艾滋病论文投稿平台官网

3 艾滋病健康知识教育对收容教育女性艾滋病乐观偏差的效果评价及启示 陈静; 蒋索; 陈月凤 温州医学院学生处; 温州医学院环境与公共卫生学院 【期刊】中国医学伦理学 2009-10-05 27 4 贫困地区艾滋病社会救助机制构建的对策探讨——对安徽阜阳地区艾滋病的调研 叶良均; 俞宁; 黄邦汉 安徽农业大学人文学院; 安徽农业大学人文学院 安徽合肥; 安徽合肥 【期刊】医学与哲学(人文社会医学版) 2006-02-08 4 121 17 受艾滋病影响的儿童受教育权状况调查研究——对受艾滋病影响儿童受教育权的社会控制与反歧视对策分析 刘玉强; 窦云云 云南大学法学院; 云南大学国际关系研究院 【期刊】法制与社会 2009-11-25 1 87 18 艾滋病感染孕产妇接受预防艾滋病母婴传播措施情况及对策分析 王爱玲; 乔亚萍; 苏穗青; 王临虹 中国疾病预防控制中心妇幼保健中心 【期刊】中国妇幼保健 2006-07-28 15 103 19 浅谈AIDS防治难点及对策——附HIV感染者和AIDS病人5例 杨绪红; 刘伯雁; 崔峰 山东省淄博市卫生防疫站; 山东省淄博市卫生防疫站 淄博市 【期刊】中国热带医学 2003-05-28 0

舞茸β-葡聚糖对HIV（艾滋病）病人的效果

Effects of Maitake (Grifola frondosa) gulcan in HIV-infected patients

【摘要翻译】

为评估一种从舞茸中提取的β-葡聚糖MD-Fraction（舞茸D-fraction）对艾滋病（HIV）感染病人的效果，进行了长期的实验。参与实验的HIV感染者被跟踪监测CD4+ 细胞计数，病毒载量，艾滋病感染症状，继发病状况，以及健康状态。20位患者的CD4+细胞计数增加到原来的倍，8位患者降低到原来的倍。9位病人的病毒载量增加，10位降低。尽管如此，85%的受试者对于HIV引起的症状和继发病的感觉变好，这表明舞茸D-fraction对于艾滋病HIV患者具有积极的影响。

关键词： 抗HIV活性，CD4+细胞，舞茸，IL-2，MD-Fraction

注：CD4+细胞是人体免疫系统中的一种重要免疫细胞，由于艾滋病病毒攻击对象是CD4+细胞，所以其检测结果对艾滋病治疗效果的判断和对患者免疫功能的判断有重要作用。

【论文原文】

Effects of Maitake (Grifola frondosa) gulcan in HIV-infected patients

Hiroaki Nanba1)*, Noriko Kodama1), Douglas Schar 2) and Denise Turner 2)

1)Department of Microbial Chemistry, Kobe Pharmaceutical University, 4-19-1,

Motoyamakita-machi, Higashinada-ku, kobe 658-8558, Japan2)Herbal Clinical Research, 140 Columbia Road, London E2 7RG, .

The effects of MD-Fraction, a β-glucan extracted from Maitake mushroom (Grifola frondosa)， on the health status of individuals suffering from HIV infection were evaluated in a long-term trial. The HIV status of the 35 respondents who participated in the study was followed by monitoring CD4+ cell counts, viral load measure, sympotoms of HIV infection, status of secondary disease, and sense of well-being. Twenty patients reported to increase in CD4+ cell counts to times, and 8 patients reported a decrease to times. Viral load was reported to increase in 9 patients and decrease in 10 patients. However, 85% of respondents reported an increased sense of well-being with regard to various symptoms and secondary diseases caused by HIV. These results suggest that Maitake D-Fraction had a positive impact in HIV Words : anti-HIV activity; CD4+ cell; Grifola frondosa (Maitake); IL-2; MD-Fraction

Acquired immune deficiency syndrome (AIDS) is caused by HIV infection, which attacks helper T cells (CD4+ cells) and decreases the body’s immunity. In 1991, we studied the effect of a Grifola frondosa . Gray (Maitake) extract, named MD-Fraction on HIV, which is believed to be a cause of AIDS. Sulfated MD-Fraction was found to prevent HIV from killing helper T (CD4+) cells: almost 100% of CD4+ cells survived challenge by HIV at concentrations of sulfated MD-Fraction of around 1 pg/ml, and the results were presented in an abstract paper at the 8th International AIDS conference in Amsterdam in July 1992. National Institute of Health and National Cancer Institute in . also confirmed the anti-HIV activity of the sulfated form of MD-Fraction. NCI doctors have recognized that the sulfated MD-Fraction is the most effective among all anti-HIV polysaccharides known to date and is as powerful as the drug azidothymidine (AZT). However, the sulfated MD-Fraction has the strong side-effect of toxicity to cells in vivo. On the other hand, we have reported that a β1,6-glucan having a β 1,3-branched chain (named MD-Fraction) can enhance immunocompent cell activities (Hishida et al., 1988; Nanba et al., 1987; Nanba et al., 1993).In this paper, we report that Maitake appears to work on several levels in HIV conditions, by (a) direct inhibition of the human immunodeficiency virus (HIV), (b) stimulation of the body’s own natural defense system against HIV, and (c) making the body less vulnerable to opportunistic disease.

