"Right now, it is chaotic," said John Coffin of Tufts University, a retrovirus expert who co-wrote a positive commentary accompanying the Science paper. "It is not impossible that there is something fundamentally wrong with the initial study. Everything is on the table."
Mikovits, director of research at the 5-year-old Whittemore Peterson Institute for Neuro-Immune Disease in Reno, Nev., said in an interview and by e-mail that she feels her finding is being ignored by a dithering, even hostile scientific world.
Last month she spoke at the Autism One conference in Chicago about her new research on XMRV and autism — joining a speakers lineup that included disgraced autism researcher Andrew Wakefield, who recently lost the right to practice medicine in Britain for serious professional misconduct.
Mikovits wrote in an e-mail that she realizes presenting at the conference "could destroy what is left of my career" but felt she had to accept.
"I know that presenting unpublished data will hurt me but the political attacks on the WPI and the lack of government response to a Science paper showing a new human retrovirus detected in a huge proportion of CFS patients told me that unless we do something now this could be the worst epidemic in U.S. history," she wrote. "Our continent will be like HIV Africa only worse!"
The Whittemore Peterson Institute is run by founder Annette Whittemore, a wealthy Nevadan whose daughter has chronic fatigue syndrome. Its goal is to develop treatments as well as do basic science. Mikovits, a retroviral scientist with decades of experience at the National Cancer Institute, was hired in 2006 to head the institute's research program.
In its Science paper, Mikovits' team — which included scientists from the Cleveland Clinic and the National Cancer Institute — reported finding evidence of XMRV infection in 67 percent of 101 chronic fatigue syndrome patients but in only a handful of people without the disorder.
"It was an incredibly proud day," Mikovits said of the paper's publication. "I got calls from around the world. Dubai, China, you name it."
For patients, such a report can seem like a long-awaited answer. But for scientists, a single paper raises questions. Are the findings correct? What do they mean? And importantly, can we confirm it?
Even the best scientists can be wrong. Findings must be tested and confirmed by other researchers before they can be trusted. And that has yet to happen for XMRV and chronic fatigue syndrome.
"Extraordinary claims require extraordinary proof," said Dr. Pat Moore, director of the cancer virology program at the University of Pittsburgh Cancer Institute and the co-discoverer of two viruses that cause cancer. "It's important in cases that have a lot of clinical implications like this, where there are a lot of people desperate for an answer."
"Right now it is chaotic," said John Coffin of Tufts University, a retrovirus expert who co-wrote a positive commentary accompanying the Science paper. "It is not impossible that there is something fundamentally wrong with the initial study. Everything is on the table."
Mikovits said in an interview and by e-mail that she feels her finding is being ignored by a dithering, even hostile scientific world. A retroviral scientist with decades of experience at the National Cancer Institute, she was hired in 2006 to head the research program at the Whittemore Peterson Institute for Neuro-Immune Disease in Reno, Nev.
MISSING BIT
In its Science paper, Mikovits' team, which included scientists from the Cleveland Clinic and the National Cancer Institute, reported finding evidence of XMRV infection in 67% of 101 chronic fatigue syndrome patients but in only a handful of people without the disorder.
"It was an incredibly proud day," Mikovits said of the paper's publication. "I got calls from around the world. Dubai, China, you name it."
For patients, such a report can seem like a long-awaited answer. But for scientists, a single paper raises questions. Are the findings correct? What do they mean? And, perhaps most important, can we confirm it?
'Extraordinary proof'
Even the best scientists can be wrong. Findings must be tested and confirmed by other researchers before they can be trusted. And that has yet to happen for XMRV and chronic fatigue syndrome.
"Extraordinary claims require extraordinary proof," said Dr. Pat Moore, director of the cancer virology program at the University of Pittsburgh Cancer Institute and the co-discoverer of two viruses that cause cancer. "It's important in cases that have a lot of clinical implications like this, where there are a lot of people desperate for an answer."
Mikovits said she neither opposes nor endorses people's experiments with anti-retroviral drugs. But, she said, the Whittemore Peterson Institute is helping some physicians monitor some patients' therapy.
She said she hopes her work can help chronic fatigue syndrome sufferers avoid risky, unproven treatments. "We want to bring this out of the barbaric age by doing real science," she said.
Dr. Jamie Deckoff-Jones, a physician in Santa Fe, N.M., and her daughter both suffer from chronic fatigue syndrome and have been taking AZT, raltegravir and tenofovir. Deckoff-Jones said she is aware of the risks but feels ready to accept them.
