[HN Gopher] Woman appears cured of HIV after umbilical-cord bloo...
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       Woman appears cured of HIV after umbilical-cord blood transplant
        
       Author : nabaraz
       Score  : 238 points
       Date   : 2022-02-15 17:24 UTC (5 hours ago)
        
 (HTM) web link (www.wsj.com)
 (TXT) w3m dump (www.wsj.com)
        
       | Animats wrote:
       | Wasn't this done once before via a bone marrow transplant?
        
         | Kognito wrote:
         | Yes, a few times if I recall correctly. It's just not
         | particularly accessible treatment (for HIV) as it requires the
         | complete destruction of the host immune system and essentially
         | 're-growing' a new one - hence this is usually a pleasant side-
         | effect of treating certain cancers.
        
           | phkahler wrote:
           | IIRC that procedure has something like a 50/50 chance of not
           | working and leaving the patient dead with no immune system.
           | It's a hail Marry treatment for cancers that are about to
           | kill you anyway. Really cool that using the right donor can
           | cure HIV, but not useful as a general treatment at any cost
           | due to the high failure rate.
        
         | peter303 wrote:
         | Article says this is the 5th time. The headline is incorrect.
        
       | ianhawes wrote:
       | This is amazing news. My only hope is that the recipient has been
       | thoroughly vetted with a complete background check and panel
       | interview to determine if they are worthy of such a cure[0].
       | 
       | /s
       | 
       | [0] https://www.nytimes.com/2022/01/13/health/pig-heart-
       | transpla...
        
         | 999900000999 wrote:
         | I actually don't get the outrage on this, anyone willing to
         | undergo an experimental procedure should be held as a hero.
         | 
         | If this country didn't have an absolutely horrible criminal
         | justice system, I would love something where inmates can sign
         | up for experimental procedures in exchange for a full pardon.
         | But knowing America, this was just encourage prosecutors to
         | push inmates to get unnecessary procedures.
        
         | [deleted]
        
         | williamtrask wrote:
         | Downvoting - I don't support the idea that the criminal justice
         | system should extend to the opportunity to be cured from
         | certain diseases, particularly so long after the fact. It's a
         | dangerous precedent.
        
           | appletrotter wrote:
           | you missed the /s
        
             | nefitty wrote:
             | The sarcasm squelched the intent of what you meant.
        
       | DoreenMichele wrote:
       | (stem cell) _Transplants, which are risky and costly, are
       | unlikely to be an option for HIV patients other than those who
       | need them for treatment for diseases like cancer,_
       | 
       | Made me wonder if fasting might help. A quick search found
       | anecdotal support for "definite _maybe_ ".
       | 
       | https://www.quora.com/Can-prolonged-fasting-help-fight-HIV-A...
        
         | lopis wrote:
         | Hiv lives in your imune memory cells. I guess if you starve
         | yourself into they die, you could get rid of it. Sounds drastic
         | though.
        
           | DoreenMichele wrote:
           | I didn't say _get rid of it._ I said _help._ And I provided a
           | supporting link.
        
             | Saint_Genet wrote:
             | A Quara link full of anecdotal evidence isn't really
             | support for your thesis.
        
               | DoreenMichele wrote:
               | It's not a _thesis._ It 's a comment on a discussion
               | board.
        
               | valarauko wrote:
               | It's clear that the parent comment is using "thesis" =
               | "premise/claim" in this context, and it's a reasonable
               | use of the word.
        
               | DoreenMichele wrote:
               | It's an unreasonable standard though, one to which I seem
               | to frequently be held for bullshit reasons that appear to
               | me to boil down to "We refuse to believe that you know
               | anything about health topics and also require you in
               | specific to meet a higher standard than other posters
               | just making conversation."
               | 
               | It's a means to gatekeep me out of medical discussion
               | because people don't like the idea that I'm getting
               | healthier when doctors say that cannot be done and rather
               | than engage in meaningful discussion, I fairly often
               | receive a dismissive pile on of replies in a way that I
               | do not believe is the norm for HN.
               | 
               | I don't have to defend it or prove a claim. I didn't make
               | a claim. I stated as clearly as I know how that it made
               | me wonder x and so I did a search.
               | 
               | This should not be drama of any sort. Other people
               | routinely make conversation on medical topics and aren't
               | given a hard time for it. Other people in this discussion
               | are making conversation about donating cord blood to
               | research.
               | 
               | No one is required to be a medical professional to
               | participate in medical discussion here. No one is
               | required to defend their interest in such subjects.
               | 
               | Except apparently me. Probably because of my personal
               | situation and people having some issue with that.
        
