Placeholder Image

Subtitles section Play video

  • In 2000, a company called ViroPharma ran clinical trials of pleconaril, a new pill designed to treat the common cold.

  • In many patients, the pill helped.

  • But in seven of them, just a few days into the treatment, researchers found mutated virus variants that were almost completely resistant to pleconaril.

  • The viruses are always mutating, but this one mutated so quickly that it managed to outmaneuver years of research and development in just a few days.

  • If you didn't have an immune system and caught a cold, the infection would quickly spread deep into your lungs.

  • Rampant viral replication would destroy tissue there, until your lungs couldn't supply your body with enough oxygen and you'd asphyxiate.

  • Unfortunately, for millions of people around the world who live with a less-than-fully-functional immune system or who are on immunosuppressant drugs, this is a real risk,

  • quote unquote "minor" infections can turn serious or even deadly.

  • But if you're fortunate enough to have a fully functional immune system, a cold will probably give you a few relatively mild symptoms.

  • On average, adults catch more than 150 colds throughout their lives.

  • And despite the fact that the symptoms are similar, the cause could be different each time.

  • Common colds are caused by at least eight different families of virus, each of which can have its own species and subtypes.

  • How can so many different viruses cause the same illness?

  • Well, viruses can only invade our bodies in a few ways, one is to come in on a breath,

  • and we have to breathe, so our immune system sets up a bunch of frontline defenses and these are actually what produce many of the symptoms of a cold.

  • Your mucusy, dripping nose is your immune system trapping and flushing out virus.

  • Your fever is your immune system raising your body temperature to slow down viral replication.

  • And your inflamed, well, everything, that's your immune system widening your blood vessels and recruiting its white blood cell army to help kill the virus.

  • So, if the common cold is caused by many different viruses, is a cure even possible?

  • Here's one fact in our favor: a single family of viruses causes 30 to 50% of all colds: rhinovirus.

  • If we could eliminate all rhinovirus infections, we'd be a long way towards curing the common cold.

  • There are two main ways to fight a virus: vaccines and antiviral drugs.

  • The first attempt to create a rhinovirus vaccine was a success, but a short-lived one.

  • In 1957, William Price vaccinated 50 kids with inactivated rhinovirus and gave 50 others a placebo.

  • Soon afterwards, a rhinovirus outbreak spread throughout the kids.

  • In the vaccinated group, only three got sick.

  • In the placebo group, 23 didalmost eight times as many.

  • And despite the small numbers, this was promising.

  • The immune systems of vaccinated kids were successfully recognizing and responding to rhinovirus.

  • But later trials of the vaccine showed no protection at all, none.

  • This wasn't Price's fault. No one at the time knew that rhinovirus had multiple subtypes.

  • Price's vaccine, for reasons we don't fully understand, didn't provide broad protection,

  • meaning it was only effective against one or maybe a few subtypes of rhinovirusout of 169 subtypes and counting.

  • Sometimes, when we make a vaccine, we get lucky.

  • The mRNA COVID vaccines, for example, effectively protect us against severe disease and death across the original virus and variants too.

  • But we have yet to create a broadly protective vaccine against rhinovirus, or any other virus that causes the common cold.

  • Okay, what about antiviral drugs?

  • Viruses hijack human cellular machinery to replicate and spread, so it's hard to make a molecule that's toxic to the virus without also being toxic to the human.

  • And even if you manage to do that, the virus could mutate out of reach of the drug.

  • Viruses are slippery beasts.

  • We have, though, had some incredible successes.

  • We eradicated smallpox thanks to an effective vaccine, the fact that it can't hide out in other species, and its relatively low mutation rate.

  • HIV, on the other hand, mutates so quickly that in an untreated individual, every possible single-letter mutation in the virus's genetic code could, in theory, be produced in a single day.

  • Despite trying for decades, we still don't have a vaccine.

  • But we do have an effective cocktail of HIV drugs that the virus can't easily mutate away from.

  • Unfortunately, we are stuck with colds for now.

  • But the last few decades have featured some entirely game-changing medical breakthroughs, like mRNA vaccines and CRISPR.

  • CRISPR could be particularly promising as an antiviral agent, because it originally evolved in bacteria as an immune defense against viruses.

  • In fact, early in the COVID-19 pandemic, a research team showed that a CRISPR system could degrade coronavirus and influenza genomes in our lung cells.

  • They called their system prophylactic antiviral CRISPR in human cells, or, for short, PAC-MAN.

In 2000, a company called ViroPharma ran clinical trials of pleconaril, a new pill designed to treat the common cold.

Subtitles and vocabulary

Click the word to look it up Click the word to find further inforamtion about it