Human Immunodeficiency Virus (HIV), is of course the virus that leads to AIDS. Up until 1996, this virus was a relatively swift death sentence. Then antiretrovirals were developed and released to the public.
Antiretrovirals are a particularly cool set of therapeutics that target different aspects of HIV replication. For example, AZT, one of the most common antiretrovirals, mimics a DNA base (Thymidine). HIV’s has an error prone reverse transcription (RT) step where it makes DNA out of its RNA backbone. The RT enzyme can’t tell the difference between Thymidine and AZT. This and other similar drugs (some have different mechanisms) led the community at large to believe that HIV was ‘cured.’ However, this was not the case. As with many infections agents (with the exception of syphillis for some reason) HIV can mutate and survive in spite of various compounds that are thrown at it. Taking anti-retrovirals can completely remove active HIV from a person, to the point where it can no longer be detected in the blood. This is an impressive feat on the part of the scientific community.
However, this comes with a catch. Over time(as the virus gains resistance), or if a person stops taking anti-retrovirals, the virus comes back. HIV evolves and HIV can hide. In certain immune cells, HIV will incorporate itself into a person’s DNA. Essentially in ‘hibernation’ the virus is safe from medication that targets actively dividing cells.
So, how to force HIV come out of hiding so it can be hunted down? There have been a number of attempts in recent years, however, one of the most promising sets of compounds is related to prostratin. Until recently, prostratin has only been available as an exract from the Mamala plant in the Samoan rainforest. This meant that there was a very limited supply. However, in a recent article, a group of chemists have figured out how to make prostratin from Croton tiglium, a common plant that makes oil in Asia. The science daily story on this process is here.
Of course, this isn’t the cure for HIV, and may never lead to one. In earlier trials, prostratin+interleukin-8 (an immune signaling compound) led to flushing out 80% of the virus that was in hiding. While this is a promising result, leaving any virus left is short of a ‘cure.’ However, from here, synthetic chemists can use the chemical steps discovered to make and then modify prostratin and try and improve on these results.
The reason I find this particular story (and many others like it) so interesting is that it demonstrates the power of combining natural compounds and synthetic chemistry. Nature has found many ways to make many compounds with particular purposes. If we can find these compounds (often from rare plants), we can learn to make them. Some of these compounds will likely be the “magic bullets” of the future. There is one slight catch: the rain forest, marine environments, etc. still have to be there for natural compounds to be found.
Just one more reason to try and save the rain forest.
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