Continuum volume 5, number 5 - mid-winter 1999 'Virtual Viral Load' Tests Seeing is believing - it's time to call their bluff! "...infectious units, after all, are
the only clinically relevant criteria for a viral
pathogen." Michael
Verney-Elliot Mediaeval theologians were obsessed with
how many angels danced on the head of a pin. Virtual virology is a
more recent phenomenon which persuades non-critical virologists
that huge quantities of 'HIV' particles exist in the blood of
people deemed 'HIV positive', and cause the thirty or so diseases
currently supposed to make up the syndrome known as
'AIDS'. Today, the curious mixture of
virtual virology and theology which passes for orthodox 'AIDS'
research is obsessed with how many demonic 'infectious units' are
found in a cubic millilitre of blood. This obsession gave rise to
the 'virtual viral load' test. The fact that the demons, just like
the angels of old, can never be seen worries no-one, and 'AIDS'
science depends more on gnosis than empirical observation. Paul
Valery reminds us "What has been believed by all, always and
everywhere, has every likelihood of being untrue." As Peter Duesberg pointed out in
his ground-breaking paper (Cancer Research 1.3.87),
Retroviruses as Pathogens and Carcinogens: Expectations and
Reality, one of many reasons why 'HIV' could not be the cause
of 'AIDS' is that such a virus is never 'found' in sufficient
quantity to have any pathogenic significance in those supposedly
infected. Typically, viruses which cause disease are found at very
high titre at the time the disease is active, but this just did
not seem to be the case with 'HIV', either in those people said to
be incubating 'AIDS' for ten years or those with the full-blown
condition. By contrast, supposed 'HIV', if detectable at all, is
only ever 'found' in minute trace quantities, and even then only
by stretching laboratory culture techniques to their limit. This
is one of the chief characteristics of a persistent, harmless
passenger virus. The currently accepted evidence for the presence
of active 'HIV' depends on surrogate markers, 'signals',
non-specific antibodies etc., and what Jon Cohen calls
"...HIV RNA's - a proxy for the amount of free virus ...".(
Science, 13.1.95, p.179) Thus the 'HIV' viral titres are
deemed to be present by inference rather than direct observation
as is usually the case with other disease causing microbes. As
Lady Bracknell might have said: "A proxy? Viruses should be seen,
not inferred!" Duesberg's point about the
scarcity of detectable virus in the blood of PWA's may have
infuriated the orthodox 'AIDS' establishment, but until 1995 they
were unable to argue with him. This was when they decided to
switch from sloppy science to sharp practice. In 1995, David Ho
and Xiping Wei published separate papers in the same issue of
Nature (373, pp. 123 et seq. and 117 et seq.)
claiming that far from being the indolent virus supposed during
the previous 11 years of 'AIDS' research, 'HIV' was hyperactive,
and soon after infection, high titres of virus were circulating
continuously in the peripheral blood of 'HIV' positive
individuals. Although these high titres had never been seen before
by any other 'AIDS' researchers, by amplifying 'viral RNA' using
PCR and using the resulting DNA's as a "proxy", the two papers
claimed that the corresponding 'viral RNAs' represented the amount
of cell-free virus in the blood. No-one spotted the absurdity that
if there were that much virus present in the blood you would not
need to amplify it by PCR in order to detect it. To claim to have
found so much cell-free virus by using sequence amplification is
as ludicrous as 'finding' a previously invisible inflatable
elephant with a bicycle pump. However, the scientific community
uncritically accepted this purely hypothetical gung-Ho theory of
'HIV' dynamics as conclusive evidence for it being the cause of
'AIDS', to the extent of making these papers the basis for the
so-called 'viral load tests' currently used, and the prescription
of 'anti-viral drugs' like protease inhibitors and AZT. Both
papers have been thoroughly debunked by Duesberg and Bialy
(Nature, 375, 1995, p.197), and Paul Philpott and Christine
Johnson (Reappraising AIDS, Vol.4, Otober 1996), and more
recently by Roederer et al. (Nature Med. 4, 145,
1997), and Hellerstein et al. (Nature Med. 5, 33,
1999), as well as in articles in Continuum. Prof. Etienne de Harven, a
distinguished expert in electron microscopy, has written two
articles in Continuum (Vol. 5, No 2, Winter 97; Vol. 5,
No.3, Spring 98) describing the standard method he developed
in the 1960's for visual detection and morphological
identification, in the fresh plasma of leukemic mice, of "RNA
tumour viruses", as retroviruses were known prior to the discovery
of 'immunodeficiency viruses'. The procedure can be carried out
quite simply in any lab equipped with facilities for
centrifugation, micro filtration and electron microscopy (EM) as
follows: Figure 1.
