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0:00
This Week in Virology, the
0:02
podcast about viruses, the kind
0:05
that make you sick. From
0:11
Microbe TV, this is Twiv,
0:13
This Week in Virology, episode
0:16
1121 recorded on June 7, 2024. I'm
0:23
Vincent Draconiello, and you're listening to
0:25
the podcast all about viruses. Joining
0:28
me today from Western Massachusetts,
0:30
Alan Dove. Good to be
0:32
here. And here in Western
0:35
Mass, it's muggy
0:37
and cloudy and rainy. It's
0:40
the 85 Fahrenheit to 29 C. And
0:44
it's been off and on raining for days. I'm
0:48
in Helsinki, Finland, where it is 15 C. It
0:52
is completely blue sky. I'm
0:54
looking at the hotel window here. It's 10
0:57
p.m. It is bright as anything.
1:00
Gonna get dark for another two hours. Also
1:03
joining us from Madison, New
1:05
Jersey, Brianne Barker. Hi,
1:08
great to be here. It
1:11
is 81 and sunny, 81 Fahrenheit
1:13
and sunny in Madison, New Jersey. And
1:16
quite lovely. Yesterday was pretty humid and rainy,
1:18
and today is great. From
1:21
Austin, Texas, Rich Condit.
1:24
Hi, everybody. Blue skies, 94
1:27
degrees, which is not
1:29
nearly as bad as it's. Well, it's not great,
1:31
but it was 70 this morning,
1:34
which was OK. We're
1:36
OK. It's not 100. It's
1:38
not 100. It's not 100. If
1:42
it's not 100, it's a good day. And
1:45
from College Station, Texas,
1:47
Jolene Ramsey. Ola
1:50
and Howdy here from Texas. It's
1:52
95 degrees here and 88 percent
1:54
humidity. I will
1:56
add. It's
1:59
been raining here. There's very little humidity
2:01
in Helsinki. It's very nice. It's
2:04
a bit chilly actually. 15C, remember those
2:06
days? Yeah. If
2:09
you like these programs, these science programs,
2:11
we'd love to have your support to
2:14
continue them. You
2:16
can go to microbe.tv slash
2:18
contribute. Couple
2:21
of announcements here. The
2:24
hepatitis B virus meeting, the international
2:27
HPV meeting, will
2:29
take place September 11th to 15th in
2:31
Chicago, Illinois. You can
2:34
go to hpvmeeting.org for meeting
2:36
information deadlines and how to
2:38
register. We'll be doing a twiv there with
2:40
some of the participants.
2:44
Some news about ASV 2024 coming
2:46
up soon. Special
2:49
events and workshops. This
2:51
is information that's in your program PDF, the mobile
2:54
app. If you're registered, you should have gotten an
2:56
email with the links for both on June 5th.
2:59
We previously highlighted some of these
3:02
special workshops. Check them all out
3:04
now that you can do it on your phone. Today,
3:08
Tuesday and Wednesday, Assistant Professor Bootcamp,
3:10
Tuesday at lunchtime. This is a
3:12
panel discussion with faculty at various
3:14
stages and institutions. Advice
3:17
on how to navigate the first
3:19
five years. Make connections with
3:21
them and others in the workshop that may be
3:23
useful after the meeting.
3:25
We'll describe other events in
3:28
future weeks like education, communications and
3:30
twiv. And
3:33
if you have attended
3:35
ASV before, like Athens or Madison, it's
3:37
last year or the year before, find your
3:39
name badge. ASV wants
3:41
to be eco-conscious. Your
3:44
flight attendant is holding up a name badge and
3:46
demonstrating its proper use right now. Thank you. No,
3:48
I think the proper use would be to put it on my neck. Yeah, that
3:50
would be, yes, right. And
3:53
I want you to reuse yours. You can
3:55
blow into the lanyard to inflate it. Helps
3:57
the planet. Remind
4:00
your friends who are going to ASV but may
4:02
not listen to Twiv. If you haven't
4:04
gone anywhere since last year's meeting, maybe it's still
4:07
in your suitcase. Actually, I did find- Wait a
4:09
minute. Wait a minute. Going to
4:11
ASV and not listening to Twiv? Not listening to
4:13
Twiv. Oh yes,
4:15
it happens. And if you know people
4:17
who are in that category, bring them up to speed. Yeah.
4:21
Last year I brought one of my
4:23
older badges in Warwick. It was the
4:26
only one, I think, besides Kathy. So
4:28
let's do better this year, folks. Okay.
4:30
They ought to put like a sticker on
4:33
the badge each year. I see
4:35
sometimes people have a vehicle where they've got
4:37
the beach sticker from where they go on
4:39
Cape Cod and they accumulate them over the
4:41
years to show off how many times they've
4:44
been back to wherever. So
4:47
maybe there could be- Yeah, there's space on the
4:49
top part of the badge. They could put like
4:51
little, I used this in this year,
4:53
this year, this year, and then people would hang
4:55
on to them. That's a good idea. Many of
4:57
you know, because you've written to us, that an
4:59
opinion piece was published in the
5:01
New York Times in
5:04
the past week by Alina Chan. And
5:06
the title is, Why the Pandemic Probably
5:08
Started in a Lab and Five Key
5:10
Points. We've received
5:13
many email requests to discuss this.
5:16
And so that is what
5:18
we are going to do because the
5:21
title isn't correct. And
5:24
we're going to go through each of the five key points and
5:27
tell you why. But- And
5:29
I think before we launch into that discussion specifically,
5:32
Jolene, do you want to run down the- this
5:35
is not the first time this has come up on the show? Yeah.
5:38
So we're going to go
5:40
through and discuss some of the article,
5:42
but we have done this in much
5:44
greater depth actually discussing the papers that
5:47
address these points as well as talking
5:49
to some of the scientists. And
5:52
just to remind people of where they
5:54
can hear about this discussed in greater
5:56
depth and kind of listen
5:59
to the evidence. that has been presented.
6:01
I wanted to run through a few
6:03
of the episodes that we have. We'll
6:06
put a list in the show notes
6:08
that where these things have been discussed.
6:10
So Twiv 1019, Eddie Holmes on SARS-CoV-2
6:12
origins. Twiv 940, also
6:14
Eddie Holmes in on viral
6:16
origins. We have a Twiv
6:19
861, rough draft
6:21
of Omicron origins. Twiv
6:24
762, SARS-CoV-2 origins with
6:26
Robert Gary, where
6:29
we did talk about things like the
6:31
receptor binding domain and the furin cleavage
6:33
site and the two lineages
6:35
circulating in the Wuhan wildlife markets.
6:38
Twiv 760, SARS-CoV-2 origins
6:40
with Peter Daschak, Thea Coulson,
6:43
Fisher and Marion Koopmans. And
6:46
Twiv 777, SARS-CoV-2 fitness
6:49
with Ron Foucher, fitness
6:51
and the ability
6:53
of SARS-CoV-2 to replicate
6:56
and spread in other organisms.
6:59
There is a long list. I'm not
7:01
gonna read all of them, but look
7:04
in the show notes for many more
7:06
instances of Twiv episodes where we discussed
7:08
with guests and just discussing papers. A
7:10
lot of these points are about to
7:12
go through. And if you're
7:14
on YouTube, that'll be down right below this
7:16
video. So there are five points
7:19
in this opinion, but there is an introduction. And let
7:21
me read from the introduction.
7:25
Quote, a growing volume of evidence gleaned
7:27
from public records released under the Freedom
7:29
of Information Act, digital sleuthing through online
7:31
databases, scientific papers analyzing the
7:34
virus and its spread and leaks from
7:36
within the US government suggest that
7:38
the pandemic most likely occurred because a
7:40
virus escaped from a research lab in
7:43
Wuhan, China, end quote. Ooh,
7:45
secret newly revealed knowledge, woo.
7:49
In fact, most evidence
7:51
that has been published in journals, which
7:53
we have covered in many of those
7:55
episodes that Jolene talked about, supports a
7:58
natural origin, not a lab origin. and
8:01
Dr. Chan is ignoring most
8:03
of those data because
8:05
they don't fit with her
8:07
narrative. We understand now
8:10
and we've talked about this a lot.
8:12
The pandemic began when a virus jumped
8:15
multiple times from animals on sale
8:17
in the Huanan seafood market in
8:20
Wuhan to humans. There
8:22
are several papers on this
8:25
and they basically are devastating
8:27
to the lab-origin hypothesis. They
8:29
show that the market was
8:31
the early epicenter, that two
8:33
lineages were circulating there, that
8:35
susceptible mammals like raccoon dogs
8:37
and civecats were sold in
8:39
the southwest corner of the
8:41
market and we have environmental
8:43
samples from there that showed
8:45
the presence of both animal
8:47
DNA and viral RNA
8:50
from SARS-CoV-2. So
8:52
this statement, the growing volume of
8:54
evidence suggests it occurred because a
8:56
virus escaped the lab, is simply
8:58
wrong. If
9:01
people are particularly interested
9:03
in things that Vincent
9:06
mentioned, I particularly found
9:08
the discussions in episodes
9:11
876 and 995 to really be
9:13
particularly enlightening and
9:18
the data that we saw in those two really
9:20
like was very clarifying
9:22
to me and made it very obvious
9:24
to me. Yes. Yeah,
9:27
and I just want to harp a little bit
9:29
on this two lineages thing because
9:31
when I saw that, I mean
9:34
when those data came out, it's
9:38
a subtle but really damning point if
9:40
you want to say that this came
9:43
from a lab, that there
9:45
were two genetically distinct lineages
9:47
of this virus at
9:50
the very, very earliest days of the
9:52
outbreak in Wuhan and there
9:54
is simply no way to get to
9:57
that from a leak of
9:59
blood. from a lab done on a virus somebody
10:02
was working on. Yep. All
10:05
right, point number one. Quote,
10:08
the SARS-like virus that caused the pandemic
10:10
emerged in Wuhan, the city where the
10:12
world's foremost research lab for SARS-like viruses
10:15
is located. Bats in
10:18
other parts of China have not been
10:20
found to carry viruses that are as
10:22
closely related to SARS-CoV-2.
