[HN Gopher] Will protein design tools solve the snake antivenom ...
       ___________________________________________________________________
        
       Will protein design tools solve the snake antivenom shortage?
        
       Author : sebg
       Score  : 54 points
       Date   : 2025-05-08 12:05 UTC (10 hours ago)
        
 (HTM) web link (www.owlposting.com)
 (TXT) w3m dump (www.owlposting.com)
        
       | karmakaze wrote:
       | Or one man with more than 200 bites and more than 700 injections
       | of venom he prepared from some of the world's deadliest
       | snakes[0].
       | 
       | [0] https://www.bbc.com/news/articles/cr5d0l7el36o
        
         | worthless-trash wrote:
         | A man called "Ram Chandra" used to come to my school in the
         | 80-90's and educate us on the danger of snakes (he has since
         | passed away).
         | 
         | There is a little talk of it here
         | https://www.mackayandwhitsundaylife.com/article/remembering-...
         | 
         | I had seen him get bitten by a bunch of different snakes during
         | his time demonstrating dangerous animals to my school on
         | different occasions, he was always very kind and educational.
         | 
         | I believe he had was also involved in milking snakes and making
         | antivenom, but the specifics evade me.
         | 
         | I believe he went to many different schools educating the small
         | townships of the Australian outback (Imagine more than 20 less
         | than 30) and always had time to answer my stupid questions as a
         | child.
         | 
         | This part of my local culture will be missed.
        
           | thorin wrote:
           | It doesn't mention if he died from snake bites... Sounds like
           | an interesting guy!
        
             | stuckkeys wrote:
             | "Milking snakes..." tempted to put that on gpt and see what
             | that looks like.
        
         | JTbane wrote:
         | Anyone else find it hilarious that snake bites follow the logic
         | of "expose yourself to just a little deadly poison to gain
         | immunity"?
        
           | jjtheblunt wrote:
           | Why? It's immunologically sensible : let the immune system
           | train antibodies on a non lethal amount of novel protein
           | antigen, like traditional vaccines, and (i bet to your point)
           | in stark contrast with "homeopathy" in some definitions.
        
             | zamalek wrote:
             | Homeopathy is way more extreme, for what it's worth. The
             | idea is to keep diluting the thing until it's basically
             | chemically absent, with only the "nature" or the juju or
             | whatever it is.
        
               | Terr_ wrote:
               | Relevant Mitchell & Webb comedy sketch, title translated
               | for Americans as "Homepathic ER".
               | 
               | https://www.youtube.com/watch?v=DqWieBlI1bA
        
         | abhishaike wrote:
         | I mention this in the article :)
        
       | gilleain wrote:
       | Related : https://news.ycombinator.com/item?id=43708841
        
       | User23 wrote:
       | The shortage is already rather artificial. A snakebite treatment
       | that costs $150k in the USA is just a few hundred dollars in
       | Mexico.
        
         | bob_theslob646 wrote:
         | How is that possible?
        
         | __MatrixMan__ wrote:
         | Is your second sentence supposed to be evidence of your first?
         | 
         | I'm no fan of a system that prices things differently based on
         | how much the dying person (or their insurance) is likely to be
         | able to pay, but in such a system you've got prices dictated by
         | demand... can you really reason your way from prices back to
         | notions of authentic supply?
        
           | fallingknife wrote:
           | You have to deregulate the supply. Right now you have to be
           | specifically approved to manufacture a drug. This causes
           | monopolies / oligopolies even in non-patented medications. It
           | should be changed to a system where any company who wants can
           | manufacture any drug as long as it meets purity and dosage
           | accuracy standards.
        
