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By Peter H. Duesberg and Bryan J. Ellison
from "INVENTING THE AIDS VIRUS", Regnery publishing, 1996
Reprinted from Health, Education,
AIDS Liaison (HEAL), Toronto
From the discovery of tobacco mosaic virus through
the polio epidemic, scientists have found and legitimately blamed many
viruses for a variety of diseases, each having passed the acid test of
Koch's postulates. But for every truly dangerous virus,
many more perfectly harmless passenger viruses
can be found in humans and animals.
NIH-sponsored polio research during the late 1950s
proved the point. Researchers trying to isolate new strains of poliovirus
accidentally found numerous closely related passenger viruses -- such
as Coxsackie and echoviruses - that, like polio, infected the digestive
system. Scientists classified some of these viruses as "orphans"
- viruses without corresponding diseases.
The virus hunters could not bring themselves to
believe microbes could exist without being harmful and expected even these
"orphan" viruses would someday find appropriate sicknesses.
When trying to blame a passenger virus for a disease,
how-ever, one nagging problem haunts the virus hunter: The laws of virology
dictate that the illness will strike the victim soon after infection.
When microbes infect a new host, they cause sickness within days or weeks
at most. In order to cause disease, viruses need to grow into sufficient
numbers to take over the body; otherwise, the host's immune defenses will
neutralize the invader and prevent disease altogether.
The rate-determining step of such fast, exponential growth is the generation
time of the virus. Since the generation time of all human viruses is between
eight and forty-eight hours, and since the infected cell produces one
hundred to one thousand viruses per day, viruses multiply
exponentially, increasing in numbers hundred- to thousand-fold per day.
Within a week or two, one hundred trillion (1014) cells can be produced-one
for each of the one hundred trillion cells in the human body.
Therefore, if scientists wish to convict an innocent
virus, they must invent a new property for it that allows the virus to
violate the laws of virology.
For example, they can hypothesize a "latent period" of months
or years between the time the virus invades the body and the appearance
of symptoms - hence, a "slow" virus.
However, the slow virus concept has never been reconciled with the short
generation time of viruses and the immune system. Once
the virus lies totally dormant, an intact immune
system will never allow any virus to be reactivated to multiply
into numbers that would threaten the host.
For a virus to be reactivated, the immune system first
must be destroyed by something else - the real cause
of a disease. A reactivated virus would just contribute
an opportunistic infection. Thus, there
are no slow viruses, only slow virologists.
A conventional virus could, however, be slow acting in a defective immune
system.
Indeed, some exceptional victims suffer pre-existing health problems
that prevent their immune systems from reacting decisively against the
virus, allowing it to continue growing and damaging the host for a long
period of time. This can happen with virtually any type of virus, but
it is extremely rare. When such a chronic infection does occur, as with
a small percentage of hepatitis cases whose immune system is damaged by
alcoholism or intravenous drug addiction, the virus keeps growing abundantly
in the body and can easily be found by experimental tests.
Other germs, like herpes viruses, can hide out in some recess of the
body, breaking out periodically to strike again when the immune system
passes a seasonal low.In both examples, only the weakened
immune system of the host allows the infection to smolder or occasionally
reappear from hibernation.
By contrast, a slow virus is an invention credited
with the natural ability to cause disease only years after infection -
termed the "latent period"
- in previously healthy persons, regardless of the state of their immunity.
Such a concept allows scientists to blame a long-neutralized virus for
any disease that appears decades after infection. The
slow virus is the original sin against the laws
of virology.
The slow-virus or latent-period concept, now used
to connect HIV with AIDS, can be traced back to the days of the war on
polio. The researcher who popularized this modern myth is today an authority
for AIDS researchers and one whose career epitomizes the evolution of
the virus hunters over the past three decades.
Dr. Carleton Gajdusek is a pediatrician who has worked as a virologist
at the NIH for decades. Having spent a great deal of time studying contagious
childhood diseases around the world, Gajdusek was sponsored by the NFIP
and sent to New Guinea in 1957.
There, a doctor with the local health department
introduced him to a disease called kuru,
a mysterious ailment that attacked the brain, rendering the victim increasingly
spasmodic or paralyzed until death within months. The syndrome existed
only among the thirty-five thousand tribal villagers in one set of valleys,
mostly the Fore tribe.
Before Gajdusek's arrival, no outsider had ever
described kuru, although the Fore tribesmen told him the condition had
begun appearing a few decades earlier.