               | valarauko wrote:
               | I think that's an incredibly uncharitable take from this
               | thread. Almost none of the people here are medical
               | professionals, nor do I think most people here are
               | familiar enough with usernames to target you in
               | particular. You opinion is just as valuable as any others
               | here.
               | 
               | If anything, at least in this case I can see that
               | providing a Quora page as "supporting link" works against
               | you - because of the low quality of most Quora content.
               | You mused about a possibility, and the comment engaged
               | with your point at face value with a very reasonable
               | response. They did not ask you to meet a "higher
               | standard" or provide evidence for your idea. You
               | escalated the discussion from there by suggesting that
               | the Quora page is "supporting" - which it really isn't.
               | Making conversation is fine, but if you're going to try
               | to back up your ideas with links, its natural that people
               | will engage with the validity of the source. If you'd
               | linked to a publication, for example, they'd have to
               | engage with the science of it. In this case since its
               | Quora, what's there to engage with? Anecdotes tell us
               | nothing - perhaps 99.95% of people who tried it had no
               | improvement and just didn't talk about it. This is not
               | gatekeeping, nor are you being targeted, at least in this
               | specific case. If you'd shared your own experience, that
               | would give us something to discuss. For example, my ex is
               | living with HIV, and it was a long road of treatments
               | before he was out of the woods. His health was pretty
               | poor when he was first diagnosed, and he was unresponsive
               | to the first line of antiretrovirals (his particular
               | strain was resistant) and it was upto me to manage his
               | health on a daily basis. I can't speak to your specific
               | personal situation that you speak of, but I can
               | appreciate that sharing them on a forum doesn't offer us
               | any extra cred with online strangers.
        
               | DoreenMichele wrote:
               | It's not uncharitable. It's highly qualified and based on
               | more than twelve years of experience posting here.
               | 
               | I know essentially nothing about HIV. I know a little
               | something about using fasting to successfully treat an
               | incurable condition.
               | 
               | I didn't share that because it is routinely ridiculous
               | levels of drama for me to comment on that and some people
               | here absolutely remember me and target me.
               | 
               | I have some mental models for why I think fasting is
               | beneficial. I didn't share those because those amount to
               | "personal opinion" and I can't back them up.
               | 
               | I am happy to hear medical reasons why fasting is
               | unlikely to work for HIV. That's mostly not the substance
               | of the feedback I got initially.
        
               | short_sells_poo wrote:
               | I'm really sorry that you have been the victim of such
               | forum drama.
               | 
               | I also agree with you that people on this forum are on
               | balance likely to dismiss non-mainstream medical
               | approaches. If you are open minded about these and want
               | to discuss them without prejudice, you'll often be met
               | with responses that may be snarky or unfairly dismissive.
               | That's the unfair reality of holding non-mainstream
               | ideas. By default, they are off-piste, niche, etc...
               | 
               | However, I didn't see anything like that in any of the
               | responses here. A very valid point was raised that you
               | support your proposition (ie that HIV might be helped by
               | fasting) with a Quora link. People who are not closed to
               | the idea will find that the link just contains some
               | anecdotal information which at best can confirm sub-
               | conscious pre-concieved biases, but not be a robust
               | argument.
               | 
               | Worse, it plays into the hand of those who are outright
               | dismissive because you served them a perfect strawman to
               | attack.
               | 
               | Ultimately, with any discussion forum you have to
               | consider the audience. People don't owe you anything and
               | particularly a forum like this where things are supposed
               | to be debated based on merit, the bar to debate claims is
               | relatively high.
               | 
               | All these considered, it would've been better to simply
               | ignore the quora link, or at least strongly annotate it
               | saying it is just anecdotal and should not be taken as
               | supporting evidence.
        
