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zaterdag 22 januari 2011

Comment XMRV Mouse DNA contamination -Retrovirology



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RETROVIROLOGY




Mouse DNA contamination
in human tissue tested for XMRV

Mark J Robinson, Otto W Erlwein, Steve Kaye,
Jonathan Weber, Oya Cingoz, Anup Patel,
Marjorie M Walker, Wun-Jae Kim, Mongkol
Uiprasertkul, John M Coffin and Myra O McClure


Retrovirology 2010, 7:108

doi:10.1186/1742-4690-7-108


````````````````
This study *Mouse DNA contamination in human
tissue tested for XMRV* by Robinson MJ et al, can
be found at: http://bit.ly/h1sz1q


~jvr

````````````````



http://bit.ly/eEqexI




Comments:


Robinson et al
flaws in study design


Gerwyn Morris


(21 January 2011)

PA institute



This article presents a methodological critique of the
study carried out by Robinson et al (1).

In essence this article submits that the work in
question departs so profoundly from the work of
other research groups that the results must be
treated with caution.

In particular these results are at best open to
interpretation and at worst may be the product of
experimentally induced artifacts.


Initially the results of the study by Robinson et al
appear unremarkable. The detection rate by PCR is in
line with that reported by Danielson et al but some
400% lower than that achieved by IHC using XMRV
specific probes (2, 3).

This of course means that any conclusion made by
PCR alone regarding the association of XMRV and
mouse DNA is profoundly unsafe.

One must also point out that Robinson et al did not
find higher rates of XMRV infection in cancerous
versus non cancerous sequences which is a serious
departure from the results of other workers.

In fact it is such a notable departure that an
explanation is needed.


The association between XMRV and mouse DNA in
this study is imperfect whereas in a contaminant
scenario it would not be. The authors theorise that
this may be due to the inability of their PCR assay to
detect XMRV in low copy numbers.


This hypothesis was unfortunately not put to the
test by using IHC which has been shown to be far
more sensitive than PCR.

As PCR is by some considerable margin the least
sensitive method for detecting XMRV in prostate
cancer (2, 3) and chronic fatigue syndrome (4) no
association between the presence of mouse DNA
and XMRV can be safely made.


The authors expressed surprise that their PCR
approach produced gag sequences which did not
contain the 24-nt deletion characteristically present
in the XMRV sequences cloned to date, as they
expected their primers to be specific to VP62 gag.

This raises a number of issues.

Firstly, despite the authors' expectations they
provide no evidence that their primers were specific,
merely that they were capable of detecting XMRV
gag (5, 6).

The only study which has detected XMRV in prostate
cancer using primers set for unique sequences in the
XMRV genome is Schlaberg et al 2009 (2).


It is therefore something of a mystery why
researchers concerned about mouse contamination
did not engage in a literature search to establish
whether the primers used in their experiments were
in fact specific to XMRV sequences which are unique
to the virus.

This is particularly vital as if the Schlaberg primers
did not produce the same results this study would
fall.


Secondly the presence of a recombinant with a
different gag sequence is entirely consistent with the
behaviour of XMRV-related viruses in vivo and is to
expected in tumour tissue (7).

This occurs via the interaction of the nucleic acid of
the exogenous viruses and the endogenous viruses
which permanently occupy mammalian genomes.


Indeed, the clone reported by the authors which
contained a 24 base pair deletion in glycogag would
be a classic example of a viral variant caused by the
recombination of XMRV and an endogenous MLV
virus.

The authors were in a position to clarify the issue
themselves which sadly they did not.

XMRV has unique sequences in the U3 integrase and
SU region.


From the authors report they had access to
sequences or whole clones containing the
information needed to confirm whether these were
recombinants or not. It seems astonishing that they
did not provide this information in the paper.


Finally,the authors by their own admission expected
a primer sequence constructed against a region
between U5 and the 5' end of GAG to be only
capable of amplifying XMRV.

These primers were part of a specific assay
developed by Urisman et al (2006) (5) but do not
compliment any region that is unique to XMRV.

It is possible that these authors misunderstood this
essential point.



It is difficult to fathom therefore why the authors
would conclude that these expected PCR findings
were evidence of mouse contamination when a far
more parsimonious explanation was available.


Indeed, one would argue that the authors (if aware
of recent research conducted by Danielson et al
2010) (8) should have been surprised that primer
sequences that they believed were specific to XMRV
gag would have produced any product at all.

The important point to note is that at this
juncture in the study there were no results
suggestive of any mouse contamination at all.



Next we turn to the section of the study where the
authors test the ability of their PCR assays (IAP and
mtDNA) to detect mouse DNA in mouse cell lines.

The cell lines named are McCoy and RAW264.7
(RAW). It is not clear whether both cell lines were of
mouse origin.

The McCoy cell line used could have been human in
origin. If so, it would have been spiked, as the
authors stated that they amplified mouse DNA from
both cell lines.


If they were both mouse cell lines then other
considerations enter the equation.

McCoy mouse cell lines express a polytropic MLV (9)
and the RAW cell line was initially transformed by
Abelson MLV.

These cell lines have the potential of introducing
other viruses into the experimental environment.


In any event, the presence of mouse DNA in these
cells must be considered as the source of
contamination reported in this experiment.

This seems to be a parsimonious explanation as
there was no evidence of contamination prior to the
use of these cell lines.



Finally, we examine the claim made by the authors
that IAP was a much more sensitive assay than
mtDNA PCR in detecting mouse DNA in transformed
cell lines.

The normal criticism of this statement would centre
on unfounded extrapolation from in vitro to in vivo
conditions. There is however more to consider here.


The environment of transformed and immortalised
cells is one of extremely high levels of oxidative
stress (10). Mitochondrial DNA is much more prone
to oxidative damage (due to its nudity) than genomic
DNA (11).

Indeed studies have demonstrated that such cell
lines are either depleted of mtDNA (12) or that the
mitochondrial genome is highly mutated (13).


Therefore the amount of mtDNA actually recoverable
by PCR in this experiment may well have been
minimal.

Thus before any claims regarding the relative
sensitivity of the two assays were made, the
integrity of the mitochondrial DNA should have been
investigated.


