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Medical Forum / Diseases and Disorders / Herpes / October 2003

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An amazing story (BBC news)

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Perl Molson - 18 Oct 2003 09:13 GMT
Fighting disease with disease

Doctors have developed a new ally in the fight against disease - the
very viruses that are themselves responsible for serious illness.
As the BBC television series Superhuman reports, Glaswegian Robert
Swan is living proof of the new-found ability of doctors to fight
disease with disease.

When he was 25 Robert developed an inoperable brain tumour known as a
glioma.

Robert's brain scan shows the tumour, in red, is still present

It affected his speech, paralysed his right side and would eventually
have killed him.

He was given standard anti-cancer treatments, but the tumour kept
growing.

As a last resort, he agreed to be the first person in the world to try
a radical new approach to brain cancer.

Robert had a hole drilled directly into his head and a live virus
injected straight into his tumour.

The virus selected was herpes simplex - the virus which causes cold
sores.

Herpes is particularly good at destroying rapidly-dividing cells.

Dividing cells

Professor Moira Brown was in charge of the operation, which took place
at Glasgow Southern General Hospital.

She said: "I thought could this virus destroy rapidly dividing tumour
cells and yet not affect cells which are no longer dividing?

"In the brain most of the cells are no longer dividing.

"We had turned something that was potentially bad into something that
was potentially good."

Robert Swan is living a normal life

Prof Brown said the procedure was relatively simple to carry out - but
radical nonetheless.

The treatment appears to have worked.

Robert's tumour is still present, but appears to have changed in
consistency and to have stopped growing.

Four years later, Robert is continuing to improve.

No-one really knows what will happen in the longer term. But for the
time being Robert's life is returning to normal.

Robert can hardly believe his good fortune: "It makes me feel
excellent. I have been okay since I had the dose."

Superhuman - Killers Into Cures is broadcast on BBC One on Sunday 5
November at 2115 GMT.

http://news.bbc.co.uk/2/hi/health/1003890.stm
Tim Fitzmaurice - 20 Oct 2003 13:35 GMT
> Robert had a hole drilled directly into his head and a live virus
> injected straight into his tumour.

It might have a bit of engineering done to it...I'll take a look

> Herpes is particularly good at destroying rapidly-dividing cells.

Hmm, bit oversimplfied. Makes me think even more that they have removed a
piece or two of the virus.

> Professor Moira Brown was in charge of the operation, which took place
> at Glasgow Southern General Hospital.

Hmm, if you want to look for her in pubmed or anything using M Brown won't
find anything, as her initials are SM Brown....go plug those into pubmed
and see if you can find the paper....

THere are a number of retroviral vectors that have been used for this
sort of anti cancer treatment - and they have an even stronger natural
divide to not infect static cells.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
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