10:25
All right. So we have to talk a little
10:27
bit about what is closely
10:30
related to SARS-CoV-2. The
10:32
closest relative at the
10:34
onset of the pandemic is
10:37
a virus is a genome sequence called
10:39
RATG13, which
10:42
was taken from a bat in a cave
10:44
called Tonguan Cave in southern Yunnan, which is
10:46
about 1,800 kilometers from Wuhan.
10:49
RATG13 is 1,200 bases different from SARS-CoV-2. That's
10:55
96.2% similarity. So
10:59
RATG13 could not have
11:01
been the progenitor of
11:04
SARS-CoV-2. And 96.2% genome
11:07
identity, we're talking a little bit about this before the
11:09
show. You know, if you get 96.2% on a test,
11:11
you aced it. But
11:14
if your genome is 96.2% identical to something else, that's
11:19
what? What is that, humans and sooty mangabays
11:21
or something? I mean, that's? Yeah, something
11:24
like that. And this is
11:26
particularly important because coronaviruses for
11:29
RNA viruses are quite large. So
11:32
the genome size of
11:34
the virus is 30,000 base pairs. And
11:40
so 1% difference
11:43
would be 300 base pairs. And
11:47
so you somehow have to
11:49
account for if it was 1% difference,
11:52
and of course, this is 4% difference, 1,200 unexpected
11:58
changes. between these
12:00
viruses. 1200 and scattered
12:02
ones, not ones that are all
12:04
next to each other. So I think
12:07
that I often find that thinking
12:09
about that number, it's one thing to be
12:11
like, oh, so that means four
12:13
base pairs happen to change. No, we're not
12:15
talking about, it's not 100 base
12:17
pairs and only four changed. You
12:19
have to be able to account for how
12:21
some there are random mutations at 1200 sites
12:25
compared to these other viruses that are known. And
12:28
to your point of 1200 sites, this is
12:30
not one segment of the genome that's been
12:32
changed. This is all over the place. Yeah,
12:36
exactly. So basically, and we're going
12:38
to hammer on this more. No
12:42
one had something close enough to source COVID
12:46
to be able to engineer it to become
12:49
a pandemic virus. This RATG13 is too
12:51
distant. This
12:54
1200 bases, by the way, it would take
12:56
20 to 30 years
12:58
at minimum for a
13:00
virus circulating in nature to
13:02
accumulate those number of mutations given the
13:05
mutation rate of the virus. And
13:08
if you were going to engineer something in the lab
13:10
to study it, for example, you
13:12
would not change 1200 bases
13:14
scattered throughout the genome. That's just,
13:17
nobody would even embark on such a
13:19
project. Who would even know what's the
13:22
change? Exactly. These are not changes that
13:24
would not have any effect on proteins.
13:26
And therefore, you would not choose to
13:28
make that kind of a decision as
13:31
a scientist who's designing something because
13:34
you don't know, you would imagine that the
13:36
majority of them would have impacts that you
13:38
couldn't predict. And
13:40
I think that people have
13:42
tried to argue at some point, oh, well, those
13:45
changes came because of, you know, you got
13:47
the virus and passaged it in the lab
13:49
for a while after you did all that
13:51
engineering. But how do you get 1200 changes
13:54
around the virus but none in
13:56
the spots that you engineered? It
14:00
just doesn't make any sense. All
14:02
right. One more quote from point one
14:05
quote, bat coronavirus spillover into humans
14:08
is rare, end quote. I
14:11
would say that pandemics are rare, but
14:13
spillovers are not right before
14:15
SARS COVID two emerged for
14:18
coronaviruses made the jump and
14:20
these are the common cold
14:22
coronaviruses that continue to cause
14:24
seasonal respiratory disease to this
14:26
day. SARS-CoV-1 in
14:28
2002 was a spillover, SARS-CoV-2
14:30
in 2012. And
14:33
during SARS-CoV-2 pandemic, we
14:35
talked about on Twiv spillovers
14:38
of pig and canine coronaviruses
14:40
into people. Research
14:43
from wildlife markets in Southeast Asia
14:45
has been done to quantify zoonotic
14:47
risk in these kinds of settings
14:49
where you have animals being
14:52
sowed. And one
14:54
study found that in a sampling of
14:56
lotion markets, civets, which
15:00
are one of the animals sold in these
15:02
markets, averaged seven human contacts per hour so
15:04
that a single infected civet might get over
15:06
50 opportunities to infect the person in an
15:08
eight hour day. And furthermore, studies
15:10
in rural China have shown that about
15:13
3% of the population of
15:15
antibodies to SARS-related coronaviruses, bats indicating
15:17
that spillovers are not rare at
15:19
all. So this is not a
15:21
correct statement. Absolutely.
15:24
Yeah. I
15:27
think that we
15:30
can also think about just general
15:32
how frequently are virus
15:34
spillovers from animals into humans
15:37
happening. Is the
15:39
general idea of spillover rare? And it
15:41
is very much not. It's
15:44
sort of the way we think this
15:46
happens in almost every other situation. So
15:48
again, the idea
15:50
that this doesn't happen is weird. It
15:54
happens with so many viruses in so
15:56
many ways. This is a relatively recent
15:59
change. in our perception
16:01
of how often spillovers occur, because
16:03
previously we didn't have the tools
16:05
to detect these unless they became
16:08
pandemics. So we said, oh,
16:10
well, coronaviruses have only spilled over four
16:12
times, five times, you know, because
16:14
that's the only evidence
16:17
we had. Now,
16:20
in part due to not just the
16:22
advanced molecular biology, but all the attention
16:24
on SARS-CoV-2, now
16:27
that we're looking and that we can look, we
16:29
see, oh, in fact, this
16:31
is a day-to-day occurrence
16:33
for all kinds of viruses, coronaviruses and
16:35
several others. How would we know? If
16:38
you want some, if you want,
16:40
I'm sorry, Jolene. I was gonna
16:42
say, how would we know that there was SARS-CoV-2
16:44
in spreading in deer if we didn't
16:46
have the tools we use today? And we've been talking
16:48
about H5N1 in cows, and
16:52
we talk about previous
16:54
influenza spillovers and mixing
16:57
that happens in pigs. And these
16:59
are maybe things that we
17:01
don't see them in our everyday
17:03
life, but at the population level,
17:06
they happen more than we used to think. And
17:10
since we've found out how
17:12
easily SARS-CoV-2 hops species, this
17:14
is an incredibly promiscuous virus.
17:18
You know, the spill back to deer,
17:20
the spill back to cats, the spill
17:23
back to pretty much everything with fur.
17:25
I mean, it's the, we've talked about
17:27
this on earlier episodes. This is a
17:30
virus that can go anywhere. So it's prone
17:32
to this kind of thing. For
17:35
anybody interested in a layman's read
17:37
of this larger topic, I would
17:39
refer them to David Quammen's book,
17:41
Spillover. Yes. It's a great read.
17:44
Yes, it's got lots of different examples. I think it
17:46
came out in 2013. So
17:50
it's not, you know, not as if this idea
17:52
was new and just something's
17:54
new. No dog in this fight then.
17:56
That's right. It's actually subtitled, Animal Infections
17:58
and the Next Human. pandemic.
18:01
This was inspired among other things by
18:04
the Ebola outbreak, the
18:06
big one in Africa. Yeah.
18:08
And I think there's one other piece that's
18:10
sort of related to something we've been saying
18:13
here about this point one
18:15
that Dr. Chan makes. Because
18:18
when I read this point one, I
18:20
feel like at least lay
18:22
people are looking at it and saying, well,
18:24
that can't be a coincidence that this pandemic
18:27
emerged in the same
18:30
city as the virology
18:32
Institute. And we've mentioned
18:36
some details about how we don't
18:38
always detect all
18:41
virus spillovers. We in the past have largely
18:43
detected the ones that have become
18:46
pandemics. We
18:49
have some pretty good evidence that we detected
18:51
very early cases, but we should note that
18:54
we are talking about the first cases that
18:56
were detected here. And one
18:58
of the things that is important
19:00
in detection is sort of a
19:02
good medical care infrastructure, a place
19:06
where you could do that. In
19:08
fact, you needed to have
19:10
physicians who could say, hey, we have
19:12
these patients who have pneumonia
19:14
that is atypical and we are
19:17
going to actually do sequencing and
19:19
find out what they have and not just
19:21
say, huh, you got weird pneumonia, that sucks
19:23
for you. If
19:25
we think about a bunch of other infectious
19:28
diseases we know about, we
19:31
can think about what we know about their origins.