Gajdusek's initial study assumed the disease to be infectious. He reported
that the natives routinely cannibalized the brains of relatives for ritual
purposes, a practice that they told him had begun around the same time
as the arrival of kuru.
Gajdusek later explained to one interviewer that cannibalism "expressed
love for their dead relatives," and that it also "provided a
good source of protein for a meat-starved community."
Gajdusek decided that kuru was transmitted by the
eating of deceased victims' brains. Yet when he searched
for a virus, he ran into a baffling absence of evidence. None
of the typical signs of infection could be found in the patients. Their
bodies showed no inflammation and no fever, no changes were registered
in their supposedly infected spinal fluid, their immune systems failed
to react as if any microbe had invaded the body, and those people with
suppressed immune defenses had no greater risk of catching the disease.
Another scientific group soon arrived from Australia and concluded that
kuru might be genetically inherited.
Upon arriving back in the United States, Gajdusek was hired by the NIH
to work at its institute for studying neurological disease. While continuing
to monitor kuru incidence, he devoted his time to laboratory study of
the condition.
Word of his discovery of kuru meanwhile made its
way to England, where another virus hunter was investigating a sheep disease
known as scrapie, which involved symptoms of brain degeneration.
The English researcher suggested to Gajdusek that kuru might be caused
by a slow virus, one with a long latent period.
Gajdusek was immediately hooked by the revolutionary idea, despite his
own "misgivings" that genes, toxins, or nutritional deficiencies
might be the cause of kuru.
Again determined to find an elusive virus, he tried
to transmit kuru from victims to chimpanzees.
But none of the animals became sick when injected with blood, urine, or
other bodily fluids from kuru patients, nor from the cerebrospinal fluid
that surrounds the brain, which should have been full of the alleged brain-destroying
virus. Indeed, the monkeys contracted no disease even from eating kuru-affected
brains - the authentic animal model of cannibalism.
Only one bizarre experiment did work, in which the brains of kuru patients
were ground into a fine mush and injected directly into the brains of
live monkeys through holes drilled in their skulls. Ultimately, some of
the experimental monkeys suffered coordination and movement problems.
Surprisingly, though, even this extreme method could not transfer kuru
to dozens of other animal species. And no virus could be seen in the brain
tissue, even using the best electron microscopes.
At this point, one might expect Gajdusek would have suspected something
was seriously wrong with his virus hypothesis. If evidence
for the invisible virus could not be found anywhere but in unpurified
brain tissue, if it did not elicit any defensive reactions by the body,
and if it could not be transmitted in pure form to animals, then probably
no virus existed at all. The
homogenized brain tissue of dead kuru patients - full of every imaginable
protein and other compounds-should in itself be toxic when inoculated
into monkeys' brains.
Nevertheless, the sick monkeys convinced Gajdusek and his colleagues
he had found a virus. Since he could not isolate it apart from the brain
tissue, he decided to study the virus and its structure with a standard
experiment.
He would define which chemical and physical treatments would destroy
the microbe, thereby gathering clues about its nature. But to his astonishment,
almost nothing seemed to harm the mystery germ. Powerful chemicals, acids
and bases, boiling temperatures, ultraviolet and ionizing radiation, ultrasound-no
matter how he treated the brain tissue, it still caused "kuru"
in his lab monkeys. Further tests also proved that no
foreign genetic material, which all viruses require for their existence,
could be found anywhere in kuru-affected
brains.
Employing the strongest virus-destroying treatments, Gajdusek had failed
to render the kuru brain tissue harmless in his experiments. His
results lent themselves to one obvious interpretation: No
virus existed in the first place, so it could not possibly be destroyed.
But Gajdusek clung to his virus hypothesis. Despite his disappointing
experiments, he turned the results upside down and argued that the "kuru
virus" was actually a new type of super-microbe or, as he put it,
an "unconventional virus."
This new virus also needed to act as a slow virus, since long periods
of time elapsed between an act of cannibalism and the onset of kuru; he
liberally suggested latent periods extending into years or even decades.
At an earlier time, and in another context, Gajdusek
probably would have been ignored by orthodox scientists. But
he offered this hypothesis to a generation of scientists dominated and
impressed by virus hunters.
The year was 1965, polio had largely disappeared,
and the burgeoning ranks of NIH-funded virologists welcomed any new research
direction on which to use their skills. Thus, they embraced
Gajdusek's slow virus hypothesis enthusiastically.
