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Hep C tx - A New Approach

http://www.medicalnewstoday.com/articles/53731.php

Major Advance In Fight Against Hepatitis C And Other Chronic Virus Infections
Main Category: Infectious Diseases / Bacteria / Viruses News
Article Date: 11 Oct 2006 - 19:00 PD

A major finding that could lead to a new approach for treating hepatitis C and other chronic virus infections was announced today by researchers at the La Jolla Institute for Allergy & Immunology (LIAI). The research team, using controlled laboratory studies of mice, was able to eliminate a chronic virus infection in the animals by blocking a key messenger molecule in the immune system. The finding has particular relevance for hepatitis C, a viral illness which can cause liver disease and cancer, but may also be applicable to AIDS, cytomegalovirus and other chronic virus infections.

"This is a significant advance that holds great promise for the treatment of chronic virus infections," said Mitchell Kronenberg, LIAI President & Scientific Director. He noted that the research is particularly exciting because the scientific team was able to completely eradicate the usually chronic infection in the mice, not just tone it down, like many of the current treatment methods for such infections.

The research team, led by Matthias von Herrath, M.D., announced its finding in a paper, "Resolution of a Chronic Viral Infection Following IL-10 Receptor Blockade," published today in the online version of the Journal of Experimental Medicine. A separate study, led by Michael Oldstone from the Scripps Research Institute, produced similar results and was published Sunday in a science journal.

LIAI's research team used a novel method for tackling a chronic viral infection, which involved releasing the disease-fighting power of the immune system by blocking the interleukin-10 (IL-10) messenger molecule receptor with a simple antibody. Normally, this molecule, which is produced at substantial levels during hepatitis C, HIV and cytomegalovirus infections, acts to suppress the immune system's attack on chronic virus infections. "We thought, 'what if we try to correct what the immune system seems to be doing wrong in response to many chronic viral infections?,'" said von Herrath. "So we unleashed the power of the immune system by using an antibody to block the IL-10 receptor. This taught the immune system to take the right action and fight the disease."

The discovery by scientific researchers that mice chronically infected with lymphocytic choriomeningitis virus produce large amounts of IL-10 led to the development of this new intervention. Von Herrath used a version of the virus that causes chronic infections in a study involving 40 infected mice. The mice were treated with the IL-10-blocking antibody for two weeks. "They got better after one week," he said. "After two weeks, the infection was resolved in the majority of the mice and, in the end, all animals were able to cope with the virus. They developed a normal antiviral immune response, gained weight and returned to a healthy state." Von Herrath noted that their studies showed that the treatment worked best when given immediately after infection. "The later you give it after the infection, the lesser the efficacy," he said.

Von Herrath said that future studies in humans should primarily target hepatitis C because it causes the body to produce the most IL-10 of any of the chronic virus infections. Hepatitis C has been compared to a "viral time bomb." The World Health Organization estimates that about 180 million people, some 3% of the world's population, are infected with hepatitis C virus, 130 million of whom are chronic carriers at risk of developing liver cirrhosis and/or liver cancer. The hepatitis C virus is responsible for 50-76% of all liver cancer cases, and two thirds of all liver transplants in the developed world. Current estimates in the U.S. are that 3.9 million Americans are chronically infected with hepatitis C.

Currently, hepatitis C is treated with a variety of drugs, with only modest success. "The problem is you need to strengthen the immune system to fight the (chronic) virus, but in doing so it may destroy too many cells. This cellular damage can eventually become intolerable for the body," Von Herrath explained, a condition known as immunopathology. However, in their studies with IL-10, "we found that by blocking this molecule, you can release the brakes on the immune system at a crucial juncture," he said. "This results in an immune system attack that is intense enough to rid the body of the disease, but not so high as to cause immunopathology."

Von Herrath said the research team will continue to expand on the finding. "One of the next steps will be to test the IL-10 blocking antibody on human cells in the lab to see whether these cells also become normal and functional against the virus and to test combination therapies that add viral vaccines, anti-viral drugs and other antibodies to the IL-10 receptor blockade. Combination therapies bear the promise to minimize potential side effects while achieving synergy in combating the viral disease."

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Article adapted by Medical News Today from original press release.
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About LIAI

Founded in 1988, the La Jolla Institute for Allergy and Immunology is a nonprofit medical research center dedicated to increasing knowledge and improving human health through studies of the immune system. Scientists at the institute carry out research searching for cures for cancer, allergy and asthma, infectious diseases, and autoimmune diseases such as diabetes, inflammatory bowel disease and arthritis. LIAI's research staff includes more than 100 Ph.Ds.

Contact: Bonnie Ward
La Jolla Institute for Allergy and Immunology




  
  

5 Responses
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264121 tn?1313029456
genetics does seem to have a lot to do with our lot in life.  
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Avatar universal
I knew a woman who had malignant melanoma who was on Interleukin.  The sides from it are similar to the sides of Interferon, according to what I observed and what she related to me.  She was being treated at Moffitt Cancer over in Tampa.  I think it would be interesting though, as a new treatment for Hep C, maybe modified somewhat for treating Hep C as opposed to what they'd give someone with cancer.  But, Interferon is given in different quantities to people with cancer, than what they give someone w/Hep C, so why not?  Anyway, it's all just a supposition, on my part.....   I'll leave those decisions to the researchers.

Susan
Helpful - 0
Avatar universal
Yes you're right it would fade away IF that was done.

I have been waiting for something like this. It makes no sense at all to me that some people can fight off the virus and others can't. AND IMO it has nothing to do with how healthy someone is it seems. We had a girl stop by the forum once who used her boyfriends needle knowing he was infected with hepc, but sadly she was so addicted that she used the needle even with knowing this. Her body fought off the virus. Now we know, if she was an addict, she couldn't have been in the best of health, so IMO spontaneous clearing seems to have nothing to do with how healthy a person is. If it did alot of us would have cleared the virus on our own. This 'new' approach seems it would help our bodies to help itself, even if they did need to add drugs to the mix, maybe it would help more people achieve svr - maybe we ALL would achieve it.

Helpful - 0
264121 tn?1313029456
Interesting research.  Kinda yucky caveat about it only working well in acute cases.  But, it could follow that if this type of thing worked even for acutes and doctor's ordered mandatory interval screening (which would never happen) - I'm just theorizing on how it could work if it could happen that way - it could eventually fade from the population like smallpox.  

Maybe though they will find something further in conjunction with this that works for chronic carriers.  It's promising in any case.  I definitely had not seen this study before.
Helpful - 0
Avatar universal
maybe someone has already posted this before but its the first time I have read this. Not exactly a cure, but it gives a bit of hope - at least that's how I feel about it.
Helpful - 0
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