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  1. ------------------------------
  2. file "bennett"
  3. ------------------------------
  4. Yeah, alright. The human body isn't immune to a virus AFTER it starts producing antibodies to it? I'll put that in my notebook, right next to bloodletting and trepanning.
  5.  
  6. > AIDS virus". I find it funny how all the kids who are taking their meds in our clinic are healthy...and those who aren't have crappy immune systems and get sick...and die, like one did earlier this year, from cryptococcal meningitis...
  7.  
  8. Funny? You find that funny? I'm really just inclined to say there's something else you're missing - namely, that the children who aren't taking these ARVs are reluctant to tell you so, understanding perfectly well how sick it makes them.
  9.  
  10. There's a professor at SU who was diagnosed HIV+. He wrote specifically in this article that as soon as he started taking AZT, he became violently ill. I've collected dozens of patient testimonies that follow the same story.
  11.  
  12. > My only disappointment is that you really did turn out to be the obnoxious, self-rightous, ignorant AIDS denialist I hoped you wouldn't be.
  13.  
  14. You make it sound like this is a frequent problem for you.
  15.  
  16. > I'm sure we will eventually evolve to live with HIV - we have evolved alongside other retroviruses whose genomic skeletons litter our genome.
  17.  
  18. This is the point that really gets me. Did you ever stop to think for a second that those viruses played a part in the development of our genome? You didn't even address my point about viral mutation rate, which makes me think you can't. Did you ever think that our immune system evolved specifically to keep these viruses in check?
  19.  
  20. Do you know that if you take antibiotics for too long, you develop a serious dermal yeast infection? That's a pretty elementary side-effect of the drug, but it reveals something important - that there are organisms in our bodies that, while harmful in excess, are designed to regulate its basic functions, like digestion, or controlling any other chemical imbalances.
  21.  
  22. http://upload.wikimedia.org/wikipedia/commons/a/a4/Hiv-timecourse.png
  23.  
  24. See that graph? See how viral load spikes up, and immediately decreases? It seems like you have a whole complicated theory about how this works, but "HIV" is only one virus. The only thing it can do is enter a cell, jam in reproductive code, have its protein coat wither away, and have the cell spit out some more viruses. It can't just mosey around evading the immune system until the response tapers down - these aren't intelligent organisms. The problem with this graph is that it's based on terrible data - in particular the notion that only some of the viruses within a discrete infection are vulnerable to removal, while others miraculously are not.
  25.  
  26. > If you move SIV from one species of monkey to another guess what - they get sick.
  27.  
  28. See, if you're working from scratch, you can at least hypothesize that humans gained HIV because of sudden increases in population, or sexual activity. You could even assume the same thing with felines, because the feline populations in cities are so large. But simians? Simians don't drink city water, eat Kraft Mac and Cheese, and shoot up contaminated heroin - simians have been promiscuous as long as they've been around. How is any species supposed to survive if there's an instantaneous vulnerability, transmitted both by sexual contact and pregnancy, for a virus to suddenly take over the immune system? Did you ever stop to think that maybe the monkeys get sick because they're kept in cages all day, fed awful food and water, and innoculated by people in lab coats? Or even that somebody can edit the results of a study, and disregard conflicting studies that try to reproduce it? That seems to be exactly what's happening here.
  29.  
  30. The detail that HIV produces cytokine responses is no less minor. Don't you understand that this represents a chemical signaling system? The activation of CD8+ lymphocytes is contingent upon this cytokine release, at which point the infected cells are removed from the body - while the antibodies, you know, the subject of ELISA and Western Blot, that you test for to determine if somebody is infected - those are what removes live virus from the bloodstream. So again we look at this chart:
  31.  
  32. http://upload.wikimedia.org/wikipedia/commons/a/a4/Hiv-timecourse.png
  33.  
  34. How is it possible for the virus to follow a parabolic curve following infection, and then sit totally flat for a decade? I'm pretty sure that's totally impossible to reconcile.
  35.  
  36.  
  37.  
  38. On 10/25/2010 05:33 PM, Nick Bennett wrote:
  39. > Yeah, I didn't feel too bad - I went to a lecture on immune deficiencies.
  40. >
  41. > The funny thing is, the "toxic" DNA chain terminators were rejected as anti-cancer drugs because they weren't toxic enough. See Dr Beltz's letter to the Re-Appraising AIDS list if you don't believe me. The myth was invented by Duesberg in (ironically enough) his book "Inventing the AIDS virus". I find it funny how all the kids who are taking their meds in our clinic are healthy...and those who aren't have crappy immune systems and get sick...and die, like one did earlier this year, from cryptococcal meningitis...