Electronmicrograph of densely packed parti cles with retroviral
morphology identified as the Friend murine (mouse) leukaemia
virus.
Pathologie-Biologie,
Vol. 13, pp. 125-134
A perfect illustration of de
Harven's purification technique is seen in Fig.1. This electron
micrograph by de Harven was published in 1965,
(Pathologie-Biologie, Vol.13, pp. 125-134) and shows
densely packed particles with retroviral morphology identified as
the Friend murine (mouse) leukaemia virus. The densely packed
particles, identical in shape and size, were pelleted down from
fresh plasma using the method described. The magnification is
19,500 x and it can be seen that there is very little extraneous
material contaminating the final pelleted isolate, indicated by
three arrows. The Friend virus is classified morphologically as a
Type C oncovirus, one of a small group of retroviruses which
encode a cancer-causing gene in their RNA. The ultra thin slice
through the pellet clearly shows the dense core in bisected
virions, as round black dots. As Dr. de Harven explains in his
second Continuum article, even by the late 'sixties there
was a growing tendency to abandon the use of EM, on the pretext
that it was cumbersome and time-consuming, in favour of the
purification and identification of possible viruses using other
means, chiefly the use of the sucrose density gradient without EM,
allied with indirect surrogate markers. Already, the virologists
were starting to cut corners. Moreover, after 1970, when the race
was on to find human retroviruses which cause cancer, there was a
very good reason why clear, EM visualisation of such human
oncoviruses was abandoned. The simple truth was that they were
unable, then as now, to find high titres of cell-free retroviruses
in fresh human blood or plasma. It is worth stressing at this
stage that in the entire 15 years of 'HIV'/'AIDS' research, no
micrograph has ever been published purporting to show purified,
densely packed 'HIV' particles, recovered from the fresh
plasma of 'HIV positive' subjects. Indeed, no such picture
exists of any so-called human retrovirus, not even HTLV-I, the
alleged cause of adult T-cell leukaemia. That is not to say that
micrographs of alleged 'HIV' have not been published, but they
invariably came from cell cultures grown sometimes for weeks, in
the total absence of an immune system (it is worth remembering
that 'HIV infection' is most aften diagnosed on the detection of
antibodies supposedly specific to 'HIV'),and involving
co-culturing with known cancerous cell-lines such as H9 or CEM,
and stimulated with mitogens, hydrocortisone and other chemical
activators - the standard laboratory methods of reactivating
latent viruses. Figure 2.
"Purified HIV-1 preparations are contaminated by cellular
vesicles. Purified vesicles from H9 cells (a)..".Gluschankof, P.
