HIV vaccine research - back to basics

Leading US scientists, including Nobel prize winner David Baltimore, primate researcher Ronald Desrosiers, and virologist Neal Nathanson, have voiced criticisms recently of the direction taken by HIV vaccine research. They say, not for the first time, that more money should be spent on basic research, rather than rushing to human trials of vaccines that do not look particularly promising. In the US, one third of the National Institutes of Health HIV/AIDS research budget goes to human trials of vaccines.

Desrosiers said the field is hampered by many unknowns, such as an understanding of which immune responses a vaccine must elicit. Baltimore added ‘HIV has found ways to totally fool the immune system, so we’ve got to do one better than nature because nature just doesn’t work in this circumstance.’

No-one would suggest that animal research holds all the answers, but animal studies are a crucial part of going back to basics – they will continue to provide vital clues about the human immune system’s response to HIV.

All this is common sense and rather gives the lie to simplistic and misleading antivivisection statements like:


‘in the case of HIV/Aids, a review of the published literature by a BUAV scientist showed 25 years of primate research has failed to find cures or treatments. More than 30 experimental vaccines have been tested in people but to date, despite positive results in monkeys, none have proved effective or safe in humans.’
Michelle Thew of the antivivisection group BUAV in a Guardian blog last week

Comments on the Guardian blog pointed out, quite rightly, that primate research has actually been crucial to developing successful treatments for HIV. A joint publication from RDS and CMP, Medical Advances and Animal Research, provides a brief referenced case history on HIV treatments. It says that animals were crucial in identifying the virus, for developing diagnostic tests, and for producing therapies that have prolonged millions of lives, in the West at least.

HIV was identified in the early 1980s by studying animals carrying retroviruses – the class of virus that includes HIV. The blood test (to test blood for transfusion as well as to diagnose the disease) was developed using animals. By studying monkeys with a related virus, SIV, in the first few weeks after infection, scientists were able to develop antiretroviral medicines for HIV patients. Many now take just two or three pills a day to stop the virus from reproducing while helping the immune system to recover.

It is clear that basic research – including animal research – must continue if we are ever to reach the ultimate goal of a vaccine. Millions of lives still depend on it.

Comments

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  1. It’s also worth noting that animal research has not only played its part alongside in vitro anti-retrovirus assays in the development of the range of drugs that are now used in HAART for those infected with HIV, but also played a key role in the development of post-exposure prevention that has saved many victims of needle stick injuries and other exposures to HIV from infection.  Studies in monkeys the mid 1990s demonstrated that tenofovir is one of the few anti-virals that was effective for post-exposure prophylaxis and led to it becoming part of the standard post-exposure prophylaxis combination.

    The failure of Merck’s adenoviral based vaccine to reduce HIV levels in infected individuals in clinical trails last September should really not have been the surprise that it was. As early as 2002, the immunologist David Watkins and others were warning that the strategy was unlikely to succeed.  In studies with SIV infected monkeys, the vaccine strategy failed to control the virus, and in SHIV infected monkeys, the virus was initially controlled but later escaped in some cases,

    A return to basics is long overdue!

    Cohen J (2002) Science, 296, 5577, 2325 - 2326 DOI: 10.1126/science.296.5577.2325

    Posted by Visigoth / February 15, 2008 | Friday | 02:48 PM |
  2. We must not succumb to despair and give up the search for a vaccine.

    It took 40 years of research to develop a vaccine for yellow fever. Research was held up for many years for lack of a good animal model. Progress only really began to be made with the discovery that rhesus monkeys were susceptible to the disease.
    http://profiles.nlm.nih.gov/LW/Views/Exhibit/narrative/rockefeller.html
    http://profiles.nlm.nih.gov/LW/Views/Exhibit/narrative/yellowfeverlab.html

    Development of a polio vaccine took nearly as long and depended on the use of monkeys for its eventual production.

    Posted by Toots / February 15, 2008 | Friday | 03:17 PM |
  3. Toots, you are in good company. The Chief Executive of the National Aids Trust, Deborah Jack, made just this point in a letter to The Guardian on Saturday:

    ‘When HIV emerged we were promised a vaccine in two or three years, so of course we are impatient. But it took 47 years to develop a vaccine for polio and 42 years to find one for chicken pox.’

    ‘We have made progress on HIV. In just 25 years, what was once a death sentence can now be controlled and managed, and people with HIV in the UK are living long, healthy lives. Today there are over 30 vaccine candidates in trials around the world and microbicides offer new hope in the field of prevention. This progress is heartening, but developing a vaccine is a long and expensive process which is currently underfunded and undersupported.’
    Posted by Zebedee / February 18, 2008 | Monday | 03:29 PM |
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