chrisamiller
Joined 14 years ago
Joined 14 years ago
The solution is to be okay with missing some things instead of trying to drink from the firehose.
Making no phones a blanket policy in all schools should be an absolute no-brainer.
Since I work with big biological data, most of my work takes place on our university cluster, which means my laptop is just a dumb terminal and all of the action takes place on the server. IME, tmux is especially powerful with coupled with mosh, which gives a persistent SSH connection. That means I can be in the middle of a project, close my laptop lid, go home, then later that evening, open my lid and everything is reconnected and just right there. Same if I reboot my laptop - one command to reconnect my terminal with mosh, and I'm back in the middle of my complicated multi-window project.
[Scientists rename human genes to stop Microsoft Excel from misreading them as dates](https://www.theverge.com/2020/8/6/21355674/human-genes-renam...)
This is a drug that targets lung cancer (~12% of cancers) and only one type of lung cancer (non-small cell lung cancer, ~80% of cases). It targets a particular mutated gene that occurs in about 30% of that subtype. And then, about 50% of those patients respond.
So do that math, and you end up seeing that treating one of the most common mutations in one of the most common cancers with what is considered very high efficacy still only helps with about 1.4% of all cancers. This is actually an enormous number for this kind of treatment, and there is a long tail of rare cancers that are going to be much harder to find targeted therapies for.
That all said, this currently appears to be an enormous success story, and the kind of treatment options that have been enabled by genomic sequencing of cancers, followed by many years of drug development and clinical trials. It's fantasically exciting to see us continue to chip away at the problem but by bit and grant people longer lives as a result!
Getting promising drugs into humans is -hard-, and this research is interesting, but this press release is still kind of shitty.
Cohort: 2,658 cancers across 38 tumor types Findings: Overall, 23 virus genera were detected across 356 patients with cancer (13%)
You can read all of the details here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8076016/
I'm not saying that there aren't other mechanisms (sustained inflammation, etc) that might contribute to the aetiology of some other cancers, even without clear viral integrations, but we can state pretty strongly that many cancers are not directly caused by cancer.
A partial list of the "catches" at present are
1) tumors are really good at down-regulating the immune system. If they weren't, they would have been cleared already
2) we're still fairly bad at knowing which of the many mutations in a tumor are going to be good neoantigens - that is, which ones the immune system will be good at recognizing and ramping up against
3) It's expensive to design personalized therapies for every patient, but may be necessary (see some of my other comments below)
4) Tumors aren't single cells, they're collections of them that can have different characteristics. Just like with other therapies, sometimes immunotherapies kill 99% of the tumor, but leave that 1% to come roaring back. (same idea as antibiotic resistance)
So yeah, lots of hurdles to overcome, but overall, I'm genuinely excited about the rapid progress we're making in the area of immunotherapies. It's impossible to overstate the effect that sustained research funding has had on the rate of advances in this field.