et al. Cell membrane vesicles are a major contaminant of
gradient-enriched human immunodeficiency virus type-1
preparations. Virology, 1997;
230:125-133 There is no better way to show the
degeneration into sloppy imprecision in science characterised by
the 'AIDS' war than to compare de Harven's micrograph with Fig. 2,
a micrograph published in 1997 of material banded at 1.16.gm/ml in
a sucrose density gradient. Prior to its publication, by
Gluschankof et al. (Virology, 230, pp 125-133,
1997), it was claimed that material banding at this level
represented pure retrovirus. However, this study, and another in
the same issue by Bess et al., finally came clean and
admitted that all sorts of debris and extraneous matter banded at
the retroviral density in the sucrose medium, principally cellular
microvescicles, something that de Harven had observed even in the
1960's. Whereas de Harven has to use three
arrows to identify impurities in Fig.1, Gluschankof et al
by total contrast have to use three arrows to identify three
'viral' dots, which may or may not be retroviruses, in their
culture-derived rubbish tip in Fig. 2. This comparison strikingly
illustrates the precision and superiority of de Harven's method of
purification to currently used methods. Undoubtedly, sedimentation in
sucrose density gradients has its uses, particularly in confirming
viral identity. Viruses have specific buoyant densities, and it is
indeed known that purified retroviruses form a distinct
sedimented band at 1.16 gm/ml, but it is a major error to suppose
that all material contained in the gross supernatant from a cell
culture which bands at that level is pure retrovirus, as Fig.2
makes clear. Moreover, in plasma samples containing more than one
variety of active virus, as in PWA's with several, concurrently
active viral infections, distinguishing them by their morphology
under EM may be difficult, so subsequent buoyant density tests may
be needed. Even the use of surrogate markers may be legitimate,
but only when numerous laboratories have established that a large
quantity of virus particles, of identical shape and size, are
invariably present in diseased tissues and the virus has been
proved beyond any doubt to be the cause of the disease. Then, and
only then, can markers or proxies be trusted to indicate viraemia.
However, 'HIV' fails all these tests. If Ho and Wei are correct, it must
be possible to pellet down fresh plasma from a person or persons
who have had a recent 'high viral load' test result and clearly
see tightly packed identical viral particles using EM, in a
quantity consistent with the amount of virus indicated by the
'viral load' test. The application of the de Harven methodology
will clearly demonstrate the presence or absence of actual rather
than virtual particles, and do away with bogus mathematical
models, inappropriate use of PCR, proxies, surrogates and all the
other trappings of modern scientific obfuscation. If the virus
particles cannot be seen, then they are just not there,
whatever the test may claim. If it is claimed that there are
indeed 'HIV' particles in the plasma, but too few to form a
pellet, then there is obviously not enough virus in the sample to
be pathogenically significant. Had 'AIDS' researchers been able to
photograph high titres of cell-free 'HIV' in fresh plasma using
the de Harven method during the last fifteen years, undoubtedly
they would have done so and published their results, even if only
to silence critics like Peter Duesberg. There are no such
micrographs in the entire 'AIDS' literature. When assessing how much virus -
viable, enveloped, infectious virion units - should be visible
from the amount of : " 'HIV' RNA's" determined by a
currently used 'viral load test', important scientific evidence
shows that the 'proxy' viral RNA's represent very few actual
potentially infectious particles. As Duesberg and Bialy state in
the heavily censored version of their 'viral load theory' critique
published in Nature (ibid): The senior researcher
[George Shaw] of the Wei et al paper has previously
claimed that the method they used overestimates by at
least 60,000 times the real titre of infectious HIV
[Piatak et al, Science, 259, pp 1749-1754, 1993].