Moreover while the authors demonstrated that their
IAP assay could not amplify human DNA they did not
demonstrate that it could not amplify IAP sequences
in prostate tumour tissue.

This is particularly remiss of them as IAP sequences
have only been detected in PMBCS in cases of
Sjiornes syndrome but occur at a high frequency in
the DNA of people suffering from cancer (14).

The greatest concern however relates to the known
ability of retroviruses to package IAP sequences into
their genomes.

Hence a positive response to a IAP assay
may well just indicate XMRV or PMLV
infection.


The following is a quote from A Dusty Miller
expressing his view about the IAP test in a
communication to people with ME/CFS.


*....However, unpublished results suggest that IAP
sequences might be transferred by retroviruses, so
finding IAP sequences in human samples might
simply reflect IAP transfer by the XMRV and
XMRV-like viruses we are trying to detect....*



In conclusion, the findings of this study are
inconsistent with the reports of other workers.

Given the potential for the accidental introduction of
contaminant DNA into this experiment, the
conclusions cannot be safely generalised.

Similarly the claim that IAP is superior to , or even
as reliable, as mtDNA PCR in vivo is not supported
by the data cited as alternative explanations for the
findings are readily available.





References:


1) MJ Robinson, OW Erlwein, S Kaye, J Weber, O
Cingoz, A Patel, MM Walker , W-J Kim, M
Uiprasertkul, JM Coffin and MO McClure; Mouse DNA
contamination in human tissue tested for XMRV;
Retrovirology 2010,
7:108doi:10.1186/1742-4690-7-108

2) Schlaberg R, Choe DJ, Brown KR, Thaker HM, Singh
IR (2009) XMRV is present in malignant prostatic
epithelium and is associated with prostate cancer,
especially high-grade tumors. Proc Natl Acad Sci USA
106:16351–16356

3) RS Arnold, NV Makarova, AO Osunkoya, S Suppiah,
TA Scott, NA Johnson, SM Bhosle, D Liotta, E Hunter,
FF Marshall, H Ly, RJ Molinaro, JL Blackwell, JA
Petros; XMRV Infection in Patients With Prostate
Cancer: Novel Serologic Assay and Correlation With
PCR and FISH; Urology - April 2010 (Vol. 75, Issue
4, Pages 755-761,
DOI:10.1016/j.urology.2010.01.038)

4) JA Mikovits, Y Huang, MA Pfost, VC Lombardi, DC
Bertolette, KS Hagen and FW Ruscetti; Distribution
of Xenotropic Murine Leukemia Virus-Related Virus
(XMRV) Infection in Chronic Fatigue Syndrome and
Prostate Cancer; AIDS Rev 2010; 12: 149-52

5) Urisman A, Molinaro RJ, Fischer N, Plummer SJ,
Casey G, et al. 2006 Identification of a Novel
Gammaretrovirus in Prostate Tumors of Patients
Homozygous for R462Q RNASEL Variant. PLoS Pathog
2(3): e25. doi:10.1371/journal.ppat.0020025

6) B Dong, S Kim, S Hong, J Das Gupta, K Malathi,
EA Klein, D Ganem, JL DeRisi, SA Chow, and RH
Silverman; An infectious retrovirus susceptible to an
IFN antiviral pathway from human prostate tumors;
PNAS January 30, 2007 vol. 104 no. 5 1655-1660
10.1073/pnas.0610291104

7) H van der Puttena, W Quinta, J van Raaija, ER
Maandaga, IM Verma and A Bernsa; M-MuLV-induced
leukemogenesis: Integration and structure of
recombinant proviruses in tumors; Cell, Volume 24,
Issue 3, 729-739, 1 June 1981 doi:10.1016/0092
8674(81)90099-4

8) BP Danielson, GE Ayala and JT Kimata; Detection
of Xenotropic Murine Leukemia Virus-Related Virus in
Normal and Tumor Tissue of Patients from the
Southern United States with Prostate Cancer Is
Dependent on Specific Polymerase Chain Reaction
Conditions; J Infect Dis. (2010) 202 (10):
1470-1477. doi: 10.1086/656146

9) Fong CK, Yang-Feng TL, Lerner-Tung MB;
Re-examination of the McCoy cell line for
confirmation of its mouse origin: karyotyping,
electron microscopy and reverse transcriptase assay
for endogenous retrovirus; Clin Diagn Virol. 1994
Apr;2(2):95-103.

10) RH Burdon, V Gill and C Rice-Evans; Oxidative
Stress and Tumour Cell Proliferation; Free Radical
Research 1990, Vol. 11, No. 1-3 , Pages 65-76

11) C Richter, J W Park, and B N Ames; Normal
oxidative damage to mitochondrial and nuclear DNA
is extensive; PNAS September 1, 1988 vol. 85 no. 17
6465-6467

12) J-I Hayashi, M Takemitsu and I Nonaka;
Recovery of the missing tumorigenicity in
mitochondrial DNA-less HeLa cells by introduction of
mitochondrial DNA from normal human cells;
Somatic Cell and Molecular Genetics Volume 18,
Number 2, 123-129, DOI: 10.1007/BF0123315

13) M Bakhanashvili, S Grinberg, E Bonda, AJSimon, S
Moshitch-Moshkovitz and G Rahav; p53 in
mitochondria enhances the accuracy of DNA
synthesis; Cell Death and Differentiation (2008) 15,
1865–1874; doi:10.1038/cdd.2008.122

14) W Seifarth, H Skladny, F Krieg-Schneider, A
Reichert, R Hehlmann, and C Leib-Mösch;
Retrovirus-like particles released from the human
breast cancer cell line T47-D display type B- and
C-related endogenous retroviral sequences; J Virol.
1995 October; 69(10): 6408–6416




