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Medical Forum / Diseases and Disorders / AIDS / May 2006

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HIV Pathogenesis & Immunology

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richard.jefferys@gmail.com - 24 Feb 2006 23:47 GMT
I've taken the liberty of starting a new thread with this post from the
Harper's thread. I used to post here a while back (when the late and
sorely missed Carlton Hogan was still around, he once memorably called
misc.health.aids the wild, wild west of HIV newsgroups), Anyway, I'm
sufficiently fed up with the tiresome and potentially murderous
activities of denialists that I figure it's worth at least trying to
get them to argue with current science and immunology rather than some
ancient dumb pronouncement from David Ho or Tony Fauci or whoever.

So, here's my $0.02, if someone wants to take issue with these points
go ahead, I'd be very happy to debate some HIV immunology. I'm not sure
how this might work if you don't believe the virus exists at all,
although we might be able to have an interesting discussion about why
HIV-positive people with have T cell responses to a phantom while those
that are uninfected don't (with the exception of the intriguing small
group of highy exposed uninfected people that have HIV-specific T cell
responses but no antibody responses).

HIV/AIDS immunology in a non-exhaustive nutshell:

AIDS is a viral disease of the immune system, the outstanding questions
regarding pathogenesis are rooted in scientific ignorance of how the
human T cell immune system actually works.

HIV infection causes unique immunological peturbations which are not
mirrored by malnourishment, drug abuse or anything else.

The strongest predictor of disease progression is not viral RNA copies
of CD4 T cell counts in peripheral blood, it's the level of IMMUNE
ACTIVATION.

Immune activation correlates with depletion of the naive CD4 and CD8 T
cell pools (the depletion of which also correlates with the onset of
clinically symptomatic immunodeficiency), which is also paralleled by a
spreading dysfunction among memory CD4 and CD8 T cells, eventually
leading to the loss/anergy of recall responses to common pathogens
(PCP, MAC, etc.).

Combination antiretroviral therapy, for all it's toxicities and
limitations, suppresses immune activation, increases naive CD4 and CD8
T cell counts and typically restores functional memory T cell responses
to opportunistic pathogens (allowing maintenance therapy for such
pathogens to be discontinued). There are rare cases of things like PCP
in people with relatively high peripheral blood T cell counts and these
are associated with prolonged defects in the PCP-specific memory T cell
response.

The growing scientific understanding of T cell homeostasis (how T cell
pools are maintained in the body) suggests plausible mechanisms by
which persistent low level T cell activation can eventually lead to
frank immunodeficiency (a mouse model has even been developed which
recapitulates many features of HIV-related immune dysfunction by
overexpressing the costimulatory molecule CD70). As immunologist Zvi
Grossman has pointed out, there is no need for HIV to be cytopathic to
CD4 T cells for it to cause disease, because activated T cells are
inherently short-lived (~1-2 days) whether they are infected or not.
HIV essentially feeds off the immune system's attempts to respond to it
by preferentially infecting HIV-specific CD4 T cells which are critical
for the development of effective CD8 and B cell & antibody reponses.

I have yet to see any denialist information that actually attempts to
address this current understanding of immunology as it relates to HIV
infection, all the arguments (including those in the dismal Celia
Farber outing in Harper's) are directed at literature that was
published 10-20 years ago (no immunologists give any credence to David
Ho's "tap and drain" hypothesis of HIV pathogenesis anymore, nor does
the majority of the HIV research field).

I should also maybe add that if you want to compare the immunological
effects of HIV infection with malnourishment or drug addiction there
are studies in PubMed, analyses of individuals with severe
malnourishment due to anorexia nervosa for example (there are some
similarities but a lot of differences i.e. peripheral blood CD4 T cell
counts are reduced but nowhere near as dramatically, there's reduced
immune activation, reduced CD8 T cell counts, no opportunistic
infection and the abnormalities resolve rapidly upon refeeding). There
is no evidence I can find of any recreational drug having persisent
effects on T cell populations (there are, however, some preliminary
suggestions that crystal meth might).

Oh, and immune activation also likely explains the easier transmission
of HIV in settings where the enviromental pathogen load is high e.g.
Africa (see abstract below)

Here are some cites that might be helpful:

Nat Immunol. 2003 Jan;4(1):49-54. Epub 2002 Dec 9.

Lethal T cell immunodeficiency induced by chronic costimulation via
CD27-CD70 interactions.

Tesselaar K, Arens R, van Schijndel GM, Baars PA, van der Valk MA,
Borst J, van Oers MH, van Lier RA.
Laboratory for Experimental Immunology, Academic Medical Center, P.O.
Box 22700, 1100DD Amsterdam, The Netherlands.