  42. >
  43. > When you say "mystical latency" you are clearly someone still confused about the difference between clinical and virologic latency. Patients are clinically latent...the virus is not, at least not as a population. One individual cell might have a latent infection, the one next door might not. Activate the T cell, turn on NF-kappa-B transcription factor and HIV starts replicating all over again. Same thing for herpes in nerve cells - we know that it is constantly trying to breakout into a new infection, but that the immune system keeps it in check - 'latent', as well as the true virologic latency that has evolved as an immune-evasion technique.
  44. >
  45. > I'm sure we will eventually evolve to live with HIV - we have evolved alongside other retroviruses whose genomic skeletons litter our genome. Our oral amylase enzyme is a copy of the pancreatic version of the gene that was corrupted by a retroviral infection millions of years ago for example. HIV in chimps doesn't make them that sick. But guess what - we're not chimps. If you move SIV from one species of monkey to another guess what - they get sick.
  46. >
  47. > What do you know? Apparently jack shit :o)
  48. >
  49. > I hope you're learning more from your classes than you have apparently learned about retrovirology - and your attitude sucks. Good luck with life - you're going to need it! You can chose to live in ignorance or you can chose to be educated - I hope for your sake, and for everyone who has to put up with you, that you chose to be educated in life. There is not a single AIDS denialist argument, point, or 'fact' that stands up to rigourous analysis of the truth. Sorry - that's the truth. I know because I've spent a decade looking them all up and finding the holes. They've messed things up all the way, because, like you, they don't understand what they're talking about.
  50. >
  51. > My only disappointment is that you really did turn out to be the obnoxious, self-rightous, ignorant AIDS denialist I hoped you wouldn't be.
  52. >
  53. > Cheers
  54. >
  55. > Bennett
  56.  
  57.  
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64.  
  65.  
  66. ------------------------------
  67. file "bennett2"
  68. ------------------------------
  69. > These cells produce virus without getting killed.
  70.  
  71. I read your whole message. I read it three times. I'm certain you're just hand-waving away my objections.
  72.  
  73. > It is - just about every time I predict someone will be a denialist I turn out to be right. I have an inherent faith in human beings and AIDS denialists just keep on chipping away at it... It's less frequent now I no longer hang out on AIDS denialist email lists and bulletin boards.
  74.  
  75. So, basically, you got booed out?
  76.  
  77. > The trouble is that your dozens of testimonies are just that - testimonies, anecdotes. The studies of hundreds and thousands of people clearly show that, on average, treating with antiretrovirals leads to longer life, fewer infections, better health. Some people will have side effects - and sometimes we can predict who and sometimes we can't and have to adjust.
  78.  
  79. Mnhm...I also have collected quite a bit of information about how epidemiological testing in Africa is based on total nonsense. We're not talking about double-blind clinical trials, of course, because those usually fail like that old Glaxo-Wellcome long-term trial, where it shows dramatic toxicity from the drug, and then the endorsement from the drug company is retracted, right? Nothing sketchy about that at all...
  80.  
  81. > You need to broaden your horizons before coming to conclusions on any of the data you're reading from the denilaists, because when you only know half the science you can't see where their logic falls apart. A good example is: middle school "viruses make you sick", high school "your immune system fights off viruses", college "some viruses can't be fought off", doctoral "this is why this virus can't be fought off", post-doc "why does this virus not get fought off?"
  82.  
  83. Now there's an interesting statement. As your career becomes more dependent on flimsy theories, you start to believe them more vehemently. We could go back for hours and hours about who has high school logic and who doesn't. The fact of the matter remains, mammals have been around way longer than viruses, and HIV produces cytokine response that signals CD8+ lymphocyte activation and an antibody response. This is irreconcilable with the theory that HIV can cause a chronic immunodeficiency.
  84.  
  85.  
  86.  
  87.  
  88.  
  89. -----------------------------------
  90.  
  91.  
  92. I'm going to try educating you - on the off chance you have something to
  93. salvage.
  94.  
  95. -----Original Message-----
  96. From: [email scrubbed]
  97. Sent: Monday, October 25, 2010 10:44 PM
  98. To: Nick Bennett
  99. Subject: Re: Meeting
  100.  
  101. Yeah, alright. The human body isn't immune to a virus AFTER it starts
  102. producing antibodies to it? I'll put that in my notebook, right next to
  103. bloodletting and trepanning.
  104.  
  105. <<<
  106.  
