-
(单词翻译:双击或拖选)
STEVE INSKEEP, HOST:
Scientists think they have a way to fight infections when antibiotics2 fail. Doctors report increasing danger from drug-resistant3 infections, and they're hoping a gene4 editing technique offers a solution. The technique known as CRISPR may help to create super predators5 to go after superbugs. Here's NPR health correspondent Rob Stein.
ROB STEIN, BYLINE6: Superbugs are bacteria that can beat modern medicine's most powerful weapons - antibiotics. So doctors are racing7 to find new ways to fight back, doctors like Michael Priebe at the VA Medical Center in Augusta, Ga.
MICHAEL PRIEBE: Morning, Mr. Evans.
ALPHONSO EVANS: How are you doing, Dr. Priebe?
PRIEBE: All right. How are you?
EVANS: Fine, fine.
STEIN: That's where I met Dr. Priebe and one of his patients, Alphonso Evans.
PRIEBE: You look good this morning.
EVANS: Thank you. I feel good, too.
STEIN: Evans is a retired8 Army master sergeant9. He's paralyzed from the chest down, but not from his service overseas.
EVANS: That's what's ironic10 - 25 years in the Army and never got injured. I was in Vietnam, and I was in Korea. My first tour in Germany, Baader–Meinhof Gang was blowing up things around where I was stationed - nothing. Two days before retirement11, I was driving down the street; this kid was shooting at cars, and he shot me through the back.
STEIN: That was in Wichita, Kan. Ever since, Evans - who's 67 - has been struggling with lots of medical problems. Two years ago, he went to the VA for what he thought was just another bladder infection and ended up in intensive care.
EVANS: I went to ICU and had to be invaded (ph). Yeah.
STEIN: Wow. That's terrifying.
EVANS: Yes, sir. Yes, sir. It - I thought - it scared me, and I don't scare easy.
STEIN: Now, it's unclear exactly why Evans got so sick - turns out he had a bone infection, too, then got pneumonia12 - and he's doing well now. But urinary tract13 infections are a huge problem for paralyzed people like Evans, and Dr. Priebe says those infections are getting harder and harder to cure.
PRIEBE: We are getting to the point where there are organisms that are resistant to every known antibiotic1. My fear is that as we are in this arms race, there gets to a point where we are not able to keep up with the enemy, the resistant bacteria. The superbugs take over, and we have nothing to defend against it.
STEIN: So Priebe is leading the first attempt to test an entirely14 new way to fight superbugs - a new kind of antibiotic, a living antibiotic, made out of live viruses that have been genetically15 modified using the gene editing tool CRISPR.
PRIEBE: If we're successful with this, this revolutionizes the treatment of infections in the world today. This can be the game-changer that takes us out of this arms race with the resistant bacteria and allows us to use a totally different mechanism16 to fight the pathogenic bacteria that are infecting us.
Good morning, sir.
RICKY MCNEIL: Good morning, sir.
PRIEBE: How are you today?
MCNEIL: I'm good. How are you doing?
STEIN: In another part of the hospital, I meet another paralyzed vet17, Ricky McNeil (ph). He's also been plagued by antibiotic-resistant bladder infections. Dr. Priebe and one of his colleagues, Chris Myers, are explaining the studies they're launching to test this new kind of antibiotic.
CHRIS MYERS: The study sponsor is Locus18 Bioscience (ph), and this company is going to use what's called a - it's a bacterial19 phage, which is a type of virus that attacks specific types of bacteria.
MCNEIL: Yes, sir.
STEIN: Bacteriophages are the natural enemies of bacteria. The scientists are trying to turn them into superbug killers20 by using CRISPR to hijack21 the bacteria's own immune systems, which is where scientists discovered CRISPR in the first place, and turn that against the bacteria to literally22 shred23 their DNA24.
PRIEBE: What CRISPR is able to do is something that we've not been able to do before, and that is very selectively modify genes25 to target the bacteria. This provides us with a new weapon that we can target against the enemy.
MCNEIL: OK.
STEIN: The company sponsoring the study is one of several trying to use CRISPR like this - to fight lots of health problems by targeting only bad bacteria in the body and leaving the good ones alone. Stephanie Straftey (ph) is at the University of California, San Diego.
STEPHANIE STRAFTEY: Well, I think it's really exciting because we've been using antibiotics, which really have a scorched-earth approach to the treatment of infections. So they don't just kill the bacteria that we want to kill; they kill friendly bacteria in our microbiome, as well.
STEIN: The microbiome is the trillions of friendly microbes that inhabit the human body.
STRAFTEY: The potential is to groom26 the microbiome to weed out unhealthy bacteria and to promote the growth of healthy bacteria in our microbiome.
STEIN: Other scientists agree the approach is promising27, especially given the threat posed by superbugs. Graham Hatfull studies bacteriophages at the University of Pittsburgh.