It has been proposed that HIV-1, in addition to directly infecting and
killing CD4+ T cells, causes T cell dysfunction and T cell loss by
chronic immune activation. We analyzed the effects of chronic immune
activation in mice that constitutively expressed CD70, the ligand for
the tumor necrosis factor receptor family member CD27, on B cells. CD70
transgenic (CD70 Tg) mice showed a progressive conversion of naive T
cells into effector-memory cells, which culminated in the depletion of
naive T cells from lymph nodes and spleen. T cell changes depended on
continuous CD27-CD70 interactions and T cell antigen receptor
stimulation. Despite this hyperactive immune system, CD70 Tg mice died
aged 6-8 months from Pneumocystis carinii infection, a hallmark of T
cell immunodeficiency. Thus, persistent delivery of costimulatory
signals via CD27-CD70 interactions, as may occur during chronic active
viral infections, can exhaust the T cell pool and is sufficient to
induce lethal immunodeficiency.

Grossman Z, Meier-Schellersheim M, Sousa AE, Victorino RM, Paul WE.
CD4+ T-cell depletion in HIV infection: are we closer to understanding
the cause?
Nat Med. 2002 Apr;8(4):319-23

Leng Q, Borkow G, Weisman Z, Stein M, Kalinkovich A, Bentwich Z.
Immune activation correlates better than HIV plasma viral load with CD4
T-cell decline during HIV infection.
J Acquir Immune Defic Syndr. 2001 Aug 1;27(4):389-97.

Koesters SA, Alimonti JB, Wachihi C, Matu L, Anzala O, Kimani J, Embree

JE, Plummer FA, Fowke KR.
IL-7Ralpha expression on CD4(+) T lymphocytes decreases with HIV
disease progression and inversely correlates with immune activation.
Eur J Immunol. 2006 Feb;36(2):336-44.

Hazenberg MD, Otto SA, van Benthem BH, Roos MT, Coutinho RA, Lange JM,
Hamann D, Prins M, Miedema F.
Persistent immune activation in HIV-1 infection is associated with
progression to AIDS.
AIDS. 2003 Sep 5;17(13):1881-8

Messele T, Brouwer M, Girma M, Fontanet AL, Miedema F, Hamann D, Rinke
de Wit TF.
Plasma levels of viro-immunological markers in HIV-infected and
non-infected Ethiopians: correlation with cell surface activation
markers.
Clin Immunol. 2001 Feb;98(2):212-9.

Hazenberg MD, Stuart JW, Otto SA, Borleffs JC, Boucher CA, de Boer RJ,
Miedema F, Hamann D.
T-cell division in human immunodeficiency virus (HIV)-1 infection is
mainly due to immune activation: a longitudinal analysis in patients
before and during highly active antiretroviral therapy (HAART).
Blood. 2000 Jan 1;95(1):249-55.

Hazenberg MD, Otto SA, Cohen Stuart JW, Verschuren MC, Borleffs JC,
Boucher CA, Coutinho RA, Lange JM, Rinke de Wit TF, Tsegaye A, van
Dongen JJ, Hamann D, de Boer RJ, Miedema F.
Increased cell division but not thymic dysfunction rapidly affects the
T-cell receptor excision circle content of the naive T cell population
in HIV-1 infection.
Nat Med. 2000 Sep;6(9):1036-42.

Roederer M, Dubs JG, Anderson MT, Raju PA, Herzenberg LA, Herzenberg
LA.
CD8 naive T cell counts decrease progressively in HIV-infected adults.
J Clin Invest. 1995 May;95(5):2061-6.

Ullum H, Lepri AC, Victor J, Skinhoj P, Phillips AN, Pedersen BK.
Increased losses of CD4+CD45RA+ cells in late stages of HIV infection
is related to increased risk of death: evidence from a cohort of 347
HIV-infected individuals.
AIDS. 1997 Oct;11(12):1479-85.

AIDS. 2000 Sep 29;14(14):2083-92.

Immune activation in africa is environmentally-driven and is associated
with upregulation of CCR5. Italian-Ugandan AIDS Project.
Clerici M, Butto S, Lukwiya M, Saresella M, Declich S, Trabattoni D,
Pastori C, Piconi S, Fracasso C, Fabiani M, Ferrante P, Rizzardini G,
Lopalco L.
Cattedra di Immunologia, Universita di Milano, Italy.

