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Acyclovir


Q-A 1

Q (t) An article in the December issue of Nature Medicine, "Association of Human Herpes Virus 6 with Multiple Sclerosis", suggests that antiherpetic drugs such as acyclovir mat be useful in the treatment of MS.

Your article, "C.9. Acyclovir (Zovirax®) : un traitement dangereux de l'herpès pour les personnes séropositives mais aussi pour les personnes non séropositives ?", raised questions about the safety of this drug.

Do you think acyclovir might be a safe drug for patients with MS ?

A (t) It is not easy to give an answer about acyclovir security and more precisely during a long term use (see our article C.9. Acyclovir (Zovirax®) : un traitement dangereux de l'herpès pour les personnes séropositives mais aussi pour les personnes non séropositives ?).

As HHV8 would favour Kaposi's sarcoma appearance for HIV+ persons, studies have been carried out to determine whether drugs acting against other human herpes viruses (HHV 1 and 2) could treat Kaposi's sarcoma. No effect has been observed with ganciclovir and foscarnet. On the contrary with acyclovir, an unexpected increase of the frequency of Kaposi's sarcoma has been mentionned in some studies.

Concerning multiple sclerosis, HHV6 would favour its outbreak (may be HHV6-B, according to Nature Medicine article). We don't know any study concerning acyclovir use in multiple sclerosis treatment.

Among HHV6 viruses, HHV6-A (the variant A strain of HHV6) would intervene during HIV infection. HHV6-A would act by impairing antigen presentation (of some particular proteins of HIV in case of HIV infection) from macrophages-monocytes to CD4 cells, leading to perturbation in antibodies production (TH2 CD4 sub-type responde) and CD8 cytotoxic lymphocytes (CTLs) intervention to kill infected cells (TH1 CD4 sub-type response).

In addition, HIV tat gene enhances HHV6-A replication.

To act against HHV6-A, some, like Keep Hope Alive (PO Box 27041 West Allis, WI 53227; Internet : http://www.keephopealive.org/) propose lauric acid from coconut oil use (24 gramme/day) and/or Monolaurin.

To have more precisions concerning HHV6 virus, we advise you to contact Keep Hope Alive. (9711)



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