Great title!
post
Top notch headline. I'll drink to that!
Critics say this needs more testing - cool sure let's make that happen! I don't think its wrong to publish data from 1 or 2 people, so long as you don't present that data as definitive.
Beyond the title, a very well written and thoroughly explained article. Worth a read.
Fuck them rpg dice viruses.
This is the similar to the discovery of a cure for stomach ulcers. Great work!
“The bureaucracy is inhibiting the science, and that’s unacceptable to me,” he says. “One week of people dying from not knowing about this is not trivial.”
Yeah, let's not wait for proper testing and research. That's a typical sign that something is very wrong.
So we have vaccines that work and are tested.
And he's trying to sell something that is untested, but an alcoholic beverage, which is known to be bad for health.
Yeah, I'm sure this is not just about money and he actually cares about people's health.
There's a lot of questions to be answered here but I feel like this could potentially be a pretty cool thing
He's created a strain of yeast that seems like it could function as an oral vaccine
You could just filter off the beer and eat the yeast, or maybe put it into pills or something, or purify it into a normal injectable vaccine
But there's a lot of people out there who are skeptical of pills and afraid of needles, or who just won't want to eat powdered yeast
But a lot of those same people will happily drink a beer.
It could also be a way towards sort of decentralizing vaccine production. Imagine he starts selling little packets of dry vaccine yeast for people to brew beer with. Yeast is pretty forgiving in its storage requirements, keep it in its little sealed envelope and keep it reasonably dry, and it should be good for a couple years. You can ship that around the world without much fuss.
And people all over the world know how to brew beer. Get that packet of yeast into the local hooch-maker's hands anywhere in the world, and they can turn it into a bunch of 1-pint vaccine doses in a week or two. No particularly special equipment or distribution networks needed, and vaccine distribution becomes as easy as hosting a kegger.
And if they're able to reclaim some of that yeast to brew another batch, you've potentially even set them up for long-term vaccine beer production.
You might also be better able to convince people who might otherwise be skeptical about taking a traditional vaccine to just drink a beer. It's not something scary like a needle, or weird and unnatural like a pill, it's "just" a beer.
And you can focus your efforts a bit more on who you need to convince about the safety and efficacy of vaccines. You don't need to convince a whole village to trust vaccines, you just need to convince the local brewer that the people already trust, and then you can piggyback off that existing trust.
Hell, I'm pro vaccine, but I know I'd probably be a little more proactive about getting mine if it meant I got to go have a couple beers.
Again, there's a lot of questions that need to be answered, not the least of which are the basic safety and effectiveness of this
There's also informed consent, making sure that the people drinking the beer understand that the beer is a bit more than just a beer, and the risks of alcohol (although if this is an effective delivery system, I think it's likely that those risks are well-outweighed by the benefits of vaccines)
I definitely think it's something worth exploring.
Yeah, getting yeast to manufacture vaccines would go a long way to making them accessible. Especially if successive generations also produce the vaccine. Probably lots of testing left to do and definitely better watch out in case it disrupts vaccine makers profits. I really hate corporate feudalism
The difficulty I see here is that it took the yeast not very long to mutate a beneficial effect, but it could just as quickly mutate away from that and even mutate something harmful.
The biggest cost factor for classical pharma is QA. Both in the form of certifications before release and in the form of regular QA during production.
So skipping QA can of course bring the cost down massively, but with the cost of making a potentially very dangerous product.
It's possible I missed it, but I didn't see where it said how they came up with this strain of yeast. I was kind of assuming they used CRISPR or some other kind of gene editing to make it.
Regardless of if it was edited or selective breeding and random mutation, I do share those same concerns about how fast it might mutate and lose its effectiveness.
As far as it mutating into something harmful, sure it's a possibility, but the same possibility technically exists with any strain of yeast out there in the world, untold millions of generations of yeast have lived, mutated, reproduced, and died in breweries, bakeries, and vineyards since humans first started brewing beer and baking bread, and it hasn't gone horribly wrong yet. It's certainly worth being cautious about, and I'm certainly no geneticist to make an educated statement about it, but I suspect it's probably a pretty low likelihood.
The reason why I thought about harmful mutations in this context is because this strain of yeast has some kind of property that activates the immune system, otherwise the whole concept wouldn't work.