         | onychomys wrote:
         | The reason that person's viral load went from 40k to 14k is
         | because that's how HIV infection works. It would have done so
         | whether he was fasting or eating 3 cheeseburgers a day. [0]
         | 
         | [0] https://www.researchgate.net/figure/Natural-Progression-
         | of-H...
        
           | DoreenMichele wrote:
           | Thank you.
        
       | [deleted]
        
       | mmastrac wrote:
       | HIV always seemed like the worst of the worst viruses to cure
       | permanently, but it feels like we're making some serious headway
       | here.
       | 
       | Curing latent Chicken Pox, HPV, and the other common viruses
       | would be a fantastic improvement over our vaccination boosters
       | that are fantastic, but still probabilistic.
        
         | blagie wrote:
         | Personally, I'd like a vaccine for the common cold, much like
         | the annual flu shot.
         | 
         | Even if it doesn't cure it, but reduces symptoms and duration,
         | I'd be happy.
        
           | unfocussed_mike wrote:
           | I have always entertained a "what if?" question here:
           | 
           | What if... the common cold is like a folk tradition of
           | viruses that do us little harm and keep our immune system on
           | its toes, and that as such a "cure for the common cold" is
           | the wrong thing to want?
           | 
           | To be clear I am no kind of biologist and I have no reason to
           | believe this is anything other than a silly idea, but I still
           | like it.
        
             | onlyrealcuzzo wrote:
             | Why can't we just take vaccines to keep training our immune
             | system to be strong?
        
               | aliswe wrote:
               | Maybe that's what a cold is?
        
               | XorNot wrote:
               | https://www.webmd.com/cold-and-flu/cold-
               | guide/common_cold_ca...
               | 
               | The common cold is a low level respiratory infection
               | caused by a known suite of virus candidates. If we made
               | ourselves permanently immune to those without going
               | through the mucus and sore throat part there would be no
               | negative consequences.
        
               | toyg wrote:
               | Like those "good Samaritan" network viruses that patch
               | the vulnerability they exploited. Could be.
        
             | tnorthcutt wrote:
             | "what if?" can absolutely be a useful frame.
             | 
             | The flip side: what if... the common cold causes small
             | amounts of permanent damage, or damage that doesn't show up
             | until much later in life? What if all viruses are this way,
             | and preventing infection/bad infection in the first place
             | is an enormous net benefit?
        
       | nabaraz wrote:
       | Bypass paywall: https://archive.is/wip/tbRwS
        
         | voz_ wrote:
         | I am somehow failing the captcha. If anyone has another bypass,
         | that would be appreciated.
        
           | 14 wrote:
           | https://archive.is/tbRwS
        
           | malermeister wrote:
           | https://github.com/iamadamdev/bypass-paywalls-chrome
           | 
           | Never worry about paywalls again :-)
        
       | xyst wrote:
       | glad to see some advancement in the gene therapy space. I think
       | once people move past gene editing as "playing god", we will be
       | able to get rid of advanced genetic diseases entirely (ie,
       | muscular dystrophy) and edit our genes to be naturally resistant
       | to todays and future diseases.
       | 
       | Also I hope gene therapy becomes democratized. It shouldn't be
       | limited to big Rx developing these solutions.
        
         | tediousdemise wrote:
         | Genetics ftw. I firmly believe that consumer genetic tests,
         | self-order lab tests, and overseas pharmacies will disrupt the
         | corrupt healthcare system because they empower patients to
         | treat themselves instead of resorting to conventional medicine
         | where Big Pharma, insurance companies, and overpaid doctors
         | gatekeep access to treatment.
         | 
         | For 100 dollars, you can obtain a full copy of your genome from
         | a service like 23andMe and run it across a parsing tool such as
         | https://www.codegen.eu to find genetic predispositions to all
         | kinds of medical maladies. I found numerous bad SNPs in my
         | genetic data that I correlated to confirmed family cases. I
         | also discovered genes I have that reduce my response to certain
         | pharmaceuticals or cause harmful reactions. Why take a risky
         | shotgun approach when you can know in advance if something will
         | or will not work for you?
         | 
         | It's literally like looking into a crystal ball of ailments
         | that are plaguing you now or in the future. Forget about
         | bouncing around from specialist to specialist for years and
         | years; read your genome to get the answers you seek today. It's
         | your source code.
        
