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Michael Stuart Gottlieb (born 1947) is an American
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
and immunologist known for his 1981 identification of
acquired immune deficiency syndrome Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ma ...
(AIDS) as a new disease, and for his
HIV/AIDS research HIV/AIDS research includes all medical research that attempts to prevent, treat, or cure HIV/AIDS, as well as fundamental research about the nature of HIV as an infectious agent and AIDS as the disease caused by HIV. Transmission A body of sci ...
,
HIV/AIDS activism Social activism, Social and Political protest, political activism to raise awareness about HIV/AIDS, as well as to raise funds for treatment of HIV/AIDS, effective treatment and care of people with AIDS (PWAs), has taken place in multiple nations ...
, and philanthropic efforts associated with HIV/AIDS treatment.


Biography

A native of
Highland Park, New Jersey Highland Park is a borough in Middlesex County, New Jersey, United States in the New York City metropolitan area. The borough is located on the northern banks of the Raritan River, in the Raritan Valley region. As of the 2020 United States Cens ...
, he graduated from the
Rutgers Preparatory School Rutgers Preparatory School (also known as Rutgers Prep or RPS) is a private, coeducational, college preparatory day school established in 1766. The school educates students in pre-kindergarten through twelfth grade, located on a campus along ...
(1965) and
Rutgers University Rutgers University (; RU), officially Rutgers, The State University of New Jersey, is a Public university, public land-grant research university consisting of four campuses in New Jersey. Chartered in 1766, Rutgers was originally called Queen's ...
(1969). He graduated from the
University of Rochester School of Medicine A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, th ...
(1973) and trained in internal medicine at
Strong Memorial Hospital Strong Memorial Hospital (SMH) is an 886-bed medical facility, part of the University of Rochester Medical Center complex (abbreviated URMC), in Rochester, New York, United States. Opened in 1926, it is a major provider of both in-patient and out ...
in Rochester, New York. Following a
fellowship A fellow is a concept whose exact meaning depends on context. In learned or professional societies, it refers to a privileged member who is specially elected in recognition of their work and achievements. Within the context of higher education ...
in
immunology Immunology is a branch of medicineImmunology for Medical Students, Roderick Nairn, Matthew Helbert, Mosby, 2007 and biology that covers the medical study of immune systems in humans, animals, plants and sapient species. In such we can see there ...
at
Stanford University Stanford University, officially Leland Stanford Junior University, is a private research university in Stanford, California. The campus occupies , among the largest in the United States, and enrolls over 17,000 students. Stanford is consider ...
in Palo Alto, California, in 1980 Gottlieb accepted an assistant professor of medicine position at the
UCLA School of Medicine The University of California, Los Angeles School of Medicine—known as the David Geffen School of Medicine at UCLA (DGSOM)—is an accredited medical school located in Los Angeles, California, United States. The school was renamed in 2001 in h ...
in Los Angeles."The Emergence of a Deadly Disease"
David Brown, ''Washington Post'', June 5, 2001


