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PostPosted: Wed Mar 13, 2013 12:47 pm 
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https://news.wustl.edu/news/Pages/25061.aspx

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Nanoparticles carrying a toxin found in bee venom can destroy human immunodeficiency virus (HIV) while leaving surrounding cells unharmed, researchers at Washington University School of Medicine in St. Louis have shown. The finding is an important step toward developing a vaginal gel that may prevent the spread of HIV, the virus that causes AIDS.

“Our hope is that in places where HIV is running rampant, people could use this gel as a preventive measure to stop the initial infection,” says Joshua L. Hood, MD, PhD, a research instructor in medicine.

The study appears in the current issue of Antiviral Therapy.

Bee venom contains a potent toxin called melittin that can poke holes in the protective envelope that surrounds HIV, and other viruses. Large amounts of free melittin can cause a lot of damage. Indeed, in addition to anti-viral therapy, the paper’s senior author, Samuel A. Wickline, MD, the J. Russell Hornsby Professor of Biomedical Sciences, has shown melittin-loaded nanoparticles to be effective in killing tumor cells.

The new study shows that melittin loaded onto these nanoparticles does not harm normal cells. That’s because Hood added protective bumpers to the nanoparticle surface. When the nanoparticles come into contact with normal cells, which are much larger in size, the particles simply bounce off. HIV, on the other hand, is even smaller than the nanoparticle, so HIV fits between the bumpers and makes contact with the surface of the nanoparticle, where the bee toxin awaits.

“Melittin on the nanoparticles fuses with the viral envelope,” Hood says. “The melittin forms little pore-like attack complexes and ruptures the envelope, stripping it off the virus.”

According to Hood, an advantage of this approach is that the nanoparticle attacks an essential part of the virus’ structure. In contrast, most anti-HIV drugs inhibit the virus’s ability to replicate. But this anti-replication strategy does nothing to stop initial infection, and some strains of the virus have found ways around these drugs and reproduce anyway.

“We are attacking an inherent physical property of HIV,” Hood says. “Theoretically, there isn’t any way for the virus to adapt to that. The virus has to have a protective coat, a double-layered membrane that covers the virus.”

Beyond prevention in the form of a vaginal gel, Hood also sees potential for using nanoparticles with melittin as therapy for existing HIV infections, especially those that are drug-resistant. The nanoparticles could be injected intravenously and, in theory, would be able to clear HIV from the blood stream.

“The basic particle that we are using in these experiments was developed many years ago as an artificial blood product,” Hood says. “It didn’t work very well for delivering oxygen, but it circulates safely in the body and gives us a nice platform that we can adapt to fight different kinds of infections.”

Since melittin attacks double-layered membranes indiscriminately, this concept is not limited to HIV. Many viruses, including hepatitis B and C, rely on the same kind of protective envelope and would be vulnerable to melittin-loaded nanoparticles.

While this particular paper does not address contraception, Hood says the gel easily could be adapted to target sperm as well as HIV. But in some cases people may only want the HIV protection.

“We also are looking at this for couples where only one of the partners has HIV, and they want to have a baby,” Hood says. “These particles by themselves are actually very safe for sperm, for the same reason they are safe for vaginal cells.”

While this work was done in cells in a laboratory environment, Hood and his colleagues say the nanoparticles are easy to manufacture in large enough quantities to supply them for future clinical trials.


Hood JL, Jallouck AP, Campbell N, Ratner L, Wickline SA. Cytolytic nanoparticles attenuate HIV-1 infectivity. Antiviral Therapy. Vol. 19: 95 - 103. 2013

This work was supported by the Bill & Melinda Gates Foundation Grand Challenges Explorations grant number OPP1024642 ‘Fusogenic nanoparticles for combined anti-HIV/contraception.’

Washington University School of Medicine’s 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked sixth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.

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PostPosted: Wed Mar 13, 2013 8:34 pm 
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cool. What if you're allergic to bee venom though?

