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- <text id=93TT0467>
- <title>
- Nov. 08, 1993: Another AIDS Teaser
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1993
- Nov. 08, 1993 Cloning Humans
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- MEDICINE, Page 71
- Another AIDS Teaser
- </hdr>
- <body>
- <p>France's Pasteur Institute touts a breakthrough that could lead
- to a treatment--or disappointment
- </p>
- <p>By CHRISTINE GORMAN--Reported by Thomas A. Sancton/Paris
- </p>
- <p> Research on AIDS is like a relentless pendulum that swings
- between great expectations and great disappointment. Every time
- there's a hint of a breakthrough in the so far futile quest
- for a cure, the press blares it to the world, raising the hopes
- of AIDS sufferers. Almost every time, however, the initial excitement
- gives way to doubts, criticism, caveats and, eventually, renewed
- despair. And when rival scientists, competing to boost their
- reputations, as well as help humanity, disagree about the validity
- of a "breakthrough," no one knows whom or what to believe.
- </p>
- <p> The AIDS pendulum took another big swing last week, thanks to
- a claim by biologist Ara Hovanessian of France's Pasteur Institute
- that his research team had made a major advance in understanding
- how the AIDS virus infects a healthy cell. The news created
- an instant stir, since the prestigious Paris-based institute
- is where HIV was first identified. Even before Hovanessian had
- a chance to present his findings to a Pasteur-sponsored conference
- and before other scientists were able to evaluate the research,
- the press got wind of the story and ran with it. Countless TV
- and newspaper accounts, including feature articles in Le Monde
- and the New York Times, heralded the possibility of new AIDS
- treatments.
- </p>
- <p> When Hovanessian finally stepped up to the conference podium
- in the Paris suburb of Marnes-la-Coquette, he faced an animated
- throng of 200 fellow scientists and a large contingent of reporters.
- But by the time the Lebanese-born biologist had finished flashing
- 20 graphs and charts on the screen beside him, a buzz of doubt
- had filled the room, and the long-standing rivalry between American
- and French AIDS researchers had once again surfaced.
- </p>
- <p> Since 1984, investigators have known that HIV assaults the cells
- of the immune system by latching on to a protein "receptor,"
- named CD4, found on the cells' surface. When an invader attacks
- the body, the CD4 molecule normally helps mobilize the immune
- system's defenses. In this case, though, HIV fools the CD4 receptor
- into allowing viral particles into the cell. Hovanessian reported
- last week that his team had found a second receptor, called
- CD26, that helps the virus enter the cell after it has attached
- itself to CD4. If Hovanessian is correct, scientists might be
- able to devise drug treatments that block access to the CD26
- receptor--and thus prevent infection.
- </p>
- <p> But many other prominent researchers attending the conference,
- including Robert Gallo of the National Cancer Institute in Bethesda,
- Maryland, did not seem at all convinced that a cure was any
- closer. Gallo, among others, has failed in efforts to design
- an effective treatment based on the original discovery of the
- CD4 receptor. After Hovanessian's talk, Gallo tried to avoid
- reporters but was finally cornered. "Why is the press so excited
- about this?" he demanded. "I'm flabbergasted. I thought it was
- an interesting presentation, but I can't say more than that."
- Gallo's lack of enthusiasm was hardly surprising: he's still
- smarting from a losing battle with another Pasteur researcher,
- Luc Montagnier. For six years, both scientists claimed to have
- been the first to identify the AIDS virus, until Gallo finally
- admitted in 1991 that the virus he "discovered" had been previously
- isolated by Montagnier.
- </p>
- <p> Sitting atop a desk in a corridor of the conference hall, Hovanessian
- was incensed at the skepticism he faced. "It's very shabby of
- these American colleagues who questioned the results," he said.
- "While I was talking, Gallo was sitting in the front row laughing
- all the time." Alternating between French and English, Hovanessian
- rejected the idea that his announcement was premature. "You
- don't think I would just come up with something like this, throw
- it out there and say, voila, take it?" he asked. "We have had
- these results in hand since April and have repeated the whole
- series of experiments a dozen times. We applied for a patent
- several months ago. We have proved it is reproducible."
- </p>
- <p> Not all the skeptics were Americans, however. "I don't see the
- beginning of a proof," fumed Jacques Liebowitch of the Raymond
- Poincare Hospital near Paris. "The press has already whipped
- this up into a major breakthrough, and now we find that there
- is nothing to it." Even Hovanessian's own colleagues at Pasteur
- seemed somewhat reserved. "It's a very interesting paper," said
- Francoise Barre-Sinoussi, who helped Montagnier isolate the
- AIDS virus. "The danger is that whenever there is something
- interesting in this field, it gets blown out of proportion.
- There are other experiments to do, and I'm sure Hovanessian
- already has follow-up work under way. The problem is that these
- are preliminary data."
- </p>
- <p> Hovanessian and his team have submitted their research to the
- journal Science, where experts will review it before publication.
- Pasteur's head of vaccine research, Marc Girard, nicely described
- the promising but precarious place in which his colleague's
- research stands: "If these results are reproduced in the next
- weeks or months by one or two other labs in the U.S. and elsewhere,
- then it's fantastic, because that would mean Hovanessian has
- really discovered something new. But we have to get to that
- stage before we can get excited."
- </p>
-
- </body>
- </article>
- </text>
-
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