‘Translation’ – from mouse to human and back – the mantra and eternal quest of university medicine! Where else than in academic medical centers can you find all this under one roof: basic biomedical and clinical research, the patients necessary for clinical trials, government funding, as well as motivated and excellently trained personnel! ‘Translation’ is as old as academic medicine itself – but the term for it was only coined in the 1980s and since then it has adorned the websites and mission statements of all university hospitals worldwide. Translation has certainly been a model of success – just think of, treatment of chronic neurological disorders like epilepsy, Parkinson’or multiple sklerosis, therapies of some forms of cancer, or HIV. Continue reading
(Update August 2020)
On March 17th, just as many countries were taking draconian measures to contain the SARS-COV-2 pandemic, the Greek-American meta-researcher and epidemiologist John Ioannidis, whom I often quote in my posts proclaimed a “fiasco in the making‘! With strong language and a few ad hoc estimations of COVID fatality rates he warned that based on poor data or no evidence at all politicians might inflict incalculable damage on society, possibly much worse than what a virus, putatatively as dangerous as influenza, could cause. As one of the most highly cited researchers in the world and a vocal critic of quality problems in biomedicine, his COVID related interviews, opinion pieces and articles since then have received a great deal of attention, in the scientific community, in the lay press, and especially among his worldwide fan base. Continue reading
Research using animals is a sensitive issue. Anyone who does animal experiments, like myself, is reluctant to talk about it, at least outside our natural habitat, the laboratory or scientific conventions. Institutions where animal experiments are carried out are also quite shy about the topic. Recently, the Max Planck Society left Nikos Logothetis (MPI Tübingen) standing in the rain when he was targeted by a media campaign. Now he and some of his laboratory staff are off to Shanghai… The websites of prominent research institutes feature all kinds of colorful illustrations showing immunohistochemistry slides, doctors and students in white coats with pipettes in their hands, sitting at computers or their microscopes. But rats or mice are conspicuously missing! They proudly display their research activities, and enthusiastically advertise (future) research breakthroughs towards completely new and effective therapies. But no reference is made to animal experiments on campus!
Anyone who follows this blog must get the impression that I am a nag and misanthropist. Nothing and nobody seems to please me. I alway find the sample sizes too small, the statistics too lazy, the data hand-picked, or the results too positive and the conclusions drawn from them too exaggerated. Also, I find the peer review system unreliable, not to mention support of mainstream research and giving to those who already have (‘Matthew effec’) by the funding agencies. I even dared to critsize the Nobel Prize an atavistic instrument celebrating the lonely, white male reseacher and genius. Artificial intelligence I find stupid, and the academic career system the core of all these evils. To name but just a few examples.
But that is far from the truth! I am a science enthusiast! I am convinced that science is the best that the 1500 grams of protein and fat encapsulated in our skull have ever produced. Yes, I am a science nut. So with this entry, at the beginning of the new decade, let’s start with a proper hymn to biomedical science. Continue reading
Meat consumption is bad for your health. It gives you cancer, heart attacks, stroke, you name it. Says nutrition science. And they must know. After all, it’s a science. Is it, really?
A few years ago, Jonathan Schoenfeld and John Ioannidis took a standard cookbook and randomly selected 50 frequently occurring ingredients (sugar, coffee, salt, etc.). They then carried out a systematic literature search, asking whether there were epidemiologicial studies that had investigated the cancer risk of these ingredients. And they found what they were looking for. For 80% of the ingredients at least one study existed, for many even several. Of 264 of these studies, 103 found that the ingredient investigated increased the risk of cancer, while 88 reduced the risk! So after all Joe Jackson was right: ‘Everything gives you cancer’! But wait a minute: Milk? Veal? Orange juice? Continue reading
The societal acceptance of the results of our daily work as scientists is dire. The majority of the US population does not explain evolution with Darwin, but with Holy Scripture. Measles is on the rise again worldwide, because vaccination opponents smell a conspiracy by the pharmaceutical industry to make children autistic. A substantial proportion of the population does not believe that climate change is man-made. They believe that if you fear climate change you are hysterical, and manipulated by interested scientists competing for funding and fame. Homeopaths treat disease with sugar pills, while the health insurers, with our money, foot the bill.
A popular recipe against this increasing rejection of relevant scientific findings is to provide more and better science education in schools and the media. Inspired by a lecture of the American sociologist and historian of science Steven Shapin, I respectfully disagree.
You got to see this youtube video! Hectically cut sequences of busy young scientists in high-tech laboratories wearing lab coats, nerdy looking guys are soldering electronic circuits and stare into oscilloscopes, we are taken on a roller coaster ride through an animated brain chockful of tangled nerve cells. And in between all this, on stage at the California Academy of Sciences, car and rocket manufacturer Elon Musk announces his latest vision in a messianic pose: The symbiosis of the human brain with artificial intelligence (AI)! This time his plan to save mankind does not involve mass evacuation to Mars, but will be realized by a revolutionary Brain Machine Interface (BMI), designed and manufactured by his company Neuralink. You may have guessed it, this has caused a tremendous media hype all over the world. The verdict in the press and on the net was: “Musk at his best, a bit over the edge, but if HE announces a breakthrough like that there must be something to it”. The more cautious asked: “But couldn’t this be dangerous for mankind? Do we need a new ethic for stuff like this?” Continue reading
Damn! What an effort: Generation of a knockout mouse line, back crossing in background strain and litermates, all the genotyping. Followed by a plethora of experiments in a disease model: surgery, magnetic resonance imaging, histology, behavioral studies, and so on. Finally the result: No phenotype! The knockout mouse appears to be a mouse like any other. Not different from the wild type background strain. But wait, we rather need to phrase it like this: We did not find a statistically significant difference between knockout and wild type. So we cannot even conclude that wild type are like knowout mice, but rather: If there is a difference, it might be smaller than the detectable effect size, depended on sample size, error level (alpha and beta) and the variance of our results. But we had planned our experiments well: The sample size was determined a priori, and chosen so that we would have been able to detect a difference on the order of one standard deviation. This is what statisticians call a Cohen’s d of 1, which is considered a substantial effect. We could not have done more animals than the (34!), because of limited ressources, the duration of the PhD thesis, and the timing of the grant. But what now? Write a paper? Reporting a NULL result? How would this look like in a resume, besides, who cares about NULL results, and which reputable journal would publish them at all? Continue reading