the evolution of medicine toward 4 p qualities - · pdf filethe evolution of medicine toward 4...

66
The Evolution of Medicine Toward 4 P Qualities P1 Preventive P2 Predictive P3 Personalized P4 Participative

Upload: tranthuy

Post on 05-Feb-2018

218 views

Category:

Documents


4 download

TRANSCRIPT

Page 1: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

The Evolution of Medicine

Toward 4 P Qualities

� P1 Preventive

� P2 Predictive

� P3 Personalized

� P4 Participative

Page 2: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Emergence or reemergence of new epidemics due to :

Globalization of exchanges and travels Demography: concentration in large cities Nutrition (pesticides, water) Environmental factors Climate changes, electromagnetic radiations Contacts with wild and farm animals Decline of immune defenses

Page 3: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

- Cancers- Cardiovascular- Neurodegenerative- Arthritic- Autoimmune- Multifactorial, but in common:

oxidative stressinfectious agents (?)

The most important burdenChronic Diseases

Page 4: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Radiations (, X, UV, visible)

Air chemical pollution

Food

Intensive physical exercize

tobacco smoke

alcohol

ischemia

Viral infections

Bacterial infections

Various environmental factors effects accumulate

+++++

++

+= DISEASE

Page 5: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Mucosa

Skin

Our microbial ecosystem :

Constant exposure to microbial agents and immune protection

Page 6: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Extreme genetic plasticityof microorganisms:

virus : HIV, Influenza Bacteria Parasites

against reaction of the immune system

Page 7: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

- Biofilms- Mobile antibiotic resistant genes- Nanoforms- Nanostructures

How bacteria have learned how to persist despite the immune system

Page 8: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Persistent cold infections

�Inability of the immune system to eradicate them(tolerance, oxidative stress)�Non-multiplicative forms of « classical » bacteria�intracellular bacteria �Sanctuaries(bone marrow, joints, intestine, brain, �.)�Vectors (Parasites) �Remote effects (toxin, nanostructures)

Antibiotics affect them only when they go out of sanctuaries

Page 9: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

EXPLORING THE ROLE OF LATENT INFECTION IN CHRONIC DISEASESA physical and molecular approach

Page 10: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

A new technology for detecting bacteria and viral DNA�s

Based on the production of electromagnetic waves

Page 11: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

A newly discovered property of DNA :

Resonance emission of low frequency electromagnetic waves by high water

dilutions of DNA.

Page 12: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Capture of the signals

Amplifier Computer

X 500 Signal Analysis software

Sensor coil

Sample

Page 13: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

2ng/1ml 10-2 10-3 10-4 10-5 10-6 10-7 10-8 10-9 10-10 10-12 10-13 10-14 10-15 10-16

Filtration

0.1

0.02

7-100 Hz

1000 -3000 Hz

Page 14: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Time (sec)

Am

plitu

deNoise

(+)

Page 15: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Average of power of positive dilutions

Average of power of negative dilutionsX 100

Page 16: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 17: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Spectral Frequency Analysis

Fourier Tranformation

A positive signal is defined by:

amplitude increaseShift to higher frequencies (500-2000 Hertz)

Page 18: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Noise

(+)

Frequency (1-20000 Hertz)

Tim

e (s

ec)

Page 19: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Micro-organisms involved in EMS induction

1.DNA from main pathogenic bacteriaStreptococcusStaphylococcusPseudomonasMycoplasma pirumSalmonellaClostridiumProteus mirabilisB. SubtilisBorrelia burgdorferi

- From viruses HIV1Influenza group AHBVHCV

- Genes involved M.pirum adhesinHIV genes

Page 20: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

I � DNA�s emit EMS

II � EMS are produced by water nanostructures (naneons)

III � EMS are producing naneons

IV � Naneons and EMS carry specific DNA information

Page 21: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

II.a � EMS are produced by water nanostructures (naneons)

Evidence :

from filtration

Size : between 20 and 100 nM for bacterial sequences

Smaller that 20µM for viral sequences

from biophysical studies

indicating spectrometral changes in the dilutions

producing EMS

Page 22: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

IV � Naneons and EMS carry

specific DNA information

Natural and digital transmission

Page 23: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

oligo

oligo

Taqpolymerase

Classical model of PCR

Page 24: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

PCR on water nanostructuresoligo

Taq

oligo

EMS

Page 25: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

DNA Water Naneons

EMS EMS

DNA Water Naneons

PCR

7 Hz

Page 26: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

-6

µmetal

Generator 7Hz

+ + +

-2 -3 -4 -5 -6

18hrs

water-6

Tube 2

water

EMS

Tube 1

DNA

Page 27: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

D-4 LTR HIV DNA (104bp) 7Hz, 18 Hrs and then PCR (35 cycles) from D-2 to D-15 after filtration 450 and 20 nM