Competing interests

None declared








~~~~

GcMAF -Promise & Pitfalls -ME/CFS


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Rutts tankespinn og ME-nyheter

Det meste av det siste innen biomedisinsk forskning
pD ME



GcMAF – The promise and the pitfalls


By Rutt


21.01.11




*Gcmaf is one of the most promising, if not the
most promising drug for ME/CFS this side of
ampligen and far cheaper than ampligen.


Dr. Cheney, Dr. Kenny de Meirleir and others are
running small-scale studies with this compound
which was found by its proprietor, Dr. Yamamoto to
eradicate HIV.


Dr. De Meirleir recently announced that the combo of
gcmaf and nexavir (an immune modulator) converted
a patient from XMRV sero-positive to -negative.

I have been in contact with multiple patients,
including one XMRV-pos whom has improved
significantly from this natural compound which
stimulates macrophage activity.



The questions that remain are:

1) which source out of the three (Yamamoto, Dr De
Meirleir, BGLI in the Netherlands) has the most
potency and contains 100% human derived material
– this question can only be answered by a truly
independent lab.


2) what is the true role of VDR status in predicting
treatment outcome and which lab has the accurate
results (currently redlabs Belgium seems to produce
conflicting results with Amy Yasko’s lab)


3) what role will the FDA play? Currently shipments
of BGLI gcmaf are being held up at customs, yet
patients are biting the bullet and ordering in hopes
their shipment will slip through the cracks. As if
patients haven’t been skewered financially enough.



In my own opinion, this drug holds so much promise
not only in terms of results but in terms of method
of action.

It triggers innate immunity so it is unlikely to lead to
viral resistance, superbugs, or the viral biofilms that
were announced in sciencedaily this morning.

Bacterial biofilms developed theoretically due to
rampant antibiotic use. Life will find a way, and
therapeutically we have a choice to try to beat the
bug into submission with WMDs like ARVs or bolster
our own immunity.


However, the caveat is, Ampligen theoretically was
supposed to stimulate our immunity to enable us to
win the war, and patients inevitably always relapsed
once they stopped the drug.


With that said, perhaps a combination of both routes
can cover the gamut, which may be why some
high-profile XMRV researchers are discussing testing
terrain therapies such as peptide T, gcmaf, nexavir,
and even stem cells in combination with HAART.


With XMRV, it is far more likely than with HIV, that
reservoirs are a primary issue because it is
slow-replicating.

Therapies such as interleukins have been used to
draw HIV out of latency with varying success.

XMRV researchers will likely need to consider the
problem of drawing virus out of latency (ie stem cells
since stem cell division equals viral replication) as
well as cutting the provirus (the viral DNA integrated
into our human DNA) with methods that mimic
restriction enzyme systems which remove foreign
viral DNA from our own DNA.

Leave the provirus in there and it may trigger
oncogenes, which may be why XMRV has been found
in prostate and breast cancer.


A somewhat overlooked risk with gcmaf is that XMRV
and HIV have been found in macrophages, so taking
a macrophage-stimulator is in theory a bit like giving
your crippled bodyguard steroids to take on the guy
that did the crippling. A logical fallacy if you will, but
results speak louder than funny-looking bodyguards.

Another thing is macrophages have been found in the
temporal lobes, so triggering latent retroviruses in
the brain may be a recipe for disaster.


In the end, gcmaf is but one way to attack the virus.
I just hope we get to find out what it can really do
before the powers that be decide to intervene
because its an unpatentable substance that happens
to achieve what billions of dollars of research into
HIV drugs has failed to achieve.*





~~~~

donderdag 20 januari 2011

XMRV presentation -Dr. Mikovits & Annette Whittemore -Part 2



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http://bit.ly/h8r59k


Lannie in the Lymelight

Actively pursuing a new title. Soon to read:
"The girl who healed herself of CFS and Lyme"



Wednesday, January 19, 2011


PART 2:


1/17/11


XMRV presentation by
Dr. Judy Mikovits and
Annette Whittemore


For Part 1 CLICK HERE: http://bit.ly/g6tqzB






And now back to the story of XMRV.
What do we know about XMRV?




slide 1: see below



What we know about XMRV is that it integrates into
human tissue, demonstrating that it is a human
infection.

We can confirm it is NOT an endogenous virus to
humans. It is in fact a new human retrovirus.

However, how it got into humans is still unclear at
this time. We know that XMRV expression is
stimulated by androgens(hormones), cortisol and
inflammation.

And we know that it is an envelope gene that is
highly related to xenotropic, polytropic and SSFV
MLVs. This relation, or similarity, that the XMRV
envelope has is important.

We know in the animal world that Xenotropic,
polytroips and SSFV MLVs cause neuroimmune
disease and lead to tumors.

There is information available to us in these animal
models that allow for us to make very short leaps to
humans. It is common place in science to utilize
these similarities in animal models.

These do not usually point hysterically to animal
contamination, but are considered a starting point
or, as both Whittemore and Mikovits called it, *a
bridge* for researchers.



We also know a bit more related to biomarkers
common to those with XMRV.


slide 2: see below


I’m afraid I can’t remember what ATL stands for, but
basically it’s representing a category of people with
XMRV and comparing them to uninfected.

You’ll notice extreme increase in Cytokine and
Chemokine Production.


There is also proof that XMRV infected patients have
fewer T-cell white blood cells.



slide 3: see below


There are further immune cell abnormalities for those
with XMRV.


slide 4: see below


As we’ve heard before, XMRV infected patients have
reduced Natural Killer cells. What does this actually
mean?

The CD56, the cell that manages the killing off of
bad things is significantly reduced. Therefore we
can’t fight off infection as well as a healthy
counterpart.

The CD19, which creates B cells is severely reduced.
The CD19 is related to our production of immature
CD20, which has a direct correlation with tumors.

Mikovits did note some reported success published in
regards to Rituxan, a chimeric monoclonal antibody
against the protein CD20, which is primarily found on
the surface of B cells.

Rituximab is used in the treatment of many
lymphomas, leukemias and transplant rejection. It
has also been used off label for numerous
autoimmune disorders such as Rheumatoid Arthritis,
Multiple Sclerosis and Lupus to name just a few.

The last note is very important, XMRV infected
patients have clonal populations of gd T-cells. This is
important, as look at the next slide…


slide 5: see below



This slide depicts 20 CFS patients, all XMRV+(less 3
not tested), all Clonal TCRg positive (less 5 not
tested), and these are all of the types of
Lymphoma/cancer they have (the 3 suspicious means
they’re showing signs of early stage).


Until the team of Lombardi, Mikovits, et al, no one
had a tool to detect XMRV. This is an image of how
they perform the lab work to find XMRV results.


slide 6: see below


The top half shows the original process performed for
the Science, 2009 published research.