19:33
But in many cases, the
19:36
first ever case that was
19:38
seen and published was
19:41
seen in a place that had
19:43
particularly good hospitals and
19:45
medical care to
19:48
diagnose those patients and probably
19:50
was not the first situation
19:52
of an infection. I
19:55
often use the first published account
19:57
of HIV is more of a viruses
22:00
with mutations that allowed them to thrive
22:02
emerged as victors. This
22:05
is science fiction. This
22:08
description completely overstates and misrepresents what
22:10
was actually being done at the
22:12
Institute. So let's, we need to
22:14
go into that so you understand
22:16
that. Yang Li-she's
22:19
laboratory was sampling SARS-related
22:21
coronavirus from bats. This is
22:24
SARS-1, not SARS-CoV-2.
22:29
And the research described was
22:31
based on a bat
22:34
SARS-related coronavirus called WIV-1.
22:37
And then another version of
22:40
WIV-1 where its spike gene
22:42
was replaced with spikes from
22:44
bat coronaviruses called SCH14,
22:46
WIV-16, and RS-4231. All
22:52
four of these viruses are
22:55
in the SARS-CoV-1 branch of
22:57
the SARS-related virus family. And
22:59
they're very distinct from SARS-CoV-2.
23:02
Nowhere in this report is
23:05
there evidence of research
23:07
on SARS-CoV-2-related viruses. And so
23:10
really, these experiments are relevant to
23:12
the origin of SARS-CoV-2. The idea
23:14
was to see if the spike
23:17
proteins from these bat-related, SARS-related coronaviruses
23:19
could let the viruses reproduce in
23:21
human cells and if they caused
23:23
a different disease in ACE2
23:26
transgenic mice. There was no
23:28
forced adaptation to new species,
23:31
right? Now one
23:33
of the points made in this piece
23:35
is that they
23:38
made more dangerous viruses, right?
23:40
So one chimeric virus had
23:42
enhanced viral replication relative to WIV-1
23:44
in the lungs of ACE2 transgenic
23:46
mice that caused greater weight loss,
23:48
which is a common proxy for
23:50
disease severity in mouse
23:52
models. The other two chimeric viruses
23:55
had similarly enhanced virus replication in
23:57
mice, but one caused the same
23:59
weight loss. of
44:00
this paper Michael Waraby and 12 876
44:04
so you can get the
44:06
story from the horse's mouth in that episode
44:08
that was that was following on this
44:11
publication right yeah yeah yeah
44:14
and Chan also in number four
44:16
says writes quote furthermore
44:18
the existing genetic and early case data
44:21
show that all known COVID-19 cases probably
44:23
stem from a single introduction of
44:26
SARS-CoV-2 into people and the outbreak
44:28
at the Wuhan market probably happened
44:30
after the virus had already been
44:32
circulating in humans this is 180
44:34
degrees wrong this is completely wrong
44:37
she shows a phylogenetic tree in
44:39
the in the piece which is
44:41
just a crappy phylogenetic tree as
44:43
we have said there were two
44:46
lineages circulating at least two
44:48
separate introductions they're called A
44:50
and B they were both
44:52
found in the market
44:54
in December and we know this
44:56
from from this
44:59
environmental surveillance that the
45:01
Chinese authority done did there's
45:04
no question that there were there were more than
45:06
one in fact the paper another
45:09
paper in this collection estimates
45:12
that there were probably at least
45:15
eight separate spillovers from eight infected
45:17
animals to people and only two
45:19
of them seem to have proceeded
45:22
Vincent one of the things that she
45:24
talks about that you you've quoted is
45:26
a couple of
45:28
papers that are supposed supposedly
45:36
question at least question the statistical analysis
45:38
in the Warby paper that caught my
45:40
attention could you address that place yeah
45:43
so one of the issues that was
45:45
claimed was that there was this ascertainment
45:47
bias in other words we were looking
45:49
at the market because we knew we
45:51
knew it was an early epicenter and
45:53
they used really advanced statistical methods to
45:55
show that there is no ascertainment bias
45:57
that it was they were in fact
46:00
Many of the early physicians were picking up
46:02
the cases before they knew anything about the
46:04
market. They were really good at saying,
46:06
oh, this is an unusual respiratory disease. So that
46:08
was one point. The other point, there was a
46:10
mistake in the computer program
46:13
that was used to calculate the probability that
46:15
there was more than one spillover. So they
46:17
corrected it. Someone wrote and said, you have
46:19
this mistake. They corrected it. The
46:21
error gave them 99% probability
46:24
that there was more than one spillover. And
46:27
after the correction, it was 97% probable. So
46:30
it made no material effect on the
46:32
conclusions of the paper. Another
46:36
point from number four, quote, not a
46:38
single infected animal has ever been confirmed
46:40
at the market or in its supply
46:42
chain without good evidence that the pandemic
46:44
started at the seafood market. The fact
46:46
that the virus emerged in Wuhan points
46:48
squarely at its unique SARS-like virus laboratory.
46:50
End quote. Oh, my
46:53
God. No one tested animals
46:55
in the market. They were all taken away on
46:57
January 1 and moved
46:59
into the countryside or slaughtered. This is
47:02
a completely dishonest statement. They shut down
47:04
the market. They killed everything. They disinfected
47:06
the place. So I want to make a
47:08
statement that's sort of parallel that
47:10
might help people if they're not on top of this.
47:13
So the statement that
47:15
Vincent quoted is, not a single infected
47:17
animal has ever been confirmed at the
47:19
market or in its supply chain. And
47:22
I just wanted to let you know that
47:24
also it has never been
47:26
confirmed that my
47:28
right hand was not
47:31
radioactive for one day
47:34
during the year where I was 17 years old. And
47:38
the reason and I say that and
47:40
the reason is because we never looked.
47:43
Maybe it was randomly. And
47:45
so it's important to say it has
47:49
never been confirmed because you didn't look. But
47:52
also note that
47:54
this is something that we can't go
47:56
back and check. We don't have the
47:58
samples from those animals. ago,
50:00
end quote. There has
50:02
not been an intense search. The
50:05
Chinese authorities are not doing it. In
50:07
SARS-1, the markets were not
50:09
closed. Animals were found
50:12
to be infected seven months
50:14
later, not days within days,
50:16
as Dr. Chan states. MERS
50:19
was identified in 2012, found in camels in
50:22
2013. So the claim of days is fabrication.
50:25
And as we've already discussed, war or be at
50:27
all in a subsequent paper.
50:30
So there were environmental samplings by
50:32
the Chinese authorities of the market
50:34
twice in early 2020. Those
50:37
samples were deep sequenced and
50:39
the results were posted. And
50:43
the analysis of the samples show that
50:45
stalls in the southwest part of the
50:47
market, which is where the mammals were
50:49
sold, have environmental
50:52
samples that not only have
50:54
SARS-CoV-2 RNA in them, but
50:56
also mammal DNA from raccoon
50:59
dogs and civet cats. And
51:01
there's a particular stall, 6.29,
51:03
which had lots of mammals,
51:05
it had lots of SARS-CoV-2 positivity,
51:08
and had been photographed previously
51:10
to have sold these animals
51:12
as far back as 2019.
51:14
And so we
51:18
know there were... So even though we
51:20
haven't tested animals directly, environmental samples show
51:24
contamination with animal DNA
51:27
and viral
51:29
DNA. And another part
51:32
of this analysis is
51:35
one of the positive swabs, SARS-CoV-2
51:37
positive swabs, was from stalls with
51:39
documented human cases. And
51:43
one of them was a shrimp vendor
51:45
who we'll get to in a moment.
51:47
Stall 6.29, which had a lot of
51:49
raccoon dog and civet cat DNA and
51:51
SARS-CoV-2 RNA is not associated with a
51:54
known human case. So
51:57
we don't find human DNA in those
51:59
samples. End
56:00
quote except for the other lineage. Yeah
56:03
exactly I mean this is gibberish it's
56:06
only to detected jumps into humans. So
56:09
ours was not detected until first jumped
56:11
into people the first detection of murs
56:13
was in a human with pneumonia I
56:15
mean that's how we find them when
56:18
they jump into people so. Just we don't
56:20
know what happened before that we have no
56:22
idea this could have been going on for
56:24
years. Yeah
56:26
that one guy with a weird
56:29
respiratory symptom who did who
56:31
lived in a place that didn't have
56:33
the ability to do really fan fantastic
56:36
medical care and
56:38
all of this virus sequencing and so he
56:41
just died of a weird respiratory infection.
56:45
I would just want to point out that. You
56:48
know you may say all this virus was
56:50
ready to cause a pandemic but as the
56:52
virus spread. It
56:55
changed right and variants emerge that
56:57
were more fit so it wasn't
56:59
really ready that mean that I
57:01
was in during the pandemic is
57:03
evidence that it was becoming better
57:05
and better adapted to people. No
57:09
and her the last sentence that I want to address
57:12
she writes quote a laboratory accident
57:14
is the most parsimonious explanation of
57:16
how the pandemic began and quote.
