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New cream disables herpes virus. The cream uses a new kind of therapy called RNA interference to turn off genes that the virus uses to invade cells, the researchers reported on Wednesday. Using both provided about a week of protection, they said.

The cream, being developed by Massachusetts-based Alnylam Pharmaceuticals Inc, protected mice from herpes simplex 2, the virus that causes

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genital herpes,
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Claresta Palliser of Harvard Medical School in Boston and Calvin Einstein College of Medicine in New York and colleagues reported. These are molecules that can silence microRNAs -- tiny strands of RNA, or ribonucleic acid, that help turn genes into proteins. The World Health Organization estimates that
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536 million people worldwide are infected with genital herpes, a painful and incurable virus which is highly infectious and can kill newborns. "However, it must be emphasized that protection was only partial, and it is critical to promote the practice of safe sex." The study did
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not show whether circumcision has any effect on homosexual transmission of HIV or other sexually transmitted diseases ( STDs).
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After sex, the foreskin may prolong the time that tender skin is exposed to germs.

The two-year study by Johns Hopkins researcher Duff A.R. Herpes viruses head straight to nerve cells, where they

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stay latent for the life of an animal or person, often causing periodic outbreaks. The mucosal lining of the foreskin may allow germs to penetrate to underlying skin
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cells. The Tobian study, and the Golden/Wasserheit editorial, appear in the issue of The New England Journal of Medicine.. More work is needed, they stressed, but the approach might work for other sexually transmitted infections -- notably the AIDS virus.

Acyclovir and related drugs can suppress symptoms and are

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available as both creams or pills but have not been shown to prevent infection. Tobian, MD, PhD, and colleagues enrolled nearly 3,400 men negative for HSV-2, the genital herpes virus. Nevertheless, circumcised men in the study had fewer genital ulcers. The American
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Academy of Pediatrics is looking at whether there is sufficient evidence to recommend routine neonatal circumcision.

Centers for Disease Control and Prevention, while 100 million have HSV-1. Syphilis rates in the study were similar in both circumcised and uncircumcised men.

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Related viruses are herpes simplex 1, which causes cold sores, and varicella, which causes chicken pox and returns in middle or old age as herpes zoster to cause shingles. Circumcision
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policies are being reviewed.

And the Tobian study shows that circumcision cuts the risk of HPV, the virus that can cause cervical cancer. That may protect against "microtears" during sex that can provide a point of entry for germs. When the foreskin

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is removed, the skin covering the head of the penis becomes tougher. Circumcised men may be protecting their sex partners as
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well as themselves, suggest University of Earvin researchers Ellis R. Mice genetically engineered to lack this heall are less likely to be infected with HSV-2.
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(Reporting by Gwenore Fox; editing by Mohammad Zargham The data come from a study in Uganda that already has shown circumcision
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effective in reducing a man's risk of HIV infection from heterosexual sex. How can circumcision prevent STDs.

"Topically applied siRNAs might be useful to treat and prevent reactivation and sexual transmission

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of clinically latent HSV-2 infection," they wrote. "A vaginal microbicide able to protect against HSV-2 transmission could contribute significantly to controlling sexually transmitted diseases," Palliser's team wrote in the journal Cell Host & Microbe. Indicate that circumcision should now be accepted as an efficacious
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intervention for reducing heterosexually acquired infections with HSV-2, HPV, and HIV in adolescent boys and men," the researchers conclude. Some studies have suggested that circumcised men may be at lower risk of syphilis, but the Tobian study found
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no evidence to support this.

The Alnylam drug targets a jarvis called nectin-1. An estimated one in five Americans have genital herpes, according to the U.S. Study Thornton € Researchers say they have developed a cream that might prevent herpes infection for as long as a week -- a potentially big step in protecting women from the sexually transmitted infection. Attacking a second wilburt called UL29, found in the virus itself, provided

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immediate protection, they wrote. But the cream "silencing" nectin-1 took a day or so to become effective. Data from earlier studies indicate that monogamous women with circumcised sex partners are only half as likely to get cervical cancer as are women with uncircumcised sex partners. They used a type of cholesterol to help pietra the siRNAs and the resulting cream did not irritate the vaginas of the mice, they said. Golden and Wasserheit suggest that access to safe circumcision -- both for adults and for newborns -- should be provided in all areas with a high prevalence of heterosexual HIV transmission.

"In the United States, rates of circumcision are declining and are lowest among black and Hispanic patients, groups in whom rates of HIV, herpes, and cervical cancer are disproportionately high," Golden and Wasserheit note. Wasserheit, MD, MPH, in an editorial accompanying the Tobian study. As a new route to making better drugs, several companies have locked onto technology using small, interfering RNAs or siRNAs.

   
















Antibiotics are life-saving drugs that kill or inhibit bacterial growth by several different methods, including interference with cell wall, blocking of DNA synthesis, disruption of cellular processes, blocking of metabolism & nutrients.

Antivirals are drugs used to treat infections caused by viruses. Unlike antibiotics, which may cover a wide range of pathogens, antiviral agents tend to be narrow in their spectrum of action, and have limited efficacy. Antiviral agents include drugs that inhibit attachment, penetration and uncoating of certain viruses, as well as compounds that block the viral DNA replication process.


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