Mikovits spoke of step 1 was Plasma. Step 2 was
Serology. Step 3 was to culture with the XMRV
prostate cancer cell lines and then let grow for 21-42
days, varying awaiting activation.
Then Step 4, a western blot of the cultured sample.

She noted that the lab can only handle 10 samples
through each stage at a time, as this process is so
labor intensive, hence the delay in results.


The bottom half with images under *Current* is the
process they’re using and planning to have available
at VIP Dx by June 2011.

This is a new assay that cultures in 4-18 days. You
can see it is active, or ready when it turns green
(see white squares with blue and green dots).


In discussing tests, another very important take
away was that if you test positive you are positive.

If you test negative, they are not able to confirm it
is absolutely negative. Until there is further
understanding of the XMRV lifecycle, they can not
confirm this.

One last note, she mentioned that serology AND
culture were so very important to have run.

As a patient, I remember filling out the form for VIP
Dx. It is cheaper to only run serology, but that is not
recommended.

Mikovits noted *especially the sickest, get negative
antibody response, but positive culture.*

I’ll cover treatment later, but she also noted that
once some of these especially sick patients went on
antiretrovirals they were able to create an antibody
response.

Prior to, their systems were just too weak. Creating
an antibody response would cause the patient to
then also report positive on serology.


slide 7: see below


You *never see these in healthy people!* exclaimed
Mikovits. She stressed how the positives and
negatives are SO CLEAR.

You can see in this slide above, sample 1197 is
clearly negative. Yet the rest are so clearly positive.

She showed an interesting example here. I
unfortunately wasn’t quick enough with my camera to
nab the initial slide.

We first saw an initial antibody test where sample
1118 was negative. Then this slide was shown, after
more extensive culture testing, 1118 is clearly
positive.

This is where she stressed that 1118, like many,
many not specifically have XMRV, but most definitely
has an MRV.

Going back to my comment from Part 1, of the
Phylogenic Tree. There are multiple sequences these
patients can fall under. Some can even be positive
for more than one.


So where are we seeing XMRV? The disease
association seems limitless. It’s showing up in every
corner of the neuroimmune world.


slide 8: see below


One private practice shared it’s associations with
Mikovits and the WPI team. This practice started
testing its neuroimmune patients and soon found
they were treating XMRV positive patients with CFS,
Fibromyalgia, Chronic Lyme Disease, Multiple
Sclerosis, Parkinson’s Disease, ALS, the list goes on.

I think it is safe to say this is a private practice for
adults, therefore we’re not seeing the children with
autism in this example as we did with the family
profiles from Part 1 discussion.

Finally, it was noted that XMRV research has
concentrated around ME/CFS to date, but larger
studies on the presence of XMRV in these other
neuroimmune diseases are coming.


As a Chronic Lyme Disease patient, I found it very
interesting that much of this conversation seemed to
go back to Lyme again and again. During the
presentation and the Q&A session.

In the presentation they referenced a study where 65
Chronic Lyme Disease patients were tested for
XMRV, and 100% came back positive.

This was the most reactive group the WPI has seen.
That is a higher rate than ME/CFS! I thought Annette
Whittemore said it best:

*Every time we hear something new
about XMRV, we find a similar finding
within Lyme. It’s amazing!*


So now what we’ve all been waiting for. Treatments
options!!


slide 9: see below



This first slide was a reminder of the study
performed by Singh, et al in vitro.

Three antiretrovirals showed promise amongst 45
compounds and 28 drugs approved for use in
humans. Those three include Zidovudine(most know
it as AZT), Tenofovir and Raltegravir.

The study showed all two-drug-combinations showed
efficacy against XMRV in vitro.


slide 10: see below


Given those results, Dr. Brewer, an infectious
disease specialist who’s spent much of his career in
HIV but more recently in ME/CFS and XMRV, has used
2 and 3 drug combination antiretroviral treatments
with a CFS/XMRV+ patient sample of 25.

The results have been a mixed bag among the
patients on ARVs anywhere from 1-9 months.

The expected Herxheimer response occurred in some
as would be expected.

Symptom reduction has been reported, however
majority reported feeling *about the same.*

(I think it's very important to remember that these
25 patients have been on the AVRs anywhere from
1-9 months, and most likely on the shorter end of it
considering how young the AVR concept is for
XMRV...

if we think about antivirals, patients have to be on
them for much longer before they start feeling
better) Dr. Mikovits referenced Dr. Deckoff-Jones,
along with Brewer’s patients and a few others.

She has noticed a common theme of patients feeling
better around 6 months, followed by a return of all or
most symptoms. It sounds very similar to what
happens to many on antivirals.

I appreciated that she didn’t stop here however. She
went on to ask herself and her team *how can we
add immune modulating supplements to keep up the
response beyond 6 months?*

That might be the next step we see in antiretroviral
(ARV) discussion.




slide 11: see below



Next, Mikovits covered her *other thoughts* beyond
Singh’s and Brewer’s experiences/findings with ARVs.

She recognized ARVs might be part of the picture,
but they do not address the entirety.
XMRV patients are still dealing with metabolic
abnormalities including oxidative stress, glutathione
depletion and DNA hypomethylation.

The concern is that all three of these are not only
abnormalities in XMRV patients, but they all increase
viral replication.



slide 12: see below



She first discussed how the restoration of
glutathione would reduce stress on XMRV patients
remarkably.

Next, she covered the need to restore and or improve
methylation. She suggested methofolate in B12, and
specifically mentioned supplements called Deplin and
Cerefolin NAC.


When discussing Immune Modulation, Mikovits
introduced a few points that were new to me.

She sees great promise in the newer treatment
options popping up such as GcMAF, Stem Cell
Therapy and Peptide T.

However she is concerned that they may *activate
the inactive reservoir XMRV.* Meaning there could be
some XMRV in our bodies that is still dormant, but
activation of our immune system might bring them
out.

However, she didn’t stop there. She mentioned that
this might actually be a good thing. As ARVs are
more effective in HIV since HIV replicates
considerably more than XMRV, maybe one of these
will get XMRV replicating so the ARV has a job to
do.

Another area that will surely be discussed further.