57:20
This seems to be the
57:22
least parsimonious explanation especially even
57:24
all the data showing the
57:26
market origin and the fact
57:28
that no one had something close enough
57:31
to stars kovie to to be able
57:33
to engineer it parsimonious depends on having
57:35
some information there is none. There are
57:38
no data in this piece that support
57:40
a lab origin is just in you
57:42
and i hear say in conspiracy it's
57:45
only parsimonious if you believe
57:47
that a whole lot of lies and
57:49
cover ups also happened. I
57:52
have to start with the assumption that
57:54
the hypothesis is true and
57:56
then pick the evidence that fits it which
57:58
is exactly how this was put. together. And
58:01
you, like I said, you have to keep saying,
58:03
well, but that's a lie to, to hit
58:05
the to combat other evidence. And
58:08
that is not parsimonious. No. So
58:11
if you've made it this far, folks, this
58:15
opinion piece is
58:17
all wrong. Just
58:19
doesn't agree with the data that we've been talking about. And
58:21
you know, we have many people on Twitter who've talked about
58:24
all of these data over the years. We
58:26
don't, we
58:28
just look at the data. We don't do any conspiracy
58:30
stuff. We don't lie about it.
58:32
We do the science and it tells us that
58:35
it originated in an animal. There's no question
58:37
about it. Anything
58:42
else? No, it's just all
58:45
too bad. Yeah, it is all
58:47
too bad. But you know, the truth floats. Unfortunately,
58:50
it takes a long time to get
58:52
to the surface. I'm thinking about
58:54
climate change and all the
58:56
acquaintances I have who've been climate deniers
58:59
for so long. And now, you know,
59:03
it's so blatantly obvious.
59:05
I like that statement. The truth floats. I really
59:07
like that. All
59:11
right. Now we now we move to
59:13
something that is scientifically
59:15
sound. Now we can talk
59:17
about some really cool science
59:19
that Jolene brought up. Okay,
59:23
I am very excited to be able
59:25
to bring forward this
59:27
paper. It's a nature communications paper
59:29
from January of this year. It's
59:32
called phage pareidae can
59:35
kill dormant antibiotic tolerant
59:37
cells of pseudomonas pseudomonas
59:39
aruginosa by direct lytic
59:42
replication. The
59:44
first author is Ania Mafeyi.
59:46
And the last author is
59:49
Alexander Harms, who runs the
59:51
molecular phage biology lab. These
59:53
authors, there's quite a few authors in
59:55
the middle as well. They're all they
59:57
all were at the University of Michigan.
1:00:00
of Basel or its hospital and
1:00:02
now the primary authors are at
1:00:04
ETH Zurich in Switzerland. So
1:00:07
it's going to be a change of
1:00:09
topic for sure. We're thinking not only
1:00:11
about data but also
1:00:13
about the viruses that infect bacteria.
1:00:16
So we're talking about bacteriophages here.
1:00:19
The hosts are a little different than the
1:00:21
hosts we often talk about, but I want
1:00:23
to give some context for why this is
1:00:25
still an interesting type of infection to think
1:00:28
about. One reason is
1:00:30
that viruses need
1:00:33
to use not
1:00:35
just cellular resources when they get
1:00:37
into a cell but also cellular
1:00:39
machinery. The cell has
1:00:41
to be actively able to do the things
1:00:44
that a virus doesn't bring with it for
1:00:46
it to be successful at its infection. It
1:00:49
turns out that some
1:00:51
viruses can mess with the ability of
1:00:53
a cell to do things. So if
1:00:55
a virus infects a cell that's dormant
1:00:57
or quiescent, it can reactivate that cell.
1:00:59
That's one thing that we're thinking about
1:01:01
here. There are human cancer-causing
1:01:04
viruses in particular that are
1:01:06
known to either arrest or
1:01:08
accelerate the transitions between the
1:01:10
phases of the cell cycle
1:01:12
to make them either replicate
1:01:14
or stop replicating whatever is
1:01:17
more advantageous for the virus.
1:01:20
In this case, for the bacteria, in
1:01:23
microbiology in general, what we do in
1:01:26
the lab is we pamper our
1:01:29
bacteria. We put them
1:01:31
in a nice, warm environment,
1:01:33
no temperature fluctuations, and we give them
1:01:36
lots of things to eat, and then
1:01:38
we ask them to jump through hoops.
1:01:40
They do it happily. But
1:01:43
most bacteria are out in the
1:01:45
environment where there are many changes
1:01:48
in their environment. It is
1:01:50
a cold, cruel world for bacteria. They're
1:01:54
actually not usually growing at an exponential
1:01:56
rate, as we would like them to
1:01:58
be doing for our reproduction. They tend to
1:02:00
be in states of maybe what you might call
1:02:02
famine or feast. This is something we think about
1:02:05
a lot in the context of the gut, your
1:02:07
gut microbes. They get fed when you eat and
1:02:09
then they run out of food and then you
1:02:11
eat again and they're fed. And
1:02:14
if you think about outside, right now it's
1:02:16
hot and wet, but pretty soon it'll be hot and
1:02:18
dry. And
1:02:21
the microbes have to adapt to that. So
1:02:24
most of the bacteria in the environment aren't growing very
1:02:26
quickly. They can often be in a dormant state. This
1:02:32
is also something really relevant to the
1:02:34
authors in terms of antibiotic resistance. So
1:02:37
the bacteria that
1:02:40
we treat with antibiotics, some of them do something called
1:02:42
persisting. That is, they don't die in the presence of
1:02:44
an antibiotic, even if they might be susceptible, because
1:02:48
they are not actively replicating. So
1:02:51
the antibiotics typically target processes that are essential
1:02:53
for a bacterium, but
1:02:56
it's not essential if you're not doing it at the
1:02:58
time you're exposed to the thing that tries to stop
1:03:00
it. So as a quick overview of the
1:03:03
– I also
1:03:06
– I just wanted to quote
1:03:09
the sentence that I love from
1:03:11
the introduction. The antibiotic drugs administered
1:03:13
in clinics constitute just another unpredictable
1:03:15
existential threat that bacteria can evade
1:03:17
through dormancy. Exactly.
1:03:19
Something bad is happening. I'm just
1:03:21
not going to do anything for a while. We're going to take
1:03:23
a nap for now. So
1:03:26
the quick overview is that these
1:03:28
authors, they fished for and found
1:03:31
a phage that kills bacterial cells
1:03:33
that are not growing. And
1:03:35
it even makes antibiotics kill the bacteria
1:03:37
more than they would otherwise in the
1:03:39
lab and in a mouse infection model.
1:03:43
Most phage can't kill non-growing cells, so
1:03:45
this presents a great opportunity to study
1:03:47
how they can do this. And
1:03:49
this is important because non-growing bacteria
1:03:51
are harder to kill with antibiotics
1:03:53
when they're causing human infections. Jolene?
1:03:56
Yeah. Was this really surprising
1:03:58
to you? Well, I
1:04:01
think because most of
1:04:03
the phage that we study in the lab don't
1:04:05
do this, we've always wanted to find phage that
1:04:07
do this. And there are a couple that have
1:04:09
a property like that, but we want to find
1:04:11
more. And it was surprising to me that
1:04:14
it was as hard to find as it was for them.
1:04:17
Okay. Yeah. Yeah, the virus
1:04:19
we're talking about in this paper emphatically did not
1:04:21
come from a lab. Sure
1:04:23
didn't. Sorry, it's COVID too emphatically.
1:04:26
No, it didn't either. So
1:04:29
basically this episode is about two viruses that came
1:04:32
from nature. Yes. That's
1:04:34
right. This one came from rotting plant
1:04:36
material in a cemetery actually. So
1:04:41
the authors here were motivated to find
1:04:43
ways to kill dormant cells, dormant bacterial
1:04:46
cells in the ways that they exist
1:04:48
in nature and to resolve
1:04:50
difficult to treat antibiotic bacterial
1:04:52
infections in humans. And
1:04:57
the thing that they did was
1:04:59
they first looked for these phage.
1:05:02
And initially they said, okay, let's
1:05:05
just look at how phage
1:05:07
infect in normal growing cells
1:05:09
compared to not growing cells. And they took
1:05:11
lab phage and they had some nice methods
1:05:14
to be able to distinguish between the phage
1:05:16
and the cells. And here
1:05:19
they were looking at E. coli
1:05:21
and Pseudomonas. Both are gram-negative bacteria.
1:05:24
Both cause a lot of problematic infections
1:05:26
in humans. And they took
1:05:28
a collection of bacteria phages that
1:05:31
they had in the lab and
1:05:33
they infected first growing bacteria. And
1:05:36
they looked over time to see
1:05:39
how many viable host cells were
1:05:41
left and how many virions
1:05:43
or free phage were in the
1:05:45
experiment. And they also looked at
1:05:47
how many cells are infected, not
1:05:50
yet dead, not
1:05:52
yet releasing virions. This
1:05:54
is with phages that they already knew
1:05:57
about and had identified and had in the lab.
1:06:00
And so this is a straightforward lab experiment
1:06:02
you pull a bunch of pages out of the
1:06:04
freezer and you. Do
1:06:06
this infection they haven't found the new one
1:06:08
yet correct correct they pulled a
1:06:10
collection of well well well known
1:06:12
or related to well known pages
1:06:15
are they actually have this nice
1:06:17
collection where they characterized a large
1:06:19
number of page called the bottle
1:06:21
collection and they show how they're
1:06:23
related to the commonly known pages
1:06:25
t four which is the classic
1:06:28
myofage. T T.
