IMMUNOL.OGY (Converted)
The BBC has some interesting science programs. I was in the middle of one when Lola
wanted to go shopping this morning. I made her wait till it was over. And when we
got back, I'm sitting down immediately to write you. Wish you had e-mail. If you
do, e-mail me a reply to this letter so I can put your address in our e-mail file. It's
so much easier just to write and send instead of write, print, address and envelope,
attach postage, and go to the corner to mail.
Anythehoo: the BBC program was about a new, still somewhat controversial theory of
immunity. As I understand it, the prevailing theory is that the fetus learns self/non-self
cell identity in the womb and that after birth everything that is "non-self" is attacked by the immune system.
A woman NIH immunology researcher (didn't get her name, but she'd been a professional
musician and then a Playboy Bunny before going back to school) wasn't satisfied with
the existing theory because she couldn't understand why the normal immune system
didn't attack dust particles breathed into the lungs and food absorbed through the walls
of the intestines. Watching bubbles pop in her bath one day, and later observing
how sheep sheer away from wolves, but allow sheep dogs to come close, the idea popped
into her mind that maybe the model was wrong and that we weren't programmed during the
fetal stage to distinguish self and non-self, She knew that when normal cell death
happens, dendritic cells merely shrivel, with all their inner constituent material
drying up. But when a virus or bacterium kills a cell, it explodes
and the inner stuff floods adjoining cells. She postulated that there is a previously
unrecognized organella in each cell that signals "danger", and that when released,
this triggers an alert to the immune system sending T-cells to the scene of attack.
Since at least in the early stages, cancer cells are live cells which cause no immediate
danger, there is no signal to the T-cells. She says rejection isn't automatic. It
is caused by the trauma of surgery which releases "wolf" danger signals from the
injured cells of the transplant material -- liver, heart, lungs, pancreas, etc.
Her work is supported, according to the BBC program, by the studies of an Australian
scientist who found he could transplant pancreases without rejection if they'd first
been immersed in an oxygen rich bath overnight. Initially he could find no reason
for this and his papers reporting it were rejected by journal after journal. It is
now thoght that the oxygen destroys the "wolf" organella released by the cells destroyed
by the surgery involved in removing the pancreas and then re-implanting it.
The BBC says there've been other confirmatory results. It seems that the initial
signal alert the T-cell, then a second signal directs the T-cell to migrate to the
site of the danger. They've learned to abort the second signal. As a result they've
succeeded in grafting skin from mouse to mouse without rejection. Indeed, someone has
just succeeded in an inter-species graft -- a rat heart into a mouse. And it survived
a normal lifetime. The next stage has been to inject killer bacteria into cancer
sites, causing cell destruction and release of "wolf" signals activating T-cells to
attack early cancer as an "enemy"
The program includedthe story of an Englishman with advanced skin cancer who is currently
being injected with a special variety of bacteria which migrate selectively to cancer
cells, killing them, and activating T-cell response. While it's too early to speak of a "cure", the guy is in remission.
Wow. What a story. I know there are "cancer cures" reported all the time. Always
prematurely. But I though I'd go to the horse's mouth to make sure you were abreast
of this new theory of immune reaction and to ask what you think of it.
One unresolved question which has occurred to me is, what about incompatible tissue
types and blood types. Doesn't that matter any more? Or are they separate issues?
Can you think of how alien blood may send "wolf" signals to the T-cells of the recipient. Blood cells don't rupture during transfusion -- or do they? Could circulating
oxygen through donor blood make it good for any recipient. This would sure help
solve the problem of finding compatible blood donors.
At any rate, the BBC story ended by showing an experiment where they'd succeeded in
an inter-species implant of a rat heart into a mouse without rejection. Think what
this might mean in terms of resolving the problem of insufficient human organs.
We could use gorilla hearts, or livers, or panreases. Young scientists are said to be ecstatic.
The new paradign answers many previously unresolved questins. Old-timers are said
to be more dubious.
Do get back to to me on this. I can hardly hold my breath for the rest of the story.
Hearty greetings from Lola to both you and Joyce.
As ever,
Dave Timmins
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