BACKGROUND: HIV infection in Africa is associated with immune
activation and a cytokine profile that stimulates CCR5 expression. We
investigated whether this immune activation is environmentally driven;
if a dominant expression of CCR5 could indeed be detected in African
individuals; and if R5 HIV strains would be prevalent in this
population. METHODS: Freshly drawn peripheral blood mononuclear cells
from HIV-uninfected African and Italian individuals living in rural
Africa, from HIV-uninfected Africans and Italians living in Italy, and
from HIV-infected African and Italian patients were analysed.
Determinations of HIV coreceptor-specific mRNAs and immunophenotype
analyses were performed in all samples. Virological analyses included
virus isolation and characterization of plasma neutralizing activity.
FINDINGS: Results showed that: immune activation is detected both in
Italian and African HIV-uninfected individuals living in Africa but not
in African subjects living in Italy; CCR5-specific mRNA is augmented
and the surface expression of CCR5 is increased in African compared
with Italian residents (CXCR4-specific mRNA is comparable); R5-HIV
strains are isolated prevalently from lymphocytes of African
HIV-infected patients; and plasma neutralizing activity in HIV-infected
African patients is mostly specific for R5 strains. CONCLUSIONS: Immune
activation in African residents is environmentally driven and not
genetically predetermined. This immune activation results in a skewing
of the CCR5 : CXCR4 ratio which is associated with a prevalent
isolation of R5 viruses. These data suggest that the selection of the
predominant virus strain within the population could be influenced by
an immunologically driven pattern of HIV co receptor expression.
Chris Noble - 25 Feb 2006 02:17 GMT
I am afraid your post is rather wasted here.

You are not likely to get anything vaguely resembling an intelligent
response.

Harvey Bialy is responding on this blog
http://scienceblogs.com/aetiology/2006/02/discussion_of_the_padian_paper.php#com
mentsArea

although none of his responses show much intelligence.

You may have fun with the Hank Barnes character.

http://scienceblogs.com/aetiology/2006/02/discussion_of_the_padian_paper.php#com
ment-18058


Chris Noble
RJ - 25 Feb 2006 04:14 GMT
Thanks for the tips, it was a rather pompous salvo anyway! Just venting
some frustration after reading the Celia Farber piece in Harper's. It's
so surreal that they even published it, although it's also quite funny
to read comments from people that think it means that the triumph of
the denialists is upon us. I'll have a go at posting something on the
aetiology blog.
Chris Noble - 26 Feb 2006 02:21 GMT
The Denialists have been saying that the "HIV/AIDS paradigm" is on the
verge of toppling for about 20 years.  Every year it is the same thing.
Every year they recycle the same invalid arguments.

I wouldn't bank on getting any intelligent responses on the Aetiology
blog. The detailed "rebuttals" from Harvey Bialy gives you an example
of the intelligence of the Denialist heirarchy.

Chris Noble
wilyretrovirus - 27 Feb 2006 01:11 GMT
"The Denialists have been saying that the "HIV/AIDS paradigm" is on the
verge of toppling for about 20 years.  Every year it is the same thing.
Every year they recycle the same invalid arguments."

Yawn, ho-hum, boring old "denialists"...they keep recycling the same
invalid aruguments...yet YOU keep spending so much of your time attempting
to refute them.  Are you just a fan of tedium and monotony?    
Iconoclaster - 27 Feb 2006 00:52 GMT
>"Just venting some frustration after reading the Celia Farber piece in
Harper's."

Frustration?  I realy likes celia Farber's piece in Harper's.  You'll get
it thrown in your faces for years to come.
Iconoclaster - 27 Feb 2006 00:49 GMT
>"You are not likely to get anything vaguely resembling an intelligent
response."

That's just because an intelligent response follows an intelligent post,
which this was not.
Iconoclaster - 27 Feb 2006 02:23 GMT
Oh gawd! An immunologist.  A representative of an immature science where
nobody knows what's going on, but everybody wants to dominate the whole
biomedical field.
Well, what your piece resembles most is the "Peter Palaver" (you know,
from the same author who wrote "The Peter Principle")  All the words have
a distinct meaning, but the sentences make no sense at all.  Lots of
immunological jargon, to put off sensible people from responding.  But let
me pick on  some items I do understand:

>"I figure it's worth at least trying to get them to argue with current
science and immunology rather than some ancient dumb pronouncement from
David Ho or Tony Fauci or whoever."

Ah, so.  After we shot down Gallo, Ho, and Fauci (who was always called
upon to replace Duesberg, to give a talk or an interview), you are ready
to drop them.  Now you come with "current science and immunology" as the
definitive answer.  Well, I've got news for you:  Once we figure out what
you're really saying, we'll shoot that down also. So your fellow poisoners
and con artists can come up with yet another batch of then-current
science.

>"I'm not sure how this might work if you don't believe the virus exists
at all,"

Neither do I.  Where's the virus?  As I understand it, you're taking a
nothing, and wrap it in an immunological coat.

