[HN Gopher] Scientist behind Covid-19 mRNA vaccine says her team...
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       Scientist behind Covid-19 mRNA vaccine says her team's next target
       is cancer
        
       Author : srameshc
       Score  : 82 points
       Date   : 2021-03-19 19:01 UTC (3 hours ago)
        
 (HTM) web link (www.cbc.ca)
 (TXT) w3m dump (www.cbc.ca)
        
       | miklosme wrote:
       | > The vaccine (...) uses messenger RNA, or mRNA, to carry
       | instructions into the human body for making proteins that prime
       | it to attack a specific virus.
       | 
       | I love how this technology turns a medical challenges into a
       | software problem. Being able to code medicine will open up an
       | affordable way to personalized drugs, instead of the current day
       | "one size fits all" solutions. What a time to be alive!
        
         | dragontamer wrote:
         | I mean, in theory that's possible.
         | 
         | But in practice: personalized medicine is impossible to tests.
         | We rely upon giving tens of thousands of volunteers medicine
         | ahead-of-time to prove if medicine is safe.
         | 
         | While the technology theoretically exists to make and
         | distribute personalized medicine, the ethics and safety
         | questions of doing so remain unanswered.
        
           | ghc wrote:
           | Personalized medicine has been tested for years in clinical
           | trials. Trials require tens -- not tens-of-thousands -- of
           | volunteers.
           | 
           | Personalized therapies are being used to treat cancer
           | patients right now, and using machine learning to find the
           | right binding site for a particular patient's tumor should
           | present no more ethical questions than giving them NSAIDs.
        
         | amelius wrote:
         | Uhm yeah, but it also opens up ways for hackers to code all
         | sorts of biological stuff and put it in our bodies. All from
         | behind their keyboards.
         | 
         | Imagine "if dna.get_race() == $RACE then kill();"
         | 
         | Or how about some biological ransomware?
        
           | dragontamer wrote:
           | That's really not how mRNA works. If DNA is the source code
           | of our body, then mRNA is the machine code that exists in
           | L1-instruction cache. (There's another process out there that
           | copies DNA into more readily processable RNA)
           | 
           | The way any of this mRNA stuff works is by throwing
           | instructions into our body to create certain proteins in
           | certain configurations. For COVID19, the vaccine is... as
           | XKCD-put it... a set of blueprints to build a "fake death
           | star" without any weapons activated.
           | 
           | https://xkcd.com/2425/
           | 
           | ------------
           | 
           | mRNA further has a "innate safety" mechanism, in that it
           | degenerates. That's why our body uses DNA after all: because
           | DNA does not degenerate, even though RNA is what's actually
           | executing so to speak.
           | 
           | So any mRNA medicine will have to be strictly temporary, and
           | get its job done in a limited timeframe. The COVID19 virus
           | gets around this fact by self-replicating. The instructions
           | that our cells execute are to create a new COVID19 virus. The
           | original "quine", COVID19 (and all viruses) "print
           | themselves" as part of their execution.
           | 
           | -------------
           | 
           | The "vaccine" is a set of blueprints for the COVID19 "spike
           | protein" (and ONLY the spike-protein). Since it is missing
           | all the other parts of COVID19, it cannot self-replicate. Our
           | body then gets trained on recognizing the COVID19 spike
           | protein, and is ready when the real thing attacks our body.
        
             | prox wrote:
             | I believe there are also viruses who can insert themselves
             | into the cells DNA, and there are some articles on how some
             | parts of human DNA is already old virus genome. Viruses are
             | far more dangerous in that regard.
        
