveals high numbers of antigen-experienced tumor-specific cytolytic T lymphocytes. Journal of Experimental Medicine 1998 Nov 2;188:1641-1650. Division of Clinical Onco-Immunology, Ludwig Institute for Cancer Research, Lausanne Branch, 1011 Lausanne, Switzerland. Abstract: Characterization of cytolytic T lymphocyte (CTL) responses to tumor antigens has been impeded by a lack of direct assays of CTL activity. We have synthesized reagents ("tetramers") that specifically stain CTLs recognizing melanoma antigens. Tetramer staining of tumor-infiltrated lymph nodes ex vivo revealed high frequencies of tumor-specific CTLs which were antigen-experienced by surface phenotype. In vitro culture of lymph node cells with cytokines resulted in very large expansions of tumor-specific CTLs that were dependent on the presence of tumor cells in the lymph nodes. Tetramer-guided sorting by flow cytometer allowed isolation of melanoma-specific CTLs and confirmation of their specificity and their ability to lyse autologous tumor cells. Our results demonstrate the value of these novel reagents for monitoring tumor-specific CTL responses and for generating CTLs for adoptive immunotherapy. These data also indicate that strong CTL responses to melanoma often occur in vivo, and that the reactive CTLs have substantial proliferative and tumoricidal potential.