  107. You should! An immune response only means that the immune system has seen
  108. the antigen - nothing more. Sometimes that means the infection is cleared,
  109. sometimes not. Herpes viruses (of all sorts, including EBV/mono, CMV and
  110. kaposi's sarcoma herpes virus) are the best example, but also things like
  111. bartonella (cat scratch), borrelia (lyme disease) are bacteria that hang
  112. around LONG after the antibodies arrive. Syphilis too. Some bugs have ways
  113. to evade the immune response or damage the immune system - HIV does both,
  114. but nothing it does is anything unique or special that another pathogen
  115. hasn't done at some point before. Immune-suppression leading to secondary
  116. infections has been long-known to occur with measles, varicella and
  117. influenza.
  118.  
  119. So yes, a human body isn't necessarily immune to a virus after it starts
  120. producing antibodies to it. Get over it! What you're saying isn't even
  121. biology 101, it's pre-K biology. Duesberg created this myth - he, as a
  122. virologist, ought to know better. I have PERSONALLY tried to educate him on
  123. this, and he ignores the facts. It's sheer lunacy.
  124.  
  125. Besides, antibodies are intended to fight bacteria, not viruses. Cytotoxic
  126. T cells fight viruses. A small proportion of kids vaccinated against
  127. chicken pox produce no antibodies to it, but they all produce cytotoxic T
  128. cells (which provide the protection). If the antibodies work against the
  129. virus, that's a bonus.
  130.  
  131. > AIDS virus". I find it funny how all the kids who are taking their
  132. meds in our clinic are healthy...and those who aren't have crappy immune
  133. systems and get sick...and die, like one did earlier this year, from
  134. cryptococcal meningitis...
  135.  
  136. Funny? You find that funny? I'm really just inclined to say there's
  137. something else you're missing - namely, that the children who aren't
  138. taking these ARVs are reluctant to tell you so, understanding perfectly
  139. well how sick it makes them.
  140. <<<<<
  141.  
  142. Funny-peculiar - you are either being deliberately disingenuous or stupid.
  143.  
  144. We know when they're not taking them - they tell us, they don't get their
  145. refills etc... Of course some lie - but we can tell that too (e.g. high
  146. viral loads but no drug-resistance mutations...). Your armchair medicine
  147. doesn't stand up to real world experience I'm afraid.
  148.  
  149. >>>> >>>>
  150. There's a professor at SU who was diagnosed HIV+. He wrote specifically
  151. in this article that as soon as he started taking AZT, he became
  152. violently ill. I've collected dozens of patient testimonies that follow
  153. the same story.
  154. <<<<
  155.  
  156. Sure, it makes some people sick. But AZT is one med - not even dosed as
  157. high as it used to be now we can use combination therapies. AZT isn't even
  158. the most toxic med, so the fact that the AIDS denialists such as yourself
  159. are fixated on it just goes to show how misinformed you all are!
  160.  
  161. The trouble is that your dozens of testimonies are just that - testimonies,
  162. anecdotes. The studies of hundreds and thousands of people clearly show
  163. that, on average, treating with antiretrovirals leads to longer life, fewer
  164. infections, better health. Some people will have side effects - and
  165. sometimes we can predict who and sometimes we can't and have to adjust.
  166.  
  167. I can tell you of several people who caught documented flu despite the flu
  168. shots...that doesn't mean that I think flu shots don't work, because I know
  169. that on average they reduce the amount of influenza in a population by 70%.
  170. That means we expect a 30% failure rate. If you were to collect up all
  171. those 30% failures you could make a pretty 'convincing' set of testimonies
  172. on the failure of flu vaccination to help - which is why we tend to ignore
  173. such evidence in medicine. It's too biased to believe.
  174.  
  175. > My only disappointment is that you really did turn out to be the
  176. obnoxious, self-rightous, ignorant AIDS denialist I hoped you wouldn't be.
  177.  
  178. You make it sound like this is a frequent problem for you.
  179. <<<<<<<
  180.  
  181. It is - just about every time I predict someone will be a denialist I turn
  182. out to be right. I have an inherent faith in human beings and AIDS
  183. denialists just keep on chipping away at it... It's less frequent now I no
  184. longer hang out on AIDS denialist email lists and bulletin boards.
  185.  
  186. > I'm sure we will eventually evolve to live with HIV - we have evolved
  187. alongside other retroviruses whose genomic skeletons litter our genome.
  188.  
  189. This is the point that really gets me. Did you ever stop to think for a
  190. second that those viruses played a part in the development of our
  191. genome? You didn't even address my point about viral mutation rate,
  192. which makes me think you can't. Did you ever think that our immune
  193. system evolved specifically to keep these viruses in check?
  194.  
  195. <<<<<<<<
  196.  