         | 0x4d464d48 wrote:
         | "I think once people move past gene editing as "playing god",
         | we will be able to get rid of advanced genetic diseases
         | entirely (ie, muscular dystrophy) and edit our genes to be
         | naturally resistant to todays and future diseases."
         | 
         | I think the "go fast and break things" mindset is scarier here
         | than the debates about whether or not we have the right to play
         | God.
        
           | somesortofthing wrote:
           | I used to think this way but honestly, given how poorly
           | nature does in terms of creating genetic material for new
           | people, I've come to believe that we have a pretty big margin
           | for error. The harm done by a gung-ho attitude toward gene
           | editing has to be compared to the harm done by allowing the
           | "natural" course of events to continue.
        
             | 0x4d464d48 wrote:
             | Look up elixir sulfanilamide and thalidomide.
             | 
             | That's the sort of blood that writes regulations.
             | Experimental medicine has a long, clumsy and cruel
             | tradition.
        
               | solveit wrote:
               | And nature has a long, clumsy, cruel tradition of killing
               | literally everyone in various unpleasant ways, usually
               | before their time. There is a tradeoff and "optimize for
               | making sure we never ever ever repeat the thalidomide
               | fiasco again" is not the best strategy to take.
        
               | roywiggins wrote:
               | The Jesse Gelsinger case is probably the most relevant
               | here.
               | 
               | https://www.sciencehistory.org/distillations/the-death-
               | of-je...
        
         | woeirua wrote:
         | I don't understand the argument against "playing god." Frankly,
         | almost everything we do is playing god in some way, shape, or
         | form. There is no way the planet could feed this many humans,
         | without humans actively shaping and altering almost every facet
         | of the ecosystem. Humans have already played god and will
         | continue to do so in ways that were unthinkable in years past.
        
       | [deleted]
        
       | jorpal wrote:
       | My wife is 33 weeks pregnant with our first. We plan to donate
       | our baby's cord blood to research. Cool to think it could help
       | researchers develop treatments like this in some small way!
        
         | skrbjc wrote:
         | It's very healthy for your baby to delay cord clamping as long
         | as possible
        
           | jorpal wrote:
           | Thanks for the tip! At our hospital the standard of care is
           | delayed cord clamping, although it sounds like they wait only
           | a few minutes, not 15+ minutes. It used to be done in ~<1
           | minute, I guess, so a few minutes is called delayed now. Do
           | you have a good reference recommending to wait "long as
           | possible"?
        
             | throwntoday wrote:
             | Wait until all the blood has passed through and the cord is
             | white. Baby will likely be a little jaundiced but if you
             | clamp too early they will have low blood levels. Don't let
             | the hospital staff rush you (they will try). Best to let
             | nature run its course IMO.
             | 
             | Good luck to you and your partner.
        
               | sersi wrote:
               | Write a birth plan, make the doctor or hospital staff
               | read it and confirm with them they read it. We had told
               | the doctor we wanted delayed cord clamping (not the habit
               | in hk), he acknowledged it despite warning us about
               | jaundice (he was old fashioned). Then during the actual
               | delivery, he completely forgot about it and both of us
               | were too sleep deprived to force the issue.
        
           | adolph wrote:
           | Here is more data on delay in cord clamping.
           | 
           | https://www.acog.org/clinical/clinical-guidance/committee-
           | op...
           | 
           |  _because the placenta continues to perform gas exchange
           | after delivery, sick and preterm infants are likely to
           | benefit most from additional blood volume derived from
           | continued placental transfusion._
        
           | pkukp9 wrote:
           | there isn't any evidence that delaying cord clamping for
           | longer than 60 seconds gives the baby more benefits than
           | delaying cord clamping for 30-60 seconds
        
         | JacobThreeThree wrote:
         | Did you consider freezing for future use?
        
