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保护你的不是疫苗,而是你自己!

保护你的不是疫苗,而是你自己!

保护你的不是疫苗,而是你自己!

发布于 2026-09-14 · 时长 18:04

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时间英文中文
0:05Now, many of the people watching this talk by now很多人现在都看这个演讲了
0:07will have had one, two, three or even four doses of a messenger RNA vaccine.会有1,2,3甚至4剂送信RNA疫苗.
0:15With billions of these shots now in arms,带着数十亿的子弹,现在在怀里,
0:17it's clear that this new way of making vaccines很明显,这种新的疫苗生产方式
0:20is both remarkably safe and incredibly effective.既安全又有效
0:24But did you know it's not the vaccine itself that's keeping you safe?但你知道不是疫苗本身让你安全的吗?
0:29It's actually you.其实是你
0:32Because the human body has a major role in making vaccines因为人体在生产疫苗方面起着重要作用
0:33amazing powers to both prevent and cure disease预防和治愈疾病的神奇力量
0:37by making its own medicines.通过自己制造药物。
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序号英文中文
1Now, many of the people watching this talk by now很多人现在都看这个演讲了
2will have had one, two, three or even four doses of a messenger RNA vaccine.会有1,2,3甚至4剂送信RNA疫苗.
3With billions of these shots now in arms,带着数十亿的子弹,现在在怀里,
4it's clear that this new way of making vaccines很明显,这种新的疫苗生产方式
5is both remarkably safe and incredibly effective.既安全又有效
6But did you know it's not the vaccine itself that's keeping you safe?但你知道不是疫苗本身让你安全的吗?
7It's actually you.其实是你
8Because the human body has a major role in making vaccines因为人体在生产疫苗方面起着重要作用
9amazing powers to both prevent and cure disease预防和治愈疾病的神奇力量
10by making its own medicines.通过自己制造药物。
11You just need to know what medicine to make.你只需要知道什么是药
12And that's what your vaccine gave you,这就是你的疫苗给你的
13simply a set of instructions for how to protect yourself against SARS-CoV-2.只是一套如何保护自己免受SARS-CoV-2袭击的指示.
14Now, vaccines are only the beginning.现在,疫苗只是开始。
15As said before,如前所说.
16the advent of mRNA vaccines is heralding inmRNA疫苗的出现预示着
17an entirely new era of medicines.一个全新的医药时代。
18mRNAs give us the ability to not only prevent disease,mRNA让我们有能力 不仅预防疾病,
19but also treat previously intractable disorders.同时也治疗以前棘手的疾病。
20But before I get to that,但在此之前,我得到了这一点,
21let's talk about really what is this new way of medicines really about.让我们来谈谈真正是什么 新的药物方式真正的。
22Well, it all comes down to proteins.嗯,这一切都是蛋白质。
23Now, you may think of protein as simply something that you need to eat,现在,你可能认为蛋白质 只是一些你需要吃的东西,
24an important part of your diet,饮食的重要部分,
25something that's important for you to build muscle.对你建立肌肉很重要的东西
26But it's not just muscle that contains protein.但不只是肌肉含有蛋白质.
27Protein makes up a huge fraction蛋白质的分量很大
28of the incredibly complicated ecosystem that's your entire body.极其复杂的生态系统 是你的整个身体。
29In many ways, your body functions like a large city在很多方面,你的身体像一个大城市一样运转
30full of myriad buildings, interconnected buildings,满是无数的建筑物,相互连接的建筑物,
31with lots of different structures.有很多不同的结构
32Now, just as the word building fails to capture现在,正如字形建筑无法捕捉
33the incredible variety of structures that make up any large city,组成任何大城市的 各种结构
34the generic term protein gives no clue普通术语蛋白没有线索
35as to the incredible variety of molecular architectures关于不可思议的分子结构
36at the molecular level.在分子层面。
37Like buildings, proteins are not monolithic.与建筑一样,蛋白质并非单质.
38Our body makes many proteins,我们的身体制造了很多蛋白质
39some like the collagen in our skin that makes our skin tough一些像我们皮肤中的 col 使我们皮肤坚硬
40but pliable,却是可口的,
41like the actin and myosin in our muscles that enable us to move,就像肌肉中的动作和肌髓 使我们能移动
42or our blood is full of hemoglobin ferrying oxygen around,或者我们的血液充满血红蛋白 轮渡氧气周围,
43antibodies protecting us from disease抗体保护我们免受疾病伤害
44and clotting factors that close up our wounds.以及凝结我们伤口的凝血因素
45And for any of you that have ever cracked a biochemistry textbook,而对于你们中曾经破解过生物化学教科书的任何人,
46this should look familiar.这看起来很眼熟
47This is the metabolic chart of the human body.这是人体的代谢图.
