Sunday, December 10, 2017

CAR T and OVCA


Caspar Wistar, M.D.
He was a buddy of Ben Franklin

This is very good news, I believe.  My printer seems to agree: when I attempted to print the article (below) it (my printer) stopped working half way through the first page, emitted a terrible scream (of joy?) – and quit working.  I take that to be a good omen.

You remember CAR T, right?  If not, read


for a refresher course.  In brief, CAR T refers to an immunotheraputic process wherein T cells are targeted at specific cancer cells, then venture forth through the body to find them, and kill them.  So far CAR T has only been used on blood cancers, but now an outfit called ITUS Corporation (of San Jose, California) is preparing to unleash CAR T technology on solid tumors – beginning with our favorite target – ovarian cancer.

From Bio 1a in high school you remember that cells have various proteins attached to their external membrane.  These proteins have specific functions.  For instance, they may signal to glucose molecules to come hither, attach, and be eaten (cells need nutrition, after all.)  Or they may say “hey,  - signals from the pancreas – come over, lock on, and deliver your instructions.  That sort of thing.

Well, some smart people have discovered that a particular protein – they call it “follicle stimulating hormone receptor” (FSHR) – exists only on the ovarian cells of adult women.  In principal, these means that one can extract T cells from an OVCA patient, modify them to recognize (and kill) cells with FSHR proteins on their surfaces – and destroy those (cancerous) cells.  Trials are underway.  Clinical applications: maybe two years away.

My family used to have a saying that went something like “There’s many a slip between the cup and the lip”.  That is certainly true, so we must be aware that this discovery – so simple, so promising – may come to nothing.  But I am greatly encouraged.

So what does Caspar Wistar have to do with any of this?  I will tell you.

Dr. Caspar Wistar was a physician in Philadelphia and a contemporary of Benjamin Franklin.  He was so important that various academic units of the University of Pennsylvania have born his name.  The latest incarnation is the Wistar Institute, which is a biomedical research facility.  The CAR T technology as applied to OVCA was developed in the Wistar labs, using funds provided by you and me  through the NIH.  Wistar Institute does biology, not bio-business, so  presumably they sold  the right of development to ITUS.  However, ITUS has sub-let the actual work to something called the Moffitt Cancer Center.  No wonder the development efforts will cost upwards of $ I million.

I tell you all this to help you understand how the Pharma universe operates.  I withhold judgement.




Linda, in the mood for Christmas

Tuesday, December 5, 2017

FRANKENSTUFF


Dr.Francis Collins, Director of the NIH
Former lead guitar for the Rolling Stones
(No, I made that part up)

Dr. Collins is one of my current heroes.
Along with Russell Wilson

Now this sort of scares me.  People at Scripps have created what can only be called “frankenproteins”.  They are excited.  So was Dr. Frankenstein when he zapped his monster into life.  We all know how that turned out.

Not to insult your intelligence, but I want you to recall that our entire heredity is “written” in a code consisting of only four letters:  A, T, C, and G. The “book” containing these letters is the DNA double helix.  Baring errors, in the DNA molecule A always bonds with T, and C with G.  It is the sequence of these A-T and C-G parings that tells a creature to develop into, say, a tadpole, rather than, say,  Donald Trump.

A, T, C, and G are known as nucleotides.   They “code” for the proteins, upon which all life depends.

Well, some adventurous folks at Scripps in San Diego have created two new nucleotides, which they call X and Y (pitiful lake of originality).  X pairs with Y, just like A-T and C-G.  Furthermore, they have inserted the X-Y pair into the bacterium E. coli, and then run the resulting (man-made!) genetic material through the normal DNA-to-protein assembly process.  And - Voila! – A new, totally unnatural, man-made protein walks (slithers, actually) the face of the earth!

The Scripps folk are jubilant, and forecast all sorts of uses for these frankenproteins.  Dr. Collins, Director of NIH and the author of many learned publications, enthusiastically agrees.  So maybe I should be happy with this development.  After all, it is a promising tool, right?  And the Scripps people assure us that it can’t get out of hand:  they have to feed it just to keep it alive.  Yeah, sure.  The original Frankenstein creation learned to go get its own food.  We don’t want to see globs of frankenprotein slithering around the lab, eating the lab rats!

Seriously, this stuff disturbs me a bit.  I think we must proceed very carefully.

By the way, Dr Francis Collins not only runs NIH, which has a budget similar in size to, say, the U.S. Navy – he also has time to author a series of highly informative blogs.  You should get on his mailing list.




 Linda at the gourd farm.
She delighted in decorating gourds.