           | The_rationalist wrote:
        
           | pkukp9 wrote:
           | I think freezing for future use is the best way to go. A few
           | reasons: 1) cord blood transplants from related donors have
           | higher survival rates than unrelated donors
           | https://www.nejm.org/doi/full/10.1056/nejm199708073370602 2)
           | this woman was lucky that she was able to find a partial
           | match, but many don't. The combination of using a related
           | blood donor + an unrelated cord blood donor was a lucky
           | strike. I think for many very mixed race folks or especially
           | people of color (specifically Black communities), they may
           | not be so lucky 3) the cost of finding a donor can be
           | extremely steep. Some may be covered by insurance, but not
           | all of it will be. My guess is this woman who was cured from
           | HIV is relatively affluent to some degree. Banking cord blood
           | is considered to be for affluent folks, but the difference in
           | cost of banking vs. finding a donor later on is massive
        
           | smnrchrds wrote:
           | The umbilical cord blood storage industry is under-regulated
           | and untrustworthy, much like another freezing-related
           | industry, cryonics. Both are full of examples of amateurs,
           | bad actors, and mundane issues like bankruptcy resulting in
           | things that were promised to be kept frozen for decades or
           | centuries ending up in waste disposal after 5 years. Like
           | this example from Canada:
           | 
           | https://www.cbc.ca/news/canada/toronto/cord-blood-bank-of-
           | ca...
           | 
           | Also, from the same article, does anyone has more information
           | on this:
           | 
           | > _there 's a very low probability that someone's own stem
           | cells can be used to treat them, according to Health Canada._
        
             | andy_ppp wrote:
             | There was a YC startup on here attempting to do this...
             | here we go: https://anjahealth.com
        
           | jorpal wrote:
           | I know some people keep the cord blood in a private bank. In
           | my opinion it only makes sense if you have family history of
           | or current relative with a disease that could be treated with
           | it.
           | 
           | Since the hospital we are using (Stanford LPCH) has a
           | research program that will come collect it with no extra
           | steps on our side, it seemed like a good choice.
        
             | inglor_cz wrote:
             | Cord blood is a good source of "your own" stem cells. We do
             | not know what is going to be possible with such cells 20 or
             | 30 years from now; possibly unimaginable things. I would
             | save them if I had a child. Just in case.
        
               | jorpal wrote:
               | I get that it is very tempting. We all want to do
               | anything that could help our kids. However, there are
               | also an endless number of things people are selling to
               | new parents that prey on that reflex. I truly don't know
               | the right thing to do here, but the position I mentioned
               | earlier basically follows the recommendations from the
               | American Academy of Pediatrics: https://publications.aap.
               | org/pediatrics/article/140/5/e20172...
               | 
               | This was from 2017 and is basically the same as a
               | reference I found from 2007. Has there been any actual
               | changes in the state of the art since it was published?
        
               | musha68k wrote:
               | Do you happen to know what's the maximum storage time? I
               | remember reading that it was about 10 years only?
        
               | yread wrote:
               | we did it. It depends on the freezer. at -80C they say
               | it's for a lifetime with a caveat that the technology is
               | only 23 years old so none can prove it's for a lifetime,
               | yet
        
               | londons_explore wrote:
               | If few other people save it, then nobody will develop
               | treatments using it, since a treatment is only developed
               | if it makes financial sense, and if <1% of potential
               | patients for a treatment have cord blood banked, then a
               | treatment that requires their personal cord blood will
               | never be developed.
        
               | noah_buddy wrote:
               | There are many companies doing this now and many
               | (affluent) parents are saving it. I think your analysis
               | misses the mark, even if there's a niche market, if it's
               | comprised of people willing to spend lots of money, it
               | can make sense as a business.
        