               | dragontamer wrote:
               | There's both DNA viruses and RNA viruses. RNA viruses are
               | way more common though.
               | 
               | > [DNA] Viruses are far more dangerous in that regard.
               | 
               | Not necessarily. "Corrupt DNA" can be somewhat detected
               | the body as a cancer cell. Our "Natural Killer" cells
               | then kill those cells.
               | 
               | Cancer / corrupted DNA happens all the time in our
               | bodies. Even healthy bodies (!!). The difference between
               | a cancer-patient and us however, is that a cancer-patient
               | is overrun with cancer-cells.
               | 
               | Our bodies naturally kill off cancer under normal
               | circumstances. Figuring out why cancer / corrupted DNA
               | completely takes over the body is a big mystery,
               | especially because our body is so good at fighting off
               | cancer under normal conditions.
        
             | tibbydudeza wrote:
             | DNA = X86 opcodes RNA = UOPS/ROPS
        
               | therein wrote:
               | A better analogy would be anonymous functions thrown into
               | the global namespace that get called with whatever
               | arguments that may happen to be on the stack at that
               | moment.
        
             | amelius wrote:
             | > then mRNA is the machine code that exists in
             | L1-instruction cache
             | 
             | But we all know that once an attacker has write-access to
             | the machine code in the cache, all is lost ...
        
               | dragontamer wrote:
               | I mean, my point is that "if (race == whatever)" is
               | completely nonsensical from an mRNA perspective.
               | 
               | There's no way for mRNA to scan the rest of your DNA
               | sequence to make an if/else determination. mRNA is just
               | gonna execute once its in the body.
               | 
               | > Or how about some biological ransomware?
               | 
               | Yeah, that's called a poison and antidote / antitoxin.
               | You don't need mRNA for that. Poison someone's food, and
               | as they lie dying, you can offer them the antidote in
               | exchange for something.
        
               | amelius wrote:
               | > I mean, my point is that "if (race == whatever)" is
               | completely nonsensical from an mRNA perspective.
               | 
               | Is it? mRNA can code for a protein that detects other
               | mRNA in the same cell, which may reflect any genetic
               | characteristic of the host.
        
               | dragontamer wrote:
               | mRNA isn't really code. Its a blueprint.
               | 
               | https://www.nature.com/scitable/topicpage/translation-
               | dna-to...
               | 
               | When we say mRNA "executes", that's a cell injesting
               | mRNA, and assembling a protein (polypeptide). For
               | example, the mRNA sequence 'ACU', when 'executed' by a
               | cell, will turn into a Threonine:
               | https://en.wikipedia.org/wiki/Threonine
        
               | Dylan16807 wrote:
               | RNA can fold up and get stuck to other sequences. Using
               | that as a trigger isn't out of the question.
        
       | monocasa wrote:
       | I don't quite follow. The whole shtick with problem cancers is
       | that your immune system is ignoring them for whatever reason.
       | mRNA vaccines work by priming the immune system for something it
       | would attack anyway, but under safer circumstances since there's
       | no real virus in the vaccine. What can the mRNA create that the
       | immune system will train on given that the immune system isn't
       | attacking the real thing to begin with?
       | 
       | (And to be clear, this obviously is a piece I'm missing rather
       | than a hole I'm trying to punch in their work. They're way
       | smarter than me and wouldn't be working on this unless they had a
       | clear idea)
        
         | mushishi wrote:
         | Just a newbie question: Would it be beneficial that body itself
         | generates transcriptional repressor proteins (via mRNA vaccine)
         | that bind to specific cancerous mutation genes instead of
         | giving some medicine that has similar inhibitory goals?
         | 
         | (Sorry, I'm just trying to learn cell biology on my own.)
        
           | rolph wrote:
           | it is difficult enough to target a cell and deliver to the
           | cytoplasm, when you attempt to move further and deliver to
           | the nucleus this is further difficulty. if you are certain
           | you have a _specificly_ targeted delivery that stays away
           | from non cancerous cells you can use mRNA to create labels
           | [antigens] on the cell surface that the immune system
           | interprets as pathogenic, thus immuno targeting oncocytes for
           | destruction.
        
         | azinman2 wrote:
         | I don't know the biology, but mRNA vaccines has been used for
         | cancer for some years now. I wish this message was louder and
         | clearer because people seem to think covid is the first use of
         | the technology.
        