>"although we might be able to have an interesting discussion about why
HIV-positive people with have T cell responses to a phantom while those
that are uninfected don't (with the exception of the intriguing small
group of highy exposed uninfected people that have HIV-specific T cell
responses but no antibody responses)."

Right.  But the thought would never enter your mind that what you call
"HIV-positive" might have nothing to do with a virus, isn't it?
Especially since the same effects can be observed in "HIV-negative"
persons.

>"AIDS is a viral disease of the immune system"

That's off to a very unscientific start.  You have no proof whatsoever
that it's a viral disease.  If you take this statement as an
incontrovertible truth, you may wind up way off course.

>"Immune activation correlates with depletion of the naive CD4 and CD8 T
cell pools (the depletion of which also correlates with the onset of
clinically symptomatic immunodeficiency), which is also paralleled by a
spreading dysfunction among memory CD4 and CD8 T cells, eventually leading
to the loss/anergy of recall responses to common pathogens (PCP, MAC,
etc.)."

Hm!  Sounds fishy.  But I'll take your word for it for the moment, because
what's coming now is much worse:

>"Combination antiretroviral therapy, for all it's toxicities and
limitations, suppresses immune activation, increases naive CD4 and CD8 T
cell counts and typically restores functional memory T cell responses to
opportunistic pathogens (allowing maintenance therapy for such pathogens
to be discontinued). There are rare cases of things like PCP in people
with relatively high peripheral blood T cell counts and these are
associated with prolonged defects in the PCP-specific memory T cell
response."

I'm glad you acknowledge the toxicities and limitations, because that's
what concerns me most about this whole AIDS business.  Well, I guess you
know your imunology, but I still get the impression that none of the
immunologists really know what's going on, but at least they have a name
for everything they observe.
But tell me:  When you read your own paragraph that I quoted above, do you
see any need for a virus named HIV?  You describe pure immunological
events.  Are there any indications at all that there's a virus at play?

>"As immunologist Zvi Grossman has pointed out, there is no need for HIV
to be cytopathic to
CD4 T cells for it to cause disease, because activated T cells are
inherently short-lived (~1-2 days) whether they are infected or not."

OK, I accept the part about T-cells.  The part about HIV is balderdash,
horsefeathers, bunkum, fiddlesticks (and words to that effect).  There is
simply no need for HIV to cause disease; there are many other causes of
pathogenesis.

>"HIV essentially feeds off the immune system's attempts to respond to it
by preferentially infecting HIV-specific CD4 T cells which are critical
for the development of effective CD8 and B cell & antibody reponses."

Ah, now I understand how you do it:  First you write something that makes
sense, or is at least halfway plausible.  Then you follow up with the most
resounding nonsense you can think of, hoping we'll swallow it all.
How the hell do you know "HIV" preferentially infects "HIV-specific CD4
T-cells"?  What *are* HIV-specific T-cells?  On what evidence do you base
your belief in HIV?  And why would HIV (if such a beast exists) infect
just a special kind of CD4 T-cells?

>"I have yet to see any denialist information that actually attempts to
address this current understanding of immunology as it relates to HIV
infection,"

We're happy with any information we can get from the immunologists.  But
while immunologists know all about T-cells, they generally have a poor
understanding of virology.  Oyherwise they would know that immunology does
not relate at all to "HIV infection".

>"all the arguments (including those in the dismal Celia Farber outing in
Harper's) are directed at literature that was published 10-20 years ago
(no immunologists give any credence to David Ho's "tap and drain"
hypothesis of HIV pathogenesis anymore, nor does the majority of the HIV
research field)."

Well, there used to be a time when literature that was published 10-20
years ago (or even 60 years ago) was still perfectly valid.  Not in the
AIDS era, unfortunately.  "AIDS scientists" pose some outrageous theory.
And when the dissidents knock it down and trample on it, the orthodoxy
says, without a trace of embarrassment: "We knew that. We don't believe
that anymore."  Then they come up with a theory that's even more
outrageous.

>"I should also maybe add that if you want to compare the immunological
effects of HIV infection with malnourishment or drug addiction there
are studies in PubMed, analyses of individuals with severe malnourishment
due to anorexia nervosa for example (there are some similarities but a lot
of differences i.e. peripheral blood CD4 T cell
counts are reduced but nowhere near as dramatically,"

Could be.  But don't compare somebody with anorexia nervosa to the human
wrecks that were entering the hospitals during the early eighties.
Besides, the symptoms (and I guess also the immunological picture) of the
early AIDS patients were rapidly aggravated by AZT monotherapy at high
doses.

