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Florida-Based Organization Encourages Black Women To Be Tested For HIV
The one-year-old Florida-based organization Sistas Organizing to Survive on Saturday held a rally in Orlando that sought to raise awareness of HIV among black women and encourage them to be tested, the Orlando Sentinel reports. According to Debbie Tucci, coordinator for the Orange County Health Department"s HIV/AIDS program, one in 68 black women in the state is living with HIV/AIDS and many are unaware they are infected. AIDS has been a leading cause of death for black women ages 25 to 44 in the state for the past 15 years, the Sentinel reports (Ruano Gonzç¡lez, Orlando Sentinel, 6/21).

Large-Scale Analysis Finds Bariatric Surgery Relatively Safe
Advances in weight-loss surgery have made it as safe as any routine surgical procedure, according to a Duke University Medical Center researcher who reviewed data from nearly 60,000 patients and found it resulted in low complication and mortality rates.
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London Health Service Begins Offering Rapid HIV Tests
Barts and the London NHS Trust has become the first National Health Service provider in the United Kingdom to offer rapid, oral HIV tests, BBC News reports. Officials hope that the service will increase the number of people who seek testing because requirements of giving blood and waiting for test results are eliminated with the rapid tests. Barts will offer the rapid, oral tests in non-health care settings such as outreach centers. In addition, sexual health workers hope to be able to offer the test in night clubs in the future. About 200 people in Barts clinics have received rapid tests since March, and officials hope to test 250 people monthly. Merle Symonds, the sexual health adviser at the trust, said the message that HIV is a treatable disease has not "filtered through and stigma does remain around HIV, even if it is waning." Lisa Power of the Terrence Higgins Trust -- an HIV/AIDS organization that also offers rapid, oral tests -- said that a major problem surrounding HIV/AIDS in the United Kingdom is that many people are not aware of their status. She added, "Anything we can do to increase the take-up of testing is welcome, and we think what Barts is doing is fantastic."According to BBC News, the United Kingdom has the largest number of people living with HIV in Western Europe, with men who have sex with men accounting for 41% of new cases. BBC News reports that approximately one-third of HIV-positive people in the country are not aware of their status (BBC News, 5/20).
Sexual Health

USC Researchers Uncover Mechanism That Allows Influenza Virus To Evade The BodyÂðs Immune Response

California (USC) have identified a critical molecular mechanism that allows the influenza virus to evade the bodyÂðs immune response system. The study will be published in the May 21 issue of the journal Cell Host & Microbe. ÂöWe have found a mechanism that the influenza virus uses to inhibit the bodyÂðs immune response that emphasizes the vital role of a specific protein in defending against viruses," says Jae Jung, Ph.D., professor and chair of the Department of Molecular Microbiology and Immunology at the Keck School of Medicine of USC, and the principal investigator of the study. ÂöAlong with our previous studies (Nature 2007 and PNAS 2008), this finding could provide researchers with the information needed to create a new drug to enhance immunity and block influenza virus infection and replication." Several specific intracellular receptors are responsible for detecting the virus and activating the bodyÂðs defensive mechanisms. When a virus" RNA enters the intracellular fluid, a receptor known as retinoic-acid-inducible gene I (RIG-I) detects it and triggers a response that limits virus replication and calls the bodyÂðs defenses into action. RIG-I acts as the sensor and security force against attacks, Jung explains. Then, a protein known as TRIM25 helps RIG-I transmit an alarm signal, which ultimately floods the cell and surrounding tissue with antiviral interferons. The influenza virus is highly infectious and poses a serious and sometimes deadly health risk because of its ability to mutate into new strains and spread quickly during seasonal epidemics, as seen in the recent outbreak of the H1N1 swine flu virus, Jung says. Researchers have long been working to understand how respiratory influenza is able to slip past the bodyÂðs innate immune responses. They have found that the influenza A virus has evolved by incorporating Non-structural protein 1 (NS1) into its genome to escape the RIG-I alarm system. This process is one reason why the virus kills an average of 36,000 people every year. In fact, the 1918 "Spanish flu" pandemic influenza virus, which killed over 40 million people worldwide, muted the RIG-I response and interferon activity much more efficiently than contemporary flu viruses, Jung notes. "Despite the conceptual linking of RIG-I with flu virus NS1, however, the precise mechanism has been unclear for a long period of time," he says. By studying the immune responses of animal models, researchers found that the influenza A virus NS1 attacks TRIM25, inhibiting its ability to assist RIG-I trigger the alarm system against the virus. Remarkably, a flu virus carrying an NS1 mutant defective for this activity loses its virulence in animal models, Jung says. "We now know that the influenza virus escapes recognition via the interaction of NS1 with TRIM25, which inhibits the bodyÂðs immune response," he says. ÂöUnderstanding this host-virus interaction is an essential step in developing safe and effective drugs to target the influenza virus.² This work was performed in collaboration with Adolfo Garcia-Sastre, Ph.D., at Mt. Sinai Medical School and the final doctorate experiments of Michaela Gack, Ph.D., who is the paperÂðs first author and currently a faculty member at Harvard Medical School. "Influenza A Virus NS1 Targets the Ubiquitin Ligase TRIM25 to Evade Recognition by the Host VIral RNA Sensor RIG-I." Michaela Ulrike Gack, Randy Allen Albrecht, Tomohiko Urano, Kyung-Soo Inn, I-Chueh Huang, Elena Carnero, Michael Farzan, Satoshi Inoue, Jae Ung Jung*, Adolfo Garica-Sastre*. Cell Host & Microbe. DOI: 10.1016/j.chom.2009.04.006. USC


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