               | omgwtfbyobbq wrote:
               | There are state led efforts to bank cord blood as well
               | b/c of it's usefulness in some medical treatments and
               | research.
               | 
               | https://sd25.senate.ca.gov/news/2017-06-26/california-
               | umbili...
               | 
               | Unfortunately, public donations are only an option in
               | some locations.
               | 
               | https://health.ucdavis.edu/cord-blood/locations
        
             | throwawaynay wrote:
             | apparently the founder of Anja Health said that she
             | launched it after her sibling almost drowned and needed it,
             | so maybe it make sense even without a predisposition?
             | 
             | If I had a kid and enough disposable income I'd do it
             | without even thinking about it to be honest
        
               | pkukp9 wrote:
               | hello! founder of Anja Health here :)
               | 
               | Yes, it makes sense without a predisposition. Things like
               | HIV with the woman cited in the article, cerebral palsy
               | due to a near drowning accident, etc. could all be use
               | cases. Our own team has a sales exec who used stem cells
               | for a knee injury he got in track & field in high school.
               | Another has a grandfather who used it for dementia.
               | 
               | BTW, a lot of our clients self identify as having <75k in
               | income. Our pricing is 35-85/mo. for 8 years to cover 20
               | years of storage. :D so hopefully you don't need to
               | allocate too much disposable income. It's still an
               | investment for sure, but many think it's worth it. Myself
               | included obviously haha
        
             | speg wrote:
             | Make sure they don't forget! In the chaos after birth,
             | sometimes these things slip through. I'm not sure what
             | happened when our first was born, but I do remember the
             | folks who came by a bit later to pick up the cord being
             | annoyed that the delivery team didn't save it.
        
         | pkukp9 wrote:
         | In a perfect world, I think everyone has access to their own
         | stem cells as opposed to sifting thru donor pool.
         | 
         | Donating is definitely awesome, but there's a lot of research
         | surrounding how cord blood transplantation from related donors
         | (or yourself) increases your chance of survival from a stem
         | cell transplant vs. using an unrelated donor.
         | https://www.nejm.org/doi/full/10.1056/nejm199708073370602 -
         | there's a chance of rejection. This woman found a partial
         | match, but she was lucky. I assume she's only 2 races or a
         | common mix i.e. half white, half something else
         | 
         | Finding a match later on can also be much more expensive than
         | keeping your own!
        
       | vmception wrote:
       | Are there any negatives of this mutated CCR5 gene?
       | 
       | This article makes it seem like HIV can be cured or at least
       | decimated in 100 days.
       | 
       | I'm all for this STD whack-a-mole, just go down the list and
       | revert to consequence freedom
        
         | mmastrac wrote:
         | Will we ever get back to consequence freedom? "That" is a
         | particularly successful reproduction strategy for viruses and
         | bacteria to spread around. It feels like we'd just be waiting
         | for the next epidemic.
        
           | vmception wrote:
           | > Will we ever get back to consequence freedom?
           | 
           | honestly I should rephrase because I don't think we've ever
           | had it, maybe in some isolated societies pre-colonialism, but
           | now we've never been closer even though sex-education is
           | currently based on so much fear.
        
             | mmastrac wrote:
             | I'm not sure it's fear, but rather caution and awareness of
             | consequences. Things can spiral out of control fairly
             | quickly if caution falls out of fashion. Two major
             | precautions prevent the vast, vast majority of disease and
             | pregnancy in virtually all situations.
        
               | vmception wrote:
               | Routine testing fixes most of issues too, many people
               | just have a stigma of testing at all, let alone as often
               | as they should. At this point, some forms of sex workers
               | that have more partners are cleaner than the general
               | population, just because they test often and fix things
               | early. Which is worth saying because it is
               | counterintuitive to what many people think will happen,
               | linking promiscuity to negative health outcome (because
               | they themselves don't test and just accumulate
               | probabilities of infections). the line isn't preventing
               | all exposure to disease, its fixing them when exposure
               | occurs.
               | 
               | and yes, combining both strategies of protection
               | alongside testing + early fixing reduces the negative
               | consequence even more even when not preventing absolute
               | exposure to disease.
        