1:06:32
One classic syphophage T
1:06:34
five another classic syphophage
1:06:37
and T seven classic podophage
1:06:39
and then V five and
1:06:42
so E. Coli was killed by all of
1:06:44
these page when they were
1:06:46
growing and you saw increases in free
1:06:48
variance same thing for pseudomonas
1:06:51
they had a collection of known page
1:06:53
or some new ones that they had
1:06:55
isolated and all of them. Except
1:06:57
one killed this host
1:07:00
very well and was able to replicate.
1:07:04
Then what they did was they made
1:07:06
the cell they they took away all
1:07:08
that nice food from the cell so
1:07:10
they made them a dormant culture. Here
1:07:13
they they feed the bacteria and then they
1:07:15
let them grow until they run out of
1:07:17
nutrients and then they become what is dormant
1:07:20
and the E. Coli. That you are
1:07:23
no longer killed by all of these page
1:07:26
and the number of infected cells,
1:07:28
however, was high so the bacteria
1:07:30
page attached to the cell they
1:07:32
get in. But they are
1:07:34
not in an environment where they can
1:07:36
replicate so they just wait until
1:07:39
the cell reactivates and
1:07:41
the number of infected cells says cells
1:07:43
stays constant over time. They
1:07:46
saw a similar thing with the pseudomonas
1:07:48
dormant bacteria when they infected with this
1:07:50
panel of bacteria page. They
1:07:53
were able to show that the dormant
1:07:55
cultures were also resistant to antibiotics. Okay,
1:07:57
so this is setting the stage. Growing
1:08:00
bacteria, easy to kill with these
1:08:02
phage, dormant bacteria, not so easy
1:08:04
to kill. But as I
1:08:06
said, there was a phage that's well known
1:08:08
called T7 that is known to be able
1:08:11
to... The cool thing that happens
1:08:13
in the lab is we do these plaque assays
1:08:15
and you put the phage on the plate and
1:08:17
you pull your plates out in the morning and
1:08:19
you have plaques and they're large. And then you
1:08:22
put the plates in the fridge and they keep
1:08:24
growing. Or you put the plates on the bench
1:08:26
and they just keep growing. And so T7 was
1:08:28
known to be able to continue to infect cells
1:08:31
that weren't growing anymore. So
1:08:33
they looked at this phenomenon for
1:08:35
T7 with E. coli and they
1:08:37
saw that early stationary phase cells
1:08:39
were easily killed by T7, as
1:08:42
expected. And
1:08:47
then they said, okay,
1:08:49
so can T7 infect
1:08:51
and kill cells
1:08:53
that have been starved for a
1:08:55
long time? And actually
1:08:57
T7 can kill cells that are
1:08:59
in early stationary phase, as we
1:09:02
call it. So to define that
1:09:04
in the lab, when we're looking at what
1:09:06
we look at the growth phases of bacteria,
1:09:09
we see that initially they take a time
1:09:11
to adjust to their new environment, which is
1:09:13
when we feed them. Then they start growing
1:09:15
very quickly and doubling exponentially, we call it
1:09:17
exponential phase. And then when they start to
1:09:19
run out of nutrients, if you're plotting this
1:09:21
on a graph, then the curve starts
1:09:23
to flatten out. That's when they
1:09:26
are what we call entering early
1:09:28
stationary phase until they're in later
1:09:30
stationary phase. So they
1:09:32
saw that T7 could kill early
1:09:34
stationary E. coli, but not
1:09:36
later stationary E. coli. And
1:09:39
this is an important thing that they've
1:09:41
gone to some effort to set up
1:09:43
in their previous work, I gather, is
1:09:45
this setting
1:09:48
very, very careful conditions on
1:09:50
what constitutes dormant bacteria,
1:09:52
because there has been, I gather,
1:09:55
a controversy in the field that
1:09:57
phage can or can't infect dormant
1:09:59
bacteria. bacteria and it turns
1:10:01
out that if you just take
1:10:04
them right at stationary phase,
1:10:06
that's not really dormant and
1:10:08
so this group goes to
1:10:10
a much longer time period.
1:10:13
That's right because as cells are running
1:10:15
out of nutrients and entering stationary phase,
1:10:17
they turn on a general stress response
1:10:20
pathway. So they're sensing that a time
1:10:22
of phantom is coming and
1:10:24
it gives them resistance to many
1:10:26
different adverse conditions that would otherwise
1:10:28
kill the cells like pH, oxidative
1:10:31
– Unanticipated existential threats. Yeah,
1:10:33
exactly. Things like antibiotics
1:10:36
are going into survival mode and the
1:10:38
longer that they've been in survival mode,
1:10:40
the less likely they are to easily
1:10:42
awake from that or
1:10:44
to be jolted out by something like
1:10:47
a phage infection. So they have very
1:10:49
carefully defined their growth conditions, the temperature,
1:10:51
the media to make sure that these
1:10:53
are reproducibly what they call deep dormant
1:10:56
cells and that means they're not growing.
1:10:58
They've been under severe nutrient limitation for
1:11:00
40 hours after starvation began. There's
1:11:03
no loss of cell viability though so they
1:11:05
can take these cells out of starvation and
1:11:07
then grow them up again and
1:11:10
they're resistant to antibiotics. So
1:11:13
using these deep dormant host cells, they did
1:11:15
something that we love to do in our
1:11:17
lab which is they went on a phage
1:11:19
hunt. They got that plant material as well
1:11:21
as a bunch of other samples from all
1:11:23
over the place and they looked for phage
1:11:26
that could infect these deep
1:11:28
dormant bacteria. It turns out – I love it.
1:11:31
Rodding plant material isn't enough. It's
1:11:33
got to be rotting plant material
1:11:35
from a cemetery. From a cemetery.
1:11:37
Right. You just
1:11:39
got to be creative if you really want to find
1:11:41
these interesting phages. So
1:11:45
they were able to find
1:11:47
phage parede that is able
1:11:49
to infect and kill dormant
1:11:51
bacteria. They see that the
1:11:54
CFUs or the viable cells goes down
1:11:56
when it's infected with phage and the
1:11:58
number of phage – go up. Do
1:12:02
we have, I wasn't able to find
1:12:04
this, do we have any idea why
1:12:06
they chose to call this phage paridé
1:12:08
or paridé? The only thing I
1:12:10
could, you know, is that
1:12:13
a novel word? Well,
1:12:15
no, it's one of the, so
1:12:17
I looked this up, I was like, that
1:12:19
sounds like it's probably somebody,
1:12:21
some character, and then later on they're
1:12:24
gonna find a couple of other phages
1:12:26
that they named Cassandra and Di phobo
1:12:28
and Etorre. And so
1:12:30
these are children of Priam who
1:12:32
is a legendary king
1:12:34
of Troy in Greek mythology. That's
1:12:38
as far as I got, like why this- The
1:12:41
only other thing I noticed is
1:12:43
that the first three letters are
1:12:46
P-A-R, Pseudomonas Origenosa. Pseudomonas Origenosa, but
1:12:48
other than that- I don't know if that helps. Yeah.
1:12:52
I don't actually know why they called it
1:12:55
this name, but we
1:12:57
get a lot of creative names. Paridé is probably
1:12:59
correct, yeah. Yeah, I mean,
1:13:01
you're talking about a discipline, the
1:13:03
name's phages stuff like corn dog,
1:13:05
okay? So- That's
1:13:08
right. That's
1:13:10
right. If you aren't bound by any
1:13:12
rules, you can get all kinds of creative things. Now,
1:13:18
what they- Well, they tried to find more.
1:13:20
They tried to find more of these, and
1:13:22
like Alan said, they did find a few,
1:13:24
but it turns out they were all relatives
1:13:26
of this one. They were not really, really
1:13:29
unique, but this one is actually pretty unique.
1:13:31
It's not really related to a lot of
1:13:33
the known phages. So
1:13:35
looking at the phage itself
1:13:38
and kind of its basic
1:13:40
characteristics, they first wanted to
1:13:42
know, does this only infect
1:13:44
the lab strain of Pseudomonas aeruginosa that
1:13:46
we have? And they got a
1:13:49
collection of clinical isolates, and then they looked to
1:13:51
see if it could infect them, and it could.
1:13:54
And they also looked to see if it
1:13:56
could infect dormant versions of those as well.
1:14:00
And it could. It released
1:14:02
virions, made the cells lice just
1:14:04
like it did in the original strain. They
1:14:08
looked, and this was an interesting question. So
1:14:11
one thought would be that this had
1:14:14
evolved to fit the niche of growing
1:14:16
on dormant cells. But it
1:14:18
turns out that pareidae can also
1:14:20
replicate in growing cells. So that
1:14:22
was definitely interesting. They checked the
1:14:24
burst size. So they're looking at
1:14:26
the average number of phage that
1:14:28
come out of each infected cell.
1:14:31
And they saw that that was a burst size
1:14:34
of 60 for
1:14:36
hosts that were growing and a burst size of 9
1:14:39
for host cells that were not growing, which
1:14:41
is definitely reduced. And
1:14:44
then they decided to see if this
1:14:46
property was something that they could improve
1:14:48
upon. So they passaged
1:14:51
pareidae in a pretty
1:14:53
extensive passaging process on
1:14:55
deep dormant cells. They took out the phage. They
1:14:57
put it on deep dormant cells. And they did
1:15:00
that for hundreds of passages.