48These are all of the reactions in your body这些都是你体内的反应
49that are keeping you alive and well right now.让你活得好好的
50And each one of those reactions is catalyzed by a different protein每个反应都由不同的蛋白质催化
51whose names are shown here in blue.名字以蓝色显示
52So proteins are not only what make up the bulk of your body,所以蛋白质不仅是你身体的大部分
53they're also what make your body tick and keep you well.也让你的身体好起来
54Now, if we think again about buildings,现在,如果我们再想想建筑物,
55the structures of buildings may look quite different in the end,建筑物的结构最终可能看起来很不一样,
56but they're all made of a limited set of building materials.但它们都是用有限的建筑材料制成的.
57And how those building materials,以及那些建筑材料,
58which of those building materials are used,其中哪些建筑材料被使用,
59and how they're arranged,和如何安排他们,
60and how they're attached to one another以及他们如何彼此依附
61gives the buildings their final form.给建筑物最后的形式。
62The same is true of proteins.蛋白质也是如此.
63If we zoom down to the molecular level,如果我们放大到分子水平,
64we can see that proteins,我们可以看到蛋白质,
65if we unravel their three-dimensional architecture,如果我们打破他们的三维结构
66are actually just long strings of building blocks.其实只是长串的构件。
67And these building blocks have different shapes这些构件有不同的形状
68and different propensities to interact with one another.和各种互相交流的倾向。
69So it's which building blocks are used所以是用哪个构件
70and the order in which they are in the chain和他们被枷锁的顺序,
71that gives a protein its three-dimensional shape.它会给蛋白质三维形状
72Now, here I'm only showing three proteins.现在,我只展示三个蛋白质。
73But creating and maintaining a healthy human但创造和维持一个健康的人类
74requires the combined action需要综合行动
75of over 100,000 different types of protein.超过10万种不同的蛋白质
76And our bodies make them all.和我们的身体让他们全部。
77Thus, our bodies are remarkable protein factories.因此,我们的身体是显著的蛋白质工厂。
78At the molecular level, the numbers are truly mind-blowing.在分子层面,数字是真正令人心碎的。
79Each of the 30 trillion cells in your body,你体内的30万亿细胞
80that's three with 13 zeros,这是三加13零,
81contains between one and 10 billion protein molecules.含有10亿至100亿个蛋白质分子。
82That means that you have as many protein molecules in your body这意味着你体内有同样多的蛋白质分子
83as there are stars in the known universe.因为已知宇宙中有星星
84Now, each different cell type in your body现在,你体内的每个不同的细胞类型
85makes a different kind of protein, a different set of proteins,制造不同的蛋白质 不同的蛋白质
86like the rods and cones in my eye that are detecting light right now就像我眼中的棒子和锥子 正在探测光线
87and the neurons in my brain that are interpreting that light和大脑中的神经元 解释那光
88and enabling me to see you right now.让我现在能见到你
89So they make a particular set of proteins unique to it.因此它们制造出一组独特的蛋白质.
90And like any complex building project,像任何复杂的建筑项目,
91you can imagine that the process of protein synthesis你可以想象蛋白质合成的过程
92needs to be tightly regulated需要严格管理
93so that the right protein is made at the right time and in the right place.因此,正确的蛋白质是在正确的时间和地点制造的.
94But of course, with anything so complicated,但当然,有这么复杂的事
95it's perhaps not surprising that there's an occasional mistake,偶尔出错也许并不奇怪
96a fault in the algorithm.算法中的一个错误。
97Let's go back to that metabolic chart.让我们回到新陈代谢表。
98It's estimated that one in a thousand newborns估计千分之一的新生儿
99are born without the ability to make one of the proteins on this chart.生来就没有能力在这个图表上 制作蛋白质之一。
100Therefore, they have lifelong complications因此,他们有终生并发症
101due to inborn metabolic errors.由于出生代谢错误。
102Let's take just one of those.让我们只拿一个。
103Let's talk about von Gehrke's disease or glycogen storage disease one.我们来谈谈冯·盖尔克的病 或甘油储存病 1。
104This is due to the lack of a protein circled here in red这是因为这里缺乏红色的蛋白质
105whose job it is to release stored sugars谁的工作是释放储存的糖
106so that you can maintain a healthy blood sugar level while you're fasting.这样就可以在禁食时保持健康的血糖水平.