Materials and Methods：

Preparation of Maitake tablets  Tablets containing 250 mg of dried Maitake powder(φ200 μm) and 5 mg of vitamin C were prepared with a tabloid of MD-Fraction  Dried Maitake powder (500 g) was autclaved with 3,000 ml of distilled water at 120℃ for 60 min, and the water-soluble layer obtained was saturated with the same volume of ethanol at 4℃ for 12 h. After removal of floating material, this ethanol solution was saturated to 80% with ethanol and stored at 4℃ for 10 h. The pellet obtained by centrifugation at 5,000×g for 20 min was suspended in a small volume of distilled water and protein was removed by passage through a DEAE-cellulofine column (4×80cm). Finally 1 g of purified MD-Fraction was of virions  The HIV genome is known to have nine genes, three expressing structural protein and six expressing regulating protein. Anti-HIV-Env antibody was produced in blood from 10 wk to 12 yr after HIV infection. The coagulation test of antigen was performed with HIV-Env antibody collected from blood. Viral loads were counted in 50-μl portions of patients’ of interleukin-2 (IL-2)  Production of IL-2 in blood was detected with IL-2 ELISA Kit Intertest-2X (Genzyme Co. .)Counting of CD4+ cells and CD8+ cells  CD4+ cells were counted by flow cytometric analysis after treatment of 10 μl of blood with CD4+- monoclonal antibody (Cytovax Biotechologies Inc.) The count of CD8+ cells was obtained by subtracting the CD4+ cell count from the total count of T cells determined by flow cytometric of Maitake  A supply of Maitake was given to each HIV carrier at a dose level of 6 g of tablets or 20mg of purified MD-Fraction together with 4 g of tablets per day for 360d.

Results：The main focus in monitoring the progress of HIV disease is CD4+ cells (helper T cells). The normal range of CD4+ cell count is 500-1,200 cells/10μl of blood. A level of 200-500 cells indicates that some damage has occured. Below 200 cells, the individual is highly susceptible to secondary diseases. An elevated viral load indicates an increased risk of damage to CD4+ cells. The significance of these activities in regard to HIV infection relates to the immune system. Both IL-2 and interferon are activated by the immune system response to infection by viral disease. After administration of Maitake tablets for 12 mo to 35 respondents (24 in England and 11 in .), 20 responders reported an increase in CD4+ cell counts and 8 reported a decrease , as shown in Table 1. Nine respondents reported an increase in viral load, 10 reported a decrease and 2 patients reported static, Typical individual results were as follows.

Patient A  The initial CD4+ count of 90 cells rose as high as 460 cells (average CD4+ count: 355) in the study period, but viral load was undetected throughout. Previous symptoms were Kaposi’s sarcoma, pneumocystis carinii pneumonia, and allergic conjunctivitis, all of which resolved and remained controlled during study period. The patient consistently reported feeling very well and energy levels much B  The initial CD4+ count of 400 cells rose to 620 cells after the treatment. The viral load of 15,200 copies/ml in CD4+ cells decreased to 5,000 copies/ml. IL-2 production was also increased times by Maitake treatment. Previous symptoms were Kaposi’s sarcoma, verrucae, anal warts, anal herpes, diarrhea, chest infections, and fatigue. Following the study period, when the patient received 6 g of Maitake tablets together with 20mg of MD-Fraction per day, Kaposi’s sarcoma became static, verrucae and anal warts were resolved, and other symptoms became C  The initial CD4+ count of 510 cells showed little change at 500 cells after the study, but the viral load of 60,000 copies/ml in CD4+ cell decreased to 1,000 copies/ml. The patient had day and night sweats, bouts of colds, mucous membrane irritation and fatigue as previous symptoms, but after the course of Maitake all symptoms were resolved. In particular, a direct effect on the sweats was D  The initial CD4+ count of 425 rose to 680 counts (average ) during the study. The viral load of 20,000 copies/ml increased to 93,000 copies/ml, but skin, oral, and gastric Candida, catarrh, irritable bowel, and aching muscles as previous symptoms were all improved by E  The initial CD4+ count of 17 cells decreased to 7 cells during the study, while the viral load of 55,000 copies/ml increased to 62,000 copies/ml. AIDS, oral Candida, and wasting disease as previous symptoms persisted despite the treatment with Maitake. The CD4+ cell counts and HIV viral loads of other patients who received Maitake for 1 yr are shown in Tables 2 and 3. It is known that long infection period of HIV makes seriously symptoms and secondary disease. Therefore, as shown in Tables 4 and 5, we examined that these symptoms and diseases were improved by Maitake treatment. Symptoms depends on HIV infection, such as weight loss, hair loss, night sweat, fever, dry cough and leg pain, were improved by Maitake almost in 50% of patients (as Table 4), also secondary diseases, such as toxoplasmosis, cryptococcosis, herps, kaposi’s sarcoma and mycopathy, were cured in 40-50% of patients. Table 6 indicates that the percentage of patients reporting changes in symptoms and sense of well-being following treatment.