1:15:03
And then they characterized the burst size again. And
1:15:06
they saw that they were able to increase the
1:15:08
burst size on growing cells to either 118
1:15:12
or 90 for the two different lineages that
1:15:14
they took out. So this was,
1:15:17
again, a function experiment. They
1:15:19
had to say it. They
1:15:21
certainly could have not had a gain
1:15:24
of function. That's right. They
1:15:26
could not have anticipated that it would be gain of
1:15:28
function. It could have gotten worse and not
1:15:31
propagated. Yes. But
1:15:34
it got better in terms of
1:15:36
burst size anyway in these conditions.
1:15:39
And the dormant host burst size went up for
1:15:41
the first lineage up to 24, but was about
1:15:44
the same for the second lineage. They
1:15:48
looked at another thing, the latency period,
1:15:50
which is how long it takes after
1:15:52
infection to start having fully
1:15:54
formed virions to be able to release.
1:15:58
And that didn't really change significantly. hurt
1:18:01
bacteria but not us or
1:18:03
to inhibit bacterial growth but not hurt our cells
1:18:05
at the same time. They
1:18:07
tried a couple of other antibiotics.
1:18:10
They tried some Aflora quinolone which
1:18:12
targets an enzyme that the bacteria
1:18:14
uses to unwind DNA and they
1:18:17
also tried an amino glycoside
1:18:19
called Tobramycin which targets the
1:18:21
bacterial ribosome which is where
1:18:23
they translate proteins. It turns
1:18:25
out that they only saw
1:18:27
effects for carbapenem. So
1:18:29
what they did was they had deep
1:18:31
dormant bacteria. They treated with phage,
1:18:35
just phage, just antibiotic or with
1:18:37
both and with just
1:18:39
phage they saw their typical paraday killing
1:18:41
and increase in virions but when they
1:18:43
treated with both phage and meropenem they
1:18:45
saw a much greater decrease
1:18:48
in the number of viable bacteria
1:18:50
over time. And
1:18:52
here their time after the 40 hours of deep dormancy
1:18:54
is 168 hours. So within 120 hours after the double
1:19:01
treatment they see that the CFUs are
1:19:03
dramatically reduced almost to their limit of
1:19:06
detection. And the free virions,
1:19:08
the presence of the antibiotic did not
1:19:11
interfere with the replication of paraday. And
1:19:14
this kind of, so it seems
1:19:16
to make sense that the meropenem worked
1:19:18
in this and the other antibiotics didn't
1:19:20
because if you muck up
1:19:22
the ribosome the virus can't complete
1:19:25
its life cycle. If you muck up the
1:19:27
cell wall, no problem. Yes,
1:19:30
right, right. So the virus
1:19:33
wouldn't be able to replicate. Exactly. They
1:19:38
had an interesting experiment here to look
1:19:40
at maybe what might be the cause
1:19:42
of some of the effects that they
1:19:44
were seeing.
1:19:48
And so they were wondering
1:19:50
if they added some extra
1:19:53
paraday resistant cells, would they
1:19:55
still see this dramatic enhancement
1:19:57
of meropenem activity? I
1:20:00
think I didn't say this, but when
1:20:02
they treated the deep dormant bacteria with
1:20:04
meropenem, they didn't see any decrease in
1:20:06
viable cells. So then
1:20:09
what they thought is, okay, can
1:20:11
the meropenem plus
1:20:13
pareidae together work
1:20:16
only in the cells where pareidae is
1:20:18
infecting or can it work on neighbor
1:20:20
cells too? And what
1:20:23
they did was they spiked in
1:20:25
these cultures that were infected with
1:20:28
some pareidae resistant cells or with
1:20:30
meropenem resistant cells. So
1:20:32
the meropenem resistant cells, you wouldn't expect
1:20:34
those to be killed by the antibiotic
1:20:37
and they were not. They didn't
1:20:39
see as a dramatic of decrease
1:20:41
in the viable cells, but when
1:20:44
they had pareidae resistant cells, they
1:20:46
still had killing by meropenem to
1:20:48
similar levels that they had when
1:20:50
there weren't pareidae resistant cells in
1:20:52
the infection. So
1:20:55
this suggests that maybe the
1:20:58
signaling, what they hypothesize is that
1:21:01
some cells get infected by pareidae
1:21:03
and those get
1:21:05
lysed and they release nutrients and
1:21:07
other signals that the neighboring
1:21:10
cells that weren't infected that are
1:21:12
resistant to pareidae detect as dangerous
1:21:14
signals and it can reactivate them
1:21:16
to grow because they have a little bit of
1:21:19
nutrients and so then those are susceptible to meropenem
1:21:21
and the meropenem kills them. And
1:21:24
then they did an experiment
1:21:26
in the, in a mouse
1:21:28
model of infection. So
1:21:30
this particular mouse model
1:21:33
is one where they put a,
1:21:35
they do a small surgery on the
1:21:38
mouse and they put this little cage
1:21:40
on the back of the mouse and then
1:21:42
they put the pseudomonas in there and the
1:21:45
pseudomonas will cause an infection and
1:21:47
after that infection is established they
1:21:49
will either treat with phage,
1:21:52
meropenem or the combination of
1:21:54
the two and then after a
1:21:57
bit they'll take out the cage and
1:21:59
count the bacteria. to see if
1:22:01
the combination of phage and antibiotic
1:22:03
in vivo has had the same
1:22:05
effect that they saw in vitro
1:22:08
in the culture tubes. Excuse me. One
1:22:11
thing to say about the
1:22:13
cage model is
1:22:16
that the reason why that's important is
1:22:18
because it's sort of trying to mimic
1:22:20
a chronic infection, an infection of a
1:22:22
medical device that's been implanted, which is
1:22:25
a place where we commonly see a
1:22:27
lot of issues with these types of
1:22:30
resistant infections in humans. There
1:22:32
are not a lot of mice, maybe
1:22:35
I don't know about them, that have prosthetics
1:22:38
in the same way that certain humans do. This
1:22:41
is sort of a way to mimic that
1:22:44
chronic infection on an implanted medical device.
1:22:47
Is the cage structured so that it actually
1:22:50
contains the bacteria but
1:22:53
admits phage and drug or
1:22:56
is it just like a
1:22:58
piece of stuff in the mouse? If
1:23:02
I understand correctly, it's like a metal tube and
1:23:04
then they drill, I think they set 130 holes
1:23:06
into it and then that gets put onto the
1:23:08
mouse. Then
1:23:12
the bacteria can come in contact with the skin
1:23:14
of the mouse and then
1:23:16
they take the cage off and they're actually
1:23:18
only measuring planktonic bacteria when they take the
1:23:20
cage off. Define planktonic?
1:23:25
Bacteria when they grow in liquid and
1:23:28
they're motile by flagella, that's planktonic. They
1:23:30
can move around, they're growing as single
1:23:32
cells. That's as
1:23:35
opposed to a biofilm where they're growing
1:23:37
in a community, sessile. They
1:23:39
are not moving around and they have
1:23:42
secreted an extracellular matrix that tends to
1:23:44
protect them from many
1:23:46
of those existential threats. The
1:23:50
planktonic ones or the swimmy guys? That's right. Yeah.
1:23:54
The wigglers as I like to call them. Okay,
1:23:58
so when they took the... The
1:24:00
tissue cage off and counted
1:24:02
the CFUs with
1:24:05
just Parete. Actually, it didn't
1:24:07
really have a significant decrease
1:24:09
in the viable cells. So
1:24:12
Parete by itself in this model didn't
1:24:14
really kill the bacteria that
1:24:16
were infecting. And
1:24:19
the meropenem, it did
1:24:21
have a small effect of
1:24:23
reduced reduction in viable cells,
1:24:26
but the combination of the two
1:24:28
had a much bigger effect. So
1:24:30
we're talking something like
1:24:33
a few, almost a few logs decrease
1:24:35
in viable cells, which is a lot.
1:24:37
That would definitely be something that if
1:24:39
this were a clinical outcome
1:24:42
that we were looking for, you would see an effect
1:24:44
for them. Okay. So
1:24:46
the last experiment that they did that
1:24:48
is in the main part of the
1:24:50
paper, I should say, because they did
1:24:53
many more experiments. There's a lot. It
1:24:56
is looking at whether or not there
1:24:58
is something specific about the stress response
1:25:00
in the bacterium that is necessary for
1:25:03
infection of dormant hosts. So the question
1:25:05
is why can they actually infect these
1:25:07
dormant hosts and otherwise
1:25:10
things can't. So
1:25:12
for this, I have to explain a little
1:25:14
bit about the general stress response. So this
1:25:16
has been characterized really well in E. coli
1:25:18
and it's mediated, I guess
1:25:21
it's induced by many different stresses.
1:25:23
So an individual stress
1:25:25
or multiple stresses, environmental conditions
1:25:28
that change in the bacterium's
1:25:30
environment can cause the
1:25:33
cell to respond to these stresses
1:25:35
in a way that allows them
1:25:37
to resist other stresses that are
1:25:39
not the one that caused the
1:25:41
induction. This is mediated
1:25:43
in E. coli primarily by a
1:25:45
global alternative sigma
1:25:48
factor, something that's involved
1:25:50
in controlling transcription called
1:25:52
RPOS. It
1:25:54
is very conserved in gamma
1:25:57
proteobacteria and
1:25:59
it's something that is made,
1:26:03
so it's regulated at many different
1:26:05
levels. It's regulated at the level
1:26:07
of transcription, at the level of
1:26:09
translation, post-translationally, and when
1:26:12
it's active, then it turns
1:26:14
on transcription of lots of lots of
1:26:16
different E. coli genes. So
1:26:19
when this happens, then you're going to have
1:26:21
different proteins present. And if
1:26:23
you get rid of RPOS, the
1:26:25
master regulator of the general stress
1:26:27
response, then you're no longer going
1:26:29
to be protected from those stresses
1:26:31
when you go into nutrient starvation.