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PostPosted: Wed Mar 13, 2013 10:13 pm 
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Well there are two possible answers.

1) I imagine the mechanism by which they prevent the nanoparticles from delivering the bee venom to human cells makes allergies a nonissue.

2) You're just plain ****. Medical researchers doing AIDS and cancer research have bigger things to worry about than what is essentially keeping peanut butter and jelly sandwiches out of school lunches to accommodate kids with peanut allergies.

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PostPosted: Wed Mar 13, 2013 10:37 pm 
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I know. It just struck me as odd that the article didn't even mention it.

The elusiveness of an AIDS cure is one of the great mysteries of modern science It would be sweet (pun intended) if the major breakthrough was something so commonplace and mundane.

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PostPosted: Thu Mar 14, 2013 12:22 am 
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You could always do allergen immunotherapy towards it. Where they make a concentrated serum of the stuff you're allergic to, and give you shots in increasing potency over a period of time. Some folks do that for things they are highly allergic to, including bee stings.

I've been doing it for the past year and a half (for trees, grass, and weeds) and it's changed my life (and, by proxy, my wife's life).

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PostPosted: Thu Mar 14, 2013 2:29 am 
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Quote:
The new study shows that melittin loaded onto these nanoparticles does not harm normal cells. That’s because Hood added protective bumpers to the nanoparticle surface. When the nanoparticles come into contact with normal cells, which are much larger in size, the particles simply bounce off. HIV, on the other hand, is even smaller than the nanoparticle, so HIV fits between the bumpers and makes contact with the surface of the nanoparticle, where the bee toxin awaits.

It is hard to have an allergic reaction if the chemical is never delivered to any of the cells that make up your body.

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PostPosted: Thu Mar 14, 2013 6:22 am 
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Ah, good catch.

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PostPosted: Thu Mar 14, 2013 6:10 pm 
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Corolinth wrote:
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The new study shows that melittin loaded onto these nanoparticles does not harm normal cells. That’s because Hood added protective bumpers to the nanoparticle surface. When the nanoparticles come into contact with normal cells, which are much larger in size, the particles simply bounce off. HIV, on the other hand, is even smaller than the nanoparticle, so HIV fits between the bumpers and makes contact with the surface of the nanoparticle, where the bee toxin awaits.

It is hard to have an allergic reaction if the chemical is never delivered to any of the cells that make up your body.


Technically not true, though I would imagine it might as well be. Allergic reactions are immune responses to foreign bodies which are otherwise harmless, which these nanoparticles could qualify as. Whether or not the cells that attach to a body to call it foreign would or would not in this case, I somewhat obviously don't know.

I imagine the side effects in such a case would be the normal anaphylactic or histamine responses, which, in a vaginal gel, shouldn't be severe, though I'd imagine it'd be contraindicated for anyone with a sting allergy just to be on the safe side.

Either way, the prophylactic use would suffer from all of the same issues that we currently have in preventing the spread, namely, getting people to actually use it.


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PostPosted: Thu Mar 14, 2013 6:30 pm 
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In order for their to be an immune response, your body has to detect the agent, which happens via chemical reactions. That's where the delivery to other cells comes in. Laws of physics operate differently on various size scales. These particles are so small, and are carrying such small doses of the chemical that human cells are prevented from coming into physical contact with the allergen, and therefore the chemical reactions that would signal for an immune response may not take place.

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PostPosted: Thu Mar 14, 2013 7:58 pm 
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Corolinth wrote:
In order for their to be an immune response, your body has to detect the agent, which happens via chemical reactions. That's where the delivery to other cells comes in. Laws of physics operate differently on various size scales. These particles are so small, and are carrying such small doses of the chemical that human cells are prevented from coming into physical contact with the allergen, and therefore the chemical reactions that would signal for an immune response may not take place.


