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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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Moreover, recent research has shown that even viruses which were hitherto believed not to persist after an<br />

acute <strong>in</strong>fectious episode are capable of long‐term viral persistence.<br />

Dr John Chia, an <strong>in</strong>fectious diseases specialist from Torrance, California, who specialises <strong>in</strong> <strong>ME</strong>/CFS, is on<br />

record: “I believe that the ma<strong>in</strong> reason (<strong>ME</strong>)CFS patients are symptomatic is due to cont<strong>in</strong>u<strong>in</strong>g <strong>in</strong>flammatory<br />

response toward viruses liv<strong>in</strong>g with<strong>in</strong> the cells, enteroviruses <strong>in</strong> most of the cases I see. We have clearly documented<br />

certa<strong>in</strong> enterovirus <strong>in</strong>fections trigger<strong>in</strong>g autoimmune responses <strong>in</strong> some patients…Can you imag<strong>in</strong>e how we would<br />

feel if there are viruses surviv<strong>in</strong>g <strong>in</strong> our muscles, bra<strong>in</strong>s, hearts and gastro<strong>in</strong>test<strong>in</strong>al tracts trigger<strong>in</strong>g<br />

ongo<strong>in</strong>g immune responses?” (http://aboutmecfs.org/blog/?p=865).<br />

The CFIDS Chronicle (Research Update, Summer 1993) expla<strong>in</strong>ed viruses and retroviruses as follows:<br />

“A virus is a microscopic organism that lives with<strong>in</strong> the cells of another liv<strong>in</strong>g organism. Viruses cause disease at the<br />

most basic level, by damag<strong>in</strong>g the cells of liv<strong>in</strong>g th<strong>in</strong>gs. By themselves, viruses are lifeless particles <strong>in</strong>capable of<br />

reproduction, but once they enter the cell of another liv<strong>in</strong>g th<strong>in</strong>g they become active organisms that can multiply<br />

hundreds of times.<br />

“Viruses are comprised of two parts – a core of either deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) and a<br />

protective envelope of prote<strong>in</strong>. RNA viruses are smaller than DNA viruses and sometimes conta<strong>in</strong> a special enzyme<br />

called reverse transcriptase which allows them to convert RNA to DNA. These specialised viruses are known as<br />

retroviruses and have a unique ability to merge with the host’s own genetic material.<br />

“Retroviruses have the unique ability to replicate themselves by (i) mak<strong>in</strong>g a double‐stranded DNA copy called a ‘pro‐<br />

virus’ once they enter liv<strong>in</strong>g cells. Pro‐viruses <strong>in</strong>tegrate themselves <strong>in</strong>to the human chromosome and become part of the<br />

host’s genetic code (ii) alter the host’s immune response by evad<strong>in</strong>g detection as a ‘hidden <strong>in</strong>vader’ (iii) rema<strong>in</strong> hidden<br />

and latent, spliced with<strong>in</strong> the host’s DNA, for long periods of time. Retroviruses are known to be potent stimulators of<br />

cytok<strong>in</strong>es”.<br />

On 8 th October 2009 the premier journal Science published a paper onl<strong>in</strong>e show<strong>in</strong>g a direct l<strong>in</strong>k between a<br />

retrovirus and <strong>ME</strong>/CFS (Detection of <strong>in</strong>fectious retrovirus XMRV, <strong>in</strong> blood cells of patients with chronic<br />

fatigue syndrome. Lombardi VC, Ruscetti FW, Peterson DL, Silverman RH, Mikovits JA et al) which caused<br />

global reverberations (see below).<br />

However, this was not the first time that a retrovirus had been associated with <strong>ME</strong>/CFS.<br />

The first time was <strong>in</strong> 1991 when, us<strong>in</strong>g polymerase cha<strong>in</strong> reaction and <strong>in</strong> situ hybridisation, Dr Ela<strong>in</strong>e De<br />

Freitas, a virologist at the Wistar Institute, Philadelphia (which is America’s oldest <strong>in</strong>dependent <strong>in</strong>stitution<br />

devoted to biological research) and Drs Daniel Peterson, Paul Cheney, David Bell et al found such an<br />

association (Retroviral sequences related to human T‐lymphotropic virus type II <strong>in</strong> patients with chronic<br />

fatigue immune dysfunction syndrome. Proc Natl Acad Sci USA 1991:88:2922‐2926). It is notable that co‐<br />

author Hilary Koprowski is a dist<strong>in</strong>guished virologist and Professor Laureate who was Director of the<br />

Wistar Institute from 1957‐1991; he is a member of the US National Academy of Sciences and is Director of<br />

the Centre for Neurovirology at Thomas Jefferson University.<br />

Before publication, the f<strong>in</strong>d<strong>in</strong>gs were presented on 4 th September 1990 by Ela<strong>in</strong>e De Freitas at the 11 th<br />

International Congress of Neuropathology <strong>in</strong> Kyoto, Japan.<br />

Ten days later, on 14 th September 1990 Dr Peter White (as he then was) and other members of the Wessely<br />

School dismissed the f<strong>in</strong>d<strong>in</strong>gs: “<strong>in</strong> the vast majority of CFS cases there is a psychological component. About 75% of<br />

CFS sufferers are cl<strong>in</strong>ically depressed, accord<strong>in</strong>g to Peter White, senior lecturer <strong>in</strong> the department of psychiatric<br />

medic<strong>in</strong>e at St Bartholomew’s Hospital <strong>in</strong> London. White said he believes depression is often a cause, rather<br />

than a consequence, of CFS…Les Borysiewicz, a cl<strong>in</strong>ical virologist at Addenbrookes Hospital <strong>in</strong> Cambridge<br />

(who, as noted above, is now Chief Executive of the MRC, hav<strong>in</strong>g succeeded Professor Col<strong>in</strong> Blakemore)

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