100,000/60,000 is 1.7 infectious HIV's per ml
... Further, Ho and a different group of collaborators
have just shown [Cao, et al New Eng. J. Med 332, pp 201-208,
1995] that more than 10,000 'plasma
virions', detected by the branched-DNA
amplification assay used in their Nature paper,
correspond to less than one (!) infectious virus per
ml . And infectious units, after all, are the only
clinically relevant criteria for a viral pathogen. [my
emphasis] A transcript of a public question
and answer session at the 1998 World AIDS Conference in Geneva
shows the following exchange between Huw Christie and David Ho:
Huw: .....If people have a
viral load of 200,000 per millilitre, it should be possible,
shouldn't it, to demonstrate particles, viraemia? Why is it
necessary to use a technique which is designed for amplification
of numbers? Ho: This indeed has been
supported by other forms of assays, including assays that do not
amplify the target that you're trying to measure. For example,
using the branched chain DNA technology the
same type of results have been generated, and compared head to
head and published in numerous scientific papers. David Ho is curiously silent about
the findings of the paper he co-wrote with Cao et al cited
above by Duesberg and Bialy. Thus it may be seen that the
'viral load test' at best translates into a barely, if at all,
detectable level of virus-like particles which can have little
relevance in 'AIDS' pathogenicity; at worst it is a specious
argument to pump asymptomatic people full of expensive drugs which
may cause more harm than good in the long run. CALLING THEIR BLUFF -
£1000 challenge So confident am I that no such EM
evidence can be produced by adhering strictly to the de Harven
methodology, I am prepared to offer the sum of £1000 to the
first person to submit just such a micrograph, prepared under
stringent laboratory conditions. These are: 1. Only plasma centrifuged from
fresh whole blood may be used in the experiment. No material
derived from cultured cells will be considered, to rule out 'viral
particles' which may be merely cultural artefacts. 2. The donor blood/plasma must be
taken from a person/persons with a recent 'high-viral load' test
result, and evidence for the date and result of the test (the
number of 'HIV'- RNA's alleged) must be submitted, obviously with
the name of the person/persons deleted to preserve donor
confidentiality. 3. The donor must not be in
receipt of protease inhibitors, AZT or any antiviral drugs.
4. Only cold heparinised Ringer's
solution may be used to dilute the plasma 1/1 ( i.e. 50%).
5. The diluted plasma shall be
first filtered by aspiration-filtration, through a 0.6 millipore
membrane. The resulting filtrate #1 will then be filtered again,
this time using a 0.22 millipore membrane and filtrate #2 will be
submitted to ultracentrifugation. 6. Centrifugation at 30,000 g for
two hours will be used to prepare a pellet, likely to be extremely
small. This pellet will be fixed with glutaraldehyde and osmium,
then carefully detached and embedded in epoxy resins following
routine EM procedures. 7. The electronmicrograph shall be
at least 19,500 x magnification, and must resemble that published
in Fig.1 of this article for particle size and shape, but with one
notable and important variation. 'HIV' has been deemed to be a
lentivirus, possessing a dense core of truncated conical shape. An
ultrathin slice of randomly packed lentiviruses must inevitably
show a number of particles bisected to show this core lengthwise,
as well as end-on, with a resultant apparent mixture of round and
'rod-shaped' dense cores. Any micrograph which does not clearly
show this feature will be deemed not to represent the lentivirus
'HIV'. 8. This challenge is open to any
qualified scientists, or microbiology students/lab technicians
with the necessary lab skills and facilities to carry out the
work. Photos of the required
electronmicrograph(s) plus full details of the methodology, along
with brief details of the senders' qualifications, must be sent,
preferably with proof of date of postage, to me c/o the
Continuum office at the address in the magazine. The first
submission received which fulfils the above requirements according
to qualified scientific scrutineers will be presented with
£1000, in cash or by cheque, whichever is desired. There is
no time limit, and the offer will remain open indefinitely.
Although not qualifying for the
£1000, reports of failure to detect significant quantities of
virus in the fresh plasma of 'HIV' positive donors, under the
above conditions, would be most welcome, and considered for
publication in Continuum. Medical and scientific journals
are notoriously reluctant to publish reports which disprove a
currently held paradigm, thereby preserving their role as the
upholders of orthodoxy. Modern science doesn't seem to be about
debate any more. However, I should be very interested to hear from
anyone who has tried to establish a visual record of the viremia
predicted by a 'high viral load' test result - and failed.
