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Trianon Scientific Communication

Embracing intersectionality in science - Dr Flossie Wong-Staal : From Hong Kong to HIV breakthrough (Chapter 14)

Updated: Dec 4, 2024

In the early 1980s, as a mysterious disease began killing people across the United States, a brilliant Chinese American scientist was about to make history. Dr Flossie Wong-Staal would become the first person to clone HIV, the virus causing AIDS, a breakthrough that would save countless lives. Her journey from a young girl in Hong Kong to a pioneering virologist in America is a testament to the power of diversity in scientific innovation.




Dr Flossie Wong-Staal (1946-2020)
Dr Flossie Wong-Staal (1946-2020)

A childhood of questions and curiosity


Born as Yee Ching Wong in 1946 Hong Kong, Flossie Wong-Staal grew up in a time when girls were rarely encouraged to pursue higher education. However, her parents broke with tradition. They enrolled her in an English-language Catholic school, where she excelled in science and mathematics.


Her teachers noted her constant curiosity – she wasn't satisfied with just learning facts but wanted to understand the "why" behind everything.


When asked years later about her childhood, Dr Wong-Staal would often recall how she was fascinated by disease outbreaks in her community.

I wanted to know why some people got sick while others didn't

she said.


This early curiosity about disease transmission would later prove pivotal in her groundbreaking HIV research.[1]


Breaking cultural and gender barriers


At age 18, Flossie Wong-Staal made a bold decision to pursue her education in the United States. Imagine leaving everything familiar behind to study in a foreign country where you barely speak the language.


This was her reality when she arrived at the University of California, Los Angeles, in 1965.


During her university years, she adopted the name "Flossie," suggested by her English teacher in Hong Kong. This name would later appear on groundbreaking research papers that would change our understanding of HIV/AIDS.


She earned her PhD in molecular biology, in 1972, from UCLA, at a time when fewer than 4% of doctoral degrees in sciences were awarded to non white women.[2]



The hunt for a killer virus


In 1973, Wong-Staal began a postdoctoral position at the Laboratory of Tumor Cell Biology, led by biomedical researcher Robert C. Gallo, in the National Cancer Institute of the National Institutes of Health (NIH) in Bethesda, Maryland. She was promoted to section chief within a few years, and in the next decade she co-authored more than 100 journal articles.


When the AIDS epidemic emerged in the early 1980s, their lab shifted focus to understanding this new disease.


The early days of the HIV/AIDS epidemic were marked with stigma and confusion. Rollis University/New York Historical Society
The early days of the HIV/AIDS epidemic were marked with stigma and confusion. Rollis University/New York Historical Society

To understand the magnitude of the challenge they faced, imagine trying to find a tiny needle in a haystack – except the needle is constantly changing shape, and the haystack is microscopic.

Think of HIV like a master of disguise. It can change its appearance rapidly, making it incredibly difficult to study or treat.


This is where Dr Wong-Staal's breakthrough came in.


In 1985, she became the first scientist to clone HIV, essentially creating a "snapshot" of the virus that could be studied in detail.


Why Her Research Was Revolutionary


To understand the importance of cloning HIV, let's use an analogy.



The human immunodeficiency viruses (HIV) - Credit: Seth Pincus, Elizabeth Fischer and Austin Athman, National Institute of Allergy and Infectious Diseases/NIH
The human immunodeficiency viruses (HIV) - Credit: Seth Pincus, Elizabeth Fischer and Austin Athman, National Institute of Allergy and Infectious Diseases/NIH

Imagine trying to stop a thief who can instantly change their appearance. It would be nearly impossible to catch them or prevent future robberies.


But what if you could create an exact copy of the thief at a specific moment?

You could study their methods, understand their weaknesses, and develop strategies to stop them.


This is essentially what Dr Wong-Staal achieved.