Discussion ：The MD-Fraction exhibited an enhancing effect on CD4+ cells, the target cells of HIV, upon oral administration in animals (Hishida et al., 1988). Even though it was a non-controlled trial, this clinical study indicated that MD-Fraction and Maitake powder were effective in patients with breast cancer, lung cancer, or liver cancer. These human tests suggest that the active ingredients of Maitake have significant healing and preventative potential in HIV-responders by stimulating the immune system. The present study indicates that when MD-Fraction and Maitake enhanced the activities of immuno-competent cells such as macrophages, cytotoxic T cells (CD8+) or helper T cell (CD4+), the HIV in CD4+ cells was directly killed or its multiplication was suppressed. However, even if these cellular activities were increased by MD-Fraction, HIV in CD4+ cells of AIDS patients did not decrease. All of the results shown here indicate that there is evidence to support a more structured investigation in to the potential benefits of Maitake and MD-Fraction in the treatment of HIV infection. The results also indicate that this trial study needs to be done on a larger scales, as many questions remain unanswered.

Literature cited：Hishida I., Nanba H. And Kuroda H. 1988. Anti-tumor activity exhibited by oral administered extract from fruit body of Grifola frondosa (Maitake). Chem. Pharm. Bull. 36: H., Hamaguchi A. and Kuroda H. 1987. The chemical structure of an anti-tumorpolysaccharide in fruit bodies of Grifola frondosa (Maitake). Chem. Pharm. Bull. 35:  H. and George S. R. 1993. Effects of Maitake (Grifola frondosa) for HIV-positive or fibroid tumor patients. 113th Congr. Pharmaceutical Society of Japan, Osaka, Japan, March 29-31, . Anti-tumor activity of orally administered D-Fraction from Maitake mushroom Grifola frondosa. J Naturopath. Med. 4: 10-15.

一开始以为消息可能不准确或者存在某些方面的夸大，结果一查，浙江省卫生和计划生育委员会在其官网位置已经发了正式的通报了。这竟然是真的，真叫人彻底的无语，真为这5名因违规操作而被感染患者感动气愤怨怒。患者选择这家医院，就是相信医院有本事治好自己的病，把自己的生命健康托付给医院，结果，因为一个违规操作，竟然使得自己染上了艾滋。艾滋！尽管现在医学这么发达，但这仍然是不可治愈的绝症，是一个可怕的字眼。这5个人，至少5个家庭的幸福就这样断送在这家医院手里，晴天霹雳，这叫人如何能受得了呢。一人一管一抛弃，这样的操作流程，即使是普通人也应该知道吧。到底是什么原因让医院竟然敢一管交叉使用呢？这简直就是谋财害命呀。一管交叉使用的危害，不要是医护人员可以预见，就是平民老百姓也知道这样是不幸的。即使现在不出事，将来一定也会出事的。医院这样完全是草菅人命，不顾他人的死活，只为了这一丁半点的利益，希望有关部分彻查，把相关责任人查办，给这些可怜的患者一点交代。为今之计，有关部门一定要彻查此事，责令医院整改，把相关责任人不管官位多高一律查办，给患者一个说法，并让医院给患者足够多的补偿，虽然再多的补偿也没用了，但生活总归要继续。医院这种关心人身家性命的地方，真的容不得一丝一毫的杂志。

五名患者被感染了艾滋，艾滋病的多么可怕的字眼啊，一般人听了就会“身体敏感”，“闻风丧胆”的，况且是来自医院的违规操作，想想真是让人后怕，相关部门一定要严肃的处理，负起应有的责任，接受法律的审判。作为医务工作者，应该具备专业的医疗基本知识。竟然重复使用吸管造成交叉污染，导致了感染，犯下如此低级的错误，让患者受到身心的伤害，严重违背了职业道德素质，实在是不应该发生的。尽管医生每天都在面对着生死的画面，但是更不能懈怠了每一名患者，拿别人的生命开玩笑，一个小小的错误，都是会引发起“人命关天”的大事情，马虎不得的。在医患关系，如此紧张的时候，各种质疑的声音，经常会有听闻到。我们该拿什么来换取医患之间相互的信任呢？患者把生命，把信任交给了医生，必然应该得到尽心尽力的医治，因为每个人，都充满了对生的渴望，对生活的留恋，对生命的延续，生命的意义就在于此。当医患关系上升为了社会问题，人人都应该关注重视起来，深刻的思考一番。希望在这次事件发生的背后，相关的部门，应该高度重视并引以为戒。不要让悲剧再次发生，五名患者，关系到了五个家庭的悲剧命运，家人们该有多难受啊，后续还要面对漫长的治疗过程，各种社会舆论的压力，难以想象，愿他们可以坚强的挺过去。