107So von Gehrke's disease patients can't fast.因此冯·盖尔克的疾病患者无法斋戒.
108They must constantly eat small amounts of carbohydrates,他们必须不断吃少量的碳水化合物,
109including getting up every one or two hours during the night包括晚上每一两小时起床一次
110to eat raw cornstarch.吃生玉米片。
111Now, imagine the toll that this takes on parents.现在,想象一下这给父母带来的损失。
112If they are ever to miss a feeding of their child,如果他们错过了孩子的喂养
113their child could slip into severe hypoglycemia, seizures,他们的孩子可能会患上严重的低血糖症 癫痫
114and possibly death.可能还有死亡
115But even if these patients can keep up this endless feeding cycle,但是,即使这些病人可以保持 这个无尽的喂养周期,
116they are plagued by lifelong complications,他们受到终生并发症的困扰,
117including delayed puberty, frequent infections,包括发育迟缓、频繁感染、
118kidney disease and liver cancer.肾病与肝癌.
119So von Gehrke's disease is just one example of a disorderVon Gehrke的病只是 混乱的一个例子
120where we know what protein is missing.我们知道什么蛋白质不见了
121What if we could give those patients back the ability如果我们能让那些病人恢复能力
122to make that missing protein?做那个缺失的蛋白质?
123Then we could actually treat their disease然后我们就能治疗他们的疾病
124instead of just managing their symptoms.而不是仅仅控制他们的症状。
125And that's where mRNA comes in.这就是mRNA进入的地方.
126It's also where I come in.也是我进来的地方
127You see, I spent the better part of my career as an academic你看,我花了更好的 职业生涯作为一个学术
128doing curiosity-based research基于好奇心的研究
129into the fundamental principles of how proteins are made.进入如何制造蛋白质的基本原则。
130And my specialty was messenger RNA.我的专长是信使RNA.
131Like proteins, messenger RNAs are long, chain-like molecules与蛋白质一样,信使RNA是长的,链状的分子.
132composed of building blocks.由构件组成。
133The four building blocks that make up messenger RNAs组成信使RNA的四个构件
134form what is known as the genetic code.形成所谓的基因密码。
135As their name implies, messenger RNAs carry messages,正如他们的名字所暗示的 信使RNA携带信息,
136messages that are translated by your body由身体翻译的讯息
137in order to create proteins.为了创造蛋白质。
138Thus, messenger RNAs are the language of life.因此,信使RNA是生命的语言.
139And the human body has a lot to say.而人之体有大乘论.
140So, like proteins,所以,像蛋白质,
141your cells are chock-full of messenger RNA.你的细胞充满信使RNA
142Every one of your 30 trillion cells你30万亿细胞中的每一个
143has hundreds of thousands of messenger RNA molecules.拥有数十万个信使RNA分子.
144Messenger RNAs are an essential component of all living organisms.信使RNA是所有生物体的基本组成部分.
145So when you are eating protein-rich foods,所以当你吃富含蛋白质的食物时
146you're not only eating protein,你不只是吃蛋白质,
147you're also eating lots of messenger RNA.你也吃了很多信使RNA。
148Your body takes the messenger RNA in the food that you consumed,你的身体把信使RNA 在你消费的食物中,
149breaks it down into those component parts,分解成这些组成部分,
150and then builds new messenger RNAs specific to your needs.然后根据您的需要建立新的信使RNA。
151Now, this continual destruction and rebuilding现在,这种持续的破坏和重建
152is a feature, true, of almost all proteins and messenger RNAs in your body.这是你体内几乎所有蛋白质和信使RNA的特征,没错。
153Let's take, for example, the circadian clock.举个例子吧 圆形时钟
154This is the timer in your body这是你体内的计时器
155that tells you when to be active and when to sleep.告诉你什么时候要活动 什么时候要睡觉
156The proteins that make up this clock组成这个钟的蛋白质
157appear and disappear with remarkable regularity every day.每天经常出现和消失
158The way that this is accomplished实现这一点的方式
159is that your body makes the messenger RNAs你的身体使信使RNAs
160that encode those proteins appear and disappear every day.编码这些蛋白质 每天出现并消失。
161Every day for your entire life,你一生的每一天
162you get your daily dose of clock messenger RNAs你每天得到时钟信使RNA
163producing clock proteins.生产时钟蛋白.
