[HN Gopher] New protein therapy shows promise as antidote for ca...
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       New protein therapy shows promise as antidote for carbon monoxide
       poisoning
        
       Author : breve
       Score  : 203 points
       Date   : 2025-08-14 11:56 UTC (11 hours ago)
        
 (HTM) web link (www.medschool.umaryland.edu)
 (TXT) w3m dump (www.medschool.umaryland.edu)
        
       | DonHopkins wrote:
       | >New Protein Therapy Shows Promise as Antidote for Carbon
       | Monoxide Poisoning
       | 
       | So Shatner was right all along: not only is Promise Margarine
       | good for lowering your cholesterol level, but it can also treat
       | carbon monoxide poisoning! And it tastes like butter, promise.
       | 
       | https://www.youtube.com/watch?v=n3wf717fKFE
        
         | majkinetor wrote:
         | I don't see a relation of any kind and I hate commercials maybe
         | more than anybody else, but it's always a good time for a funny
         | one with Shatner :)
        
           | DonHopkins wrote:
           | Sheez, I can't believe I have to explain that Shatner shows
           | Promise as antidote for high cholesterol too.
        
             | selimthegrim wrote:
             | He just played New Orleans. Somebody should've been
             | throwing tubs of Promise margarine at the stage.
        
       | bananapub wrote:
       | not very on topic, but for those who missed one of the more
       | surreal reddit threads in history:
       | 
       | - [MA] Post-it notes left in apartment [0]
       | 
       | - and the update from OP a while later [1]
       | 
       | [0]:
       | https://www.reddit.com/r/legaladvice/comments/34l7vo/ma_post...
       | 
       | [1]:
       | https://www.reddit.com/r/AskReddit/comments/49zfvb/what_is_t...
        
         | gus_massa wrote:
         | It looks like he found a note in his room and see some strange
         | thing in the window, and someone somehow says it's CO but it
         | may be that the OP has unrelated hallucinations. Is this a
         | symptom of CO poisoning? I think you only get sleepy, faint and
         | die.
        
           | maxbond wrote:
           | Chronic exposure can lead to memory loss, yes. You're
           | describing the symptoms of acute exposure.
        
           | hinkley wrote:
           | CO exposure is accumulative. If you're around an intense
           | source of it you're toast. But with a small point source or
           | decent ventilation it kills you slower.
           | 
           | And your body produces new blood cells every day, so minor
           | sources like wood smoke or burning a candle don't dose you
           | enough to be a problem, unless perhaps your day job is as an
           | athlete.
        
             | hinkley wrote:
             | Also looks like the half-life of CO in the blood is around
             | five hours.
        
       | dtgriscom wrote:
       | How is this administered? Seems like a crucial detail to omit.
        
         | DonHopkins wrote:
         | You can spread it on bread, melt it over pancakes, rub it all
         | over corn on the cob, put it in baked potatoes, etc, promise!
        
         | elric wrote:
         | > This has the potential to become a rapid, intravenous
         | antidote for carbon monoxide
         | 
         | So intravenously, presumably.
        
       | searine wrote:
       | This research was funded by multiple NIH grants, a Department of
       | Defense grant, and the Martin Family Foundation.
        
       | jfarlow wrote:
       | Here's the full sequence of the protein, found in the supplement
       | [1]
       | 
       | KSSEPASVSAAERRAETEQHKLEQENPGIVWLDQHGRVTAENDVALQILGPAGEQSLGVAQDSLE
       | GIDVVQLHPEKSRDKLRFLLQSKDVGGSPVKSPPPVAMMINIPDRILMIKVSSMIAAGGASGTSM
       | IFYDVTDLTTEPSGLPAGGSAPSHHHHHH
       | 
       | It is a protein encoding the PxRcoM-1 heme binding domain with
       | C94S mutation and a C-terminal 6xHis tag (RcoM-HBD-C94S)
       | 
       | [1]
       | https://www.pnas.org/doi/10.1073/pnas.2501389122#supplementa...
        
         | sunrunner wrote:
         | This looks like an puzzle input to a day from Advent of Code.
        
         | meisel wrote:
         | Thanks for that sequence, I can really picture it now
        
           | dekhn wrote:
           | You can search for it here: https://alphafold.ebi.ac.uk/searc
           | h/sequence/KSSEPASVSAAERRAE... and in principle get the
           | AlphaFold predicted structure (I couldn't find an
           | experimentally determined one). However, like nearly all EBI
           | resources, the web server timed out before I could get a link
           | to the prediction.
        
           | immibis wrote:
           | Isn't it strange to see protein codes spreading the same way
           | magnet links or AACS encryption keys might.
        
             | winocm wrote:
             | If you want to download SARS-CoV-2, here you go:
             | https://www.ncbi.nlm.nih.gov/nuccore/NC_045512.2
        
         | mhb wrote:
         | That doesn't look right. I think the problem is in the last
         | quarter. Exercise for the reader.
        
       | kazinator wrote:
       | The existing methylene blue substance is also effective in cases
       | of CO poisoning.
       | 
       | 1933 paper:
       | 
       | https://journals.physiology.org/doi/abs/10.1152/ajplegacy.19...
       | 
       | "Methylene Blue as an Antidote to CO Poisoning", Matilda
       | Moldenhauer Brooks
        
         | skadamou wrote:
         | This paper is interesting but I want to point out there is a
         | difference between a research paper showing that something is
         | hypothetically feasible and something that is actually useful
         | clinically.
         | 
         | Clinically, methylene blue is used to treat a different
         | condition, methemeglobinemia and is not used to treat carbon
         | monoxide poisoning which relies on hyperbaric oxygen therapy.
        
           | kazinator wrote:
           | The researcher used non-human animals; it worked on them.
           | 
           | The hypothetical part was only that it might also work on
           | humans.
           | 
           | In any case, it seems the result was good enough as a
           | clinical trial from the point of view of veterinary medicine,
           | in regard to those specific types of animals.
        
       | hinkley wrote:
       | > Infused in the bloodstream, scavenger hemoproteins like RcoM-
       | HBD-CCC rapidly bind to carbon monoxide molecules, reducing the
       | time it takes to clear half of the carbon monoxide in the blood
       | to less than a minute, compared to more than hour with pure
       | oxygen therapy and five hours without any treatment.
        
         | lawlessone wrote:
         | I can see a market in selling this to urban cyclists..
         | 
         | I've seen people doing that get quite a bit of exhaust fumes to
         | the face.
        
           | hinkley wrote:
           | Breath control is an underrated skill.
        
       | sandworm101 wrote:
       | CO poisioning is one of those strange cases treatable using scuba
       | diving. Recompression therapy, which can be theoretically aped
       | under water, can be like magic. In some cases the patient just
       | wakes up like nothing is wrong. No drugs. No invasive treatment.
       | Get deep enough and hemoglobin isnt totally necessary for getting
       | O2 where it needs to be.
       | 
       | https://www.ncbi.nlm.nih.gov/books/NBK470531/
        
       | pfdietz wrote:
       | This looks like a therapy you can only get once in your life,
       | after which it has acted like a vaccine and your immune system
       | would react to it.
        
         | isk517 wrote:
         | If getting carbon monoxide poisoning once isn't enough to make
         | you invest in a few detectors then I don't know what will
        
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