That's not something regular yeast does, so for regular yeast to evolve something like that, that's a major step in evolution that doesn't happen quickly.
But modifying the immune system activating payload is much less difficult.
Due to the Hoskins effect, it's possible that an immune system trained for a "somewhat wrong" pathogen can perform worse than one that hasn't seen that kind of pathogen at all before. So if the payload of the yeast mutates, it can "mistrain" the immune system so that it then performs worse on the real-life pathogen.
The difficulty I see here is that it took the yeast not very long to mutate a beneficial effect, but it could just as quickly mutate away from that and even mutate something harmful.
That seems unlikely. The entire way it works is the yeast produces proteins that "look" like a virus to the immune system, causing a immune response. However that's the only part of of the virus in the yeast, there's nothing else that completes the virus. It's like... a steering wheel without a car, no matter how hard I mime swerving to run over a pedestrian nothing's gonna happen, because there is no car.
If the viral protein mutated it'd either A) still be recognized as a viral protein and generate immunity for a virus that doesn't exist, or B) generate a non-functional protein that the body would simply digest.
The version A) is a big issue actually, thanks to the Hoskins effect.
That means that if the immune system is trained for a slightly wrong type of pathogen, it might have a worse immune response to the actual pathogen at hand than if it wasn't trained at all.
So if that viral protein would mutate a bit, so that it's still recognized as viral protein by the immune system, it might cause the immune response to the actual virus to be worse instead of improving it.
Post-brewed yeast you say..
I need to get this to the Australian science community for Vegemite vaccines asap!
This is just stupid. The reason why there are no vaccine pills is because the antigens would not survive the harsh degradation environment of the digestive tract. Real scientist have been trying to make oral vaccines since the 60s.
There already are oral vaccines? There's one for rabies that's been airdropped across the US for years now... however to be fair that one is a live attenuated virus.
Edit and FTA:
Oral vaccines against rotavirus, cholera and polio exist, so it’s a viable strategy.
In this case it's my understanding that they're using the yeast to "smuggle" the viral proteins through the stomach acid, and then when the yeast is digested in the intestines the body is exposed to the added viral proteins. So since you need live yeast you can have vaccine beer, but not vaccine bread.
It's funny that you specifically mentioned the '60s, because back then they were pretty routinely administering the oral polio vaccine on a sugar cube for school children
That's how my dad got it back then
Reading that article, there’s nothing in there that even hints at money being a motive.
It doesn't really say what the alcohol content is. 0.1% is still an alcoholic beverage. But good luck getting drunk.
Though I'm not sure if it's really a beer or just a mead. Making actual beer is a very complex process. Mead on the other hand is so simple anyone can do it.
Making beer is stupid cheap and stupid easy. You literally dump yeast into a tub with water and boiled grains. Then wait. For about 20$ you can buy a kit that has all the ingredients and makes like 20L beer. For like 5$ you can buy a 2l pop bottle that you add premixed "mash" and yeast and wait.
I'm not sure if you know something I don't, but mead is a fermented honey drink. The process is very similar to making beer (I've made both, a lot more beer though). Neither is particularly complex. Anyone can do it if they have a recipe, and even making a recipe isn't that difficult, if you have the right tools.
My dad worked at a brewery for a while. I've been there and seen the equipment at a tour and had the process explained to me. I suppose you COULD do it at home. But it's by no means a simple process.
There's a big difference between beer and "beer". At least where I live. Maybe the legal definition is more liberal in other places.
At scale, yeah, it's got a lot going on. Especially if you need to ensure a consistent product, there's a lot of testing and measuring that needs to be done. It really isn't all that complex of a process though. It was discovered by accident after all. Basically you take grain, cook it to make the sugars available, let it cool, and add yeast. Then you wait for a few weeks while the yeast digests the sugars to make alcohol (and other stuff, like the vaccine in this case).
Different grains/sugar containing material, other products (like hops), ratios, and yeasts will make different products, but at the end of the day sugar + (the right kind of) yeast without oxygen makes alcohol. It's called beer when that's wheat/barley and hops usually. It's called mead when it's honey, wine when it's grapes, vodka if it's potatoes and distilled, etc. Some governments have more strict laws on what can be called what (Germany's Reinheitsgebot is notable strict).