Hitherto, the 'AIDS Dissidents' have had to restrict themselves to
picking holes and spotting paradoxa in the orthodox 'AIDS'
literature. Surely it cannot be beyond the wit and resources of
people like the Reappraising AIDS group in California to carry out
this experiment. Many distinguished scientists in that group,
possessed of more than enough expertise, could easily carry out
the lab work, if they could get access to a lab and the relevant
donor plasma samples. Instead of commenting on the orthodoxy's
work, why can't dissident scientists do some of their own? As de
Harven says, when he wanted to do just this in his lab in Toronto
in the mid '80's, his students threatened a walk-out. Short of
barricading ourselves in a hijacked lab, can any reader come up
with another way to kick virological ass? Modern microbiologists and
virologists have developed, and continue to develop, a bewildering
array of techniques to aid them in pursuit of their disciplines.
However, the increasing sophistication of the technology carries
with it a proportionally increased need for scrutiny and analysis
of their lab results. Modern culture techniques, involving
mitogenic stimulation, other chemical additives, co-culturing with
known cancerous cell-lines, the use of sucrose density gradients -
all these valuable modern tools of science can easily produce
results open to misinterpretation, accidental or deliberate. Add
to this the pressure from financial interests typified by
pharmaceutical companies seeking quick results to order, and
pressure on labs to secure grant funding etc. and it is not
difficult to see how a few 'virus-like particles', inevitably
dredged up in cell cultures, can be parlayed into a massive
viraemia by using 'proxies' and mathematical prestidigitation.
The uncritical acceptance of the
gung-Ho 'viral load' theory has led to some patently risible
studies. The latest absurdity comes from Farzadegan et al.
in The Lancet (7.11.98), who carried out a long-term study
based on blood samples taken from 650 male and female injecting
drug users principally African Americans, using three different
methods of measuring 'viral load'. The results of their trial
claim to show that the women progress to 'AIDS' at the same rate
as men but with only half the amount of 'viral load'. In other
words, 'HIV' is supposedly twice as pathogenic in females as males
- yet another pathogenic first for 'HIV'. At no stage do they
mention the possibility that the harmful effects of the continuous
use of illicit drugs far more logically explains the seeming
equality of progression to AIDS in both sexes, irrespective of
apparent differences in HIV kinetics between the sexes based on
ambiguous 'viral load' tests. Unless their data are confirmed by
similar studies of 'HIV positive' African, Asian and European
males and females who are not IDU's, what does their study prove?
Chillingly, the paper suggests that as the virus appears to be
doubly pathogenic in women, they should be urgently considered for
early drug cocktail therapy as soon as diagnosed. In the final analysis,
the only way to establish a true, in vivo viral titre in
peripheral blood is by recovery of virus from a measured quantity
of fresh, suspect plasma, and seeing the packed particles in a
micrograph. Seeing, in this instance at least, is believing. As de
Harven has explained (ibid), an aliquot of the unfixed
viral pellet may be resuspended in Ringer's solution and used for
titration by the precise, traditional method. Virus counting under
EM may be tedious, but would, of course, reinforce the
observations made. If few or no viral particles can be seen in the
above conditions, then certain questions must be asked:
1. If not whole infectious viral
particles, what is the 'viral load' test measuring? 2. What are the 'proxy' RNA's
representing? 3. After administration of
protease inhibitor drugs, and alleged decrease in 'proxy' RNA's,
what has in fact been inhibited? 4. If little or no infectious
virus is found in plasma of supposed viremic people, how did the
haemophiliacs become infected by their plasma-derived clotting
factors? If, as I predict, no
pathogenically significant amounts of virus can be visualised
after pelleting down fresh plasma of donors previously deemed to
be highly viremic by a 'viral load test', then perhaps we may be
on the way to getting a re-examination of the whole concept of
'viral loads'; David Ho will have his Man of the Year award
rescinded; the action of protease inhibitors can be reassessed in
terms of a realistic risk-benefit ratio; and we can finally say "A
pox on all your proxies!" Acknowledgements: I should like
to thank Dr. Etienne de Harven for his invaluable help in
correcting and clarifying the technical aspects of the electron
microscopy, and Alex Russell for diligent research, and Peter
Duesberg for his usual kindness and common sense. Continuum volume 5, number 5 - mid-winter 1999
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