RE: Talk to us18 Sep 2020 17:30
I would like to think that I have acted with humility (and I offer anybody the right to tell me if that isn't the case). If I am wrong and someone has corrected me then great - it's all part of being a scientist.
We make assumptions based on the data we have in front of us. When someone comes along and presents conflicting evidence, we weight it up against what we know and then decide whether it challenges our own assumptions of the subject. The same goes for when somebody presents supporting information. The great thing with science is that it is not just black or white, it has many shades of grey....but fundamentally we don't know how many.
Something that we believe is fact and has been for many years, may change. Someone will come along and present a whiter white, or a blacker black. That doesn't change the knowledge or results in front of us, it just changes the context. The shade of grey, has suddenly become slightly closer to black than we thought it was or slightly closer to white than we thought it was. Fundamentally the shade hasn't changed. This is what's so fun about science, it's never ending.
The reason I am saying things like 'have we considered whether Mab 2811 could cause cancer', is because it's me trying to contextualise data put in front of me and highlight that there is always a risk that this could happen. It's not me stating that is *is* going to happen, it's me stating that based on the evidence in front of us that is a *potential* risk.
Science demonstrate that T memory stem cells have the potential to be harnessed for use in T-cell based therapies against cancer and infectious disease (white). It also demonstrates that TSCMs play a role in autoimmunity, T-cell leukaemia and T-cell based infections (HIV etc) (black). Hence, my question could be posed in a different way.
Based on the limited data we have on Mab 2811, it's effects can be placed somewhere along that gradient from black to white. At the moment, it could be closer towards white (good end). It might also have the potential to move towards black (bad end). Until we have further data on it, on its effects and on long term effects in vivo using it, we just don't know where on this spectrum it lies. Rather than looking at it through the eyes of the ever optimise 'this will only ever go towards white' we should think of it more through the eyes of a realist 'it has every potential to go either way'.