She addressed Ampligen separately. This drug has
been around and documented more than the previous
three discussed.

Her comment on Ampligen was that it activates the
viruses in about 1/3 of the cases. So there again, it
could be a matter of hitting those with ARVs.

However, a little scary for those in the Ampligen
trials and are unable to take antivirals or
antiretrovirals while on Ampligen.


Net, net, more research needs to be done before she
can make recommendations on treatment as a
researcher.


Finally, what does the future look like for XMRV, and
for its patients?


slide 13: see below


The slide is pretty straight forward. It was not
hovered over for all that long. What I took away from
her discussion was that the question of being able it
isolate a polytropic was most interesting to
Mikovits.

Note this was only my opinion.


The subject I’ve stayed away from, that was
discussed intermittently, was the politics of it all.
Our government’s involvement, or lack thereof.

I’d like to close with a quote from Mikovits, when
asked about the politics and all the second guessing
that has occurred regarding her research today.

Very confidently, and quickly she retorted, *I think
the politics will go away shortly.* Period. All she
said. There was a gasp in the room, and she moved
on as if she had just said *please pass me a glass of
water.*

This leads me to believe there is a research paper on
its way to being published that will close the case on
the contamination theories, the replication theories,
and hopefully the cause/effect query.

Just my take, but she seemed pretty darn
comfortable making that statement…:

*I think the politics will go away shortly.*

All I can say to that is, let's sure hope so!


````



**Please note, Lannie is not a scientist, doctor or
treating physician. She is a patient that has taken an
interest in her own health and while doing so is
attempting to share her learnings for the larger
patient community.

These are only her opinions and take-aways. If you
feel a piece of science has been incorrectly reported,
feel free to contact Lannie with a suggested change
– via the comments section or at
lannieinthelymelight@gmail.com – Thanks!





``````````

~jan van roijen - Attention:


because of technical problems, it is possible, that
some of the URLs below give a warning:

Stop
there might be a problem with the requested link

The link you requested has been identified by bit.ly
as being potentially problematic. We have detected
a link that has been shortened more than once, and
that may be a problem.



1) Bit.ly suggests that you

* Change the original link, and re-shorten with
bit.ly
* Close your browser window
* Notify the sender of the URL


2) Or, continue at your own risk to:


http://4.bp.blogspot.com/_zaI4UJCrCNY/.............etc.


You can click then on the long URL without any
problem:



slide 1: http://bit.ly/e1t8aA

slide 2: http://bit.ly/i787vB

slide 3: http://bit.ly/dEwY25

slide 4: http://bit.ly/fNTgXQ

slide 5: http://bit.ly/hl42da

slide 6: http://bit.ly/e6V5na

slide 7: http://bit.ly/h3aWSH

slide 8: http://bit.ly/dWaqEp

slide 9: http://bit.ly/gN9PMz

slide 10: http://bit.ly/dLAflj

slide 11: http://bit.ly/h8SGHX

slide 12: http://bit.ly/hMlGED

slide 13: http://bit.ly/erD8a1




~~~~

dinsdag 18 januari 2011

XMRV presentation -Dr. Mikovits & Annette Whittemore



~~~~~~~~~~~~~~~~~~~~~
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~:~:~:~:~:~:~:~:~:~:~:~:~:~



http://bit.ly/g6tqzB



Lannie in the Lymelight

Actively pursuing a new title. Soon to read:
"The girl who healed herself of CFS and Lyme"



Monday, January 17, 2011


PART 1: 1/17/11



XMRV presentation by
Dr. Judy Mikovits and
Annette Whittemore


[Please note all slides have been temporarily
removed, awaiting approval from the WPI.
Thank you for your patience. Please come back to
visit soon!]



Today I attended

*Chronic Fatigue Syndrome, the XMRV Retrovirus,
and the Human MLV-related Viruses: The latest on
testing, treatments and research into XMRV and its
relationship to chronic inflammatory neuroimmune
disease, including Chronic Fatigue Syndrome,
Multiple Sclerosis, Fibromyalgia, Chronic Lyme
Disease and Cancer*

organized and hosted by Gordon Medical Associates
in Santa Rosa, CA.

Presenters were Dr. Judy Mikovits, Director of
Research, Whittemore Peterson Institute and
Annette Whittemore, President and Founder,
Whittemore Peterson Institute.



I would be curious the final headcount, but if I had
to estimate I’d guess approximately 150 people were
in attendance. Gordon Medical Associates did a
fantastic job organizing the event. It started off a
little shaky as Dr. Mikovits was stuck on a plane en
route from Reno.

However, highlighting the collaborative nature of the
WPI, Annette Whittemore took to the stage and
presented a large part of Judy’s presentation
eloquently and thoroughly – saving only the scientific
diagrams for when Dr. Mikovits arrived.



The presentation started with a bit of background on
the Whittemore Peterson Institute (WPI), including
the building itself.

The building came to be simply out of the need for
visibility and collaboration. Whittemore knew the
disease ailing her daughter was multi-systemed, and
there were many different types of specialists
required to address the research needs of CFS.

She saw many of these different types of specialists
were housed in buildings throughout the University
of Nevada-Reno.

Instinctively she knew the only way to effectively
collaborate was to be among them. That is where
the vision took hold.



She spoke of lobbying efforts to Carson City in 2005
and 2007 for funding – noting funding could only be
secured every two years.

The first WPI fundraiser was organized in 2005, this
coming year they’ll hold their 7th annual. And finally
the Whittemore family themselves made a financial
commitment. Through this three pronged approach
the Whittemore Peterson Institute, in concept and
bricks and mortar, was in fact a reality.



She talked about how in early days, when naming
the WPI as well as discussing the issue in
fundraising, she had to *lose CFS.*

She remembered to back when she used the term
CFS, it caused more confusion and doubt. This was
where the name Whittemore Peterson Institute for
Neuro-Immune Disease was born.



Taking it a step further she, along with her WPI
cohorts thought, *how could 20 different viruses
cause this one disease?*

There *must be one underlying cause.* In the
research she had performed, simply trying to help her
daughter, she saw the glaring similarities amongst
CFS, Fibromyalgia, Gulf War Syndrome, Autism,
Multiple Sclerosis, Parkinsons.