Not exactly true, though correct in the latter stages of an immune response. Some of it depends on the actual construct of the nanoparticles. One might assume that they're small enough that a mast cell wouldn't be able to bind through the membrane, but the actual process does take place on a significantly smaller scale than the cells in your body (including the mast cells that start most allergic reactions.) The detection process isn't hormonal, though the actual response to an antigen usually is (mostly producing histamine, which is basically your body going "more blood here, please.")

As I said, it's probable that's taken into account, but if they had something like this for which the only downside is that it can trigger an allergic reaction in those prone to such things, they'd probably announce it anyway.

For those allergic to insect stings, there's always condoms.


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PostPosted: Fri Mar 15, 2013 10:00 am 
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Is it melittin specifically that is also an allergen? I'm assuming that bee venom(s) are a mix of many toxins and that perhaps only specific compounds act as allergens.

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PostPosted: Fri Mar 15, 2013 11:28 am 
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http://en.wikipedia.org/wiki/Apitoxin

Apparently histamine is important to the allergic response, so melittin by itself may not trigger.

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PostPosted: Fri Mar 15, 2013 12:30 pm 
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Rafael wrote:
Is it melittin specifically that is also an allergen? I'm assuming that bee venom(s) are a mix of many toxins and that perhaps only specific compounds act as allergens.


Well, there's actually a couple of different things. Melittin, itself, being the toxin, that actually does damage. It's not an allergic response to get stung by a bee and have it hurt like a son of a *****. The allergic response comes from some mast cells going into overdrive in reaction to the foreign bodies. Whether that specifically coincides with melittin itself, I don't know.

Mast cells are basically just alarms. Their primary job is to attach to a foreign body, then signal the production of histamine, which increases blood flow to the affected area, the inflammation associated with most allergic reactions. That reaction is basically all of the symptoms associated with allergies. The increased blood flow also increases the amount of the nom-nommy white blood cells called phagocytes in the area, who have themselves a good time. That's really the ultimate goal of the whole process.

Allergies, in general, are the mast cells doing what they do in response to something that isn't altogether harmful, or harmful enough to warrant that kind of reaction (in the case of a bee sting). That entire reaction is a part of your innate (not acquired) immune system, which has a tendency to react to just about anything it can, which is why some people have issues with certain things. Many allergies can be reduced or even eliminated simply by repeated exposure to the allergen, as the body's acquired immune system eventually tells the mast cells to cut it the hell out.

The bumper coating on this treatment may or may not prevent this sort of reaction. It's possible the coating itself isn't an allergen at all, and that it prevents the mast cells from reacting to the treatment entirely. That being said, human beings are quite varied, and I would imagine there is a subsection of the populace for whom this treatment isn't a good idea. But such issues pop up with every drug, and won't affect its overall efficacy much. Some people have very bad reactions to flu shots, that doesn't mean you don't get them.


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PostPosted: Fri Mar 15, 2013 3:28 pm 
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Kindralas wrote:
Allergies, in general, are the mast cells doing what they do in response to something that isn't altogether harmful, or harmful enough to warrant that kind of reaction (in the case of a bee sting). That entire reaction is a part of your innate (not acquired) immune system, which has a tendency to react to just about anything it can, which is why some people have issues with certain things. Many allergies can be reduced or even eliminated simply by repeated exposure to the allergen, as the body's acquired immune system eventually tells the mast cells to cut it the hell out.

The bumper coating on this treatment may or may not prevent this sort of reaction. It's possible the coating itself isn't an allergen at all, and that it prevents the mast cells from reacting to the treatment entirely. That being said, human beings are quite varied, and I would imagine there is a subsection of the populace for whom this treatment isn't a good idea. But such issues pop up with every drug, and won't affect its overall efficacy much. Some people have very bad reactions to flu shots, that doesn't mean you don't get them.