The process though isn't that complex. Making a specific thing can be though. A chef at a nice restaurant is going to put a lot more effort in to be consistent than you will be cooking at home, but you're both making the same thing. It's the same for beer.
Very informative to get a refreshed guide on beer making. And I must concede my original perception wasn't accurate.
I suppose my confusion comes from the difference between beer and beer. Just like I think there's a difference between a steak and a steak.
I know breweries have it down to a science, with lots and lots of steps to get their perfect taste each and every time. Which is what I've been drinking as a lager beer.
I was wrong. Making beer is not that complex. It's making a good beer on a large scale that is.
it says ale in the article so I don't think its a mead but sign me up for vacine mead or a nice dessert wine. oooh ooh. cider.
That was an interesting read. Although the part about the visit to the pediatric hospital is NSFL material.
If this was presented as an immune-boosting beer, and not a vaccine, way more right wing morons would be likely to take it. I’m pretty sure 3/4 of the antivaxxer right wing, are just men who are afraid to admit that they are afraid of needles.
This science writing slams
Thank Dr. Tina Hesman Saey, and the publisher for valuing and employing skilled humans and not Copilot.
This would seem inherently safe. A lot of the concern trolling in the article would seem to be about whether higher profit margins could be obtained from different vaccine delivery/ritual methods. Vaccine paranoia tends to be specifically about alum, "mercury preservatives", and MRNA technology that can get scifi scare scenario to it.
I wonder if there is potential value in yeast for mass production and delivery of vaccines? I could see a small drink of anti-viral like you can get probiotic drinks today. The beer seems a gimmick, but maybe the yeast could have value.
I wonder if this would work for other viruses. I'd be interested in protection from other viruses that the mainstream scientific community deems too benign to go through the whole official process.
I don't know what you consider the "whole official process" but it exists for good reasons.
Yeast-based vaccines seem cool, and ingestion based vaccines rather than injection increases the availability, but also counterfits. But as someone said in the article. You cannot draw conclusions from two test subjects.
Does it make pregnant women miscarry? Does it make them sterrile? How does it affect those with different blood types? how does it interact with other types of commonly taken medications? Or even food for that matter.
Don't you think it would be good to know those things ahead of time? Because that's what the "whole official process" is about.
I'd rather not be test subject number 3. But if others do then I'm OK with that, and over time as more people try them we can get a sense of their safety and effectiveness. Are side effects like that common with vaccines?
You need lots of test subjects, control groups, "blind tests". And someone need to manage everything so it can be done in a controlled environment.
It's really not as simple as just having a bunch of people testing it. You introduce placebo that way. Which the "official" process eliminates through their control groups and by injecting nothing but saline solutions while telling you it's the real deal.
Or rather. You are made aware you may or may not recieve the real deal. You just don't know.
Those side effects are not common. Because they would be unacceptable and "eliminated" before moving on to human trials. I put that in quotation marks because there's probably a non zero risk. Just astronomically small.
Example. People have been observed getting drunk on non alcoholic drinks. But they're not really drunk, they just think they are.
Sounds cool ! Hope we can prove this works with a clinical trial. Lots more fun than getting jabbed in the arm !
He must be on to something. The old moribund crowd hates the idea.
“The bureaucracy is inhibiting the science, and that’s unacceptable to me,”
There are a lot of genuinely good natured and ambitious people in this world. And the NIH is run by a fucking clown college, atm. So I respect this guy's vibe.
But self-experimentation is a huge taboo in bio-ethics for a litany of reasons. If this guy was a proper professional, he'd know that. And - if anything - this kind of recklessness inhibits plans for distribution at-scale for any kind of reputable provider.
The second order consequence of this decision isn't good for mass distribution. It invites this kind of technology (or, at least, the pastiche) to be picked up by huskters and con-artists.
“One week of people dying from not knowing about this is not trivial.”
Statements like this reek of quackery. Even if he's legit, he's talking like someone more interested in marketing his medicine than verifying its efficacy.
You've got your head on straight, the last thing we need right now is sensationalist rhetoric and poor scientific ethics. It's a fun idea and he makes some good points, but this isn't how a serious person advocates for serious work.