1:26:34
So they wanted to get rid of RPOS, and
1:26:37
they did this by deleting
1:26:39
a couple of genes called
1:26:41
Rele and Spoti, which are
1:26:44
important for the production of
1:26:46
a signaling molecule called PPGPP
1:26:48
or PPGPP. Magic
1:26:50
Spot. Magic Spot is another name
1:26:52
for it. This is a secondary
1:26:56
messenger. It's a signaling molecule
1:26:58
that bacteria use to turn
1:27:01
on and off transcription of certain
1:27:03
genes. And RPOS
1:27:06
needs PPGPP around to
1:27:08
work well. And
1:27:10
so they took these
1:27:12
cells that couldn't make RPOS, and they
1:27:14
compared their behavior to the wild-type cells
1:27:17
that could. And they
1:27:19
looked at non-growing cells after
1:27:22
the time of deep dormancy and
1:27:24
infected with Paree Day. So the
1:27:26
wild-type, as a reminder,
1:27:29
does decrease the viable cell count.
1:27:31
But the PPGPP- and
1:27:33
RPOS- cells no
1:27:37
longer have Paree Day
1:27:41
dependent viable cell reduction.
1:27:44
But those cells are susceptible
1:27:46
to Ciprofloxacin and Tobramycin, a
1:27:48
couple of antibiotics that they
1:27:50
were testing. Suggesting
1:27:53
that Paree Day needs the
1:27:55
general stress response to be active for it
1:27:57
to be able to replicate in deep dormancy.
1:28:00
cells. And
1:28:02
they didn't see a significant
1:28:04
increase in the Paree
1:28:06
Day PFU or number
1:28:08
of V-aryons that are produced as you
1:28:10
would expect because it couldn't
1:28:13
replicate. They
1:28:15
also induced this general
1:28:18
stress response or at least they induced a nutrient
1:28:21
starvation response another way. So
1:28:24
one thing would be they took
1:28:26
away the master regulator RPOS. The
1:28:28
other thing they did was they
1:28:30
treated with serine hydroximate. So
1:28:32
serine hydroximate is something that
1:28:34
chemically stimulates the stringent response
1:28:36
because it's an amino acid
1:28:38
analog but it's bacteria static.
1:28:40
The bacteria can't really use
1:28:43
it so they try to
1:28:45
use it but it doesn't allow them
1:28:47
to grow and it
1:28:49
inhibits protein synthesis. It's
1:28:52
actually a competitive inhibitor
1:28:54
of seral transfer ribonucleic
1:28:56
acid synthetase. So
1:28:58
this is basically a quick signal for them
1:29:01
to add to tell the bacteria that they're
1:29:03
starving. And when they did this
1:29:05
they had the number
1:29:08
of CFU for Paree Day
1:29:10
went down a little bit but not
1:29:12
as much and not as early as
1:29:15
it had in the other experiments. And
1:29:17
they did see later some
1:29:19
more increase in the Paree Day
1:29:21
PFU, number
1:29:24
of V-aryons that were released. And they
1:29:26
didn't see this effect when
1:29:28
they had their infections with a
1:29:30
couple of other pseudomonasphages that they
1:29:32
were using. So the
1:29:34
two others which were
1:29:37
called Aergia and DMS3-Vir
1:29:40
they did not significantly
1:29:43
decrease the number of CFUs. They
1:29:46
didn't have a huge increase in the
1:29:48
number of PFUs so they didn't produce
1:29:50
viable phage. And they
1:29:53
didn't change a whole lot in
1:29:55
the serine hydroximate treatment either. So
1:29:58
this suggests that Paree Day requires stress
1:30:00
responses for infection of dormant
1:30:03
hosts. Now how it requires
1:30:05
it, that's a really
1:30:07
interesting question that I hope that the
1:30:09
authors will follow up on because knowing
1:30:11
that would give us a really good
1:30:13
handle on how to be able to
1:30:15
maybe induce the use of this in
1:30:19
the future. Yeah,
1:30:22
to me, I get the
1:30:25
sense that cells bacteria in
1:30:28
that metabolic, it's
1:30:31
a fundamentally different metabolic state. The protein
1:30:33
profile, the proteome is gonna be different.
1:30:36
That's right. Okay. And this is
1:30:38
a big fate, right? It's
1:30:40
250 KB, something like that. Right,
1:30:43
I did not mention that. It has
1:30:46
a lot of potential for
1:30:48
tweaking, adapting
1:30:51
to a different environment.
1:30:54
So this is gonna take significant
1:30:57
sorting out to figure it out. However,
1:30:59
it's gonna be fascinating and as you
1:31:02
say, potentially useful. Right.
1:31:05
Somebody's got a very useful project to pursue. Oh yeah,
1:31:07
they're super useful. I'm sitting here
1:31:09
trying to kind of imagine what's
1:31:13
going on inside the dormant cell and
1:31:16
what types of things the phage
1:31:18
is sort of doing to
1:31:21
deal with the missing stuff. What
1:31:26
is actually, what is sort of normally missing
1:31:29
in a dormant cell that blocks
1:31:31
all of these other phages from
1:31:34
replicating and what thing,
1:31:36
how is Pareto actually getting
1:31:38
over those constraints? I'm
1:31:41
sitting here realizing sort of how many questions there
1:31:43
are and how many interesting things I would love
1:31:45
to know about this. Yeah, this can go
1:31:47
on forever. So somebody could make a career
1:31:49
out of this. Yeah, somebody will maybe. So
1:31:53
Pareto, does it do
1:31:55
okay on log phase cells? Yes.
1:32:00
Okay, so it doesn't, it
1:32:02
can go either way. Mm-hmm. It
1:32:04
can replicate. You
1:32:07
must be able to, I mean, you
1:32:09
must be able to isolate
1:32:12
mutants of the phage that
1:32:15
can't grow on stationary cells and can
1:32:17
on log phase cells or something like
1:32:19
that to try and get a handle
1:32:21
on at least from the phages point
1:32:23
of view what genes are involved.
1:32:25
That sounds like a great next experiment to me. Yeah.
1:32:29
Yeah. Very interesting. Right,
1:32:34
so I wanted to give a
1:32:37
little recap just for
1:32:39
those who, who this is not very
1:32:41
familiar. The
1:32:44
authors hypothesize that since nature is
1:32:46
full of cells that are not
1:32:48
growing all the time and
1:32:51
phage are abundant and successful in nature,
1:32:53
there should be phage that can infect
1:32:55
non-growing cells. They
1:32:57
found Pareide that infects
1:32:59
Pseudomonas aeruginosa and seems
1:33:01
to take advantage of
1:33:03
conserved pathways that are
1:33:05
present during non-growth. And
1:33:08
this phage is potentiating or
1:33:11
making an antibiotic that doesn't always
1:33:14
work on non-growing cells work to
1:33:16
kill them. And
1:33:19
this is important because it helps us understand
1:33:21
how phage are infecting in nature and
1:33:23
it could be useful for us as
1:33:25
we try to kill cells that aren't
1:33:27
growing in or that have
1:33:29
been able to resist antibiotics in infections
1:33:32
of humans. So and
1:33:34
just, you know, to
1:33:36
try and enhance the
1:33:38
relevance here, Pseudomonas aeruginosa is
1:33:41
everywhere, including rotting
1:33:44
vegetation in cemeteries and
1:33:47
probably on your skin and around everywhere
1:33:49
that you are. It's
1:33:54
in humans, the problems
1:33:57
arise from what are called opportunistic
1:33:59
infections. That is, the bacterium
1:34:01
is always around, but it will take
1:34:03
the opportunity, if presented,
1:34:06
to proliferate in some
1:34:09
location and that can cause
1:34:11
a disease. So burn
1:34:14
victims have a problem
1:34:16
with this. The thing I'm thinking about
1:34:19
all the time is cystic fibrosis because
1:34:22
the pneumonia associated with cystic fibrosis
1:34:24
is... Deadly. ...
1:34:26
is Pseudomonas aeruginosa
1:34:29
and it's deadly and
1:34:31
this potentially is a novel treatment for
1:34:33
that. Okay. And Pseudomonas
1:34:35
is, it's a tough
1:34:38
bug. It has antibiotic
1:34:40
resistances, it picks up
1:34:42
more, it has
1:34:45
this, when it's dormant on
1:34:47
a medical implant or forms a biofilm,
1:34:49
I mean it has multiple mechanisms of
1:34:51
dealing with the things that we throw at
1:34:53
it to get rid of it where we don't want it and
1:34:56
so having a new tactic is a great,
1:34:59
great idea. Jolene,
1:35:01
in our sheet
1:35:05
here you put in an
1:35:08
interview with the first author. That's right, yes.