  197. They might sometime in the future, but HIV is so new it hasn't had a chance
  198. to affect our evolution yet. Viruses can mutate fast, sure (some of them),
  199. but it's irrelevant to the point (and I didn't have the time, which is the
  200. other alternative - you jump to conclusions a lot based on minimal evidence
  201. - you're not a right-winger by any chance are you..?)
  202.  
  203. Our immune systems haven't had the chance to evolve for these specific
  204. viruses. I know of only ONE animal which has evolved its immune system to
  205. the point that it can keep specific infections in check - sharks. They have
  206. pre-packaged antibodies that don't need priming or somatic hypermutation
  207. (immune tweaking and optimization), they just switch on the genes. Sharks
  208. are older than dinosaurs. It took them that long to get that right - 450
  209. million years (900 times longer than human beings have been around)
  210.  
  211. http://people.scs.carleton.ca/~soma/biosec/readings/sharkimmu-sciam-Nov1996.
  212. pdf
  213.  
  214. Page 70 - but the initial section is a reasonable primer to the immune
  215. response too. Human beings are nowhere near evolving to the point where we
  216. can keep HIV in check - it's too new, only a few generations. Even within a
  217. single person you can document immune responses to certain sub-populations
  218. of the virus, and as the virus mutates the immune response has to catch up
  219. and start over.
  220.  
  221. I'm sure OTHER retroviruses have affected our evolution - like the amylase
  222. story - but HIV is a little more complex that most other retroviruses - 6
  223. additional genes for starters, mostly involved in downregulating the immune
  224. response, screwing up the cell cycle and being clever with latency.
  225.  
  226. >>> >>>
  227. Do you know that if you take antibiotics for too long, you develop a
  228. serious dermal yeast infection?
  229. <<<<
  230.  
  231. LOL! Dude, I'm an ID specialist. Are you seriously asking this question?
  232.  
  233. >>>> >>>>
  234. That's a pretty elementary side-effect
  235. of the drug, but it reveals something important - that there are
  236. organisms in our bodies that, while harmful in excess, are designed to
  237. regulate its basic functions, like digestion, or controlling any other
  238. chemical imbalances.
  239. <<<<
  240.  
  241. Yes, this is why we recommend probiotics to prevent antibiotic associated
  242. diarrhea...but HIV clearly isn't one of them.
  243.  
  244. >>>>>>>>> >>>>>>>>>
  245. http://upload.wikimedia.org/wikipedia/commons/a/a4/Hiv-timecourse.png
  246.  
  247. See that graph? See how viral load spikes up, and immediately
  248. decreases? It seems like you have a whole complicated theory about how
  249. this works, but "HIV" is only one virus. The only thing it can do is
  250. enter a cell, jam in reproductive code, have its protein coat wither
  251. away, and have the cell spit out some more viruses. It can't just mosey
  252. around evading the immune system until the response tapers down - these
  253. aren't intelligent organisms. The problem with this graph is that it's
  254. based on terrible data - in particular the notion that only some of the
  255. viruses within a discrete infection are vulnerable to removal, while
  256. others miraculously are not.
  257. <<<<<<<<<<<
  258.  
  259.  
  260. WTF are you interpreting from that? It's based on real life measurements
  261. from real people, published in several papers and reviewed by Pantaleo et al
  262. 1993. Some are certainly not vulnerable to removal - those that have outer
  263. membrane proteins that aren't recognized by the immune system yet, those
  264. that are still latent waiting to activate in macrophages or T cells. It's
  265. exactly the same as a bacterial infection where some may be resistant, or
  266. hidden in an abscess that takes more antibiotics to reach.
  267.  
  268. This isn't based on some anthropomorphism of the virus - it's basic
  269. observations that we then have to figure out WHY it happens, not WHETHER or
  270. not it happens. If the data suggests that some discrete population is not
  271. vulnerable to removal, then we have to find where it is (answer: the
  272. proviral reservoir, mostly tucked away in lymph nodes in places like the
  273. gut), not ignore the data because we don't like it! A provirus is not only
  274. hidden from the immune response, but also from drug attack. It might not be
  275. a literally cunning virus, but it acts like one!
  276.  
  277. > If you move SIV from one species of monkey to another guess what -
  278. they get sick.
  279.  
  280. See, if you're working from scratch, you can at least hypothesize that
  281. humans gained HIV because of sudden increases in population, or sexual
  282. activity. You could even assume the same thing with felines, because
  283. the feline populations in cities are so large. But simians? Simians
  284. don't drink city water, eat Kraft Mac and Cheese, and shoot up
  285. contaminated heroin - simians have been promiscuous as long as they've
  286. been around. How is any species supposed to survive if there's an
  287. instantaneous vulnerability, transmitted both by sexual contact and
  288. pregnancy, for a virus to suddenly take over the immune system? Did you
  289. ever stop to think that maybe the monkeys get sick because they're kept
  290. in cages all day, fed awful food and water, and innoculated by people in
  291. lab coats? Or even that somebody can edit the results of a study, and
  292. disregard conflicting studies that try to reproduce it? That seems to
  293. be exactly what's happening here.