         | Slimbo wrote:
         | My very basic understanding is you customise the mRNA payload
         | towards the immune system targetting the mutating cells that
         | have caused cancer in a patient (after the cancer material has
         | been surgically removed). This prevents the cancer from re-
         | occuring.
        
           | monocasa wrote:
           | Right, but the immune system already wasn't responding to the
           | mutated cells, and was obviously exposed to any proteins that
           | would identify them.
        
             | rolph wrote:
             | commented up thread a couple posts:
             | 
             | https://news.ycombinator.com/item?id=26518258
        
         | IfOnlyYouKnew wrote:
         | I believe the advantage of the mRNA method is that it's
         | somewhat generic: you can stick any (protein-coding) RNA
         | fragment into it, and it will be expressed in the body and
         | picked up as a target by the immune system if it has any
         | potential for the latter (I. e. isn't something that's
         | ubiquitous in the body already)
         | 
         | As such, it is faster to get from idea to vaccine. Recent
         | history is an example already, but the cycle will be improved
         | dramatically considering the technology is very much still in
         | infancy. It's also cheaper, to the point that producing ten
         | doses of ten different vaccines may not be more expensive than
         | producing a hundred doses of a single vaccine. This will be
         | helpful against "cancer" which is closer to an unlimited number
         | of different diseases than a single target.
        
         | arrosenberg wrote:
         | It sounds like you are conflating the antiviral implementation
         | with what the mRNA technology itself is doing. mRNA acts as a
         | blueprint for proteins. Your body has tRNA translation
         | complexes that "read" the mRNA and appropriate the correct
         | amino acid to add to the protein chain. Here is a more detailed
         | description - translation begins about halfway down with the
         | UGCAs: https://www.nature.com/scitable/topicpage/translation-
         | dna-to...
         | 
         | So basically the mRNA tech is a means of delivering protein
         | blueprints for in vivo production using your bodies natural
         | machinery. In the case of COVID-19, this was used to
         | manufacture spike protein, which attracts the body's immune
         | response.
         | 
         | I'm not an expert on the best way to use the tech with cancer,
         | but I could imagine a number of different approaches - targeted
         | inducing of cell death, "painting the target" for chemo drugs,
         | making things like monoclonal (designer) antibodies in-vivo,
         | etc. The silver bullet is that it eliminates all of the
         | complexity of creating and storing advanced biologics outside
         | the body. Now you just deliver a bit of code and your body does
         | it's thing.
        
           | rickdeveloper wrote:
           | > the correct protein to add to the chain.
           | 
           | Slight error: it adds an amino acid to the chain. The chain
           | itself is/will fold into a protein.
        
             | arrosenberg wrote:
             | That is true, thanks for the correction.
        
           | adrianmonk wrote:
           | > _I could imagine a number of different approaches -
           | targeted inducing of cell death, "painting the target" for
           | chemo drugs, making things like monoclonal (designer)
           | antibodies in-vivo, etc._
           | 
           | The article does explicitly call it a "cancer vaccine"
           | (direct quote from the researcher) and says "the same
           | principle [as the COVID-19 vaccine] can be applied to get the
           | immune system to take on tumours".
           | 
           | That's more specific than sneaking in with mRNA to get the
           | body to produce something. It definitely sounds like whatever
           | it is, it gets the immune system involved. It seems fair to
           | ask exactly how it does this.
        
             | snowwrestler wrote:
             | Scientists are already showing some promising results using
             | the immune system against tumors. See for example:
             | 
             | https://en.m.wikipedia.org/wiki/Pembrolizumab
             | 
             | The promise of mRNA is the potential to prompt the body to
             | produce the therapeutic antibodies itself, rather than
             | produce them externally and injecting regularly.
        
