-------- Original Message --------
Subject:        [Blackfolks] Scientists Discover 'Natural Barrier' to HIV
Date:   Mon, 5 Mar 2007 15:13:44 -0500
From:   Nashid Habeeb <[EMAIL PROTECTED]>
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By E.J. Mundell
HealthDay Reporter
49 minutes ago



MONDAY, March 5 (HealthDay News) -- Researchers have discovered that
cells in the mucosal lining of human genitalia produce a protein that
"eats up" invading        HIV -- possibly keeping the spread of the
AIDS more contained than it might otherwise be.


Even more important, enhancing the activity of this protein, called
Langerin, could be a potent new way to curtail the transmission of the
virus that causes AIDS, the Dutch scientists added.


Langerin is produced by Langerhans cells, which form a web-like
network in skin and mucosa. This network is one of the first
structures HIV confronts as it attempts to infect its host.


However, "we observed that Langerin is able to scavenge viruses from
the surrounding environment, thereby preventing infection," said lead
researcher Teunis Geijtenbeek, an immunologist researcher at Vrije
University Medical Center in Amsterdam.


"And since generally all tissues on the outside of our bodies have
Langerhans cells, we think that the human body is equipped with an
antiviral defense mechanism, destroying incoming viruses," Geijtenbeek
said.


The finding, reported in the March 4 online issue of Nature Medicine,
"is very interesting and unexpected," said Dr. Jeffrey Laurence,
director of the Laboratory for AIDS Virus Research at the Weill
Cornell Medical College, in New York City. "It may explain part of the
relative inefficiency of HIV in being transmitted."


Even though HIV has killed an estimated 22 million people since it was
first recognized more than 25 years ago, it is actually not very good
at infecting humans, relatively speaking.


For example, the human papillomavirus (HPV), which causes cervical
cancer, is nearly 100 percent infectious, Laurence noted. That means
that every encounter with the sexually transmitted virus will end in
infection.


"On the other hand, during one episode of penile-vaginal intercourse
with an HIV-infected partner, the chance that you are going to get HIV
is somewhere between one in 100 and one in 200," Laurence said.


Experts have long puzzled why HIV is relatively tough to contract,
compared to other pathogens. The Dutch study, conducted in the
laboratory using Langerhans cells from 13 human donors, may explain
why.


When HIV comes in contact with genital mucosa, its ultimate target --
the cells it seeks to hijack and destroy -- are immune system T-cells.
But T-cells are relatively far away (in lymph tissues), so HIV uses
nearby Langerhans cells as "vehicles" to migrate to T-cells.


For decades, the common wisdom was that HIV easily enters and infects
Langerhans cells. Geijtenbeek's team has now cast doubt on that
notion.


Looking closely at the interaction of HIV and Langerhans cells, they
found that the cells "do not become infected by HIV-1, because the
cells have the protein Langerin on their cell surface," Geijtenbeek
said. "Langerin captures HIV-1 very efficiently, and this
Langerin-bound HIV-1 is taken up (a bit like eating) by the Langerhans
cells and destroyed."


In essence, Geijtenbeek said, "Langerhans cells act more like a virus
vacuum cleaner."


Only in certain circumstances -- such as when levels of invading HIV
are very high, or if Langerin activity is particularly weak -- are
Langerhans cells overwhelmed by the virus and infected.


The finding is exciting for many reasons, not the least of which is
its potential for HIV prevention, Geijtenbeek said.


"We are currently investigating whether we can enhance Langerin
function by increasing the amount of Langerin on the cell surface of
Langerhans cells," he said. "This might be a real possibility, but it
will take time. I am also confident that other researchers will now
also start exploring this possibility."


The discovery might also help explain differences in vulnerability to
HIV infection among people.

"It is known that the Langerin gene is different in some individuals,"
Geijtenbeek noted. "These differences could affect the function of
Langerin. Thus, Langerhans cells with a less functional Langerin might
be more susceptible to HIV-1, and these individuals are more prone to
infection. We are currently investigating this."

The finding should also impact the race to find topical microbicides
that might protect women against HIV infection. Choosing compounds
that allow Langerin to continue to work its magic will enhance any
candidate microbicide's effectiveness, the Dutch researcher said.

Laurence did offer one note of caution, however.

"In the test tube, this is a very important finding," he said. "But
there are many things in the test tube that don't occur when you get
into an animal or a human. Having said that, though, this is a very
intriguing finding."

More information

For more on the fight against HIV/AIDS, head to the Foundation for
AIDS Research.

.

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