[net.med] Anal sex tied to AIDS - journal of the AMA

decot@cwruecmp.UUCP (Dave Decot) (01/25/84)

The following is not a professional immunologist's description of the current
theory, but it is MY current theory.  Please poke holes if you feel qualified.

	From the study in the JAMA article, there is reason to believe that
	sperm can trigger an immune response in the recipient when injected
	by anal intercourse.

	Through my limited exposure to reproductive biology (no giggling in
	the third row!), I seem to remember that, under regulation heterosexual
	intercourse, the woman's immune system is prevented from reacting
	to the invasion of the foreign sperm.  This could be effected by
		
		a) a change in the woman's immune system during intercourse
		   caused by
		      i) hormonal reaction to psychological stress
		     ii) some reaction to sperm chemistry, possibly accelerated
			 antibody-antigen immunity?

		b) a characteristic of sperm (haploidy? chemistry?) that renders
		   its genetic information "acceptable" to the female system.

	I believe that a combination of these mechanisms is responsible for the
	lack of immune activity.  In any case, a vestigal "female system"
	of immunity to sperm may remain in men.  Such an intended temporary
	suspension of immune activity may malfunction when the injection is
	through another site, i.e. the colon, particularly in men, and possibly
	in women.

	Another possibility is that the immune and hormonal changes that
	occur in response to fertilization may also have vestigal analogues in
	men, although I don't know what a male system would misconstrue as a
	"fertilization."  The normal changes in women occur so that the zygote
	will not be rejected.

Am I crazy or what?

Dave Decot
decvax!cwruecmp!decot    (Decot.Case@rand-relay)