I don't think I have time to go to the library to read all those papers.
Your series of references already begins with an 8-author article (for an
ordinary research paper, that's ridiculous!), and to make matters worse,
it's from the AMC in Amsterdam.
The abstract of the last paper in the series already gives me an idea of
what to expect: Starting out with full faith in HIV as an infectious
agent.  Preconceptual science.
RJ - 28 Feb 2006 20:28 GMT
HIV-positive people with have T cell responses to a phantom while those

that are uninfected don't (with the exception of the intriguing small
group of highy exposed uninfected people that have HIV-specific T cell
responses but no antibody responses)."

"Right.  But the thought would never enter your mind that what you call

"HIV-positive" might have nothing to do with a virus, isn't it?
Especially since the same effects can be observed in "HIV-negative"
persons."

I was talking about T cell responses. The fact that T cell responses to
all the proteins encoded by the HIV genome can be found in HIV infected
people suggests that the virus has something to do with what the immune
system is doing, no? The unique immunological peturbations of HIV
infection - persistent immune activation, naive T cell depletion and
memory T cell dysfunction - are not observed in uninfected or HIV
negative people. Frankly, if you find the number of authors on a paper
off-putting I don't think this is likely to be a very productive
discussion. And if your fallback position is to desribe all human
immunology as some kind of phenomilogical nonsense, well, I hope you
have been careful to avoid all vaccines and therapies that are based in
the science of human immunology.
Iconoclaster - 05 Mar 2006 02:18 GMT
>"The fact that T cell responses to all the proteins encoded by the HIV
genome can be found in HIV infected people suggests that the virus has
something to do with what the immune system is doing, no?"

Well, there is clearly "something going on" in seropositive people that is
not found in seronegatives.  But what does the test show?  Antibodies to
certain proteins.  You say that these proteins are "encoded by the HIV
genome".  What proof can we find for that statement?  To be sure that it's
the "HIV genome" we're talking about, we first have to isolate the pure
virus, so that the RNA can be extracted from it, and then look if the
proteins in the test kits are really coded for by this viral RNA.  But
none of this has been accomplished.  So the only conclusion we can draw at
this moment is: There's something strange going on with people who test
positive on this test, but we don't know yet what causes it.

>"Frankly, if you find the number of authors on a paper off-putting I
don't think this is likely to be a very productive discussion."

I don't see why not.  I am wary of those publications, but that doesn't
mean I don't want to read them.  It's a habit scientists developed in the
past 20 years, and it can usually attributed to sloppy science.  It's like
making a quilt.  A large number of authors is only justified if it's a
monumental project where many people were needed to finish it.  Look at
old, classic papers, by Landsteiner for example. That was trailblazing
work.  But he published mostly anone.  All these papers with 13 authors on
occasion, only reflect the hunt for research grants.

>"And if your fallback position is to desribe all human immunology as some
kind of phenomilogical nonsense, well, I hope you have been careful to
avoid all vaccines and therapies that are based in
the science of human immunology."

No, that is not really my fallback position.  I do have respect for the
science of immunology.  It's still largely in the phenomenological stage,
but we can expect major advancements.  In one of my older posts I even
recommended taking most of the wasted money away from the virologists,
because they have made a complete mess of it, and giving more grant money
to the immunologists.  But they should stick with the things they know
about, and develop those lines of inquiry further.  They should ignore the
"virus of the month" nonsense that appears with regularity on the front
pages of the daily press.  If the immunologists stick to their trade, I'm
sure we will see some astounding progress in the life sciences.
And by the way, yes I am careful with vaccines. But that is not the fault
of the immunologists.  I'm just a little leery of the chemicals they put
in those vaccines as a preservative.  Thimerosal (an organic mercury
compound) for example.  And besides there may be contaminating viruses in
it. Those clerics in Nigeria may not have been bullshitting...
GMCarter - 05 Mar 2006 10:58 GMT
>>"The fact that T cell responses to all the proteins encoded by the HIV
>genome can be found in HIV infected people suggests that the virus has
>something to do with what the immune system is doing, no?"
>
>Well, there is clearly "something going on" in seropositive people that is
>not found in seronegatives.  

Wow. Brilliant. You kinda can't get around that one, huh?

>But what does the test show?  Antibodies to
>certain proteins.  

Not ones found normally in the human body. Gosh. How do they get
there.

Perhaps...gosh...a VIRUS? That encodes a variety of structural and
regulatory proteins that have been well characterized?