While I'm going off information based on an undergrad course from last semester, this doesn't sound entirely right. Allergic reactions are also an extension of the adaptive immune system due to the binding of allergens on an IgE epitope (whose Fc-region is bound to the mast cell). My understanding is that allergic reacions do not get better over time because nothing blocks the binding of allergen epitope to IgE and nothing suppresses B-cell antibody class-switching to IgE (immunotherapy like what Numbuk mentioned). From everything that was said in class, just the opposite is true - reactions will at best stay the same or get worse with repeated exposure because the adaptive immune system keeps ramping up IgE production.

In any case, in order to cause an allergic reaction (Type 1 immunopathology), the allergen has to be large enough to bind two antigen binding fragments on two different IgE antibodies attached to a mast cell. These nanoparticles may be too small (or simply not divalent) to accomplish that, yet large enough to be toxic to HIV. I'd like to read the published research to find out though. Does anybody have good enough search-fu to find this on PubMed for me? I have issues with that site for some reason.

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PostPosted: Fri Mar 15, 2013 3:44 pm 
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Screeling wrote:
Kindralas wrote:
Allergies, in general, are the mast cells doing what they do in response to something that isn't altogether harmful, or harmful enough to warrant that kind of reaction (in the case of a bee sting). That entire reaction is a part of your innate (not acquired) immune system, which has a tendency to react to just about anything it can, which is why some people have issues with certain things. Many allergies can be reduced or even eliminated simply by repeated exposure to the allergen, as the body's acquired immune system eventually tells the mast cells to cut it the hell out.

The bumper coating on this treatment may or may not prevent this sort of reaction. It's possible the coating itself isn't an allergen at all, and that it prevents the mast cells from reacting to the treatment entirely. That being said, human beings are quite varied, and I would imagine there is a subsection of the populace for whom this treatment isn't a good idea. But such issues pop up with every drug, and won't affect its overall efficacy much. Some people have very bad reactions to flu shots, that doesn't mean you don't get them.

While I'm going off information based on an undergrad course from last semester, this doesn't sound entirely right.


That certainly puts you at higher qualifications than myself, who just has a somewhat unhealthy interesting in immunology.

However, the body can be trained to reduce the effects of allergies, through immunotherapy. The exact process by which this happens passes by me, but reading over an NIH document, it appears that doctors aren't really sure exactly how this works, with theories from repeated exposure inducing IgG antibodies blocking IgE interactions, to a shift in T cell response for some reason. Link here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1765945/pdf/v055p00S11.pdf There's an additional cite if you want to go digging, but I'm pretty sure the cited source will be beyond me.

Of course, given the possibility of anaphylaxis, this isn't something that gets done lightly. It's generally only done for high risk patients (bee keepers), or as treatments for severe respiratory allergies.


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PostPosted: Fri Mar 15, 2013 4:10 pm 
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Screeling wrote:
I'd like to read the published research to find out though. Does anybody have good enough search-fu to find this on PubMed for me? I have issues with that site for some reason.

This was an article published in the campus newspaper. The research paper, written by the same researcher quoted in the article (along with others), is listed at the bottom of the article.

Hood JL, Jallouck AP, Campbell N, Ratner L, Wickline SA. Cytolytic nanoparticles attenuate HIV-1 infectivity. Antiviral Therapy. Vol. 19: 95 - 103. 2013

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PostPosted: Fri Mar 15, 2013 4:46 pm 
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Thanks for the link.

Definitely something worth reading, since I work on both nanoparticle based delivery systems and antiviral drugs!

Also, for those interested: DOI: 10.3851/IMP2346

Since the original article didn't link to the paper.

That said, looks like we don't have access to it. That may be due to the fact that it's a relatively obscure journal, which is surprising, as I'd imagine this would have been more broadly published.

I may have to request an interlibrary loan for it.

Also, from the paper abstract, they aren't really discussing this as a systemic antiviral- but rather showing that the vaginal cream doesn't enter (or kill) epithelial cells. In that case, you really wouldn't need to worry as much about an allergic reaction, as the particle size should prevent it from being bound to the cell surface receptors, and it won't (or shouldn't) enter cells where it might degrade and release the cytotoxic peptide it's carrying.

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