But self-experimentation is a huge taboo in bio-ethics for a litany of reasons. If this guy was a proper professional, he’d know that.
He’s a professional virologist with the NIH.
Speaking from my own professional lens, I think the consensus around self-experimentation in biomed is way less black and white than you’re making it out to be. E.g., Dr. Barry Marshall famously won a nobel prize for self administering H. Pylori.
What are your particular scruples in this case, if you don’t mind me asking?
He’s a professional virologist with the NIH.
Then he should definitely know better and know why what he's doing will ruin any chance he has of rapid certification.
I think the consensus around self-experimentation in biomed is way less black and white than you’re making it out to be. E.g., Dr. Barry Marshall famously won a nobel prize for self administering H. Pylori.
Marshall won a nobel prize despite self-administration. And he's a popular example in large part because he's one of the last of note. Setting aside the dangers of self-experimentation, there's a host of issues ranging from the individual psychological (doctors are as vulnerable to sunk-cost fallacy as anyone) to broader problems of replication issues (publishing one-off successes/failures can lead to misinformation regarding the viability of a given therapy).
As a counter-example, about ten years ago there was a huge media fixation on Reservatrol, stemming in part from scientists involved in the study boasting that they self administered to amazing effect. Consequently, the vaunted claims of the pharmaceutical - as an anti-aging drug and neuro-protectant - failed to bare out in practice. But it became a popular OTC remedy pushed by the Alternative Medicine folks.
Ginseng, Garlic, St. John's Wort, and Acai Berries underwent the same fad promotions. Dr. Oz, most prominently, made a career of pushing various alternative supplements and remedies that he claimed he personally used or he used on celebrity guests and show hosts to great effect.
Then he should definitely know better and know why what he’s doing will ruin any chance he has of rapid certification.
Asking naively: In what way would this self-experiment have bearing on later trials done by other parties?
Setting aside the dangers of self-experimentation, there’s a host of issues ranging from the individual psychological (doctors are as vulnerable to sunk-cost fallacy as anyone) to broader problems of replication issues (publishing one-off successes/failures can lead to misinformation regarding the viability of a given therapy).
IMO the main issue I saw in this case was administering to family members, to put my cards on the table, but I think given the risk profile, it was acceptable in context if they were well-informed and had an epipen handy.
All research involves risk, and a key pillar of bioethics is the requirement of informed consent. Generally speaking, no one is better informed than a principal investigator to give that consent, and no one has better-aligned incentives to ensure safety.
I also think any doing serious biomed research is well-educated enough to understand standards of evidence and treat small-N case studies for what they are.
Ginseng, Garlic, St. John’s Wort, and Acai Berries underwent the same fad promotions.
This is going too far in my book; wishful thinking is the problem here, not self-experimentation in a clinical context. I agree these supplements are overhyped, but do you really think we should be barring people from trying out garlic and reporting what they experience?
The ethical issue in the case of grifter supplements is trying to financially profit from a contrived narrative, not the inherent process of trying things on a small scale and reporting those findings.
Tell that to the asshats who are actively removing fluoride from water sources because of whatever unfounded conspiracy theory some dumbass podcaster espoused last week.
We already have inhaled vaccines. Anti-vaxers won't let their kids use them.
im skeptical about the hole thing but also a needlephobe. Heck I hate beer but it it allowed me to avoid a little prick im onboard.
This is really gonna help the children
"Buck says the committee has the right to determine what he can and can’t do at work but can’t govern what he does in his private life."
Mad lad.
I appreciate that there are ethics boards holding scientists to standards, but sometimes (not usually, I know -- only in very specific cases!) it takes someone with initiative to "just do it". And the guy isn't some crank, he's a virologist who's discovered multiple viruses. Good for him, I say.
A research ethics committee at the National Institutes of Health told Buck he couldn’t experiment on himself by drinking the beer.
Buck says the committee has the right to determine what he can and can’t do at work but can’t govern what he does in his private life. So today he is Chef Gusteau, the founder and sole employee of Gusteau Research Corporation, a nonprofit organization Buck established so he could make and drink his vaccine beer as a private citizen.
This is no different IMO from the scientist who proved that H.Pylori causes a common form of stomache ulcer.
