By Nicholas Regush
Let me lay it on the line for you: I have never once thought or
written that hepatitis C is a psychological problem. I have no doubt whatsoever
that people have developed liver scarring and that many have developed liver disease and
died from it.
But after 30 years of reporting on science, I can sometimes smell
a skunk. This time, the skunk is a so-called virus called hepatitis C virus (HCV), which
is blamed for much of the severe liver disease people suffer.
I certainly feel compassion for people who become ill with liver
disease. But I have less than nice feelings for scientific enterprise that is shallow and
takes red-flag shortcuts, which is exactly what I have concluded has occurred with the
science underlying the claim that a hepatitis C virus has been properly identified.
When you get beyond all the biotech smoke and mirrors and you need to take time to
travel through this fantasyland to appreciate the nuances there are disturbing
issues about HCV that must be raised, particularly when it is said to have infected some 4
million Americans, the vast majority of whom have no symptoms and have been frightened out
of their wits that theyll eventually develop fatal liver disease.
HCV is said to spread through direct contact with contaminated
blood; that means through such routes as sex, sharing needles for drug use and, of course,
blood transfusions, particularly from the 1960s through the 80s when the blood
supply wasnt adequately tested for HCV.
The stakes here are obviously very high for people diagnosed with
HCV and for society in general. Wed better have good fundamental science serving as
the foundation for very expensive testing programs, treatment regimens and public health
promotion about a hidden epidemic on the rampage.
Keep in mind that it takes only a handful of researchers and some good marketing to set
others on a course that, even if misdirected, becomes difficult to reverse. This is
particularly true in todays world of molecular biology, in which basic discoveries,
in the form of molecular products or tests, are often accepted without challenge as
baselines for further research, and, of course, the scramble for research dollars.
Most doctors who see patients must accept this basic science on
blind faith, due to their own lack of scientific expertise or the time to read the
research papers. They then pass on their accepting views to patients, who typically assume
theyve been told the truth.
In 1987, a scientific research team went on the hunt for a virus
to explain liver disease linked to what was then called non-A non-B hepatitis. The team,
including scientists from the CDC, Chiron Corp. and others, claimed to have detected HCV.
But to this day, no one has ever been able to isolate such a virus
in an intact form, nor has anyone been able to grow it in a culture. And no one has been
able to fish out such a virus, purify it (meaning separate it from a cell), inject it into
an animal and cause hepatitis. No one has ever been able to document, according to basic
long-held standards of virology, that such a proposed virus is infectious. No one.
From the beginning, the researchers presumed too much in making their claim. They began by
injecting blood from hepatitis patients into chimps. In half of the animals, they noted
signs of infection in the form of a biological marker of hepatitis called alanine
aminotransferase. The injected blood, however, did not cause hepatitis. That should have
been a big red flag. The marker they detected may have had nothing to do with a virus. In
any case, the scientists began fishing in liver tissue to find one.
What they found, with the use of high-tech amplification tools,
was essentially a small piece of genetic information (encoded in ribonucleic acid, or
RNA). On the basis of tests to reconstruct pieces of what they believed was a virus, they
presumed that this bit of RNA was foreign and viral even though they had no basic
evidence that their catch behaved like a virus.
But never mind. Just clone the pieces of genetic information; work
out the genetic sequences; using indirect methods, generate proteins presumably coming
from a viruss genetic code; create an antibody test against this genetic
information; test many patients who turn out to be positive against this genetic
information and lo and behold, you have an epidemic.
Then, of course, all of the followers of the leaders must then publish thousands of
scientific papers (which they did) studying the bits and pieces of genetic information
presumed to be a virus. And they must do so to keep their labs going, particularly at a
time when everyone is clawing for research support to keep their academic enterprise
This is not science. When you generate the basis of an epidemic
and nowhere have you properly isolated the virus and shown it to be infective and
disease-causing, you are making a mockery of the scientific method.
Now what about this genetic information that is
presumed to be a virus? Some scientists have already suggested, on the basis of
highly-detailed research (published in 1997) on cells from healthy human subjects who arent
antibody positive to HCV, that some of that so-called viral genetic information may be
similar to what is found normally in human cells specifically, cell-escaping
sequences of DNA via its RNA messenger. In other words, some of the genetic information
thought to be a virus may actually have a human origin. How very intriguing.
Rule Out Before Ruling In
But to a thoughtful molecular biologist, such a proposition makes a lot of sense. One of
the people I consulted was Richard Strohman, professor emeritus of molecular and cell
biology at the University of California. Strohman points out what any reasonable molecular
biologist should know: toxic hits, say, for example, smoking and alcohol consumption, can
traumatize the liver and cause some genetic instability in its cells. In other words, the
human cell itself can certainly be the source of the kind of genetic information caught in
a molecular fishing expedition and presumed to be viral. Before jumping on a viral
bandwagon, every effort should be made to thoroughly rule this out. It bothers Strohman
that in the case of HCV, it has not.
It also bothers him that the supposed detection of the HCV has
been credited for lowering the post-transfusion rate of non-A non-B hepatitis. Better
screening equals much less infection, or so goes the logic. But this is another example of
pole-vaulting. There may be other reasons for the decline, including the elimination of
many donors at risk for AIDS.
In last weeks column, I raised the challenge to the scientific community to send me
some evidence that a virus exists. The fact is, a virus might indeed exist and contribute
to non-A non-B hepatitis, but the evidence so far is only indirect and circumstantial and,
I believe, highly misleading, given the extreme to which it has been pushed.
I have some time I can set aside later this summer to debate
anyone from the molecular biology establishment who has been at the forefront of the
discovery of HCV. No pretenders to the throne or angry followers of the leaders need
In the meantime, given the huge amount of tax dollars being
appropriated and the numerous biotech industry programs that have emerged to fight HCV, I
plan this week to contact a congressional committee known for its investigation of
scientific issues and ask that they seriously consider launching a probe of the science
behind this vapor-like virus.
Next week, Ill focus on some on the important issues
hepatitis patients are raising about their disease and the science and doctoring behind