Transmission in water of D-4 LTR HIV DNA (104bp) 7Hz, 18 Hrs and then PCR (35 cycles) from D-2 to D-15 after filtration 450 and 20 nM

DW: Distilled Water / FD2: Dilution 10-2 after filtration 450and 20 nM

Page 28: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

DNA Water Naneons

EMS

DNA

Water Naneons

PCR

ComputerDigitized

Receiver

ComputerEMS Analog

Water-mediated photonic transmission of DNA

Page 29: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Reproduction of DNA transduction

in other laboratories

File EMS of 194 bp DNA from HIV1 LTR

Sent to Benevento University,

Molecular Biology Laboratory

DNA reproduced and sequenced

100 % identical to original

File EMS of 499 bp DNA from Borrelia burgdorferi

Sent to Laboratory of Chronix Biomedicals

University of Gottingen

Page 30: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Molecular Biology LaboratoryDNA reproduced and sequenced100 % identical to originalFile EMS of 499 bp DNA from Borrelia burgdorferiSent to Laboratory of Chronix BiomedicalsUniversity of Gottingen

Page 31: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Water-mediated photonic transmission of DNA

Gel electrophoresis of the PCR DNA product (Borrelia Burgdorferi)E.Schutz et al. Goettingen, 2011

Page 32: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

How pathogenic information can persist, and escape immune defence and treatment.

DNA

DNADNADNADNA

WATER(plasma)

ELF

Page 33: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Medical applications

Plasma of patients: on DNA (also any other fluid and tissues)- Colibacillus- Mycoplasma (Ureaplasma)- Borrelia

But also diseases not known to be of infectious origin.- Neurodegenerative: Alzheimer (18/18)- Parkinson- Multiple sclerosis- Various neuropathies- Chronic Lyme syndrome- Autism (some)- Rhumatoid arthritis (50/50)- Cancers ?

The objective is clear : to identify the bacterium(a) involved: may come from the gut

Page 34: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Persistent cold infections

�Inability of the immune system to eradicate them(tolerance, oxidative stress)�Non-multiplicative forms of « classical » bacteria�intracellular bacteria �Sanctuaries (bone marrow, joints, intestine, brain, �.)�Vectors (Parasites) �Remote effects (toxin, nanostructures)

Antibiotics affect bacteria only when they go out of sanctuaries

Page 35: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Autism: The infectious track

Luc Montagnier and the Chronimed team

Page 36: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 37: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

37

� 73 diagnosed autisms� 10 autistic spectrum disorders� 4 Dravet syndromes� 2 Rett syndromes� 3 Asperger syndromes� 3 cases with Epilepsy and/or mental retardation� 2 Tourette syndromes

Study on 97 children

Page 38: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

� Antibiotherapy (macrolides) [Beware of the Herxheimer reaction]

+ Antifungal treatment (Triflucan)

+ Antiparasites (Fluvermal then Flagyl)

+ Correction of deficiencies

� Antioxidants and Immuno-stimulants

� Food supplements

� Casein-free and gluten-free diets

Treatment Protocol

Page 39: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

� Best if children younger (before 7 : 71% of rapid improvement)

� But even a slow improvement in an older child is still viewed very positively !

Results

rapid and steady improvement :

month after month

55%

slow and steady improvement,

or fluctuating up and down results

28%

treatment failure or

discontinuation17%

Page 40: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Results versus age

Very good results

Slower improvement

insufficient improvements

TreatmentInterrupted

45 autistic children ≤ 7 years old

32 (71%)

6 (13%)

3(7%)

4(9%)

28 autistic children > 7 years old

9(32%)

13(46%)

5(18%)

1(4%)

0%10%20%30%40%50%60%70%80%

Très Bons résultats

Améliorations plus lentes

Améliorations insuffisantes

arrêt Traitement

> 7 years old≤ 7 years old

Page 41: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

20 -

30 -

10 -

40 -

% E

MS/

nois

e

50 100 133270 - days

Correlation between EMS, antibiotic treatmentand clinical signs in an autistic child

AZITHROMYCIN CEFUROXIM

Acc

ept

vari

ou

s fo

od

Mo

re p

rese

nt

wit

h

Fam

ily m

emb

ers

Sta

rts

spea

kin

g

Page 42: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 43: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Environmental factors

genetic susceptibility

immunosuppression

Oxidative stress

Bacterial agents

Oxidative stress

« prion » effect

Less and less reversible

Reversible

Somatic mutations

Page 44: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Correlation EMS/diseaseOne example

Patient female, suffering from chronic Lyme disease for 10 years.