  294. <<<<
  295.  
  296. You missed the point - if you give them the SIV they evolved with...they
  297. don't get sick. You need a virus from another simian species, same as
  298. humans get suck if you give them chimp SIV (chimp SIV is basically human
  299. HIV, or near as damn it).
  300.  
  301. >>>> >>>>
  302. The detail that HIV produces cytokine responses is no less minor. Don't
  303. you understand that this represents a chemical signaling system? The
  304. activation of CD8+ lymphocytes is contingent upon this cytokine release,
  305. at which point the infected cells are removed from the body - while the
  306. antibodies, you know, the subject of ELISA and Western Blot, that you
  307. test for to determine if somebody is infected - those are what removes
  308. live virus from the bloodstream. So again we look at this chart:
  309.  
  310. http://upload.wikimedia.org/wikipedia/commons/a/a4/Hiv-timecourse.png
  311.  
  312. How is it possible for the virus to follow a parabolic curve following
  313. infection, and then sit totally flat for a decade? I'm pretty sure
  314. that's totally impossible to reconcile.
  315. <<<<
  316.  
  317. That's because you don't understand the biology of HIV or the immune
  318. response to it.
  319.  
  320. You can start by reading this
  321.  
  322. http://emedicine.medscape.com/article/211316-overview
  323.  
  324. It is a little complex (aimed at medics) but it explains how HIV leads to
  325. AIDS and why the viral load and CD4 counts do what they do in that graph. I
  326. wrote it - it includes the graph you linked to.
  327.  
  328. The short version is this:
  329.  
  330. HIV infects the body - macrophages and CD4 T cells.
  331. It establishes a large number of infected cells that do not die
  332. (macrophages). These cells produce virus without getting killed.
  333. The viral load shoots up. CD4 T cells drop as they are killed off.
  334. The immune response arrives - virus is attacked in the blood stream, and
  335. virus-infected cells that are active are killed off. This means that the
  336. body is killing off its own immune system (as well as the virus).
  337. HIV screws with cytokine signaling and cell replication.
  338. Somehow (we don't know how yet...) the thymus is also screwed up, so T cell
  339. replacement is lower than it should be. We know it happens, we know it is
  340. reversed if you treat HIV, but we don't yet know the exact mechanism how HIV
  341. does it - most likely through the cytokine signaling screwups.
  342.  
  343. SUMMARY - you get a steady-state system where there is ongoing viral
  344. replication, ongoing immune attack, ongoing immune activation BUT incomplete
  345. T cell replication and replacement. (Ironically AIDS turns out to be due to
  346. an abnormal immune activation, not a deactivation)
  347.  
  348. RESULT - stead-state viral load and declining CD4 T cell counts.
  349.  
  350. Eventually, the T cells drop so low they cannot control the virus any more,
  351. or any other infection for that matter. When that happens viral load starts
  352. rising again, and opportunistic infections break through - including
  353. infections we HAVE evolved to live with, such as CMV or toxoplasmosis, or
  354. PCP. This is around a CD4 count of 200, which is why the CDC added that as
  355. an AIDS-defining endpoint, so we could say someone had AIDS before they got
  356. sick and died. Nowadays the treatment recommendations are based on data
  357. that suggests that waiting until 200 is too late - 350 may be better.
  358.  
  359. You need to broaden your horizons before coming to conclusions on any of the
  360. data you're reading from the denilaists, because when you only know half the
  361. science you can't see where their logic falls apart. A good example is:
  362. middle school "viruses make you sick", high school "your immune system
  363. fights off viruses", college "some viruses can't be fought off", doctoral
  364. "this is why this virus can't be fought off", post-doc "why does this virus
  365. not get fought off?"
  366.  
  367. Most AIDS denialist science in based on high-school logic, trying to
  368. interpret post-doc data, in my experience at least. The trouble comes when
  369. the post-doc science then has to trickle back down to the masses, and
  370. HIV=AIDS becomes the simple message, when it isn't strictly true for
  371. everyone, and when someone points this out suddenly the entire message is
  372. disbelieved. The trouble is the average reading age is at the 8th-9th grade
  373. level - or the "your immune system fights off viruses" level. Now go back
  374. and read your first line in this email...
  375.  
  376. Bennett
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