Identification of AIDS

Beginning in January 1981, Gottlieb, then thirty-three, and several colleagues identified an apparent novel immunologic condition in
homosexual men Gay men are male homosexuals. Some bisexual men, bisexual and homoromantic men may also dually identify as gay, and a number of young gay men also identify as queer. Historically, gay men have been referred to by a number of different terms, ...
; the condition had common features of
cytomegalovirus ''Cytomegalovirus'' (''CMV'') (from ''cyto-'' 'cell' via Greek - 'container' + 'big, megalo-' + -''virus'' via Latin 'poison') is a genus of viruses in the order ''Herpesvirales'', in the family ''Herpesviridae'', in the subfamily ''Betaherpe ...
infection,
pneumocystis pneumonia ''Pneumocystis'' pneumonia (PCP), also known as ''Pneumocystis jirovecii'' pneumonia (PJP), is a form of pneumonia that is caused by the yeast-like fungus ''Pneumocystis jirovecii''. ''Pneumocystis'' specimens are commonly found in the lungs of ...
, mucosal
candidiasis Candidiasis is a fungal infection due to any type of '' Candida'' (a type of yeast). When it affects the mouth, in some countries it is commonly called thrush. Signs and symptoms include white patches on the tongue or other areas of the mouth ...
, and
Kaposi's sarcoma Kaposi's sarcoma (KS) is a type of cancer that can form masses in the skin, in lymph nodes, in the mouth, or in other organs. The skin lesions are usually painless, purple and may be flat or raised. Lesions can occur singly, multiply in a limite ...
, all conditions found rarely outside of
immunosuppressed Immunosuppression is a reduction of the activation or efficacy of the immune system. Some portions of the immune system itself have immunosuppressive effects on other parts of the immune system, and immunosuppression may occur as an adverse reacti ...
patients. Gottlieb reported an initial five patient series in the June 5, 1981, ''
Morbidity and Mortality Weekly Report The ''Morbidity and Mortality Weekly Report'' (''MMWR'') is a weekly epidemiological digest for the United States published by the Centers for Disease Control and Prevention (CDC). It was originally established as ''Weekly Health Index'' in 1930, ...
''

Reprinted from ''

Morbidity and Mortality Weekly Report The ''Morbidity and Mortality Weekly Report'' (''MMWR'') is a weekly epidemiological digest for the United States published by the Centers for Disease Control and Prevention (CDC). It was originally established as ''Weekly Health Index'' in 1930, ...
'' of June 5, 1981
and published a more detailed report in December, 1981, in the ''New England Journal of Medicine''. The New England Journal paper included the first description of the CD-4 T cell deficiency which is the immunologic hallmark of HIV infection. The work of Gottlieb and others suggested that these patients had an acquired
immunodeficiency Immunodeficiency, also known as immunocompromisation, is a state in which the immune system's ability to fight infectious diseases and cancer is compromised or entirely absent. Most cases are acquired ("secondary") due to extrinsic factors that a ...
, characterized by depressed
T-lymphocyte A T cell is a type of lymphocyte. T cells are one of the important white blood cells of the immune system and play a central role in the adaptive immune response. T cells can be distinguished from other lymphocytes by the presence of a T-cell rec ...
numbers and function, allowing for potentially fatal
opportunistic infection An opportunistic infection is an infection caused by pathogens (bacteria, fungi, parasites or viruses) that take advantage of an opportunity not normally available. These opportunities can stem from a variety of sources, such as a weakened immune ...
s. Initially, the researchers termed the disease Gay-Related Immune Deficiency (GRID); in 1982 this syndrome became known as
AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual m ...
, a consequence of infection by
Human immunodeficiency virus The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause AIDS, acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the ...
(HIV). Physician
Joel Weisman Joel D. Weisman D.O. (February 20, 1943 – July 18, 2009) was one of the first to identify a pattern of illnesses that was ultimately diagnosed as AIDS during his work as a general practitioner in the United States. He later became an advoc ...
was one of Gottlieb's early collaborators in the identification of AIDS. Weisman's practice treated a large number of gay men, some of whom were among the first identified AIDS patients."Dr. Joel D. Weisman dies at 66; among the first doctors to detect AIDS"
Elaine Woo, ''Los Angeles Times'', July 23, 2009
Gottlieb was
Rock Hudson Rock Hudson (born Roy Harold Scherer Jr.; November 17, 1925 – October 2, 1985) was an American actor. One of the most popular movie stars of his time, he had a screen career spanning more than three decades. A prominent heartthrob in the Golde ...
's doctor following the actor's AIDS diagnosis until his death in 1985. He was also physician to the late
Elizabeth Glaser Elizabeth Glaser (born Elizabeth Meyer; – ) was an American AIDS activist and child advocate married to actor and director Paul Michael Glaser. She contracted HIV very early in the modern AIDS epidemic after receiving an HIV-contaminated blo ...
, co-founder of the
Elizabeth Glaser Pediatric AIDS Foundation The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) is a nonprofit organization dedicated to preventing pediatric HIV infection and eliminating pediatric AIDS through research, advocacy, and prevention and treatment programs. Founded in 1988 ...
(EGPAF). In 1987 he resigned from the full-time UCLA faculty, and established a private practice of internal medicine and clinical immunology. In the period 1981–1987 he published 50+ papers on various aspects of HIV infection and treatment. He was an investigator on the early clinical trials of
AZT Zidovudine (ZDV), also known as azidothymidine (AZT), is an antiretroviral medication used to prevent and treat HIV/AIDS. It is generally recommended for use in combination with other antiretrovirals. It may be used to prevent mother-to-child ...
that led to approval by the U.S. Food and Drug Administration (FDA) in 1987. Gottlieb was the principal investigator on a $10.3 million
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
contract for an
AIDS Clinical Trials Group The AIDS Clinical Trials Group network (ACTG) is one of the largest HIV clinical trials organizations in the world, playing a major role in setting standards of care for HIV infection and opportunistic diseases related to HIV and AIDS in the Un ...
(ACTG) awarded to UCLA to test potential therapies for HIV. His work in the early years of the epidemic is chronicled in Randy Shilts' book ''
And the Band Played On ''And the Band Played On: Politics, People, and the AIDS Epidemic'' is a 1987 book by ''San Francisco Chronicle'' journalist Randy Shilts. The book chronicles the discovery and spread of the human immunodeficiency virus (HIV) and acquired immun ...
''.