These neuro-immune dysfuctions were common in
families and in geographical cohorts. They knew they
had something very important on their hands, and
they’ve been committed to the neuro-immune cause
ever since.


Enter the detection of a brand new retrovirus, XMRV.


(Science 2009 Slide,
http://www.ncbi.nlm.nih.gov/pubmed/19815723)


As most of you know, the detection of XMRV in blood
cells of patients with CFS was first published in
Science, October of 2009.

At the time XMRV RNA/DNA was detected in 67% of
patients with CFS, XMRV protein was detected in
greater than 85% stimulated/dividing T and B cells,
and an antibody to XMRV Envelope was detected in
over 50% of CFS patients.

Exactly one year later Mikovits was published again,
after improving on original testing techniques to find
XMRV infection in 98% of the original cohort.


And then… there were critics. Some suggested
false positives due to mouse DNA contaminations.
Others suggested it wasn’t replicable, and
therefore claiming false positives.


(Disparity Slide)


Both Whittemore and Mikovits addressed the
skeptics – confidently, calmly and articulately.

Whittemore put it best when sharing what Mikovits
has many times reminded her:

*positive papers take forever – months or even
years to publish. Negative papers only take a few
weeks (to publish).*



Reasons for disparity in published results include a
high level of sequence diversity in XMRV. A simple
PCR would not recognized all the strains. And
unfortunately many labs performing the research are
not running the exhaustive 5 different tests to
confirm XMRV.

They have been found to be only running a PCR,
which is not exhaustive enough of a test.

Whittemore quotes Mikovits here again as saying:

*Not one virus has ever been discovered through
PRC,*

basically communicating the frustration - why would
they think they could easily find a brand new
retrovirus this way all of a sudden?

This is why the WPI performs a full 45 day culture on
each sample.

Mikovits also points out that these exhaustive tests
must be run as XMRV lifecycles are not known yet. It
may show up under different testing scenarios,
depending on the stage of lifecycle it’s in.



Another reason for disparity is related to cohorts.
Depending on the criteria used for CFS, the cohorts
could include patients who do not in fact have CFS.

As we all know, the weaker criteria let patients who
suffer from issues such as severe depression fall into
the CFS cohort.


Another area that must be considered is the
likelihood of disparity in the global distribution of
CFS and XMRV. Just as there is in HTLV-1, XMRV will
most likely be more prevalent in some countries than
others.



Mouse cell contamination causing false positives is
absolutely a possibility for disparity.

However, when this concern has been raised, the
argument has never been able to confirm why CFS
patients blood comes up XMRV+ (leading skeptics to
cry contamination) while the *healthy* cohort still
not result in high positives.

If in fact, there was mouse contamination, both the
CFS as well as the healthy cohort would have similar
high results of XMRV positive.



Even with skeptics galore, hope is not lost. Enter a
second study, confirming what Lumbardi, Ruscetti,
Mikovits, et all proposed in Science, October 2009.

This paper, known as the Lo/Alter for Dr. Shyh Ching
Lo and Dr. Harvey J. Alter, found MRV, closely related
to Polytropic MLV, in 86.5% of CFS patients and
6.8% of healthy controls.


(Lo, Alter slide,
http://www.pnas.org/content/early/2010/08/16/1006901107.full.pdf+html)



Again, understanding the nay-sayers to the Science
publication, the Lo/Alter team rigorously ruled out
contamination.

They are the only other study, like that published in
Science 2009, that controlled its own samples.

If samples are not pristinely maintained (i.e. some
might be frozen and thawed),

*the results will be negative,*

confirmed Mikovits.



They took their testing a step further than had been
done before. All samples used for this research were
from a cohort of CFS patients from the east coast,
some 15 years ago.

The team tracked down 9 of the patients who were
MRV positive and retested them today. All 9 were
still positive.



The question is always raised – what does MLV or
MRV have anything to do with XMRV?

Here is a picture of the Phylogenetic Tree of XMRV(P)
and Other Gammaretroviruses.

All those strains included in the arc are identifiable
and can be considered XMRV.

Mikovits mentioned since her original study published
in 2009, she has taken 100 of the CFS samples and
retested them with more sensitive testing.

30 of the original 100 have two known sequences,
not simply one. The only way to find these is through
extensive testing and cultures.

Again, why a simple PCR run by these non-successful
XMRV replication studies aren’t practicing thorough
science.


(Phylogenic Tree of XMRV slide)



Another study, unpublished, but shared with the WPI
is from the Cheney Clinic in North Carolina.

He tested a group of 47 patients, all families, with
81% positive for XMRV.

The findings in this group are astounding. The ratio
of male to female was identical.

This is NOT a woman’s disease! Half of all family
members with a CFS case are XMRV+.

And then the list goes on and on of parent/child
correlations with CFS, XMRV and Autism.


(Cheney family slide)



The WPI followed suit in their own exercise,
performing a family study with multiple
Neuroimmune Diseases.


(WPI family study slide)


In each of the 6 clusters, the top 2 are the parents
with the children underneath them.

LIGHT BLUE = FIBROMYALGIA,
DARK BLUE = CFS,
GREEN = AUTISM.

Under each shape is their XMRV result.

V= virus found in culture,
Av = antibody test,
NT=not tested


Family 1, upper left corner – One parent XMRV + for
virus by culture and XMRV + for antibody, one parent
XMRV + for the antibody. Neither parent
symptomatic. Child with Autism, XMRV + for the
virus.


Family 2, top row, middle – One parent with CFS and
XMRV+ for antibody. Two children with Autism; one
XMRV+ for virus by culture, one XMRV+ by antibody.


Family 3, upper right corner – One parent with CFS
and XMRV+ for virus by culture. Child with Autism,
XMRV+ for virus by culture.


Family 4, bottom left corner – One parent with CFS
and XMRV + for virus by culture. Two children with
Autism, both XMRV+ for virus by culture.


Family 5, bottom row, middle – One parent with CFS,
Fibromyalgia and XMRV+ by antivody. Child with
Autism, XMRV+ for virus by culture and by antibody.


Family 6, bottom right corner – One parent with CFS
and XMRV+ by antibody. Child with Autism, not
tested for XMRV.



A quick summary provided by Dr. Mikovits regarding
families. She can confirm, there is XMRV in children
under the age of 5.

