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Foot cream kills HIV by tricking cells to commit suicideThough the research has yet to be performed on people, Ciclopirox completely eradicates HIV from cell cultures -- and the virus doesn't bounce back when the drug is stopped.
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In a study performed at Rutgers New Jersey Medical School, not only does the drug Ciclopirox completely eradicate infectious HIV from cell cultures, but unlike today's most cutting-edge antiviral treatments, the virus doesn't bounce back when the drug is withheld. This means it may not require a lifetime of use to keep HIV at bay.
The same group of researchers had previously shown that Ciclopirox -- approved by the FDA and Europe's EMA as safe for human use to treat foot fungus -- inhibits the expression of HIV genes in culture. Now they have found that it also blocks the essential function of the mitochondria, which results in the reactivation of the cell's suicide pathway, all while sparing the healthy cells.
The researchers said that one aspect of HIV that makes it particularly persistent, even in the face of strong antiviral treatments, is its ability to disable a cell's altruistic suicide pathway -- which is typically activated when a cell is damaged or infected. In other words, infected cells that would normally commit suicide to spare healthy cells no longer pull any altruistic kamikaze missions. Ciclopirox tricks these cells back into their old ways with a double negative, disabling the disabling of the suicide pathway.
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Source: CNET
longship
(40,416 posts)This is an example of basic medical research, which is the origin of all medical advances. The basic science drives all further advances. They form the basis of discovery.
An important issue is that in vitro research only occasionally results in successful in situ results. An intervention that works in a Petri dish does not always pan out to a useful medical intervention. Biology is fucking complex. In vitro research is important to find prospective interventions. But they don't often pan out in situ.
In other words, sure this drug will kill all the cancer, but you won't survive it. But it worked really well in vitro.
Just a cautionary note about this kind of research.
Fantastic Anarchist
(7,309 posts)I work for a CRO, so yeah, I know about things not panning out.
Still, I'm cautiously optimistic.
longship
(40,416 posts)Without the basic science, you don't have the break throughs.
In vitro studies give way to in situ animal studies using the animal analogues, give rise to human trials. It takes many years to go through that process because each of the stages take years. People complain about that, but doctors don't like prescribing things that will likely kill you.
Fantastic Anarchist
(7,309 posts)... yes, I know as a topical cream, but if they can formulate this to be ingested (or perhaps to work topically), at least that hurdle is "somewhat" crossed.
Yay science! - Jesse Pinkman
Lee-Lee
(6,324 posts)If this might also make a good addition to the spermicide found on condoms now, to increase protection?
Fantastic Anarchist
(7,309 posts)but I watch House a lot.
I don't think it would be effective that way. This drug kills gene expression inside cells. During coitus (yay, Sheldon!), the infected semen wouldn't be affected by the chemicals in the condom - not that I think anyway.
Someone else who's way more qualified could and should correct me if I'm wrong.
jeff47
(26,549 posts)So if you put it in condoms it's not going to help - the virus has already replicated, and the copies are being transmitted via sex.
longship
(40,416 posts)theHandpuppet
(19,964 posts)I wonder how they would make a topical cream into a medicine that can be taken internally.
Revanchist
(1,375 posts)It just happens that cream is the most effective way to treat this particular ailment (foot fungus) and isn't key for the drugs effectiveness. An example would be the drug promethazine which is used to treat nausea. The most common delivery method is pill form, but what if you are so nauseous you can't keep pills down? That is why the drug is also available in both I.V. and suppository form. The delivery method isn't critical for the medications effectiveness.