AIDS research philanthropy

Gottlieb, Elizabeth Taylor, and
Mathilde Krim Mathilde Krim ( he, מתילדה קרים; née Galland; July 9, 1926 – January 15, 2018) was a medical researcher and the founding chairman of amfAR, American Foundation for AIDS Research. Biography Mathilde Galland was born in Como, Italy t ...
were founding chairs of the
American Foundation for AIDS Research amfAR, the Foundation for AIDS Research, known until 2005 as the American Foundation for AIDS Research, is an international nonprofit organization dedicated to the support of AIDS research, HIV prevention, treatment education, and the advocacy of ...
. The organization was established with a $250,000 gift from the estate of Rock Hudson. He served on the boards of AIDS Project Los Angeles (APLA), the Pasadena AIDS Services Center and the Global AIDS Interfaith Alliance (www.thegaia.org), an NGO working in Malawi, Africa. He is currently Medical Advisor to GAIA and to the Elizabeth Taylor AIDS Foundation.


Clinical practice

Gottlieb is certified with the American Board of Medical Specialties in Internal Medicine and Allergy & Immunology.
vitals.com, Comprehensive medical information on 720,000 doctors in the USA
He is affiliated with two hospitals, Cedars-Sinai Medical Center and the Olympia Medical Center where he is Committee Chairman of Bioethics. He continues on the faculty of the David Geffen School of Medicine at UCLA with the rank of Associate Clinical Professor of Medicine. In 1989 Gottlieb and two other physicians were sent letters of reprimand by the
Medical Board of California The Medical Board of California (MBC) is a state government agency which licenses and disciplines physicians, surgeons and certain allied healthcare professionals in California. The Board provides two principal types of services to consumers: (1) ...
for "allegedly over-prescribing controlled substances" to actress Elizabeth Taylor. He attempted to dispute the Letter of Reprimand; his attorney's request was rejected by the board. In 1997, Gottlieb was inducted into the Rutgers University Hall of Distinguished Alumni, and in 2007, he was awarded the Charles Force Hutchison and Marjorie Smith Hutchison Medal by the University of Rochester. In 2019, he joined the APLA Health medical team.


References


Further reading

* * {{DEFAULTSORT:Gottlieb, Michael S. 1947 births Living people Jewish American philanthropists People from Highland Park, New Jersey American immunologists People from Los Angeles University of Rochester alumni HIV/AIDS researchers Date of birth missing (living people) 21st-century American Jews