To date they have confirmed XMRV in 16 of 17
families with neuroimmune disease amongst multiple
members. Finally, that more work needs to be done
to confirm pathogenesis and transmission.






````````

PART 2: Biomarkers specific to XMRV, Treatment
discussion, and The Future of XMRV










~~~~

maandag 17 januari 2011

Dr Mikovits interview with radio KRCB


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http://on.fb.me/gaij5P


XMRV Global Action's transcript
of Dr Mikovits' interview with radio KRCB


Jan 14, 2011

By XMRV Global Action


Saturday 15 January 2011


KRCB


The content is very familiar but here's the transcript
for those of you who just can't get enough XMRV,
and are interested in what was said....

(May also save you the time of listening to it :)



Bruce Robinson for KRCB
interviews Dr. Judy Mikovits


January 14, 2011

Link: http://krcb.org/north-bay-report/


Interviewer:

A recently discovered virus called XMRV has been
associated with two very different medical
conditions.



Dr. Mikovits:

We’ve identified a new family of human retroviruses,
known as the gammaretroviruses, of which XMRV is
the first to be isolated, which we did last year, and
those are implicated now in CFS, a neurological
disease, as well as the original discovery implicated
them as playing a role in prostate cancer.



Interviewer:

That’s Judy Mikovits… she explains that this human
retrovirus, only the 3rd such virus already identified,
seems to amplify the effects of disease.

She adds that it may also come to be used as a
biological marker for the early identification of those
men most at risk for aggressive prostate cancers.



Dr. Mikovits:

The virus is present in the most aggressive types of
prostate cancer.

Right now, we take a “watch and wait” attitude
because we don’t know in which person the cancer
will kill them, and in which the cancer will be
controlled by the immune system.

But if this is a biomarker of the most aggressive
cancer, then we can have a better treatment protocol
and save millions of dollars in public health by not
treating people who don’t need treatment as early,
and really change the way we treat prostate cancer.



Association with CFS

… We have associated XMRV with a significant
portion of the cohorts throughout America, and the
group of Dr Lo and Alter at the FDA and NIH
confirmed that on the East Coast.

There have been several groups also in Spain,
Norway and Belgium where we have identified the
virus, very high numbers of CFS.



Interviewer:

… Recent research suggests that 4% or more of all
Americans may be infected with the retrovirus, which
is called that because it reverses a section of DNA.
Mikovits says those carriers can be identified with a
series of tests.



Dr. Mikovits:

We don’t know where inside the body right now is
the major reservoir of the virus, where it’s hiding.

So we test by culturing the virus out of every
patient’s blood. We also look for the immune
response, so if you’re making the antibodies to the
retrovirus, then you are infected with the retrovirus.



Interviewer:

But when there is a positive test, she adds, the
infection is there to stay.



Dr. Mikovits:

The DNA of the virus is integrated into your cells for
the life of those cells, so it is a lifelong infection.



Interviewer:

Because XMRV was only recently identified and
isolated, its possible effects and associations are
quite controversial, and they are only beginning to
be studied.

New areas of inquiry include possible associations
with Lyme Disease, breast cancer, and other cancers.





M.S.


~~~~

zaterdag 15 januari 2011

Gluten & Gastrointestinal Symptoms -Without Celiac Disease




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~:~:~:~:~:~:~:~:~:~:~:~:~:~~



Because many ME/CFS patients suffer from *Irritable
Bowel Syndrome* (IBS), this article may be of
interest.



Personal experience:

After a strong positive H2S Urine Test [PROTEA
Biopharma - see Co-Cure: http://bit.ly/f71l6r],

a severe bowel-dysbiosis was found with a
overgrowth of H2S and d/l lactate-producing bacteria.
Also found were several intolerances: gluten,
fructose and lactose.

Immediately after the gluten-, fructose-, lactose-free
diet, I became very sick with high fever and
night sweats; which was explained as detoxification
symptoms.

I'm still busy with a long antibiotic cure.



~jan van roijen




````````


http://bit.ly/fqkJ7l


AJG

The American Journal of
GASTROENTEROLOGY




Colon/Small Bowel


(11 January 2011)

doi:10.1038/ajg.2010.487


Gluten Causes Gastrointestinal
Symptoms in Subjects Without Celiac
Disease: A Double-Blind Randomized
Placebo-Controlled Trial


Jessica R Biesiekierski, Evan D Newnham, Peter M
Irving, Jacqueline S Barrett, Melissa Haines,
James D Doecke, Susan J Shepherd, Jane G Muir
and Peter R Gibson



OBJECTIVES:

Despite increased prescription of a gluten-free diet
for gastrointestinal symptoms in individuals who do
not have celiac disease, there is minimal evidence
that suggests that gluten is a trigger.

The aims of this study were to determine whether
gluten ingestion can induce symptoms in non-celiac
individuals and to examine the mechanism.

METHODS:

A double-blind, randomized, placebo-controlled
rechallenge trial was undertaken in patients with
irritable bowel syndrome in whom celiac disease was
excluded and who were symptomatically controlled
on a gluten-free diet.

Participants received either gluten or placebo in the
form of two bread slices plus one muffin per day with
a gluten-free diet for up to 6 weeks.

Symptoms were evaluated using a visual analog
scale and markers of intestinal inflammation, injury,
and immune activation were monitored.



RESULTS:

A total of 34 patients (aged 29–59 years, 4 men)
completed the study as per protocol.

Overall, 56% had human leukocyte antigen
(HLA)-DQ2 and/or HLA-DQ8.

Adherence to diet and supplements was very high.

Of 19 patients (68%) in the gluten group, 13
reported that symptoms were not adequately
controlled compared with 6 of 15 (40%) on placebo
(P=0.0001; generalized estimating equation).

On a visual analog scale, patients were significantly
worse with gluten within 1 week for overall
symptoms (P=0.047), pain (P=0.016), bloating
(P=0.031), satisfaction with stool consistency
(P=0.024), and tiredness (P=0.001).

Anti-gliadin antibodies were not induced. There were
no significant changes in fecal lactoferrin, levels of
celiac antibodies, highly sensitive C-reactive protein,
or intestinal permeability.

