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CURRENT
ISSUE DECEMBER 09, 2002
INTERVIEW: DR. SEKHAR CHAKRABARTI
"Even if a vaccine is developed, its cost
would be enormous"
India Today's Suman Chakrabarti
spoke to Dr Sekhar Chakrabarti, a Kolkata-based scientist who was deputed
to Therion Biologics in the US by the Indian Council of Medical Research
(ICMR) to develop the C-subtype strain of HIV for an AIDS vaccine specific
to India. Excerpts from the exclusive interview:
Q:What is the basic research behind the vaccine?
A: There are two types of research that is happening in the AIDS scene.
One is called behavioral science based on behavioral intervention. Another
is basic science, which is two-fold: vaccine development is one of them.
But a majority of research is on surveillence and constant monitoring
of the AIDS victims and high-risk groups and what are the possibilities
of opportunistic infection. The Central government has a definite policy:
the vaccine should be only for the Indian sub-types of HIV. And Indian
scientists should be involved in the construction of the vaccine.
I am personally trying to develop a live vaccine. Recently, I constructed
a Modified Vaccinia Ankara (MVA) virus. I engineered the vaccinia virus
used for small pox vaccination into a new MVA virus containing Indian
HIV genes. Now, we are working on the stability of the recombinant MVA.
Q: What about animal studies?
A: There has been no animal studies on the HIV subtype C (the most
prevalent strain of virus in India), because I have just constructed the
MVA. This is only the first phase of my research. Only the toxicology
study of the vaccine has been done on mice, before a human trial.
Q: Where did the proposal for the India-specific vaccine come from?
A: Not from any specific source. It is a global consensus, after different
subtypes of HIV were found in different geographical locations.
Q: Who funds the research?
A: In India, the vaccine research is mainly funded by the International
AIDS Vaccine Initiative (IAVI) and the Indian Council of Medical Research
(ICMR).
Q: Are there any other HIV subtypes in India?
A: The main Indian subtype is 'C' but in Manipur we have found an
entirely new subtype -"Thai B". It is different from the subtype
B, which is the most prevalent strain in the US and Europe.
Q: From where do you get recruits for the trials?
A: We can't call them trials. The blood samples are collected by some
NGOs which are either working with sex-workers in Kolkata like DURBAR
or IVUs in Manipur.
Q: Is the Indian vaccine a pipedream?
A: I don't know when the vaccine will come. Even if it is developed,
who will buy it? The cost would be enormous. There's also the question
mark on its effectiveness. I hope that we can at least reduce the infection.
Q: What was the difference in pace in the development of the vaccines
in other countries vius-a-vis India?
A: We lag far behind. We are conceptually on the right track but we
lack infrastructure and implementation.
Q: Why doesn't India import the technology?
A: Ultimately, we have to import the technology. If my research is
successful, an Indian company has to buy the technology from Therion Biologic,
an US-based company which is a partner in my research.