Robert Yarchoan is a medical researcher who played an important role in the development of the first effective drugs for AIDS. He is the Chief of the HIV and AIDS Malignancy Branch in the NCI and also coordinates HIV/AIDS malignancy research throughout the NCI as Director of the Office of HIV and AIDS Malignancy.
Education and career
Dr. Yarchoan was raised in Oceanside, New York and graduated from Amherst College in 1971. He subsequently received his M.D. from the University of Pennsylvania and completed an internship and residency in internal medicine at the University of Minnesota and a fellowship in Immunology in the Metabolism Branch of the NCI. After completing his training he joined the laboratory of Dr. Samuel Broder. In 1991 he was appointed to be a Section Chief of the Medicine Branch and in 1996 he named chief of the newly formed HIV and AIDS Malignancy Branch. Dr. Yarchoan was also appointed to be the first director of the NCI Office of HIV and AIDS Malignancy in 2007, which supervises all HIV/AIDS and AIDS malignancy research within the NCI.
Medical and Research Achievements
Along with his colleagues Drs. Samuel Broder and Hiroaki Mitsuya in the National Cancer Institute, he co-developed the first effective treatments for HIV/AIDS. With his colleagues, he conducted the first clinical trials of zidovudine, didanosine, zalcitabine, and lamivudine. These trials were the first to demonstrate that administration of anti-retroviral drugs could reverse the declines in CD4 cells and immunologic impairment caused by human immunodeficiency virus infection. Dr. Yarchoan also conducted the first trials of combination anti-HIV therapy. The development of these drugs was a breakthrough in AIDS therapy. Zidovudine and didanosine were components of early highly active antiretroviral drug therapy, and zidovudine, didanosine, and lamivudine remain in widespread use and are included in the World Health Organization's "Essential Drugs List", which is a list of minimum medical needs for a basic health care system. It is estimated that the development of these and other AIDS drugs have saved over 3 million life-years in the United States and over 15 million life-years throughout the world. His research efforts have also focused on AIDS malignancies, focusing on the pathogenesis and treatment of Kaposi's sarcoma and other virus-associated tumors. He led the first clinical studies showing that paclitaxel was an effective therapy for Kaposi's sarcoma and that thalidomide has activity in this disease. He also developed several novel therapies for Multicentric Castleman's disease caused by Kaposi's sarcoma-associated herpesvirus, also called human herpesvirus-8 . With his colleagues at NCI, he also identified a new disease called KSHV-Associated Cytokine Syndrome in some people with HIV/AIDS.