This is no different IMO from the scientist who proved that H.Pylori causes a common form of stomache ulcer.
Funny how you only hear about the successful self-experiments.
Any biomedical experiment with an N=1 is meaningless. Buck should know this. Many self-experimenters proved drugs "safe" only to have others repeat the experiment and die.
Dr. Ignaz Semmelweis sought to prove body fluids cause sepsis on himself. He was right, and he died of sepsis. In your face, doubters!
In 1936, Edwin Katskee took a very large dose of cocaine. He attempted to write notes on his office wall, but these became increasingly illegible as the experiment proceeded. Katskee was found dead the next morning.
Around 1886, Nicholas Senn pumped nearly six litres of hydrogen through his anus. Senn used a rubber balloon holding four US gallons connected to a rubber tube inserted in the anus. An assistant sealed the tube by squeezing the anus against it. The hydrogen was inserted by squeezing the balloon while monitoring the pressure on a manometer. The experiment was to detect intestinal leaks by lighting the hydrogen gas. We don't understand the pure Musk-like genius here.
Daniel Alcides Carrión described the disease in the course of what proved to be a fatal experiment upon himself in 1885, in order to demonstrate definitively the cause of the illness. He was inoculated by close friends with blood which had been taken from a wart of a 14-year-old patient. Carrión's aim was to prove a link between the acute blood stage of Oroya fever with that of the later chronic form of the disease, called verruga peruana, typified by numerous red, wart-like dermal nodules.
Jesse William Lazear (May 2, 1866 – September 25, 1900) was an American physician. In 1900, he deliberately allowed a mosquito to bite him to test the hypothesis that mosquitoes were the vector for yellow fever transmission. He contracted the disease but did not recover and died on September 25, 1900.
https://en.wikipedia.org/wiki/Self-experimentation_in_medicine
The result is cool, assuming it’s real, but he did not go about this in a scientific way, so the “published” results are basically junk, and it doesn’t reflect well on him as a scientist, and it sounds like it might lose him his job, for good reason IMO.
But he did it on personal time, with personal resources, under the purview of a non-profit totally unrelated to his employer. He didn't use their name/brand, so there's no defamation here either is there?
I understand the fear of some rogue 'mad scientist' doing something stupid but this really doesn't seem to be that situation here.
Every institution has strict rules for research ethics on any human, and this would not pass ethics.
Let's state the fucking obvious: some researcher injects himself with a virus or bacteria to make a vaccine and the strain mutates to be more infectious and virulent. Stupid. Full stop.
Running a study that’s unethical and scientifically rigorous and pushing the results, is a mark of a bad scientist.
This is rather similar to how the “vaccines cause autism” myth started.
Running a study that's unethical
You're assuming the conclusion though -- that it's unethical. The argument here is that he tested it on himself specifically in order not to endanger others -- as that would be unethical.
I'd respectfully disagree it is analagous to the "vaccines cause autism" situation. This is trying to claim a potential beneficial medical procedure, not to sow fear or distrust in a long-standing, proven medical practice. And there's nothing in the article that says he is resisting others attempting to confirm or refute his work.
In the spirit of the scientific method, hopefully other scientists try to reproduce the results then it'll get corroboration, or be shot down.
If the brews contain only safe test viruses, it should ethically be a safe experiment. Test for antibodies before and after ingestion to the innocuous viruses and the mechanism is proven or disproven.
Again, he's doing exactly the same thing that scientist that experimented on himself to test if H. Pylori was responsible for peptic ulcers. If he Darwin-Awards himself, that's very unfortunate, but so long as mild, innocuous test viruses are being used, he's not endangering anyone else (I certainly hope he did this with 'safe' test virus varieties, for his own sake as well as others!).
You’re assuming the conclusion though – that it’s unethical.
I sit on an institutional REB. This is unethical. There's a long list of accidental deaths in history from medical "geniuses" and if left unchecked, eventually we could get more virulent infectious agents from idiots trying to CRISPR edit themselves in their garage.
When my dad was a boy, he got the polio vaccine in the form of a sugar cube.
My concern is whether the digestive tract can reliably absorb the vaccine consistently, retaining whatever markers the body needs to see to develop its protections, rather than the vaccine being destroyed by digestion and/or other things the person consumed
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