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AIDS: caused by development of resistance to drugs in a non-target intracellular parasite
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Abstract:
The origin of acquired immune disorder syndrome (AIDS) has been the subject of substantial controversy both in the scientific community and in the popular press. The debate involves the mode of transmission of a simian virus (SIV) to humans. Both major camps in the argument presume that humans are normally free of such viruses and assume that once the simian virus was transmitted, it immediately infected some T-cells and caused the release of toxic agents that killed off bystander (uninfected) T-cells resulting in AIDS. The evolution of the Simian virus (SIV) into a human virus (HIV) is regarded as an artifact. In contrast, a fundamentally different hypothesis has been proposed [Parris GE. Med Hypotheses 2004;62(3):354-7] in which it is presumed that in hyper-endemic areas of malaria (central Africa), all primates (humans and non-human primates) have shared a retrovirus that augments their T-cell response to the malaria parasite. The virus can be called "primate T-cell retrovirus" (PTRV). Over thousands of years the virus has crossed species lines many times (with little effect) and typically adapts to the host quickly. In this model, AIDS is seen to be the result of the development of resistance of the virus (PTRV) to continuous exposure to pro-apoptotic (schizonticidal) aminoquinoline drugs used to prevent malaria. The hypothesis was originally proposed based on biochemical activities of the aminoquinolines (e.g., pamaquine (plasmoquine(TM)), primaquine and chloroquine), but recent publications demonstrated that some of these drugs definitely adversely affect HIV and other viruses and logically would cause them to evolve resistance. Review of the timeline that has been created for the evolution of HIV in humans is also shown to be qualitatively and quantitatively consistent with this hypothesis (and not with either version of the conventional hypothesis). SARS and Ebola also fit this pattern.
Insights
A novel hypothesis suggests acquired immune disorder syndrome (AIDS) originated from primate T-cell retrovirus (PTRV) evolving resistance to malaria drugs, not direct simian virus transmission. This explains HIV evolution and other viral patterns.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- The origin of acquired immune disorder syndrome (AIDS) is debated, with conventional theories focusing on simian virus (SIV) transmission to humans.
- These theories posit SIV's evolution into human immunodeficiency virus (HIV) and subsequent T-cell destruction.
- An alternative hypothesis proposes a shared retrovirus among primates, primate T-cell retrovirus (PTRV), aiding malaria response.
Purpose of the Study:
- To present and support an alternative hypothesis for AIDS origin.
- To propose that PTRV evolved resistance to aminoquinoline drugs used for malaria prevention.
- To demonstrate consistency of this hypothesis with HIV evolutionary timelines and other viral diseases like SARS and Ebola.
Main Methods:
- Review of existing literature on retroviruses, malaria, and drug resistance.
- Biochemical analysis of aminoquinoline drugs (e.g., pamaquine, primaquine, chloroquine) and their effects on viruses.
- Comparative analysis of the proposed PTRV hypothesis against conventional AIDS origin theories using evolutionary timelines.
Main Results:
- The proposed hypothesis suggests AIDS results from PTRV developing resistance to malaria drugs.
- Recent findings indicate some antimalarial drugs adversely affect HIV and other viruses, supporting resistance evolution.
- The evolutionary timeline of HIV in humans aligns with this PTRV resistance hypothesis.
Conclusions:
- The PTRV resistance hypothesis offers a plausible alternative explanation for AIDS origin.
- This model also provides a framework for understanding the evolution of other viral diseases, including SARS and Ebola.
- Further research is warranted to validate the role of PTRV and drug resistance in the pathogenesis of AIDS.
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