        George M. Carter
RJ - 07 Mar 2006 03:28 GMT
Well the antibody tests correlate almost perfectly (with the exception
I already noted of ESNs) with the presence of T cell responses to all
nine proteins: Gag, Pol, Nef., Env, Tat, Rev, Vif, Vpr, Vpu. T cell
responses are detected with exquisite specificity using new
technologies called ELISpot, intracellular cytokine staining and
tetramers. Although denialists have made up a bunch of stuff to try and
explain away antibody responses by some kind of cross reactivity, they
have yet to make something up to account for the T cell responses you
can now detect using these assays. I'm sure they will eventually of
course. Perhaps your position that it has not been demonstrated that
these proteins are encoded by the HIV genome will be the explanation of
choice!! They come from outer space!
montygram - 08 Mar 2006 10:56 GMT
What would be of tremendous value at this point would be to have a
moderated academic debate, which was considered essential in academia
when such disagreements arose amongst those who could put forth a
reasoned argument for considering an alternative to the "mainstream
veiw" (such as "the world is flat").  The problem is that people like
Fauci act like they were appointed by God to spread the Word of
"HIV/AIDS," and will not agree to this kind of scrutiny.  In the
meantime, I renew my offer to be "infefected" with "HIV," but I also
ask those who believe that "HIV causes AIDS" why they are so fearful of
a true academic debate?  Whenever I have seen tentative attempts at
this, such as the Perth Group making the point about "molecular clones
of HIV," it is always the "dissident" who makes by far the most sense,
and they provide the detailed scientific analysis.  Moreover, those who
make the claim, such as that there is a "retrovirus" that "causes AIDS"
are the ones who are under the burden of demonstrating that their claim
is valid, after the scientific method has been employed towards this
end.  Instead, what we have are "correlations" and "markers."  If "HIV"
exissted and did the damage it is said to do, there would be direct
evidence and it would be easy to explain exactly what is happening.
Instead, it is impossible to do this, but on the other hand, it is very
easy to look at the professional literature on immune system
dsyfunctions and understand why people who were exposed to certain
stressors developed "AIDS."

So one of you "HIV/AIDS defenders" and myself can prove to the world
what is really going on:
I will be "infected by HIV," but otherwise not do anything stressful to
my body.
You will be exposed to the behaviors most of those who develop "AIDS"
in the West engage in, such as extreme anitgenic exposure, poor
nutrition, massive use of corticosteriors and antibiotics, etc. for 2
years, then put you on 3 years of AZT.  We will see who lives longer,
and who dies of a condition that looks very much like "AIDS."

I am willing to put my life on the line here.  Who among the true
"HIV/AIDS" believers can say the same thing about their understanding
of the scientific evidence?
GMCarter - 08 Mar 2006 16:28 GMT
>What would be of tremendous value at this point would be to have a
>moderated academic debate, which was considered essential in academia

Oh f.ck you. Another a.shole whose lip flap the age-old tune of
senseless flatulence masquerading as erudition.

Montyjerk, there HAS been a HELL of a lot of very nice, delicate,
high-falutin' academic debate discussing every tiny detail of the
issues of HIV and AIDS. All the questions, queries and exhortations of
the Denialists have been scrutinized, responded to and addressed.

And HIV still exists, still causes AIDS.

MANY far more and genuine questions remain, stretching from the virus
to the global situation.

But NONE of them have to do with any of the vacuous and vapid
ditherings that come from the deranged likes of you.

        George M. Carter
montygram - 08 Mar 2006 11:13 GMT
"The unique immunological peturbations of HIV
infection - persistent immune activation, naive T cell depletion and
memory T cell dysfunction - are not observed in uninfected or HIV
negative people."

Do you have a citation for this that is consistent with the scientific
method?  To be clear, what a scientist would need to do to confirm your
claim is to find a few hundred people who have tested "HIV positive"
but who are asymptomatic.  Then, those people would have to be confined
and all immunosuppressive agents known to science, including dietary
ones, such as EPA (the fatty acid that is found in large amounts in
fish oil), would have to be removed.  No toxic drugs could be given to
them.  Then, we would wait and see if they develop "AIDS."  We both
know this has not been done, but if it is not, what we have here is
circular logic.  A person who is having "AIDS"-like symptoms, but who
engaged in no activity that would "infect" him/her with "HIV" will not
get the test, so he/she might go on to die, but it will be called a
known "disease," instead of being called "AIDS," though all else is
equal.  If you can't see that this bears no resemblance to science,
then you need to fear you lack of reasoning skills more than a virus
that is most likely fictitious.
RJ - 08 Mar 2006 19:05 GMT
"it is very easy to look at the professional literature on immune
system
dsyfunctions and understand why people who were exposed to certain
stressors developed "AIDS.""

Is it? Why don't you provide some cites that show "stressors" causing
the immunological peturbations that are seen in HIV infection? I'd be
particularly interested in the stressors that can cause an
accumululation of memory HIV-specific CD8 T cells such that they end up
representing the majority of the memory CD8 T cell pool. So, you need
stressors that produce exact mimics of epitopes from all the proteins
mentioned above: (Gag, Pol, Nef., Env, Tat, Rev, Vif, Vpr, Vpu).
Iconoclaster - 01 Apr 2006 01:32 GMT
>"Why don't you provide some cites that show "stressors" causing the
immunological peturbations that are seen in HIV infection?"