         | inglor_cz wrote:
         | This is what I found on Wikipedia:
         | 
         | https://en.wikipedia.org/wiki/CCR5#Potential_costs
         | 
         | There may be downsides for carriers of the mutation when
         | fighting infections by other viruses. But nothing completely
         | obvious (unlike, say, in sickle cell anemia).
        
         | taran_narat wrote:
         | The CCR5 probably codes for a chemokine, these are a group of
         | proteins which help white blood cells home on to specific
         | locations, I would guess you may get some sort of immune
         | deficiency if a chemokine protein was mutated enough
        
       | neonate wrote:
       | https://archive.is/tbRwS
        
       | Dowwie wrote:
       | Woman appears cured of HIV following HIV-resistant stem cell
       | treatment
        
       | dang wrote:
       | Recent and related:
       | 
       |  _Launch HN: Anja Health (YC W22) - Freezing stem cells at birth
       | for future health_ -
       | https://news.ycombinator.com/item?id=30305959 - Feb 2022 (147
       | comments)
       | 
       | (I wouldn't normally link to a Launch HN like that but this topic
       | is so unusual and specific that I figure it counts as
       | interesting.)
        
         | mmastrac wrote:
         | Totally tangential, but this was a shocking sentence from that
         | post...
         | 
         | > plancentas are so valuable that physicians - especially in
         | Europe - sometimes prefer to take them for themselves to sell
         | to cosmetics research for ~$50k
         | 
         | I wonder if there's a hybrid approach where you could share the
         | placenta/umbilical cord w/other companies and get free storage.
        
           | Alex3917 wrote:
           | You can donate cord blood for free to a public bank.
           | Obviously you're not guaranteed that it won't be used by
           | someone else before a sibling potentially needs it, but the
           | chances of it being useful to your own family are almost zero
           | anyway -- not exactly zero, but if you were making a list of
           | the ways to best increase your life expectancy given $5k to
           | spend, I doubt it would even make the top 1,000 options in
           | terms of expected ROI.
        
             | pkukp9 wrote:
             | hello - founder of Anja Health here :)
             | 
             | I would actually argue that the chances of using it are
             | actually much higher & it would make the top 1000 options
             | in terms of expected ROI. Using type 1 diabetes as an
             | example:
             | 
             | By age 18, approximately 1/300 people in the US develop
             | type 1 diabetes
             | 
             | https://www.medicalnewstoday.com/articles/240160#1 ->
             | here's an article demonstrating how cord blood has
             | successfully reversed type 1 diabetes
             | 
             | and that's just for diabetes. Consider the chances and
             | corresponding research around cerebral palsy, hair loss,
             | heart failure, liver disease, cancers, and more that stem
             | cells - and specifically cord blood stem cells - have been
             | successfully used for.
        
             | acchow wrote:
             | What would be some things you might expect to see in the
             | top 50?
        
               | Alex3917 wrote:
               | Things generally related to diet, exercise, health, and
               | education.
        
               | op00to wrote:
               | - Spend good money on therapy - At home exercise
               | equipment - Dental care
               | 
               | Just a few things off the top of my head.
        
           | skrbjc wrote:
           | That should be illegal
        
             | jacquesm wrote:
             | It is.
        
           | pkukp9 wrote:
           | A doula told me that she saw this happen in the US once too.
           | It's not legal, but I think there are legal loopholes around
           | it. Another OBGYN told me it's more common in Europe
        
           | jacquesm wrote:
           | That claim is bullshit, see my comment in that thread.
        
       | hangonhn wrote:
       | Interestingly enough, the HIV virus has been repurposed to cure
       | Leukemia (vs. Leukemia treatment used to fight HIV):
       | 
       | https://www.focusforwardfilms.com/films/72/fire-with-fire
       | 
       | IIRC the first patient of this treatment has recently marked 10
       | years in remissions.
        
       | m463 wrote:
       | I liked the joe rogan episode with Mel Gibson.
       | 
       | #1066 - Mel Gibson & Dr. Neil Riordan
       | 
       | Mel Gibson took his aging father to an america doctor in panama
       | who harvests umbilical stem cells and it pretty much gave him a
       | new lease on life. They also help with hard to heal injuries
        
         | onychomys wrote:
         | Ever wonder why a miracle doctor from America has to work in
         | Panama? Yeah, it's because he spends a lot of time doing things
         | that don't have much (any) evidence to back them up.
         | 
         | https://www.skepdoc.info/beware-stem-cell-clinics-that-offer...
        