         | rolph wrote:
         | off the top of my head:
         | 
         | cancer cells have distinctive traits that can be exploited for
         | targeting [1]. A fairly elegant approach is to use a vesicle
         | studded with antibodies to the tumor antigen to get the payload
         | to the bad cells, the mRNA is then endocytosed into the tumor
         | cell, expressed and the protien product adorns the tumor cell.
         | when this is an antigen such one sees with measles there would
         | be a long lasting immune response that would look for any cells
         | with this antigen [i.e. target tumor cells]
         | 
         | [1] https://en.wikipedia.org/wiki/Tumor_antigen
        
       | ergljlkegrwlj wrote:
       | Covid "scientists" are quacks and conspiracy theorists. Why don't
       | you all go back to your fake moon landings and flat earth
       | theories - leave the rest of us alone.
        
       | chiefalchemist wrote:
       | > The scientist who won the race to deliver the first widely used
       | coronavirus vaccine says people can rest assured the shots are
       | safe,
       | 
       | Ok. But did anyone expect her to say anything else?
       | 
       | This is obviously a (slightly?) veiled pitch for backers, more
       | funding, and perhaps some regulatory freedom.
       | 
       | It's unfortunate that the media can't resist the temptation to
       | pitch this as news. It's not. It's interesting. There's certainly
       | intrigue at 50k ft. But you don't ask the cow, "What do you think
       | of milk?"
       | 
       | Promise and hope should be tempered with context. We've been to
       | this rodeo before.
        
       | vibrio wrote:
       | "next target"? has been a target since inception. At Moderna or
       | BioNtech Cancer and Gene Therapy were priorities during the last
       | decade or so, with limited evidence of success as far as I can
       | tell. Infectious disease is scientific low hanging fruit for this
       | approach, but has been less attractive commercial opportunities,
       | so received limited focus on that until SARS-COV-2. The did a
       | good job executing on the vaccines, but I'm not giving much for
       | these vaccines as proof of concept for scientific success in
       | cancer or orphan disease gene therapy.
        
         | bryanlarsen wrote:
         | > so received limited focus on that until SARS-COV-2
         | 
         | Or more accurately, until Bill Gates invested and retargeted
         | them at vaccines. These investments predated Covid19 and were
         | in 2015 and 2019.
        
           | thepangolino wrote:
           | I'm pretty sure the SARS-CoV-2 mRNA vaccines are based on
           | mRNA vaccine research for the original SARS virus. The only
           | reason that one wasn't finalised is that the epidemic sort of
           | died out on its own.
        
         | [deleted]
        
         | xiphias2 wrote:
         | The time that mRNA vaccines will save compared to the effort
         | people had to do to optimize data to fit in an adenovirus
         | vaccine in itself can speed up science significantly.
         | 
         | About 50-100 different sicknesses are being targeted right now
         | (a lot of them in secret), so we can't know the biggest winners
         | yet.
        
         | jfengel wrote:
         | Now that it's been proven and the manufacturing scaled, there
         | may be a fair bit of profit in it. If tuberculosis, MRSA, and
         | even malaria can be targets, that would be world-changing.
         | 
         | I'm not even sure how "cancer" is really a target -- are they
         | talking about individualized treatments for your specific
         | cancer cells?
        
           | jl2718 wrote:
           | The process generally relies on discovery of potent
           | neoantigens within the somatic mutations and then building
           | mRNA to express it. So, yes, the idea is individualized
           | treatment for cancer. I'm not sure there is any relevance for
           | organism-scale immunity like TB/MRSA/malaria.
        
       | JediPig wrote:
       | I would first want it to work without side effects and give it
       | time to study. The vaccine is less effective than sputnik
       | vaccine. Given a choice, I would take sputnik 100 times over.
        
       | tibbydudeza wrote:
       | It was done before when they used a inactivated HIV virus to cure
       | a child with leukemia by reprogramming her T cells.
       | 
       | She was in the terminal stage of disease so hence the approval of
       | the experimental treatment , we don't know the long term effects
       | or why it did not work consistently in other patients.
        
       | AngryData wrote:
       | What? That is like saying your next target after repairing your
       | Corolla is the US economy.
        
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