They listened uncritically
when he claimed a similar unconventional virus caused Creutzfeld-Jakob
disease, a rare brain disorder that seems to strike
mostly Westerners having undergone previous brain surgery (obviously such
medical operations might well be suspected as the real cause).
Gajdusek proposed slow or even unconventional viruses as the causes of
a huge laundry list of nerve and brain disorders, ranging from scrapie
in sheep to multiple sclerosis and Alzheimer's disease in humans, and
he was taken seriously even though he offered no proof.Entranced, his
peers awarded him the 1976 Nobel Prize for medicine,
specifically for the kuru and Creutzfeld-Jakob viruses
he has yet to find. And the NIH promoted him to head its Laboratory
of Central Nervous System Studies.
In the meantime another crucial, if embarrassing, bit of information
has emerged as a challenge to Gajdusek's virus-kuru hypothesis. The published
transcript of his Nobel acceptance speech, in a 1977 issue of Science
magazine, included a photo ostensibly showing New Guinea natives eating
their cannibalistic meal. The photo is not very clear.
When colleagues asked Gajdusek if the photo truly showed cannibalism,
he admitted the meal was merely roast pork. According to Science, "He
never publishes actual pictures of cannibalism, he says, because they
are 'too offensive.'" Unconvinced, anthropologist
Lyle Steadman of Arizona State University has investigated and directly
challenged Gajdusek, claiming "there is no
evidence of cannibalism in New Guinea."
Steadman, who spent two years doing fieldwork in New Guinea, noted that
he often heard tales of cannibalism but when he probed, "the evidence
evaporated."
Gajdusek, angered by the hint of malfeasance, has insisted that "he
has actual photographs of cannibalism, but he would never publish them
because they 'so offend the relatives of the people who used to do it.'"
This statement contradicts his earlier claims that the
tribesman proudly ate their dead relatives out of respect,
quitting the practice only in deference to outside pressure from government
authorities.
For evidence of cannibalism, Gajdusek also cited
Australian arrests of tribesmen for the alleged crime - which, as it turned
out, were based on hearsay accusations. So perhaps New Guinea natives
stand falsely accused of ritual cannibalism.
In addition, few people outside of Gajdusek's original research team
have ever personally witnessed kuru victims. This means we also depend
on his own descriptions and statistics for our knowledge of the disease
itself, particularly since he claims cannibalism and kuru both ceased
to exist within a few years after his 1957 trip. Phantom
viruses, transmitted through phantom
cannibalism, cause phantom disease.
Yet Gajdusek has reshaped the thinking of an entire generation of biologists,
his seductive message of slow viruses having landed on eager ears. He
and the virus hunters inspired by him have
built careers chasing viruses and attributing them to latent periods in
order to connect them to noninfectious diseases.
SMON, the nerve-destroying disease that struck Japan during the 1960s,
became one unfortunate example. Japanese virologists, greatly impressed
with Gajdusek's accomplishments, spent years searching for slow viruses
they presumed would cause the disease and thereby delayed
finding the true cause - a prescribed medication.
Another example of a pointless virus hunt involved diabetes. Beginning
in the early 1960s, some scientists tried to blame this noncontagious
syndrome on the virus that also causes mumps. The evidence has been pathetically
sparse, forcing virologists to point to occasional children who become
diabetic after they have also suffered mumps or, if they really stretch
their case, to argue that both mumps and diabetes become most common during
the same annual season in one county of New York.
Having become soldiers without a war, veteran polio virologists invaded
the diabetes field as well, proposing since the early 1970s that Coxsackie
viruses may cause the disease. Antibodies against several strains of these
harmless viruses, first discovered as by-products of polio research, have
been found in a few diabetic children.
But between 20 percent and 70 percent of young diabetics have never been
infected, and the remainder have already neutralized the virus with their
immune systems long before the onset of diabetes. Apparently, an
equal percentage of non-diabetic children have also been infected with
these Coxsackie viruses. Needless to say, none of the above
viruses meets Koch's postulates for causing diabetes.
Hilary Koprowski, like Gajdusek, typifies the modern virus hunter. Although
Koprowski's virology career began earlier, Gajdusek's work helped rescue
Koprowski from the obsolescence that threatened polio researchers after
the war on polio. Like so many of his colleagues, he found his newest
calling in the war on AIDS.