First search for EMS in her plasma was negative.

However on July 2007, she had an outbreak of arthritic crisis onboth knees.

At the same time, EMS were detected in her plasma DNA.

Page 45: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Multiple Sclerosis(Multifactorial origin, autoimmunity)

BUT

In Many but not all cases :

presence of EMS in the plasma DNA of bacterial origin.

Example: female patient

1st Symptoms in February, 2011

Measure of EMS 3 months later:++

Antibiotic treatment (doxycycline)

Symptoms cleard, EMS decreased

Already after 1st month

Molecular Biology LaboratoryDNA reproduced and sequenced100 % identical to originalFile EMS of 499 bp DNA from Borrelia burgdorferiSent to Laboratory of Chronix BiomedicalsUniversity of Gottingen

Page 46: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

The special case of HIV

HIV RNA no EMSHIV DNA EMS

IntegratedNon integrated

Appears after tritherapy

Page 47: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 48: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 49: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Infection Time

0

1

2

3

4

5

1 2 3 4 5 6 7 8 9 10 11 12 13 14

HIVRNA

DNA

HIV treatment today

ARVs

Years

Page 50: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

A.R.T.- Reverse transcriptase nucleosidic inhibitors

Ex: AZT, 3TC, etc.

- Reverse transcriptase non nucleosidic inhibitors

Ex: nevirapine, efavirenz

- Protease inhibitors

Ex: nelfinavir, ritonavir

Page 51: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

The only solution is a short term treatment (6-9 months) which will achieve a cure:

Functional eradication of HIV infection.

Page 52: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Self-control of HIV infection by the patient�s own immune system:

� No disease will occur� The patient will have lower

ability to transmit the virus

Page 53: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

�To restore the immunity againts HIV

(ant iox idants , therapeut ic vacc ine )

�To identify and target the viral reservoir.

Page 54: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Preliminary Clinical Trial

Patients at time zero were all on ARVs for at least one year and were divided in three arms:

Arm 1: ARVs stopped for one month then put back on ARVs

Arm 2: ARVs + Imuniti

Arm3: ARVsonly (continued)

and followed every month for three months

Page 55: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

This HIV DNA may reflect a shift to a DNA-DNA replication mechanism, and represent at least part of the HIV reservoir remaining under ART.

Page 56: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 57: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Average of power of positive dilutions

Average of power of negative dilutionsX 100

Page 58: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 59: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 60: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

0

1

2

3

4

5

1 2 3 4 5 6 7 8 9 10 11 12 13 14

RNA

HIV treatment tomorrow ?

DNA

ARVsX

HIV

Infection Time Year

Page 61: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Risk factor 2RBC

Risk factor 1RBC

HIV plasmaRBC

DNAPCR EMS

+ +

++

-+

RISK FACTORS OF HIV INFECTION

(all HIV)

(20 nM)

(213/237 bp) (100 nM) (HIV+) ( all HIV+, a few HIV-)

( all HIV+, many HIV-) (HIV- & HIV+) (100 nM)

(LTR 195 bp)

Page 62: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed
Page 63: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

The latter result is a very encouraging step towards eradication of viral infection by suppressing the viral reservoir.

Page 64: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Application to DiagnosticAnd

Monitoring of Therapies

� Blood safety

� Prevention of nosocomial diseases

� Detection of microbial agents in chronic diseases

� Neurodegenerative diseases and psychiatric� Arthritis� Cardiovascular� Cancer

� Biomarker of HIV reservoir which remains after tritherapy

Page 65: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

World Foundation of AIDS Research and PreventionR. Olivier, Cl. Lavallee,H.Chenal, M. Mbamy,

Nanectis Biotechnologies SAJ.Aissa, Cl.Lavallee, R.Olivier

Goettingen University and Chronix BiomedicalsE. Schutz, H.Urnovitz

University of Washington, SeattleGerald H. Pollack

Page 66: The Evolution of Medicine Toward 4 P Qualities - · PDF fileThe Evolution of Medicine Toward 4 P Qualities ŁP1 Preventive ... Arm 2:ARVs + Imuniti Arm3:ARVsonly (continued) and followed

Centre Intégré de Recherche Bioclinique d�Abidjan