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In Memphis, Tennessee, doctors at St. Jude's Children's Research Hospital have been given permission by the FDA to start HIV vaccine trials on people. At this point, the trials, using a piece of protein from the coat on the surface of the virus, are just to test whether or not the vaccine is safe - not to test whether or not the vaccine actually prevents HIV transmission. Other groups are researching various protein receptors on the surface of immune cells. HIV attacks T cells, their favorite immune system targets, by using the receptors on the surface of the T-cell to dock with, enter, and infect them. For a virus to successfully stick to the T-cell receptor, it sometimes needs to recruit a protein floating in the blood that ordinarily binds to the receptor itself. One group, led by Robert Doms from the University of Pennsylvania Medical Center and William J. O'Brien at the University of Texas Medical Branch at Galveston, have identified a small molecule that binds on to one of these coreceptors (called CXCR4) on T-cells. By blocking this coreceptor site, the molecule, called ALX40-4C, has potential to slow the progression of HIV from initial infection to full-blown AIDS. And at the University of Maryland at Baltimore, noted AIDS researcher Robert Gallo and associates have identified a new chemokine (a hormone that attrracts inflammatory cells to itself) that acts to supress HIV infection naturally. The chemical, called macrophage-derived chemokine (MDC), has potential as an anti-HIV drug. The group also found that receptors for MDC are found on several different kinds of cells, a discovery that may help researchers understand why HIV infection progresses differently in different people. On this hour of Science Friday -- new receptors to vaccine trials, and from the testtube to the clinic.
Guests: Robert W. Doms Robert Gallo Dava Klirsfeld Books/Articles Discussed:
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