The Nobel Prize for Medicine this year is shared by the
French and German scientists for discovery of the HIV virus, and the role
of the human papilloma virus (HPV) in cervical cancer, respectively.
The Fight to Discover the AIDS Virus
Twenty five years ago, American scientist Antony Gallo
and French scientist Luc Montaignier were locked in such a bitter dispute
that the then President of the United States Ronald Reagan and French
Prime Minister Jacques Chirac had to intervene.
It started when in 1981 a new disease was described in
gay men with lymphadenopathy and peculiar infections. The first
descriptions of AIDS sparked off explosive research activity to isolate
the virus. Dr Luc Montagnier of the Pasteur Institute in Paris and Dr
Anthony Gallo of the National Cancer Institute in Washington were neck to
neck in the global race.
On January 23, 1983, Montagnier found a suspect virus
he called LAV (Lymphadenopathy Associated Virus) and published his
findings in May 1983. In July, the Pasteur Institute sent a sample of LAV
to Gallo. Another sample of LAV was sent in September, and by December,
Gallo’s lab was successfully cultivating LAV.
Gallo believed that AIDS was due to a type of HTLV
virus and announced in a press conference that he had discovered the cause
of AIDS and it was HTLV 3. It turned out that that the pictures he showed
were of the LAV virus sent to him by Montaignier. The same day he filed a
US patent for a blood test which detects the virus in humans.
The controversy really took off when the US Government
refused the French scientists a patent for the blood test but awarded it
to Gallo. The Pasteur Institute challenged the patent in court. The
dispute ended in an out of court settlement with a decision to share the
credit. Today it is generally agreed that Montagnier’s group was the first
to identify HIV, although Gallo’s group insists it contributed
significantly to demonstrating that it causes AIDS.
The Persistent German Scientist
In the 1970’s Harald zur Hausen from Heidelberg,
Germany, hypothesised that the human papilloma virus (HPV) induces
cervical cancer, which few could swallow. This was followed by a laborious
struggle to prove it. He said if the HPV is oncogenic, its viral DNA must
be found integrated into cervical cancer cells. For 10 long years he
searched in cervical cancer tissue for the viral genome. A difficult job
considering there are 100 HPV types and only a part of the viral genome is
integrated. Finally he found the novel viral DNA in cervical cancer cells.
In 1983 he discovered the oncogenic HPV 16 and in 1984 he cloned HPV 16
and 18 which can be found in 70% of cervical cancer tissues from all over
the world.
Worldwide, the burden of disease due to HPV is
enormous. Cervical cancer is the second commonest cancer in women and HPV
accounts for 5% of all cancers. Oral, vulval and penile cancers are also
linked to HPV. Of the 100 serotypes, 15 predispose women at high risk to
cervical cancer. Human papilloma virus can be detected in 99.7% of women
with histologically confirmed cervical cancer, affecting some 500,000
women per year. This discovery resulted in the development of the HPV
vaccine which can prevent >95% of cervical cancer due to HPV 16 and HPV18.
(http://nobelprize.org/nobel_prizes/medicine/laureates/2008/press.html,
The London Free Press 27 October 2008)