GRAHAM HATFULL: So I think it's a really intriguing28 approach. It's kind of a smart approach.
STEIN: But Hatfull worries not enough research has been done first to really understand bacteriophages, known as phages for short.
HATFULL: In some sense, using engineered phages is going to be a bit like running before you can walk; it's hard to improve something without knowing about how the thing you're trying to improve works.
STEIN: There's always a chance it could backfire.
HATFULL: The concern is, is that you could essentially29 end up converting harmless bacteria into potentially dangerous ones.
STEIN: Dr. Priebe acknowledges there could be dangers; that's why the first tests are aimed primarily at making sure CRISPR-modified phages are safe.
PRIEBE: We have to take things slowly. We don't know how things are going to evolve.
STEIN: But one of the vets30 we met at the beginning of this story, Alphonso Evans, is ready to volunteer. I caught up with him again at the VA hospital gym, where he was lifting weights from his wheelchair.
EVANS: ...Eighteen, 19, 20.
I'm not so much worried about dying from a heart attack or diabetes31 because I'm active. I know what I need to do to work against it - you know, watch what I eat, exercise. But what do I do about an infection or fighting off a bacteria, something inside me that I don't see until it's too late? Just the fact that the research is going on gives us hope.
STEIN: Later this year, Priebe and his colleagues plan to start infusing billions of phage viruses that have been genetically modified with CRISPR into patients like Evans.
Rob Stein, NPR News, Augusta, Ga.
(SOUNDBITE OF RIVAL CONSOLES' "RECOVERY")
1 antibiotic | |
adj.抗菌的;n.抗生素 | |
参考例句: |
|
|
2 antibiotics | |
n.(用作复数)抗生素;(用作单数)抗生物质的研究;抗生素,抗菌素( antibiotic的名词复数 ) | |
参考例句: |
|
|
3 resistant | |
adj.(to)抵抗的,有抵抗力的 | |
参考例句: |
|
|
4 gene | |
n.遗传因子,基因 | |
参考例句: |
|
|
5 predators | |
n.食肉动物( predator的名词复数 );奴役他人者(尤指在财务或性关系方面) | |
参考例句: |
|
|
6 byline | |
n.署名;v.署名 | |
参考例句: |
|
|
7 racing | |
n.竞赛,赛马;adj.竞赛用的,赛马用的 | |
参考例句: |
|
|
8 retired | |
adj.隐退的,退休的,退役的 | |
参考例句: |
|
|
9 sergeant | |
n.警官,中士 | |
参考例句: |
|
|
10 ironic | |
adj.讽刺的,有讽刺意味的,出乎意料的 | |
参考例句: |
|
|
11 retirement | |
n.退休,退职 | |
参考例句: |
|
|
12 pneumonia | |
n.肺炎 | |
参考例句: |
|
|
13 tract | |
n.传单,小册子,大片(土地或森林) | |
参考例句: |
|
|
14 entirely | |
ad.全部地,完整地;完全地,彻底地 | |
参考例句: |
|
|
15 genetically | |
adv.遗传上 | |
参考例句: |
|
|
16 mechanism | |
n.机械装置;机构,结构 | |
参考例句: |
|
|
17 vet | |
n.兽医,退役军人;vt.检查 | |
参考例句: |
|
|
18 locus | |
n.中心 | |
参考例句: |
|
|
19 bacterial | |
a.细菌的 | |
参考例句: |
|
|
20 killers | |
凶手( killer的名词复数 ); 消灭…者; 致命物; 极难的事 | |
参考例句: |
|
|
21 hijack | |
v.劫持,劫机,拦路抢劫 | |
参考例句: |
|
|
22 literally | |
adv.照字面意义,逐字地;确实 | |
参考例句: |
|
|
23 shred | |
v.撕成碎片,变成碎片;n.碎布条,细片,些少 | |
参考例句: |
|
|
24 DNA | |
(缩)deoxyribonucleic acid 脱氧核糖核酸 | |
参考例句: |
|
|
25 genes | |
n.基因( gene的名词复数 ) | |
参考例句: |
|
|
26 groom | |
vt.给(马、狗等)梳毛,照料,使...整洁 | |
参考例句: |
|
|
27 promising | |
adj.有希望的,有前途的 | |
参考例句: |
|
|
28 intriguing | |
adj.有趣的;迷人的v.搞阴谋诡计(intrigue的现在分词);激起…的好奇心 | |
参考例句: |
|
|
29 essentially | |
adv.本质上,实质上,基本上 | |
参考例句: |
|
|
30 vets | |
abbr.veterans (复数)老手,退伍军人;veterinaries (复数)兽医n.兽医( vet的名词复数 );老兵;退伍军人;兽医诊所v.审查(某人过去的记录、资格等)( vet的第三人称单数 );调查;检查;诊疗 | |
参考例句: |
|
|
31 diabetes | |
n.糖尿病 | |
参考例句: |
|
|