             | os2warpman wrote:
             | >You have to deregulate the supply.
             | 
             | We already had that.
             | 
             | It was a disaster.
             | 
             | For centuries. No. Millennia.
             | 
             | Until enough people died to make regulation palatable.
             | 
             | Going back to that would be like going back to bloodletting
             | to balance the four humors.
             | 
             | "Oh but baby we've changed" --some random private equity
             | sociopath
             | 
             | "We've got computers now man that changes things, we'll
             | build an ai-enabled pharma tech stack on the blockchain"
             | --some techbro
        
               | NoMoreNicksLeft wrote:
               | >For centuries. No. Millennia.
               | 
               | We might have had other, confounding factors during that
               | time period. And while he did mention "deregulation", he
               | also indicated that he only wanted partial
               | deregulation... that there would still be some demand for
               | purity/dosage.
               | 
               | When people talk about deregulation, there is this idea
               | that regulations already exist. If you're talking about
               | periods from anitquity where no regulations existed at
               | all, this isn't comparable to a period of deregulation
               | where presumably everyone knows what the regulations were
               | trying to accomplish and agree on those and other basic
               | scientific principles. We also had no FAA 10,000 years
               | ago, and no one died in plane crashes then, right? That
               | proves how awesome regulation is in the same way your
               | example proves how awful it is. How can these two
               | arguments reach entirely difference conclusions, do you
               | think?
               | 
               | >"Oh but baby we've changed" --some random private equity
               | sociopath
               | 
               | Or, just possibly, people come to realize over time that
               | their initial knee-jerk reactions went too far, and cause
               | measurable harm that they want to reduce. Unfettered
               | capitalism does get a few things right... it can go from
               | supply shortages to excess quickly. Let it work.
        
               | fallingknife wrote:
               | Yes, how could I forget all those people who died from
               | correctly dosed and uncontaminated medications.
        
             | __MatrixMan__ wrote:
             | I see, I had assumed that the same party was supplying both
             | sides of the border.
        
         | snowwrestler wrote:
         | Does it actually cost $150k, or is that just the sticker price?
         | What does United Healthcare pay for a dose? That's the actual
         | price.
         | 
         | Fake price tags are a huge issue in health care policy.
        
         | yorwba wrote:
         | There's two kinds of shortage here: the availability _in
         | principle_ of an antivenom for a specific snake venom and the
         | availability _in practice_ of a dose of antivenom to treat a
         | specific snake bite.
         | 
         | Rich people paying whatever it takes to avoid dying provide a
         | captive market for the first case (at least as far as snakes
         | that rich people often get bitten by are concerned), and
         | protein design tools also aim at this kind of shortage.
         | 
         | But as the article points out, most people getting bitten by
         | snakes are affected by the second kind of shortage, because
         | they're too poor to afford several hundred dollars. To address
         | this, the newly-designed antivenom also needs to be cheap
         | enough to manufacture that people actually buy it in large
         | enough volumes that it justifies the initial R&D investment for
         | the manufacturer.
        
         | jandrewrogers wrote:
         | It is a bit more complicated than that [0]. Most of those costs
         | are not attributable to the antivenom but to other overheads
         | that are part of the process, including litigation costs. The
         | FDA fees per vial alone are a few hundred dollars, even higher
         | than the clinical trial costs.
         | 
         | [0]
         | https://www.amjmed.com/article/S0002-9343(15)00781-0/fulltex...
        
       | HarHarVeryFunny wrote:
       | I recently watched this YouTube documentary about a Borneo tribe,
       | barely clinging onto their traditional ways/knowledge (displaced
       | by the logging industry) who used a plant as a supposedly
       | universal snake bite remedy ... I wonder if there was ever a
       | scientific study of how effective it actually is?
       | 
       | https://www.youtube.com/watch?v=TiQBTesZUJQ
        
       | kyleblarson wrote:
       | I live in an area with tons of rattlesnakes and deal with at
       | least 6-10 per year on my property. They generally just want to
       | be left alone which I usually oblige unless they are near the
       | house or shop. I heard an old timer say that the majority of
       | snake bite victims in our area are young males and the most
       | common pre-bite words are "hold my beer, watch this."
        
       | dtgriscom wrote:
       | Recent Derek Lowe article on antivenom:
       | https://www.science.org/content/blog-post/whole-lotta-snakin...
        
       ___________________________________________________________________
       (page generated 2025-05-08 23:01 UTC)