While Montygram is doing that, why don't YOU look up sime references that
show it is "HIV-infection" that  causes the immunological perturbations?

I've warned you before that it would be better to stick to immunological
studies, Mr. Jeffery.  If you ever want to make something out of your
career, that is.  Just leave the viral crap to the virologists.  We'll be
coming for them anyway when "Hatchet Day" rolls around.
Amd by the way, these proteins (Gag, Pol, Nef, Env, Tat, Rev, Vif, Vpu,
and Vpu) are all figments of the rich imaginations of the geneticists.
There is nothing viral about them.
RJ - 01 Apr 2006 04:13 GMT
"Amd by the way, these proteins (Gag, Pol, Nef, Env, Tat, Rev, Vif,
Vpu,
and Vpu) are all figments of the rich imaginations of the geneticists.
There is nothing viral about them. "

So why are they antigenic to the immune system such that they induce
specific T cell and B cell responses? Are they figments of the T cell's
imagination?
Iconoclaster - 25 Apr 2006 01:34 GMT
>"So why are they antigenic to the immune system such that they induce
specific T cell and B cell responses? Are they figments of the T cell's
imagination?"

Oh no, they're honest-to-goodness proteins all right.  So they're
recognized by the T-cells.  My only point is that there's nothing viral
about them.
They may point to specific genes that code for them, but they have no
proof that these genes are viral either.
Chris Noble - 01 Apr 2006 08:46 GMT
> >"Why don't you provide some cites that show "stressors" causing the
> immunological peturbations that are seen in HIV infection?"
[quoted text clipped - 9 lines]
> and Vpu) are all figments of the rich imaginations of the geneticists.
> There is nothing viral about them.

Nothing viral about them?

HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
Env proteins.

They are clearly viral.

Chris Noble
GMCarter - 01 Apr 2006 11:46 GMT
snip

>They are clearly viral.

Heck.  For Iconoclusterfuckwad, Just claiming the proteins are not
viral does not mean his belief is correct.
Iconoclaster - 25 Apr 2006 01:43 GMT
>"Heck.  For Iconoclusterfuckwad, Just claiming the proteins are not viral
does not mean his belief is correct."

Still not getting it, eh?  I also claim the moon is not made of cheese.
If you are of the opinion that it actually is, it's up to you to prove
it.

And by the way, ain't-cha glad I'm back?
Iconoclaster - 25 Apr 2006 01:39 GMT
>"HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
Env proteins.
They are clearly viral."

See what I mean?  Only vague suggestions.  The human genome is full of
retroviral fossil DNA.  Even if these stretches of DNA would yield RNA
that codes for these proteins, that still would not mean that the proteins
come from an exogenous virus that has invaded the body.
Sean McHugh - 25 Apr 2006 01:55 GMT
> >"HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
> Env proteins.
[quoted text clipped - 4 lines]
> that codes for these proteins, that still would not mean that the proteins
> come from an exogenous virus that has invaded the body.

Iconoclaster, your news client automatically includes the
attributions. This is done for two reasons, protocol and coherence.
Any time you quote someone's material, you are supposed to identify
its authorship. The other reason is that without that
identification, it makes the thread difficult to follow.
Doing so will also get me off your case.

Like I said, your news client automatically includes the
attributions. All you need to do is leave them there. How hard
can that be?

Sean McHugh

.
Iconoclaster - 26 Apr 2006 01:32 GMT
>"Like I said, your news client automatically includes the attributions.
All you need to do is leave them there. How hard can that be? "

Well, I hope this form will satisfy you.  Usually, though, everyone knows
very well to whom I'm replying.  I think repeating another person's
complete post before answering is a waste of badwidth; that's why I snip
part of it.
Sean McHugh - 26 Apr 2006 10:51 GMT
> >"Like I said, your news client automatically includes the attributions.
> All you need to do is leave them there. How hard can that be? "

> Well, I hope this form will satisfy you.  Usually, though, everyone knows
> very well to whom I'm replying.

Count me as one who doesn't.

> I think repeating another person's
> complete post before answering is a waste of badwidth; that's why I snip
> part of it.

As do I, when I interject on a point. The few character attributions
consume is small, especially for the information they impart. This
was especially so with your recent posts. The posts that you were
answering were no longer on Usenet. Without any name or context and
after several days (not complaining about that), it is difficult to
recall and follow multiple threads. Knowing the previous poster can
provide some context. This is especially so if readers are also
involved in different newsgroups, as I am.

