Date: 17 Jan 1996 00:03:49 From: FRSHAW@delphi.com Subject: SPV-30 = Bad Medicine W. Fred Shaw, L.Ac., Dipl. Ac. Licensed Acupuncturist and Herbalist frshaw@delphi.com THE FOLLOWING PARAGRAPHS ARE EXCERPTED FROM AN ARTICLE REGARDING THE IMMUNOLOGICAL EFFECTS OF HERBS in HIV DISEASE. THIS SECTION DEALS WITH SPV-30 (BOXWOOD): Some herbal steroids are known to interfere with the body's natural production of critical cytokines (immune chemical messengers), such as interleukin-2 (IL-2). Cell-mediated immune cytokines such as gamma- interferon, IL-2 and IL-12 are essential to the body's defense against opportunistic infections (3,4). The reduction of the body's natural secretion of IL-2 is associated with severe immunodeficiency. One example of such herb-induced immunosuppression is the Boxwood evergreen tree, which is marketed as SPV-30 by it's French manufacturer Arkopharma. Arkopharma has made false claims about other natural products in the past, which has resulted in FDA action. SPV-30 appears to follow this pattern of false claims by Arkopharma, since it is being marketed (or hyped) as a "natural AZT". Although the immunosuppressive effects of SPV-30 were disclosed by Arkopharma (5), the marketing campaign for SPV-30 has completely downplayed the fact that SPV-30's steroidal alkaloids were strongly suppressive of IL-2 production. SPV-30 continues to be promoted as a substance that increases CD4 T-cells - but not in a beneficial way. SPV-30's steroids have been compared to cyclosporine (5), a strong immunosuppressant that is used to prevent transplant rejection and has been shown to increase CD4 T-cells. SPV-30, like cyclosporine, simply interferes with the natural process of apoptosis, or natural cell death. The resulting increase in CD4 T-cells is an illusion, since the increase is made up of useless "zombie" cells. In early 1995 I published a review that exposed SPV-30 as an ineffective and dangerously immunosuppressive treatment. Typical of the desperate "drugs-into-bodies" mentality (which substitutes drug availability for proof of effectiveness), I was harshly criticized and personally attacked by SPV-30's promoters for "slandering" the product and it's promoters. A few months later, one of the loudest HIV+ advocates (and earliest user of SPV-30) suffered severe near-death disease progression, including an overgrowth of Kaposi's Sarcoma, wasting and severe diarrhea. That individual is no longer using SPV-30 and no longer recommends its use. While Boxwood was traditionally used in Europe as a purgative by causing diarrhea (5), the SPV-30 promoters consistently denied that this symptom was seen in their "study" group. SPV-30 is an immunosuppressive treatment of no proven benefit that should be avoided by persons with HIV disease.