By cloning HIV, she:

1. Helped prove that HIV causes AIDS (which was still debated at the time)

2. Made it possible to test blood for HIV, preventing transmission through blood transfusions

3. Enabled the development of HIV tests and anti-retroviral drugs that have saved millions of lives.[3]



The power of diverse perspectives

 

A revolutionary approach to science

What set Wong-Staal apart wasn't just her technical brilliance – it was her distinctive approach to scientific research, shaped by her multicultural experience and position as an outsider in Western academia.


Bridging eastern and western approaches

Wong-Staal's colleagues often noted how she brought a unique holistic perspective to HIV research, influenced by her Chinese background.


While Western medicine traditionally focused on isolating specific components, Chinese medicine emphasized understanding systems as interconnected wholes. Wong-Staal combined both approaches:

 

  • When others were solely focused on the virus itself, she insisted on studying how HIV interacted with the entire immune system.

  • She pioneered the study of HIV regulatory genes at a time when most researchers were only looking at the virus's structural genes.

  • Her research consistently considered how viral proteins interacted with each other, rather than studying them in isolation.


Breaking traditional hierarchies

 As someone who had to navigate multiple cultural hierarchies, Wong-Staal developed an unusual approach to laboratory collaboration:

  • Unlike the rigid hierarchical structure common in 1980s research labs, she encouraged technicians and junior researchers to contribute ideas freely.

  • She established cross-disciplinary collaborations, bringing together virologists, immunologists, and molecular biologists at a time when such cooperation was rare.

  • Her lab became known for its "flat" structure where expertise was valued over seniority.


Communication across boundaries

 Her experience as a non-native English speaker made her particularly aware of the importance of clear communication in science:

  • She developed innovative ways to visualize complex viral mechanisms, making her findings more accessible to researchers from different backgrounds.

  • Her papers were known for their clarity and precision, avoiding the overly complex jargon common in scientific literature of the time.

  • She regularly collaborated with clinicians, ensuring her laboratory findings could be translated into practical treatments – a practice less common among basic researchers of that era.


A patient-centered perspective

As someone who had experienced being an outsider, Wong-Staal brought a unique sensitivity to the human impact of AIDS:

 

  • While many researchers viewed AIDS primarily as a scientific puzzle, she insisted on keeping patient needs at the forefront of research priorities.

  • She was among the first researchers to advocate for studying how HIV affected different populations differently, recognizing that the virus might behave differently in various genetic and environmental contexts.

  • Her work on HIV genetic variation was partly inspired by her understanding that different communities might require different treatment approaches.


Challenging Scientific Orthodoxy

 Her position as an outsider in multiple ways (woman, Asian scientist, immigrant) gave her the courage to challenge prevailing scientific wisdom:

  • When the scientific consensus focused on finding a single "magic bullet" cure, she argued for a multi-targeted approach to HIV treatment.

  • She pursued the study of HIV genetic diversity when many thought it was too complex to be relevant.

  • Her work on HIV regulatory genes was initially dismissed by mainstream researchers but proved crucial to understanding how the virus evades the immune system.


Innovation thanks to her intersectionality

Dr Wong-Staal's success demonstrates how intersectionality in science isn't just about representation, it's about bringing together different ways of thinking, seeing, and solving problems.

Her background gave her:

  • The ability to see connections others missed

  • The courage to challenge established methods

  • The skills to bridge different scientific approaches

  • The perspective to keep human impact at the center of research.



From research to entrepreneurship


In 1990, Wong-Staal left the NIH to accept an appointment as the Florence Seeley Riford Chair in AIDS Research at the University of California, San Diego (UCSD). She was named director of the newly created UCSD Center for AIDS Research in 1994 and began pioneering the investigation of gene therapy approaches for HIV/AIDS.

After her retirement from UCSD in 2002, she became vice president of Immusol, a biopharmaceutical company she cofounded, now known as iTherX Pharmaceuticals, where she pursued treatments for hepatitis C.

Throughout her career, Dr Wong-Staal trained a large number of postdoctoral fellows, many of whom went on to be leaders in their fields.


She died in 2020, at the age of 73 years old.

 .

