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Comment Re:At least 20 years, sometimes more (Score 1) 372

While it might be 20 years, with the possibility of additional exclusivity, the clock starts when the patent is filed, not when the drug is approved and available for sale. It can take 10 years for a drug to make it to market after that clock starts ticking. Pharma companies have become more efficient at getting drugs to market and extending that exclusivity period, but it rarely lasts more than 12 years. That's part of the reason that there is a shift towards manufacturers developing biologics: the regulatory landscape in the US only just began allowing for biosimilars and the barrier to entry is very high. Barrier to entry for a generic small molecule is very low.

As for how well the system functions, we only need look at countries with single payer systems to understand what is wrong with pharmaceutical pricing in the US. The US govt is not allowed to negotiate prices with drug manufacturers. Medicare and Medicaid can choose not to cover a drug, but they can't be involved in setting the price. Contrast that with Germany, where there is a formula to determine the price of a new drug based on how much more efficacious and safe it is than the standard of care (not placebo). Not better than drug X? Then it can't cost more than drug X, possibly less, if it is even approved.

Comment Re:For those who don't RTFA or UTFA (Score 1) 51

Absolutely not unimaginable, which is why it is so cool. I see two really hard problems to solve on that path: 1) getting cells to differentiate into the appropriate cell types in the right place; 2) getting the vasculature correct.

#1 is hard when starting with a scaffold, where everything is adult-sized from the start and has to be organized at the end. Maybe we'll need breakthroughs in understanding regeneration in animals capable of it (e.g., newts) and how they regrow adult-sized structures, rather than embryonic-sized structures that scale up. It seems like it would be easier to follow the route of growing from an embryonic size, maybe starting with an embryoid body (clump of stem cells, not too different from a fertilized egg after a few divisions) and directing the growth.

#2 is hard for growing any organ in a vat, and is part of #1, but really important because without appropriate vasculature the organ will die. Obviously, there are more important reasons why this needs to be correct for a lab grown heart (can't pump blood, it's main purpose, without proper vasculature). The researchers in TFA found that the stem cells followed the scaffolding of the vasculature closely. That's good, but they didn't become vasculature cells, just cardiac muscle cells. Plus, if the original heart had narrowed blood vessels due to atherosclerosis/plaque, the final vessels formed by the stem cells were also narrow. Furthermore, the microvasculature (the very tiny blood vessels) were closed off or clogged by stem cells, so nutrient distribution to those cells was incomplete and (if I recall) many died in the deep tissue.

Comment Re:For those who don't RTFA or UTFA (Score 1) 51

Your analogy is not exactly correct. Think of it as removing the bricks from a building and leaving all of the mortar in place. You then put new bricks into the mortar scaffolding where the old ones were. Oddly, you mention soap, which is sort of what is used to lyse (dissolve) the cells and not affect the matrix. They have photographs and present other data of the scaffolding (ECM), as well as test it to make sure it isn't altered. This is far from the first time this technique to remove cells from a matrix has been used. But it isn't a fast process either. I believe they mention it takes ~400 hours.

Comment Re:For those who don't RTFA or UTFA (Score 1) 51

What's new is that instead of having cells in a dish that "beat", they have cells approximating the size and shape of a left ventricle or cross-sections of a human heart and are exhibiting correct functional behavior (although not quite at the level of performance of a normal heart). This is arguably one of the first major steps in going from patient's skin cells -> stem cells -> cardiac cells in a dish -> cardiac cells in the shape of a heart -> lab grown heart. (Probably a step or two downplayed in there.)

Comment For those who don't RTFA or UTFA (Score 4, Informative) 51

(understand the fucking article)

The summary is somewhat inaccurate and oversimplified (this is Slashdot, of course).

The authors took donor hearts and removed all the cardiac cells, leaving only the extracellular matrix, which is the scaffolding that cells reside in. They then created stem cells from skin cells, not via a technique called "messenger RNA" (which is a type of biological molecule and not a technique), but by reprogramming the skin cells by providing synthetic messenger RNAs that instruct the cells to make 5 proteins that cause a "reversal" to a stem cell-like state. These new stem cells were instructed to become cardiac cells, which spontaneously exhibited "a heart beat", and then seeded onto slices of the cardiac matrix from a donor heart, and even a full heart. The cells contracted in unison, and could be "paced" by a "pacemaker".

Limitations of this approach are that the you need a human heart to start with (until a scaffold could be 3D printed, for example), cells did not fully differentiate into mature heart muscle cells, don't seem to maintain this fate past a certain time frame, didn't develop into all cell types needed for a functioning heart, and contracted with only a fraction of the force that a normal human heart does. But damn, the bioreactor with "grown" heart is incredible to behold (figure 6E), and this appears to be an interesting step forward to lab grown organs.

Comment Re:so many possibilities - (Score 1) 253

- for this to go horribly wrong in an entertaining science fiction kind of way. "We left him in too long and he reverted to a mass of stem cells."

Basically. Although, you'd have to find a way to provide doxycycline (the drug that activates the genes in question) to all of their cells once the person couldn't drink. Submerging them in a vat of fluid, Matrix style.

From TFA:

Continuous induction of OSKM in 4F mice by administration of doxycycline in drinking water resulted in significant weight loss and high mortality after 4 days (Figures 3 A and 3B). This likely resulted from the dedifferentiation of cells in vital organs and subsequent loss of organ function.

If you wanted to take it farther, you could use all of those stem cells to create clones of the original. Do dedifferentiated neurons lose memories? The connections will likely disappear, and the answer is probably "yes", but one could have fun with it in a story.

Comment In-flight altercations (Score 1) 164

Do you know how many more in-flight confrontations passengers will have? You won't need in-flight entertainment. Maybe popcorn, or a way to de-stress after your plan is diverted again to remove individuals.

Of course, this is a good excuse to install actual (soundproof) doors between first and economy classes, and charge more for the ability to sit in a quieter area.

Comment MIT did this with video in 2002 (Score 1) 161

I am pretty sure it was posted on Slashdot (can't find it), but the Boston Globe reported in 2002 that scientists at MIT could convincingly alter video to make it appear that someone said something they didn't, with only 2 minutes of footage:


(Link to article on Boston Globe is dead.) They couldn't alter the audio convincingly, or at least didn't try. However, I also recall seeing on Slashdot (10+ years ago; also can't find it) that someone (Bell? MIT?) could take about 2,000 recorded words from an individual and create convincing audio of words and sentences not previously recorded.

Post-truth politics won't matter when someone releases convincingly altered video and audio of a public figure doing something that they never did.

Comment Re:Read The Fine Paper (Score 1) 258

Thanks. The authors state that their calculations estimate the number of galaxies in the universe to be 10x greater than estimated via observational data. I assume Gizmodo, the submitter, and the Slashdot editor all did not even read the abstract.

Any idea why the discrepancy? (How do you get from 10 to 20 other than fat finger? Am I missing something in the paper?)

Comment Re:Why don't Canadians get any of this cool stuff? (Score 1) 54

Yes, there are private clinics in Canada, but it might be dependent upon the province. Typically it is something the wealthier people use, as they might also have private insurance to defray costs (and can by definition afford to pay more for treatment). So if you can afford it, and don't want to wait, you go to a private clinic or doctor. Otherwise you try to find the one with the shortest wait time.

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