Koprowski's work on viruses started at the Rockefeller Institute in New
York. By the late 1940s he moved across town to the Lederle pharmaceutical
company, where he worked feverishly to develop a polio vaccine. By 1954
he had invented one, but Jonas Salk was announcing the field trials for
another vaccine, and Koprowski's already-tested product was shunted aside
by Salk's public acclaim.
Koprowski left Lederle in I957 to take a position as director of the
privately endowed Wistar Institute of Pennsylvania, where he began tests
on humans and stepped up the campaign to get approval for his vaccine.
By now Albert Sabin had tested his own polio immunization on millions
of people in foreign countries, completely overshadowing Koprowski's equally
successful but less-promoted vaccine. Nevertheless, Koprowski's day did
arrive. His vaccine became the standard used by the World Health Organization
in America during the late 1950s and 1960s.
In the meantime he spent several years studying the rabies virus and
creating a vaccine against that virus, which attacks the brain and nervous
system. But because rabies is relatively rare, Koprowski's vaccine never
achieved the stardom of other immunizations. More important, however,
his rabies research placed him squarely in the field of neurological diseases
just in time to meet up with Gajdusek's kuru work.
The news of slow viruses enticed Koprowski with visions of groundbreaking
science. He quickly realized that the notion of slow viruses could become
a useful tool, allowing him to source slow, noninfectious diseases to
viruses, so long believed to be fast-acting agents. He participated as
a "program advisor" in Gajdusek's first major conference on
slow and unconventional viruses held in 1964 at the NIH head-quarters
in Bethesda, Maryland. From that point forward, Hilary Koprowski joined
the new virus-hunting trend from which he would never turn back.
His first big opportunity to take a crack at slow
viruses came at the end of the 1960s. Subacute
sclerosing panencephalitis (SSPE),
a mouthful of a name for such a rare condition, attacks a small number
of schoolchildren and teenagers each year, causing dementia, learning
disabilities, and finally death.
Doctors first recognized SSPE in the 1930s, and by the 1960s the virus
hunters were searching for an SSPE germ. At that time, the most fashionable
viruses for research belonged to the myxovirus family, which included
the viruses that caused influenza, measles, and mumps. Animal virologists
therefore started by probing for signs of myxoviruses.
Excitement mounted after trace quantities of measles virus were detected
in the brains of SSPE patients, and in 1967 most of the victims were found
to have antibodies against measles. The facts that SSPE
affected only one of every million measles -- infected people and that this
rare condition appeared from one to ten years after
infection by measles were no longer a problem: Researchers simply
hypothesized a one- to ten-year latency period. Little wonder
they could also easily rationalize that one virus could cause two totally
different diseases.
Koprowski's foray into SSPE research began in the early 1970s. He began
isolating the measles virus from dying SSPE victims, a nearly impossible
task because their immune systems had long before completely neutralized
the virus (some SSPE cases, more-over had never had measles, merely the
measles vaccine). His characteristic patience nonetheless paid off, yielding
a tiny handful of virus particles from some patients that could be coaxed
to begin growing again, if only in laboratory cell culture.
In other patients only defective viruses that were unable to grow had
remained so many years after the original measles infection.
Rather than concluding the measles virus had nothing
to do with SSPE, he employed the new logic of virus hunting to argue that
a defective measles virus caused SSPE!
Koprowski continued this line of SSPE research for several more years.
But in 1985 Gajdusek himself entered the SSPE fray, publishing a paper
with leading AIDS researcher Robert Gallo in which they
proposed that HIV, the supposed AIDS virus,
caused SSPE while remaining latent. With hardly a blink, several
leading virologists jettisoned the old measles-SSPE hypothesis in favor
of a newly popular, but equally innocent, virus.
Multiple sclerosis (MS), the notorious disease that also attacks the
nervous system and ultimately kills, has provided yet another opportunity
for the virus hunters.
First, they blamed the measles virus starting in the 1960s, since many
MS patients had antibodies against the virus. Ten years later others suggested
the mumps virus, which is similar to measles. The early I980s brought
the coronavirus hypothesis of MS, the category of virus better known for
causing some colds. In 1985, with Gajdusek stealing his thunder for SSPE,
Koprowski also published a scientific paper that year in Nature with Robert
Gallo, in this case arguing that some virus similar to HIV now caused
MS. Unfortunately for Koprowski, even this hypothesis
was abandoned within just a few years.
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