"I am still a scientist at heart," she wrote in an e-mail. "But life sometimes forces leaps of faith."
Deckoff-Jones, whose blog about her treatment includes dosages, said other people interested in trying anti-retrovirals have contacted her. "Some of us simply don't have the time to wait," she said.
Mikovits said she neither opposes nor endorses people's experiments with anti-retroviral drugs. But, she said, the Whittemore Peterson Institute is helping some physicians monitor some patients' therapy.
She said she hopes her work can help chronic fatigue syndrome sufferers avoid risky, unproven treatments. "We want to bring this out of the barbaric age by doing real science," she said.
Dr. Paul Sax, clinical director of the HIV Program and Division of Infectious Diseases at Brigham and Women's Hospital in Boston, said he has "tremendous sympathy" for people with the disorder. "No wonder they are looking for both a cause and a treatable cause at that," he said.
But, Sax said, the three drugs Deckoff-Jones is using can have serious risks that are considered a reasonable risk to people with HIV because the alternative is death from AIDS. Potential side effects include kidney damage, anemia, muscle problems and damage to the energy-producing centers of cells.
"This is not the way to answer the question of whether these meds can help people," Sax said. "HIV therapy did have some stops and starts along the way, and we learned the hard way about these medicines in being overeager."
Dr. Jamie Deckoff-Jones, a physician in Santa Fe, N.M., and her daughter both suffer from chronic fatigue syndrome and have been taking AZT, raltegravir and tenofovir. Deckoff-Jones said she is aware of the risks but feels ready to accept them.
"I am still a scientist at heart," she wrote in an e-mail. "But life sometimes forces leaps of faith."
Deckoff-Jones, whose blog about her treatment includes dosages, said other people interested in trying anti-retrovirals have contacted her. "Some of us simply don't have the time to wait," she said.
MISSING BIT
A risky path
Dr. Paul Sax, clinical director of the HIV Program and Division of Infectious Diseases at Brigham and Women's Hospital in Boston, said he has "tremendous sympathy" for people with the disorder. "No wonder they are looking for both a cause and a treatable cause at that," he said.
But, Sax said, the three drugs Deckoff-Jones is using can have serious risks that are considered a reasonable risk to people with HIV because the alternative is death from AIDS. Potential side effects include kidney damage, anemia, muscle problems and damage to the energy-producing centers of cells.
"This is not the way to answer the question of whether these meds can help people," Sax said. "HIV therapy did have some stops and starts along the way, and we learned the hard way about these medicines in being overeager."
XMRV has been found in the tumour cells of a particularly aggressive form of prostate cancer. It has not been proven to be causative. I have a special stake in this, given that my brother-in-law, whose funeral is tomorrow, died quite young of just such a cancer. Don't you think we would have loved it if, during his three-year battle for life (yes, in excruciating bone pain and unable to walk, he still wanted to live) someone had said "This is caused by XMRV so along with your chemo, we are putting you on antiretroviral drugs." The bottom line is that they simply do not know.
Exactly. We don't know, and looking through that list tells me nothing useful.
Sorry, I think, all in all, the origial chicago tribune story was not all bad. I expected worse. However, I am surprised to see this story, with NO NEW NEWS and NO REVELATIONS, immediatly reprinted in two major newspapers and reworded. It just makes me think that people are out to get Mikovits now and hope that she can get her papers published before these people do too much damage. Look at Wakefield, he already had a paper submitted and accepted for publication when they yanked his medical license and then his paper.
Thank you Natasa, thats a very kind thing to say to me, very uplifting. Funny really, i went out today and saw what looked like some orange peachy poppys, i picked one and showed my partner, ( i know a man into flowers not exactly Mike tyson is it lol) when i came back i looked at your picture, i didnt look at it this morning. same mix of colours right there. I know its just a coincedence. but i like those kind of coincedences.
Here is a gift for you. I am a amature astronomer, i take photos of the moon and planets with expensive equipment ( telescopes and special cameras ) back in the days i had a little money. I took these at different times in my garden with the telescopes and assembled them on paintshop.
All are real photos by me, except the sun ( top left hand corner ) which is fake i photoshoped it. I hope this size photo is allowed, the actual photo is much larger. but would take up the intire page. i wanted to leave a link. But my identity would be seen. Dont know why that worrys me. Maybe it shouldnt ?
Hope you like it, solitude. in far away places and worlds. The image shows the planets Jupiter mars venus Saturn, and the moon