There were no differences in any end point in
individuals with or without DQ2/DQ8.


CONCLUSIONS:

*Non-celiac gluten intolerance* may exist, but no
clues to the mechanism were elucidated.



``````




To read this article in full you may need to log in,
make a payment or gain access through a site
license [http://bit.ly/fqkJ7l]





~~~~

vrijdag 14 januari 2011

Dr. Mikovits -Retrovirus Reaction



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http://bit.ly/hcYB09



bohemian.com

The Arts

01.12.11


review


Retrovirus Reaction

Dr. Judy Mikovits stirs up controversy in
neuroimmune disease community



By Leilani Clark


*If you've been sick for 10 years, 20 years, 30 years,
and you've been to all kind of doctors and you can't
seem to get well, these people are desperate to find
what might be the key to helping them,* says Tom
Klaber.

*For some of them, XMRV could be just the thing.*


Klaber, a principal at Santa Rosa consulting company
Bridge Medicine & Health, has been instrumental in
bringing Dr. Judy Mikovits to Sonoma County.

Mikovits is the lead author of a 2009 paper published
in Science Magazine showing that more than 70
percent of patients diagnosed with chronic fatigue
syndrome also tested positive for XMRV, a human
retrovirus discovered in 2006.

One of only three known retroviruses (HIV being
another), the discovery may hold the key to
unlocking the mysteries of many illnesses, including
prostrate cancer, fatigue, lymphoma, multiple
sclerosis and autism.


Like medical theatrics straight out of a Michael
Crichton novel, certain groups have challenged
Mikovits claim that strong associations can be made
between XMRV and cancer or other neuroimmune
diseases.

A study in England purported to find none of the
retrovirus in blood samples, a claim later discredited
when it was revealed that the researchers had used
an entirely different method of testing from the
original.


*[Mikovit's paper] really upset a lot of apple carts,*
says Klaber. *There were people with cherished
beliefs about the cause of chronic fatigue were not
happy. Ego, greed, prestige and power is as rampant
in academia as anywhere else.*


Klaber encourages anyone suffering from chronic or
debilitating illness to attend the public talk.

*Significant numbers of people have chronic illness
and just can't feel happy,* he says. *XMRV is
obviously playing a role for many of these people.*


Find out more about XMRV when Dr. Judy Mikovits
speaks on Monday, Jan. 17, at the Friedman Center.
4676 Mayette Ave. 2pm. Free. 707.396.5835.



Send a letter to the editor about this story
[http://bit.ly/i6nl7L]




~~~~

donderdag 13 januari 2011

Dr. Mikovits dismayed about Private Conversation




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~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~





From: Jamie Deckoff-Jones

Re: [CO-CURE] med: XMRV+ve Patients & Retroviral Treatment



Dear Jan,

We all wish that this account was accurate, but
unfortunately it is not.

Here is a statement from Dr. Mikovits.

Would you please post?


Thank you,


Jamie Deckoff-Jones MD
Clinical Advsory Board
Whittemore Peterson Institute




``````


I am dismayed to read about a private conversation,
a portion of which has been taken out of context,
and disseminated on the internet.

My recollection is that the conversation was much
more measured than what is portrayed here.

In fact, the anecdotal response to antiretrovirals has
been mixed, though there have been some notable
successes.

The response to treatment, or lack thereof, is an
important piece of the puzzle.

I am not a clinician. I am a scientist. My enthusiasm
for antiretroviral drugs stems from (unpublished)
laboratory evidence that treatment with
antiretrovirals impacts the disease.

Although scientific convention generally requires not
discussing prepublication findings, the enormity of
the public health disaster ethically requires
suspension of these norms.

The WPI is committed to making any clinically
relevant information available. Our clinical advisory
board was formed to address this issue.

Our vision is to have a research group and clinical
group that interact to produce meaningful treatment
for patients as soon as possible.

We are doing everything in our power to open the
clinic to patients in the very near future. It is a
unique opportunity for true translational medicine,
bench to bedside to bench, and should further our
understanding of XMRV/HMRV infection in the most
direct way possible.

For the last year, I have been forced to respond to
clinical questions, because many patients have had
no one else to ask. We are making progress towards
providing physicians to answer questions about
treatment.



Judy A. Mikovits






``````````


Reference: Co-Cure http://bit.ly/gyC9xN



On Jan 7, 2011, at 6:15 PM, Jan van Roijen wrote:

> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Send an Email for free membership
> ~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~
> >>>>> Help ME Circle <<<<
> >>>> 7 January 2011 <<<<
> Editorship : j.van.roijen@chello.nl
> ~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~
>
>
>
>
>
>
> Many thanks to Doctor Speedy from
>
> THE NICEGUIDELINES BLOG
>
> at: http://bit.ly/e8fuRn
>
>
> ~jvr
>
>
>
>
> ``
>
>
> http://on.fb.me/igjcnK
>
>
> XMRV positive patients
> respond to retroviral treatment!!
>
>
>
> by Jan Maverick
>
>
> Fryday 7 January 2011
>
>
>
>
> Xinnian a UK sufferer from Foggy Friends
> has given permission for me to post the
> following:
>
>
>
> *....I also spoke to Dr Mikovits for quite some time
> this evening regarding M.E patients that are
currently
> being treated for X.M.R.V.
>
>
>
> Here's roughly what she had to say:
>
>
> She knows of approx 20 human subjects tested
> positive for X.M.R.V being treated with
> anti-retrovirals and the results are astonishingly
> positive:
>
>
> 4 Patients, some from bedbound state - Now well
> and considering themselves FULLY recovered!
>
>
> 6 Patients 50% recovered - so far!
>
>
> 6-8 Patients 3-4 good days per week - so far!
>
>
> 2 Patients non-responsive (likely down to
> complications with Lymes)
>
>
>
>
> Dr Mikovits added that those recovering will just
> need extra time on the treatment until fully
> recovered.
>
>
>
> This is good news for all of us and it has left me
> trembling to think that one day, perhaps not in
> distant future, that I might be well again....*
>
>
> Amazing results and great news in my opinion, I
> hope you all agree!
>
>
>
> Jan x
>
>
>
>
>
> N.B. Please note than none of these
> patients are being treated by the WPI.
>
>








~~~~