164Now, three properties of proper medicines现在,适当的药物有三个特性
165are that their effects are of limited duration,其影响是限期的,
166that their effects are dose-dependent影响取决于剂量
167and that they can be given over and over again并且他们可以被一次又一次地给予
168to produce the same effect.产生同样的效果。
169mRNAs是瞬态的.
170The amount of protein produced蛋白质生产量
171is dependent on how much of that mRNA is present,取决于这个mRNA有多少存在,
172and they can be induced over and over again他们可以被反复诱导
173to produce the same effect.产生同样的效果。
174So, wow, it seems so simple.所以,哇,看起来很简单。
175If we could treat a disease,如果我们能治疗疾病
176if there's a protein that's missing to treat a disease,如果有一个蛋白质缺失 治疗疾病,
177then we could simply give a few copies of an mRNA to the body然后我们就可以给身体一些mRNA的拷贝
178for it to produce that protein.让它产生蛋白质。
179If that protein is only needed once,如果只需要一次蛋白质的话
180then maybe a single dose would suffice.也许一剂就够了
181If a protein is needed multiple times,如果一个蛋白质需要多次
182then we can dose mRNA over and over again.然后我们就可以一次又一次地给mRNA下药.
183And that's exactly what's happening.然此正显.
184So when I went on clinicaltrials.gov this morning,所以,当我去临床审判. gov今天上午,
185it turns out that there are over 175 clinical trials now open原来现在有超过175个临床试验
186using mRNA-based medicines.使用基于mRNA的药物。
187That are recruiting patients.这是招募病人。
188Another 54 clinical trials are waiting in the rings,另有54个临床试验在环中等待,
189ready to be opened.准备打开
190So there is a coming tsunami of mRNA medicines.所以mRNA药物的海啸即将来临。
191Last year, Moderna and AstraZeneca去年,现代和阿斯特拉泽内卡
192reported positive results from a clinical trial报告临床试验的积极成果
193where patients who, during open-heart surgery,在心脏外科手术中
194were dosed with messenger RNA injected directly into their heart muscles用信使注射RNA 直接注入心脏肌肉
195that told their heart muscles to grow new blood vessels让他们的心脏肌肉长出新的血管
196in order to get around clogged arteries.为了绕过堵塞的动脉
197In other clinical trials,在其他临床试验中,
198we are repeatedly dosing patients with inborn metabolic errors我们屡次给病人做新生儿代谢错误
199to treat their metabolic disease.治疗他们的代谢疾病。
200In fact, one of those clinical trials that's currently recruiting patients事实上,其中一个临床试验 正在招募病人
201is for Von Gerke's disease.是冯·格克的病
202And for cancer patients,对于癌症患者,
203we're creating personalized cancer vaccines.我们正在创造个性化的癌症疫苗。
204These vaccines are meant to train their bodies,这些疫苗是为了训练他们的身体,
205their immune systems to attack their cancers.他们的免疫系统可以攻击他们的癌症
206These are truly personalized medicines,这些都是个性化的药
207one vaccine for one person.一个疫苗一个人。
208Now, for personalized cancer vaccines to be the most effective,现在,为了个人化的癌症疫苗是最有效的,
209we need to get them made and back to the patient as quickly as possible.我们需要把它们制作好 尽快回到病人身边
210We aim for a turnaround time of 45 days.我们的目标是45天的周转时间。
211By January of 2020,到2020年1月时,
212we had already manufactured,我们已经制造了
213quality-controlled and delivered to several dozen patients质量控制并交付给数十名病人
214personalized cancer vaccines.个性化癌症疫苗.