         | mateus1 wrote:
         | Please don't take your scientific news from Joe Rogan.
         | 
         | Science Vs. podcast has just released a great episode on the
         | kinds of misinformation spread there...
         | 
         | https://gimletmedia.com/shows/science-vs/49hngng
        
         | [deleted]
        
       | Decabytes wrote:
       | I feel like there have been so many advancements in the HIV space
       | that have been coming together these past few years. I'm so
       | excited by the progress that has been made and I hope one day we
       | can eradicate it completely. Kudos to everyone who has been
       | working towards this goal
        
         | cuteboy19 wrote:
         | Pretty soon the question would shift from 'how do we do this'
         | to 'how do we do this _cheaply_ '
        
         | bduerst wrote:
         | The first HIV mRNA vaccine just started it's phase I trial on
         | humans, only two weeks ago:
         | 
         | https://investors.modernatx.com/news/news-details/2022/IAVI-...
         | 
         | I have a feeling mRNA tech will be regarded as one of those
         | medical discoveries on par with penicillin, but only time will
         | tell.
        
           | andy_ppp wrote:
           | We haven't even started to see the potential for using the
           | body to manufacture the drugs needed to fix all kinds of
           | ailments. It's going to be a very interesting time that COVID
           | has brought forward dramatically I'm guessing.
        
             | nomel wrote:
             | > to manufacture the drugs needed
             | 
             | This assumes that the drugs are proteins, correct?
        
       | f6v wrote:
       | I wonder if a bone marrow transplant from resistant donor is
       | going to be an option one day.
        
         | BizarroLand wrote:
         | It's worked in the past at least twice, but then instead of
         | well-controlled HIV you have to deal with Graft vs Host disease
         | which is much more problematic.
         | 
         | https://www.npr.org/sections/health-shots/2019/03/05/7003618...
        
         | abcc8 wrote:
         | One of the big issues with this approach is that you have to
         | effectively kill the person's immune system with very high dose
         | chemo before introducing the resistant bone marrow cells. While
         | BM transplantation is routinely performed, there are instances
         | where the transplant is not successful (for reasons other than
         | HLA match, etc), with the failure of bone marrow engraftment
         | being typically fatal. Given this, and that the current anti-
         | retroviral drugs generally work pretty well (i.e. those taking
         | the medication enjoy a reduced risk of mortality), this
         | curative treatment might not be pursued.
        
         | peter303 wrote:
         | A quarter of recipients die the first year after a bone marrow
         | transplant. Survival taking AIDS drugs is much higher like 97%.
        
       | sebow wrote:
       | Unrelated but while we're on this topic, people should also
       | remember Alan Greene's gold talk [0] about cutting the umbilical-
       | cord and how (not doing) it can save so many kids quite literally
       | "for free".I don't want to sound insensitive here, and i somewhat
       | smell that stem-cell treatment(s) will somewhat be used for
       | "anti-aging" therapeutics for the well-off higher-class if
       | they're not already;But before that we should still keep in mind
       | that we can help kids or those people in need with serious
       | conditions.I see people act disgusted by it, eat it, or other
       | crazy sh1t, but it has an evolutionary role we cannot gloss over.
       | 
       | [0] ( https://www.youtube.com/watch?v=Cw53X98EvLQ )
        
       | smm11 wrote:
       | I'm thinking of a certain political party that will strike this
       | down.
        
         | sudobash1 wrote:
         | I assume that you are referring to Republicans and medical
         | procedures related to abortion. If so, I don't think there is
         | anything with regards to this procedure which requires an
         | umbilical cord from an aborted fetus. Additionally, most pro-
         | life/anti-abortion groups seem to be highly supportive of
         | umbilical cord treatments. Searching online turned up many
         | sites like this: https://www.prolifewi.org/cord-blood
        
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