Retaining attributions for whom you are quoting, is not considered
bad netiquette; the opposite is so.

http://linux.sgms-centre.com/misc/netiquette.php

~ USENET and Mailing List posting netiquette

~ #   QUOTE CORRECTLY.

~ When you reply to a message, almost all newsreaders and mail clients
~ will quote the text to which you're replying by adding a line or
~ phrase which attributes the original text to its author, and by
~ inserting a quotation mark (usually a ">" greater-than sign followed
~ by a space) on the left of the quoted text.

~ This serves two fundamental purposes:

~   1.
~      Correct identification of the person to whom you're replying,
~      and
~   2.
~      Correct attribution of the quoted text to the original author
~      and of the new text to you.

Best Regards,

Sean McHugh

-
Gary Stein - 03 May 2006 20:51 GMT
>> >"HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
>> Env proteins.
[quoted text clipped - 16 lines]
> attributions. All you need to do is leave them there. How hard
> can that be?

The moron Iconoclaster uses a non-standard newsreader that is incapable of
properly formatting Usenet postings. He is not snipping the attributions
manually his inadequate software simple does not include them in his
postings.

Not only is he ignorant about HIV but is also an idiot when it comes to
choosing software.

Gary Stein
GMCarter - 25 Apr 2006 12:23 GMT
>>"HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
>Env proteins.
[quoted text clipped - 4 lines]
>that codes for these proteins, that still would not mean that the proteins
>come from an exogenous virus that has invaded the body.

LOL. f.cking idiot. People have made this bullshit claim. Were it
true, the gene sequences would be found in humans, regardless of HIV+
or HIV- status. They aren't. Indicating exogenous.

Otherwise, you make this claim so it should be easy for you to provide
the evidnece. You can't because it doesn't exist.

Once again--you prove yourself to be so f.cking stupid I can only
think of one man more of a dork than you. GW Bush.

        George M. Carter
Iconoclaster - 26 Apr 2006 01:42 GMT
>"Were it true, the gene sequences would be found in humans, regardless of
HIV+ or HIV- status."

Of course.  And do you have the nerve to tell me that anybody went to the
trouble to set up two groups, one "HIV+" and one "HIV-", and look for
genes that are present in one group and not in the other?
Besides, that whole human genome project that has been reported on with
such euphoric beating on the tom-toms is far from finished.  There are
still too many holes.  But only those alleys are pursued that satisfy the
paradigm and bring in money.

..would be found in humans...  Indeed!  It's hard to find something when
you're not looking for it.
GMCarter - 26 Apr 2006 13:10 GMT
>>"Were it true, the gene sequences would be found in humans, regardless of
>HIV+ or HIV- status."
>
>Of course.  And do you have the nerve to tell me that anybody went to the
>trouble to set up two groups, one "HIV+" and one "HIV-", and look for
>genes that are present in one group and not in the other?

LOL...you don't KNOW this?? Which means you are saying all this crap
about HIV not being exogenous based on...let's see--your fetid
IMAGINATION!

What a f.cking surprise. You're a dork.

        George M. Carter
Chris Noble - 27 Apr 2006 01:13 GMT
> >"Were it true, the gene sequences would be found in humans, regardless of
> HIV+ or HIV- status."
[quoted text clipped - 9 lines]
> ..would be found in humans...  Indeed!  It's hard to find something when
> you're not looking for it.

Except people have looked.

http://tinyurl.com/r4fme

If HIV were an endogenous retrovirus you would be able to amplify
complete HIV sequences from everybody using HIV PCR primers.

Horwitz used low-stringency conditions so that even sequences with low
similarity would be amplified. The best he could come up with were
short sequences of around 20 bps that were highly repetive and
contained little information.

Chris Noble
GMCarter - 27 Apr 2006 11:19 GMT
>Except people have looked.
>
>http://tinyurl.com/r4fme
>
>If HIV were an endogenous retrovirus you would be able to amplify
>complete HIV sequences from everybody using HIV PCR primers.

I was wondering if the Iconoclusterfuckwad would actually do research
and look to see if this was the case. He didn't, of course.

        George M. Carter
Chris Noble - 26 Apr 2006 04:42 GMT
> >"HIV Gag, Pol and Env show homology to all other retroviral Gag, Pol and
> Env proteins.
[quoted text clipped - 4 lines]
> that codes for these proteins, that still would not mean that the proteins
> come from an exogenous virus that has invaded the body.

The human genome does indeed contain retroviral DNA. We can tell they
are retroviral because they show homology to gene sequences for
exogenous retroviruses. None of the endogenous retroviruses show any
significant sequence similarity to HIV.

If HIV was an endogenous retrovirus then HIV would be detectable by DNA
PCR in every single cell in every single human. It isn't. HIV is not
endogenous.

Chris Noble
 
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