Amy Dockser Marcus at the Wall Street Journal has become the go-to journalist for news on XMRV and CFS in the national media. Now she’s broken the news that the Alter study, soon to be published in the prestigious journal “The Proceedings of the National Academy of Sciences of the United States of America”, has now been withheld from publication. This followed reports that a negative study by the CDC was yanked at the last minute from publication in another reputable journal ‘Retrovirology”. The papers were reportedly put on hold because because ‘senior public health officials’ wanted to see either ‘consensus’ or simply a clear reason why the papers disagreed. Marcus called the move ‘rare’ and stated it was causing ‘a stir in the field’. IACFS/ME President Fred Friedberg called for the immediate publication of both papers.
The path to publication is tricky. There’s the need to get money, usually lots of it, to start a study. If a researcher works in an institutional setting the resulting paper may have to pass review at that level. Then they have to meet the criteria for publication. Once that occurs a sigh of relief is undoubtedly given because now the paper is now on its own. The scientific community will poke and prode and shine a bright light on it and it may fail but at least it’s out there…months or even years of research have a tangible result.
Except in this case. Dockser reported her science contacts stated it” is unusual for a paper to be held after it has already gone through the formal peer-review process and been accepted for publication”. The situation was unusual enough that neither the CDC, Dr. Alter or FDA apparently even thought to check with public health officials prior to submitting their papers for publication. Fearing an embarrassing rift between two key agencies on an important health issue, public health officials, however, stepped in at the last minute to ensure that neither paper saw the light of day until they could judge which one was correct – leaving researchers in the dark and patients just plain aggravated.
Who wins/loses? The DHHS spares itself the fate of having two departments posting diametrically opposed results. Who loses? The DHHS by playing the role of the heavy and by getting egg on its face by letting things get to this state. (If they were this concerned why was no one monitoring both efforts?) The Research community loses, by not, at least at this point, having all the facts at their disposal – facts that could inform ongoing and future research efforts. The CDC loses by giving an already untrusting CFS Community on an opportunity on a gold platter not to trust them.
At the end it’s astonishing – at least to this layman – how little resolution there is to the XMRV question 8 months after the publication of the initial paper. The problem was reportedly not simply that the papers disagreed; it was that they disagreed in a manner which didn’t lend any clarity to the XMRV question; ie even after looking at them it is impossible to tell who was right and why….
Too many stones unturned? – One wonders if the CDC is giving full attention to the XMRV question. The agency pulled back on the DeFreitas virus in the 1990’s when top officials determined that they had better places to spend their money. If the CDC is getting bushwhacked by outside findings on XMRV one has to wonder if a similar cost benefit analysis has caused the agency to leave some stones unturned in the race to understand XMRV. Discuss it here.