215So we had the know-how and the capacity所以,我们有 诀窍和能力
216to manufacture vaccines quickly.迅速生产疫苗。
217Thus, when the sequence of the SARS-CoV-2 virus因此,当SARS-CoV-2病毒的序列
218was posted to a public web server on January 10, 2020,于2020年1月10日发布在公共网络服务器上,
219we got immediately to work.我们马上要上班了
220Within two days, we had agreed with our collaborators at NIH两天之内,我们同意了 在NIH的合作者
221on exactly which form of the spike protein to put in our vaccine.确切地说,是哪一种螺旋状蛋白 投入我们的疫苗。
222Because we had done so so many times before,因为我们以前做过这么多次,
223it then took our mRNA design team just one hour然后我们MRNA设计组花了一小时
224用于设计 mRNA
225that we immediately put onto我们立即投入
226our manufacturing equipment.我们的制造设备。
227We were then able to make that RNA,之后,我们完成了RNA,
228get it quality-controlled,得到它的质量控制,
229fill, finish and ship it off to NIH for the clinical trial in 45 days.填满 完成 并在45天内送去NIH进行临床试验
230Now, what I find truly remarkable现在,我发现真正的非凡
231is that that mRNA sequence that took us one hour to design是那个mRNA序列 花了我们一个小时设计
232is the same mRNA sequence that went into your arms,是那些进入你怀抱的mRNA序列
233that ended up in spike vacs,最终在悬空,
234our now fully approved vaccine.我们的疫苗已经完全批准
235One hour to design a medicine that has saved countless lives.一个小时来设计一种拯救无数生命的药物.
236It still gives me goosebumps every time I talk about it.每次我说起它,我还是会吃鹅肉
237So what does the future hold?那么未来会是什么?
238Well, I've already told you about regenerative medicine嗯,我已经告诉你 关于再生医学
239and personalized cancer vaccines.和个性化的癌症疫苗。
240For cancer patients, we can also send in,对于癌症患者,我们也可以送入,
241by directly injecting messenger RNA into their tumors,通过直接将信使RNA注射到他们的肿瘤中,
242we can send in instructions telling the tumor cells to self-destruct我们可以通知肿瘤细胞自毁
243or having the tumor cells send out signals to the immune system或让肿瘤细胞向免疫系统发出信号
244to beckoning the immune system to attack.请求免疫系统发动攻击
245For patients with autoimmune disorders,对于自体免疫障碍患者,
246we can send in signals that tamp down their overactive immune systems.我们可以发出信号 压低他们的过度活性免疫系统
247And we and others are rapidly making many more messenger RNA vaccines.我们和其他人正在迅速生产更多的RNA疫苗。
248Because messenger RNA vaccines can reproduce so quickly and rapidly,因为信使RNA疫苗可以如此快速地繁殖,
249they're really well suited for newly emerging diseases,它们非常适合新的疾病,
250as well as other viruses like the flu,还有流感等其他病毒
251where new variants come out every year and the vaccines need to be updated.需要更新疫苗。
252But one of the exciting things about mRNA medicines但是关于mRNA药物的令人兴奋的事情之一
253is we're not limited to sending in the instructions for one protein at a time.我们不限于一次发出一个蛋白质的指令。
254mRNA medicines can be easily multiplexed.mRNA药物可以容易地多倍化.
255Therefore, we're working on a combination vaccine因此,我们正在研究一种混合疫苗
256for COVID, flu and respiratory syncytial virus, or RSV,COVID、流感和呼吸道同步病毒,或RSV,
257all leading causes of hospitalization and death in the elderly.所有导致老年人住院和死亡的主要原因。
258And we're hoping that this will then be an annual booster我们希望这将成为年度助推器
259that you will get just like the flu vaccine.你会得到 就像流感疫苗。
260So finally, the very modest footprint终于,非常小的脚印
261of the manufacturing equipment for making messenger RNAs用于制造信使RNA的制造设备
262means that they can be made almost anywhere in the world.意味着它们几乎可以在世界上任何地方制造.
263And to take this to an extreme,为了达到极限
264the American Defense Department started a program in 2019,美国国防部于2019年启动了一个计划,
265and we're working with them,我们和他们一起工作
266to miniaturize the entire process使整个进程小型化
267so that it can be fit into a single shipping container以便装入一个单一的集装箱
268for rapid deployment anywhere in the world.迅速部署在世界任何地方。
269So to finish, I hope I've convinced you所以说完,我希望我说服了你
270that we have entered an entirely new era of medicine.我们进入了一个全新的医学时代。
271Having learned to speak the language of mRNA, the language of life,学会了说mRNA的语言,生命的语言,
272we can now use it to create medicines that are just for one person,我们现在可以用它来制造只适合一个人的药物,
273like a personalized cancer vaccine,就像个性化的癌症疫苗
274or can be rapidly produced and distributed to entire populations或可迅速生产并分发给全体人口
275像COVID-19疫苗一样
276And the best part?那最精彩的部分呢?
277The best part is we're simply tapping into your body's own ability最好的部分是 我们只是挖掘你的身体的能力
278to make its own medicines.做自己的药。
279Thank you.谢谢
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