If we know so much about AIDS, why are we not able to
cure it, or “How come we can't treat it, Doc? Why can't you do better?”
I will sort of tell you why.
I do think we know a lot about AIDS. I think it is much more than people
have portrayed recently. I think there is a tremendous wealth of knowledge
about the biology of this virus and also about the molecular biology,
and even about how it works. But that does not mean that we know anywhere
near enough yet. I would like to point out the obvious, that you could
know everything about the virus and not be able to solve anything. You
might say, “That doesn't seem right?” But I once gave as an
example to Nature magazine that I could know all there is to know about
the Himalayas, every hole, every cave, every rock, their history, their
origin, their evolution, its future, but I would not be able to climb
these mountains until somebody else developed a new technology for me,
such as the helicopter. It does not mean that if we gain every bit of
understanding of the pathogenesis of AIDS that we are going to get to
a cure. However, it is obvious that the more we understand, the greater
the probability that we can climb the Himalaya mountains. It increases
the probability of that occurring.
It is a tremendously difficult problem. If you think of any virus that
persists, how many can you get rid of? Virtually none. If you have a persistent
virus, by definition, you cannot get rid of it. We do not have therapy
that gets rid of many viruses. But the AIDS virus is a nastier one and
can kill. It is nastier than many other viruses, so we need to develop
a whole new area of research, and that is antiviral therapy. AIDS will
be the juggernaut of that. The timing is right because we know much of
the molecular biology of the replication cycle of many viruses. I think
AIDS will take the lead and that there will be spin-offs to other areas
of virology. That will happen as surely as we are sitting here.