joshua πŸ§πŸ½βš”οΈπŸŒŸ

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lenacapivir breakthrough, huge (prevented 100% of infections, only needs to be taken twice a year vs prep needing to be taken daily): https://www.theguardian.com/global-development/article/2024/jul/26/lenacapavir-drug-trial-linda-gail-bekker-treating-hiv-aids-africa-women-pregnancy

so troubling that gilead sciences is pricing it at ~$40K when it's demonstrated to still be profitable at $40 -- 10 000x cheaper -- and there's no guarantee it'll be anywhere near there for americans. mostly disappointing and another negative indicator of where i want to place myself in immunology work in the future -- wondering if an alternative structure to big pharma for mass developing and mass manufacturing drugs like lenacapivir are possible? one more removed from an obsession with profits and focused on global health outcomes? intuitively (could be totally wrong) this feels possible at the focused research org or startup level but maintaining these values feels less possible as a company scales into a corporation while under late-stage capitalism. is the answer more restrictive policy? subsidies? not sure but i want a world of pharma that's earnest in its claims to wanting to help people + want to help build that future

some stuff i'm reading re: vaccines

reading into dr. kariko's wiki page (won nobel prize last year for laying the groundwork for mrna as a vax platform w/ dr. weissman) and the fact that she got demoted at upenn beforehand and never received tenure is so insane to read: https://en.wikipedia.org/wiki/Katalin_Karik%C3%B3

really interested in building in mrna vaccines and what problems i can work on to scale their reach globally. project lightspeed was like my version of a kid in the 60s watching the moon landing... i'm really excited about the progress we've made and the impact it holds for infectious diseases but specifically thinking about room for optimizing mrna vax biological properties for increased global viability. for the past while i've been curious about the problem of thermostability but i'm still working to map out (1) where we are with mrna vax thermostability, (2) what specifically needs to be optimized [or has highest leverage on overall stability] and (3) what's limiting our current methods of optimization. for ex. i've read a few papers about innovative drying methods (incl. lyophilization, supposedly less time and energy intensive than freeze drying) that remove all water from mrna vax formulations and dramatically reduce temperature sensitivity and increase shelf life by preventing degradation from mrna hydrolysis. what's stopping it from becoming commonplace? why's thermostability then still a problem we're trying to find solutions to? want to find answers to these questions + create a mental map of where we are and need to go

some stuff i recently found interesting:

  • ualbany's non-invasive innovation in testing for mrna vax integrity [but if it's designed to work for liquid formulations would it then be totally incongruent with lyophilized vax formulations? is this surmountable/circumventible?]

  • paper from may showing an increase in thermostability by engineering ionizable lipids in mrna-lnp formulations as piperidine-based lipids [synthetic lipids containing N-methyl piperidine head groups]. these lipids prevent production of fatty aldehyde impurities, here enabling the long-term storage of mRNAs/LNPs at 4 C (moderna, one of the more stable covid vax candidates, required -20C for 6 months)

  • this paper where the lyophilization procedure + choice of lyoprotectant is optimized, showing that it can make mrna-lnp vax formulations thermostable at temps similar to the paper above ^ while immunogenicity remained robust and lyophilized LNPs had no significant changes in particle size [which the paper above mentions as a concern for lyophilization]. lyophilization procedure here optimized to be much less time intensive ... papers like these without clear limitations outline make me wonder what's holding us back. is a decrease in lyophilization procedure duration 40-100h -> 8-18h still not attractive to big pharma companies? is cost the remaining factor to optimize? is it not an issue of incentivizing companies but something being fundamentally unfeasible/incongruent with current production pipelines? v curious and unaware

  • lots of stuff i read talks about the fundamental instability and unreliability of mrna as a biomolecule but it's interesting to see how that itself can also be optimized

  • protein vaccines, not mrna vaccines, but still found this pretty fascinating -- talk from the institute of protein design @ uw creating a platform to design antigen subunits that can self-assemble into large scaffolds (increases immunogenicity) with really beautiful mirroring to geometry and mathematical symmmetry

i got my sony handycam around a year ago now and have taken ~2000 pics... i think ive gotten into a groove and am "good" at taking pictures but recently realized there isnt a ton of distance between me and the photos i want to be taking (really inspired by stuff like @nickspinal and @jasnisip) besides knowledge and practice and i have a ton of time this summer -- 4 months -- outside of the science im doing and thinking about. so my plan is to fast track the process to "mastery", basically, and really go from zero to one as quickly as possible... im starting out by binging books rec'd by reddit on digital photography (right now "understanding exposure" by bryan peterson) and then ideas for future actions are learning photoshop/lightroom, replicating photo styles im really inspired by and figuring out how to rent or hire a dslr (might require some hustle...) -- but feels really good to be following a creative pursuit, theres this feeling of soaring and adrenaline that im really excited to chase for as long as i can

read β€œis the rectum a grave” by leo bersani the other day and really really loved it

so excited about this! was long looking for something to share thoughts and moments + document readings without a feed and the clunkiness of something like a blog or goodreads