Dr Flossie Wong-Staal's legacy


Dr Wong-Staal made important discoveries about other viruses too.

She did groundbreaking research on HTLV-1, a virus that causes a type of blood cancer called leukemia.

She also studied special proteins that viruses use to multiply inside human cells.

These proteins work like switches that turn viral genes on and off, and help viruses make copies of themselves. Her discoveries about how these viral proteins work didn't just help us understand viruses better, they also gave scientists new insights into how cells function in general, particularly how cells read their genetic instructions and move important molecules around.


Think of it like uncovering the instruction manual that viruses use to hijack human cells, which in turn taught us more about how healthy cells operate normally.[4]



A blueprint for sustainable science

Wong-Staal's approach to HIV research offers crucial lessons for today's sustainability challenges. Her methods demonstrate how intersectional perspectives can lead to more sustainable and equitable scientific solutions.


Social sustainability through inclusive research

Dr Wong-Staal's work exemplifies how inclusive science leads to more effective solutions:

  • Her HIV genetic variation studies revealed how the virus affects different populations differently, much like how climate change disproportionately impacts various communities.

  • By considering diverse population needs, she helped develop treatments that could be adapted for different contexts and resources levels.

  • Her emphasis on clear communication and accessibility helped bridge the gap between scientific knowledge and community action, a crucial factor in today's sustainability challenges.


Environmental lessons from viral research

Her approach to understanding HIV as a complex, adaptive system parallels modern environmental challenges:

  • Just as HIV rapidly mutates to evade treatment, climate change creates constantly evolving challenges that require adaptive solutions.

  • Her work on viral resistance helped develop the concept of combination therapy, similar to how environmental problems require multi-faceted approaches.

  • The way she studied HIV's interaction with entire biological systems mirrors how we must understand ecosystem interconnections to address environmental challenges.


Economic Sustainability in Scientific Innovation

Wong-Staal's career demonstrates how to make scientific innovation economically sustainable:

  • Her company, Immusol, showed how academic discoveries could be transformed into accessible treatments while remaining financially viable.

  • She pioneered cost-effective research methods that maximized resource use, an approach crucial for sustainable scientific development.

  • Her emphasis on preventive measures and early intervention in HIV treatment offers lessons for sustainable healthcare systems.


Building Sustainable Scientific Communities

Her laboratory practices created a model for sustainable scientific collaboration:

  • The flat hierarchy she established promoted knowledge sharing and reduced resource waste through better communication.

  • Her cross-disciplinary approach demonstrated how breaking down silos leads to more efficient and effective research.

  • Her mentorship of young scientists, particularly from underrepresented groups, helped build a more sustainable scientific workforce.


Conclusion


As we face increasingly complex global challenges like climate change, emerging diseases, and sustainability, Dr Wong-Staal's legacy offers valuable lessons for the scientific community. Her approach demonstrates that sustainability isn't just about finding technical solutions, it's about understanding how these solutions work in different contexts and ensuring they benefit all communities. Her remarkable journey from Hong Kong to becoming a groundbreaking HIV researcher illustrates how embracing diverse perspectives can lead to more sustainable and effective scientific solutions.


Wong-Staal's story reminds us that diversity in science isn't just about fairness, it's about effectiveness and innovation. Just as HIV required a novel approach to understand and treat, today's challenges demand fresh perspectives and creative thinking. When we welcome different viewpoints and experiences in scientific research, we multiply our chances of finding breakthrough solutions. The next world-changing discovery might come from someone who, like Wong-Staal, brings a unique perspective to the laboratory.


By embracing intersectionality in science – recognizing that researchers' diverse backgrounds, experiences, and viewpoints enhance rather than hinder scientific progress – we're not just opening doors for underrepresented groups. We're opening doors to innovation itself, creating a richer, more dynamic scientific community capable of tackling the complex challenges of our time.




Flossie Wong-Staal's Quote
Flossie Wong-Staal's Quote




This article is part of a series "Embracing intersectionality in science: the key to innovation and sustainability".



 

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