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艾滋病:由非靶细胞内寄生虫产生耐药性所致。

AIDS: caused by development of resistance to drugs in a non-target intracellular parasite.

作者信息

Parris George E

机构信息

9601 Warfield Road, Gaithersburg, MD 20882, United States.

出版信息

Med Hypotheses. 2007;68(1):151-7. doi: 10.1016/j.mehy.2006.06.011. Epub 2006 Aug 8.

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.

摘要

获得性免疫缺陷综合征(艾滋病)的起源在科学界和大众媒体中一直是一个备受争议的话题。这场争论涉及一种猿猴病毒(SIV)向人类的传播方式。争论中的两个主要阵营都假定人类通常不会感染此类病毒,并认为一旦猿猴病毒传播开来,它会立即感染一些T细胞,并导致释放出有毒物质,杀死周围(未感染的)T细胞,从而引发艾滋病。猿猴病毒(SIV)演变成人类病毒(HIV)被视为一种人为现象。相比之下,有人提出了一个截然不同的假说[帕里斯·GE。《医学假说》2004年;62(3):354 - 357],该假说假定在疟疾高发地区(中非),所有灵长类动物(人类和非人类灵长类动物)都共享一种逆转录病毒,这种病毒会增强它们对疟原虫的T细胞反应。这种病毒可被称为“灵长类T细胞逆转录病毒”(PTRV)。在数千年的时间里,这种病毒多次跨越物种界限(影响较小),并且通常能很快适应宿主。在这个模型中,艾滋病被视为病毒(PTRV)对持续接触用于预防疟疾的促凋亡(裂殖体杀灭)氨基喹啉药物产生耐药性的结果。该假说最初是基于氨基喹啉的生化活性提出的(例如,帕马喹(疟涤平(商标名))、伯氨喹和氯喹),但最近的出版物表明,其中一些药物肯定会对HIV和其他病毒产生不利影响,从逻辑上讲会导致它们产生耐药性。对已建立的HIV在人类中的进化时间线的回顾也在定性和定量上与这个假说一致(而与传统假说的任何一个版本都不一致)。非典和埃博拉也符合这种模式。

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