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Nobel Prize goes to mRNA researchers behind Covid-19 vaccines

October 2, 2023
Annalisa-Merelli-avatar-teal
Reporter, Morning Rounds Writer
Buongiorno! Nalis here, writing from the only undeniably good New York City season: Fall! (Minus the deluges; thanks for nothing, climate change.) It's barely Monday and someone's already won a Nobel prize, plus Liz Cooney is back tomorrow — the week is looking great. Shall we dive in?

Health

Nobel goes to mRNA pioneers behind Covid-19 shots

GettyImages-1173634968-e1601677305668JONATHAN NACKSTRAND/AFP via Getty Images

Two pioneers of mRNA research — the technology that helped the world tame the virus behind the Covid-19 pandemic — won the 2023 Nobel Prize in medicine or physiology on Monday.

Overcoming a lack of broader interest in their work and scientific challenges, Katalin Karikó and Drew Weissman made key discoveries about messenger RNA that enabled scientific teams to start developing the tool into therapies, immunizations, and — as the pandemic spread in 2020 — vaccines targeting the SARS-CoV-2 coronavirus. Moderna and the Pfizer-BioNTech partnership unveiled their mRNA-based Covid-19 shots in record time thanks to the foundational work of Karikó and Weissman, helping save millions of lives.

Karikó, a biochemist, and Weissman, an immunologist, performed their world-changing research at the University of Pennsylvania, where Weissman remains a professor in vaccine research. Karikó, who later went to work at BioNTech, is now a professor at Szeged University in her native Hungary, and remains an adjunct professor at Penn's Perelman School of Medicine. 

Read more. 


politics

Government shutdown averted, for now

House lawmakers came together Saturday for a surprising last-minute deal to temporarily keep the government funded, an agreement senators were quick to push through to President Biden. But billions of dollars in health programs (and millions of federal workers' schedules) are still at risk: The deal extends the current budget by just 45 days. 

That may not be enough time for House Republicans, in particular, to sell a budget that they've promised would slash federal non-defense spending by 8% and effectively shutter a slew of programs including CDC HIV efforts and Healthy Start, a maternity and early infant care program that the Biden administration just last week sent more funds

Let alone Democrats' opposition to that plan, there is Republican infighting that directly imperils their leader in the House, Kevin McCarthy (R-TK), in the days ahead. Plus, while government doors are still open, the two parties haven't agreed on renewing long-term authorities for the massive international HIV/AIDS program PEPFAR or pandemic preparedness officials.


business

Air ambulances vs. Blue Cross: no surprise

With last year's ban on surprise medical billing, patients are no longer responsible for the hefty bills resulting from price tag disagreements between providers and insurers. But this doesn't solve another pickle: figuring out whose price is right.

The solution has been an arbitration process, but what happens when the insurance provider refuses to pay the arbitrated amount? It gets taken to court — at least that is what's happening in Arizona, where air ambulance company PHI Health is suing Blue Cross Blue Shield of Arizona over 21 unpaid bills worth a total of $320,000. 

The case is not the first, nor is it surprising. Instead, it is just another example of the kinks to be worked out in the process, which is already struggling because of backlogs from higher-than-expected utilization and suspensions due to litigation. Read more from my colleague Brittany Trang.



Closer Look

Is there any hope left for an HIV vaccine?

An HIV vaccine has been on top of public health's wishlist for decades, with billions of dollars spent in research as the virus claimed 40 million lives. But at least one of the most prominent figures in the field is losing hope that a vaccine is within reach. 

Only one late-stage HIV vaccine trial is still ongoing, but it uses an old technology. The approaches being drummed up by researchers  — germline targeting, new viral vector vaccines — could be game-changing, opening up new ways of controlling the immune system for a range of threats to human health. But they are all years away from even starting a large-scale trial. 

In the meantime, other exciting interventions, such as PrEP, could make a vaccine even harder to develop, reports my colleague Jason Mast. Read more. 


health

How kids say they kicked the vaping habit

E-cigarettes are the most commonly used tobacco product by young people in grades 6 to 12 (approximately 12 to 18 years old) but most of them try to quit, according to a study published in Pediatrics, and to do so by themselves.

Out of the 20,500 respondents to the 2021 National Youth Tobacco Survey, the study found, nearly 1,450 teenagers had vaped in the previous year. Out of them, almost 900 (67%) had tried to quit at least once, and the majority of those who tried to stop vaping (63.7%) said they quit without outside assistance. 

Among the teens who sought support, the primary source of advice were friends, followed by the internet, apps, and parents. Teens who used tobacco in other forms too, other than vaping, were most likely to seek help from teachers or doctors to quit. 


first opinion

 IVG fertility won't be coming soon

In vitro gametogenesis, or IVG, a technology where sperm and eggs are produced in labs from stem cells, has been hailed as the ultimate hope for infertility. 

But fertility research should not put all of its eggs in the IVG basket: the technology is still likely decades away from becoming a clinical reality, writes Jeremy Thompson in First Opinion. Overcoming the scientific obstacles might be relatively easy compared with the ethics and safety concerns related to IVG.

The hope for reproductive care may not lie in fast-forwarding time, but in rewinding it, through in vitro oocyte rejuvenation (IVOR), a much less hyped innovation that makes eggs younger, and more fertile. After all, it is primarily women approaching menopause who stand to benefit from IVG, and restoring their eggs would be easier than creating them from stem cells. Read more. 


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What we're reading

  • Mosquitoes are winning, The New York Times

  • European health officials brace for respiratory disease season, STAT
  • Is integrated information theory pseudoscience? The Atlantic

  • What we owe ALS patients — and why one company fell short, STAT
  • The prices hospitals post online can be wildly different than what they tell patients over the phone, Vox

Thanks for reading! More tomorrow,


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