Læknaneminn


Læknaneminn - 01.04.1997, Síða 105

Læknaneminn - 01.04.1997, Síða 105
The drug-AIDS hypothesis * CDCs long catalog of AIDS-defining diseases proves that drugs alone could be responsible for the AIDS epi- demic (see Table 6). It is for this reason that through- out the epidemic drug-aware AIDS researchers found it difficult to distinguish between the drug and AIDS epi- demics as the following titles of their articles indicate: 1) 1987: AIDS and intravenous drug use: the real het- erosexual epidemic 145. 2) 1989: Cocaine abuse and acquired immunodefi- ciency syndrome: tale of two epidemics 12‘. 3) 1991: The Twin Epidemics of Substance Use and HIV 21. 4) 1991: AIDS, drugs of abuse and the immune sys- tem: a complex immunotoxicological network 124. 5) 1993: Entangled epidemics: cocaine use and HIV disease 123. 6) 1995: New picture of who will get AIDS is domi- nated by addicts 146 7) 1996: Clinical features of drug use and drug use related to HIV 40. 4. THE EPIDEMIC OF AZT AND OTHER ANTI-HIV/AIDS MEDICATIONS 4.1. DNA terminators licensed as a cure. In 1987 the American and European illicit drug epidemic had been joined by a new epidemic of toxic legal drugs, the DNA chain-terminators, such as AZT, that are pre- scribed to hundreds of thousands of HlV-positives together with a litany of other orthodox and unortho- dox anti-HIV/AIDS drugs (see 4.2. and Table 7). In America AZT was licensed in record time as an antivi- ral drug in 1987 by the Food and Drug Administration (FDA) based on studies conducted by its sister institu- tions from the Department of HHS, the National Cancer Institute 147 and the NIAID 148 together with the drug’s manufacturer Burroughs Wellcome. The fast approval of AZT- despite its inherent toxi- city- was a major coup of AIDS researchers 14°. By going public more aggressively than any other scientists before, American AIDS researchers from the NIAID, NCI and CDC had mobilized patients, homosexual AIDS risk groups and journalists to demand protection from the predicted AIDS explosion at any cost. As a result of this pressure the FDA and AIDS researchers fast-tracked first the approval of AZT and then that of ever-more untested anti-HIV/AIDS drugs 15°. Surprisingly, all of these drugs were eagerly welcomed by the medical and public press and above all by unsus- pecting AIDS patients. The politics behind the approval of AZT first by the FDA and the American medical orthodoxy, and then by the rest of the world has been described in two recent books, Good intentions 151 and Inventing the AIDS Virus ”. AZT and other DNA chain-terminators are now used both as AIDS prophylaxis and therapy in the hope that they will terminate HIV DNA synthesis without terminating cell DNA synthesis 152. However, there are several problems with this optimistic plan: 1) The licensing study conducted in 1986 by the National Cancer Institute (NCI) and Burroughs Wellcome had erroneously underestimated the toxicity ofAZT for human cells a 1000-foId 147! Although at least 7 independent studies have since pointed out this 1000-fold error 153'155, the recommended prescription dose has only been reduced 3-fold, from 1.5 g of AZT per day in 1987 to 0.5 g now 160’161. 2) The initial success of the American clinical licens- ing study conducted by the NIAID and Burroughs Wellcome, that claimed a 19-fold reduced AIDS-mor- tality 14s, could not be reproduced by numerous inde- pendent studies from other countries, including the UK 162, France 163, The Netherlands 164, Australia 165, and also not by an independent American study that was not supported by the NIAID and Burroughs Wellcome 166. 3) Contrary to the manufacturer’s information, DNA chain-terminators, such as AZT, ddl, ddC, 3TC and d4T, were not designed to kill viruses but to kill human cells. Most of them were originally synthesized over 30 years ago, long before AIDS was known, to kill human cells as cancer chemotherapy by terminating cellular DNA synthesis 167. Thus DNA chain-termina- tors are inevitably cytotoxic 149. 4) Even in the light of the HIV-AIDS hypothesis, AZT treatment as anti-HIV therapy is irrational. Since only about 1 in lOOOT-cells ofAIDS patients is infect- ed with HIV 25,26,30’32,168’170, AZT will kill 999 uninfect- ed T cells for every one that is infected 149,151,171t 172. Such a therapeutic index predicts that AZT cannot be beneficial as an anti-HIV drug. Moreover, since HIV is postulated to cause AIDS by killing T-cells, it is irra- tional to kill the same HlV-infected cells twice - once with HIV and again with AZT 26. LÆKNANEMINN 103 1. tbl. 1997, 50. árg.
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