쉐도잉 연습: How are vaccines made? What are vaccine adjuvants immune stimulators? #myeloma - 영상으로 영어 말하기 배우기

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how are vaccines made so there are different ways
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that it can be made one really basic part is you
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have to isolate either a part of the whole tumor
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and then reintroduce it to the patient with some kind of immune stimulant
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so in the example of what we've been working on just
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as an example What we do is we take tumor cells from a patient
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and we mix them or fuse them together with powerful teachers of the immune system called dendritic cells.
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And those dendritic cells, which normally live inside of us, can also be grown outside the body.
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And so we take the patient's tumor, we take their dendritic cells,
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we incubate them together with a special molecule that dissolves their membranes and then allows them to reform form,
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so now we have a cell that's half cancer and half immune stimulator,
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and those cells can be injected in the body and will stimulate or drive T cell responses.
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So that's an example of a vaccine.
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Another example, which has been an area that people are very interested in,
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is finding mutations in a cancer and showing that those mutations make proteins that are completely new for the body,
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and using those proteins as a driver of an immune response, what we call neoantigens.
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And those neoantigens, again, can be introduced with ways that stimulate the immune system.
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And so you're taking things that are unique to the tumor
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and then stimulating the immune system around them so the patient will make an immune response.
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As an example, when we do our, what we call, fusion vaccine,
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we take a patient -derived myeloma cell and we mix it and fuse it together with the patient's own dendritic cell.
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There are other examples of myeloma vaccines where pieces of the myeloma,
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certain proteins, for instance, there's a protein called MAGE A3 that's been used to make vaccines.
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One of the, I would say, challenges is that when you're stimulating the patient's own immune system,
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one of the hurdles you have to get over is how well does their immune system work?
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Will it respond to a vaccine?
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This was an important issue, for instance, with COVID where people said, well, would a myeloma patient respond to the COVID vaccine or do their T cells not work as well?
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And is that part of the reason why they have myeloma to begin with?
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So if you're using a vaccine, you have to be mindful of that.
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And a lot of the strategies now have been to take a vaccine
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and maybe mix it together with strategies to help the immune system function better.
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What are vaccine adjuvants or immune stimulators?
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We use the word adjuvant, and what it means is that you're trying to do something that will stir up the immune system.
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We know the tumor is present inside the body, and it has its antigens on it, but somehow it's not causing a response, otherwise you'd make a response.
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Interestingly, we know that some myeloma does actually induce a response,
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and we think that one of the things that causes myeloma to grow more aggressively is when that response starts to disappear.
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So, when we look at the stages of myeloma development, often early on, there is an immune response that's keeping it in check.
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And later on, that immune response is lost.
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So the vaccine is trying to restart that immune response.
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So you need something beyond just the protein or the adjuvant to stir up the immune system.
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The adjuvant, I should say, is a way that is something that stimulates inflammation and will drive that response.
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The dendritic cell is almost another form of an adjuvant, a living adjuvant, that basically takes up that antigen
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and presents it to the immune system in a way that tends to be more effective.
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What are dendritic cells?
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So dendritic cells are teachers of the immune system.
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The way the immune system works is that when a T cell meets a potential target, it looks for danger signals.
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And if it doesn't see those danger signals, it thinks what it's meeting is friendly and it leaves it alone.
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In fact, that's how when we have T cells that meet, for instance, our own skin or other tissues, they know to not get activated, to not kill.
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So what a dendritic cell does is it's a teacher for the T cells of what to leave alone
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and what to go after.
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It often is loaded with those stimulatory signals that tell a T cell, when you see this protein when you see this antigen get excited go after it
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if you see this one don't get excited
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so it's a very important tool
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if you're trying to re -educate the immune system to see tumor cells as foreign
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or their antigens as foreign dendritic cells can be very powerful
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teachers they are blood cells they migrate throughout the body they
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often live initially at sites where disease comes in for instance like the respiratory epithelium
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or the skin and then when they meet their antigen
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and they travel to lymph nodes where they then meet T cells and stimulate them.

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