1:35:10
Which I hope that that should go in
1:35:12
the show notes. I listen to it and
1:35:15
it's very good and
1:35:17
in particular, it's 20 minutes long, in the
1:35:19
second half of this for
1:35:23
10 minutes, the interviewers ask
1:35:26
the first author for
1:35:29
sort of more a personal reflection
1:35:34
on his experiments and
1:35:36
his work and what
1:35:38
being a PhD student and studying
1:35:40
this did to him and
1:35:43
it's fabulous. He's just
1:35:45
so thoughtful and he
1:35:47
went through so much that all
1:35:50
of us are familiar with, failure
1:35:52
among other things and am I
1:35:54
gonna quit? And
1:35:57
no, I'm not gonna quit and what...
1:36:00
and what that does to you, okay? It's
1:36:03
great. It's a wonderful, very
1:36:06
human expose on
1:36:08
what it's like to become
1:36:11
a scientist, okay? It's really
1:36:13
good. Yeah, so Phagecast
1:36:15
is a podcast by a
1:36:17
bunch of, well, a few
1:36:19
trainees in a lab that
1:36:21
studies phage and they interview well-known
1:36:24
characters in the phage world as well
1:36:26
as some early career individuals.
1:36:28
And so I love
1:36:30
the quote from Aenea was, distance
1:36:33
yourself from failure is what he
1:36:35
learned. And that kind of
1:36:37
encapsulates one of the rules in my
1:36:39
lab, which is you can't let the outcome
1:36:41
of your experiments dictate your emotions. Okay,
1:36:44
good luck with that. No
1:36:48
crying in this lab. Thank
1:36:51
you, Jolene. That's
1:36:53
great. And so one other
1:36:55
thing. So
1:36:59
Pseudomonas aeruginosa is not necessarily
1:37:01
the natural host of this phage. That's
1:37:05
possible. They
1:37:07
didn't look at a whole bunch of different bacteria,
1:37:10
did they? They did not
1:37:12
report looking at a whole bunch of
1:37:14
bacteria. Okay. Yeah. So there may
1:37:16
be other bacteria out there. They
1:37:19
looked pretty hard for other phage
1:37:21
that did this relative
1:37:23
to Pseudomonas, okay? But
1:37:26
there's gotta be other, there's gotta be
1:37:28
other examples of this. And that may
1:37:30
be another way to approach what the
1:37:32
mechanisms are. There's some
1:37:34
sort of comparative molecular biology
1:37:37
of different hosts and phages that do this
1:37:39
trick and whether or not they're changeable and
1:37:41
all that kind of stuff. And
1:37:44
I think that's a big reason why the
1:37:46
receptor part is in here. So the
1:37:49
part of the receptor that
1:37:51
Paree Day is binding to is
1:37:53
something that is common among bacteria.
1:37:56
And certainly it can be something that's
1:37:59
a little modified. archiving
1:42:00
any of this. Right, and
1:42:02
I don't think I'd realize any of
1:42:04
those things until I first heard of
1:42:06
this whole field and this whole problem.
1:42:08
Yeah, very interesting. Yeah,
1:42:11
so but then again, you know,
1:42:13
there's the standard trope in fantasy
1:42:15
stories, adventurers exploring an ancient ruin
1:42:17
unearth the horror. So
1:42:19
we're setting people up for that exact same
1:42:22
adventure. I mean, I think
1:42:24
it's need something needed now, because, you
1:42:26
know, there's that story that they tell
1:42:28
about the hunters that found the warm
1:42:30
barrel in the woods, and then they
1:42:32
had major radiation burns. Yeah,
1:42:35
one of the things they actually talked
1:42:38
about in here is that, you know, the
1:42:40
first idea was, well, we have the radiation
1:42:42
symbol. So we just put the radiation symbol
1:42:44
all over that, and that will be perfect.
1:42:46
And they polled people and they found that
1:42:48
3% of people knew with that symbol
1:42:50
meant. Rich, what do you
1:42:52
have for us? I have something very
1:42:54
non science for you, but we've done
1:42:56
music and stuff before. I just, I
1:42:59
ran across this at
1:43:01
random, which I have to confess probably
1:43:03
means that I was mindlessly
1:43:05
scrolling through Facebook late one night.
1:43:07
Okay, and I ran across
1:43:11
a music video that
1:43:14
I blinked here, Dr. My Eyes, Jackson Brown,
1:43:16
songs around the world playing for change.
1:43:19
This is one of these music videos
1:43:22
where they have a
1:43:26
compilation, not really
1:43:28
a compilation, but a condensation of
1:43:31
contributions from people all over the
1:43:33
globe, okay, into
1:43:35
a single music piece. And
1:43:37
I first listened to it and I thought, oh, yeah, I know
1:43:39
that song. And I couldn't
1:43:41
remember who did it. So I looked
1:43:43
up and I said, oh, it's Jackson
1:43:46
Brown. Yeah, but who's this old guy
1:43:48
playing it on this video? Oh,
1:43:50
that's Jackson Brown. Why happened to him?
1:43:52
So it's the same thing that happened
1:43:55
to you, dude. Okay. And
1:43:57
then I listened to it and I said, I never paid any
1:43:59
attention. the lyrics before. The lyrics
1:44:01
are great. Okay. And
1:44:04
I, you
1:44:06
know, looked at a bunch of different resources and
1:44:08
came up with this quote
1:44:10
from Jackson Brown himself about the song.
1:44:13
He says, my eye trouble was the
1:44:15
initial inspiration for the song's lyrics. But
1:44:17
as I wrote them, the eye issue
1:44:19
became a metaphor for lost innocence and
1:44:22
for having seen too much. Quote, Doctor,
1:44:25
my eyes have seen the years
1:44:27
and the slow parade of fears
1:44:29
without crying. Now I want to
1:44:31
understand. So I, I put
1:44:33
a link to the lyrics independently here. I encourage
1:44:35
you to have a look, but I've watched this
1:44:38
thing about a thousand times because all
1:44:40
of that aside, it's a terrific musical
1:44:42
piece. They got a guy in here from
1:44:45
Chennai, India. Okay. Playing
1:44:47
a rock sitar. Okay.
1:44:50
They got terrific percussion. They
1:44:53
got a Japanese dude who plays an
1:44:55
amazing guitar rift, rift
1:44:57
in it. And it's just a delightful
1:44:59
piece. So have fun. The Indian guy
1:45:02
with the, I think the instrument is
1:45:04
called a Vina. Okay.
1:45:07
He and the woman from California who does
1:45:09
one of the verses who just has an
1:45:11
amazing voice. Amazing voice. They were the big
1:45:13
stars, but everybody in this video is great.
1:45:15
Yeah. It's just really well done. I
1:45:18
really needed this because I spent too
1:45:20
much time on the news, you
1:45:22
know, and I forget, you
1:45:25
tend to forget
1:45:27
that there are beautiful things. Yeah.
1:45:30
But you want to leave now since it's 10 of.
1:45:32
Thank you. I will. Okay. And
1:45:34
I left a little comment in the
1:45:37
chat. Okay. Rich Condit, emeritus
1:45:39
professor, University of Florida Gainesville. Thank
1:45:41
you, Rich. Thanks. Always
1:45:43
a good time. Alan, what do you have for us?
1:45:46
I have, I think I
1:45:49
may have picked this last year, but
1:45:51
it's been another year and the World
1:45:53
Health Organization has concluded its Health For
1:45:55
All Film Festival again. And I've
1:45:58
linked to the page where they basically
1:48:00
is looking at new ways to
1:48:03
portray data. First is a population
1:48:05
dot map of New York City.
1:48:08
Basically, we know
1:48:10
how many people live in blocks
1:48:12
in New York. So he converted it into a dot
1:48:15
map and he has a figure here where you can
1:48:17
just see the whole of New York City, same million
1:48:19
people. You see where most people live, where
1:48:21
it's densest, where it's lightest, and
1:48:24
Staten Island is the least populated
1:48:26
apparently. Just a really cool
1:48:28
way to look at
1:48:30
it and you can blow it up. There's
1:48:32
a high resolution version that you can blow
1:48:34
up and look at. He
1:48:37
also has race and
1:48:39
ethnicity in New
1:48:41
York. Although I think you should
1:48:43
take the race part out because there's
1:48:47
no race, right? It's not a meaningful
1:48:49
measure. Not a meaningful measure. It's just
1:48:51
ethnicity in New York City. Again, different
1:48:53
ethnicities looking
1:48:59
in New York City and he made a dot map at
1:49:01
it. I think it's really cool to see where
1:49:04
people are living. These are neat.
1:49:06
I'm not familiar with New York City. I
1:49:09
can't tell parts of town, but
1:49:11
it's really striking because the colors
1:49:14
are quite separated in most of
1:49:16
the areas. We
1:49:18
have two listener picks. One is from
1:49:20
David. Blows a humble offering that might
1:49:22
temporarily take your minds off the dysfunctional
1:49:24
state of the US government. Sent
1:49:27
to me by a friend, this
1:49:29
video covers a unique map clock
1:49:31
configuration I'd never seen before and
1:49:33
reveals the fascinating inner mechanical workings
1:49:35
involved. Even if you
1:49:37
do not choose to use this in an
1:49:39
upcoming episode, I would encourage you to take
1:49:42
a look. Really an amazing piece of
1:49:44
science and engineering. The greatest
1:49:46
clock and map ever
1:49:49
made. Oh, this is
1:49:51
a geochron. It's a
1:49:53
teardown of a geochron. Oh, that's awesome.
1:49:58
Peter writes,
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