Uğur Şahin and Özlem Türeci: Meet the scientist couple driving an mRNA vaccine revolution | TED
185,573 views ・ 2021-08-03
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譯者: Regina Chu
審譯者: Yi-Ping Cho (Marssi)
00:13
Chris Anderson: Dr. Şahin
and Dr. Türeci, welcome.
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克里斯·安德森:
吳沙忻博士,圖雷西博士,
00:17
Such a treat to speak with you.
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歡迎,非常榮幸能與你們對談。
00:20
Özlem Türeci: Thank you very much, Chris.
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圖:非常謝謝你,克里斯。
很榮幸能參與。
00:22
It's a pleasure to be here.
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00:23
CA: So tell me, as you think back
over the last 18 months,
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克:回想過去十八個月,
00:27
what words pop to mind for you?
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你的腦中最先浮現的是什麼詞句?
00:31
ÖT: Well, one word which comes
to mind is breathless.
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圖:腦中最先浮現的是屏息以待。
00:35
It was indeed a breathless 16,
17 months for us.
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對我們來說,這真的是
屏息以待的十六、十七個月。
00:41
When we started in January last year,
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去年一月,我們開始時,
00:44
it was already at that time clear to us
that we were already in a pandemic.
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當時我們就很清楚
我們已經在疫情當中了。
00:50
What was not known was how fast
this pandemic would evolve
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那時不知道的,
是疫情會演化得這麼快,
00:55
and whether we would have the time
in the first place
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以及我們到底能不能
00:59
to have a vaccine ready
soon enough in due time.
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把疫苗準備好,
且要夠快,夠即時。
01:05
And understanding this,
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因為了解這一點,
01:09
it meant for us that there was not
even one day to lose.
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這對我們來說意味著
我們連一天都不能損失。
01:14
And this was the mindset
of the entire team
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整個團隊都抱持這種心態,
01:18
here in Mainz and at BioNTech
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不論是在美茵茲這裡,
還是在 BioNTech 皆是如此。
01:20
and later on also of our partners
which were involved,
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還有後續參與的合作夥伴,
01:25
Pfizer and others,
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輝瑞及其他夥伴,
01:27
to keep going and be fast.
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都想持續邁進且動作要快。
01:32
CA: I mean, it's so extraordinary
that the ideas and the work in your minds
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克:這真的很不簡單,
就是你們的想法及工作
01:37
have now impacted hundreds of millions,
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現在影響了數億人,
01:40
perhaps billions of people.
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甚至數十億人。
01:42
That must feel overwhelming.
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這感覺一定很受寵若驚。
01:45
And yet, I know at the same time,
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然而,同時我也知道,
01:46
you don't believe in this notion
of a flash-in-the-pan ideas.
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這不是靈光閃現。
01:51
Steven Johnson, the author, in his book
"Where [Good] Ideas Come From,"
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作家史蒂文·強森在他的書
《創意從何而來》中
01:55
speaks of the slow hunch,
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談到緩慢的預感,就是最佳的點子
要花很多年才能產生。
01:57
that the best ideas
happen over many years.
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01:59
And I know that you believe
that is true in your case.
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我知道你們也如此認為。
02:01
I'd like us to go back a couple of decades
to -- tell us how this began.
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我想倒帶數十年,
請你們談談這是如何開始的。
02:06
How did you meet?
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你們怎麼認識的?
02:07
ÖT: We met on an oncohematology ward,
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圖:我們在血液腫瘤科病房認識,
02:12
Uğur being a young physician,
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沙忻當時是年輕的醫師,
02:15
and I was still in medical school
training on ward.
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我還在讀醫學院,
在病房接受訓練。
02:21
Which means we met in one of the worlds
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也就是說,讓我們相遇的世界,
02:24
which became important to us,
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後來變成對我們很重要的世界,
02:27
the world of patient care,
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就是照護病人的世界,
02:30
of treating oncohematology patients.
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治療血液腫瘤科的病人。
02:32
And we soon found out
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我們很快就發現,
02:34
that there was a second world
which we liked,
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還有一個我們都喜愛的世界,
02:37
namely the world of science.
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也就是科學的世界。
02:39
We were haunted by the same dilemma,
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我們被同樣的窘境所困擾,
02:44
namely that whereas there was not much
we could offer our cancer patients,
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也就是,雖然,
我們能提供給癌症病人的不多,
02:51
there were so many potential technologies
we encountered in the lab
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但在實驗室中,
我們發現好多有潛力的技術,
02:57
which could address this.
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可能可以用來處理這個問題。
02:59
So one of our shared visions
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所以,我們共同的遠景之一,
03:03
was to bridge this dilemma
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是要橋接這種兩難,
03:07
by working on bringing
science and technology fast.
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要把科學與技術
快速連結。
03:13
And that's an important word here.
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在此,快速這個詞很重要。
03:16
Fast to the patient's bedside
to address high medical need.
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快速將解方帶到病人的床邊,
以滿足高度的醫療需求。
03:22
CA: So I think the first company
you founded nearly 20 years ago
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克:所以你們在近二十年前
創立的第一間公司
03:26
was to use the power of the human
immune system to tackle cancer.
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是在利用人類免疫系統的力量
來對付癌症。
03:33
Uğur Şahin: We were always interested
in using the patient's immune system
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吳:我們一直都很想
用病人的免疫系統
03:39
to fight cancer
and other type of diseases.
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來對抗癌症和其他疾病。
03:42
As immunologists, we knew how powerful
the human immune system is.
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身為免疫學家,
我們知道人類的免疫系統有多強大。
03:49
But it was also clear
that the human immune system,
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但,我們也很清楚,
人類免疫系統
03:53
in the case of cancer,
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在遇到癌症時,
03:55
did not fight cancer cells.
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不會對抗癌細胞。
03:58
It could fight it, but it didn't.
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它可以對抗,但卻沒有。
04:01
And for that, we wanted
to develop immunotherapies.
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因此,
我們想要發展免疫治療。
04:05
That means treatments
that use the power of the immune system
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也就是,
用免疫系統的力量來做治療,
04:10
and redirect the power
of the immune system to cancer cells.
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將免疫系統的力量重新導向癌細胞。
04:13
It was clear that in
the university setting,
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很明顯,在大學的環境中,
04:16
we could not continue
to develop monoclonal antibodies
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我們無法繼續發展單株抗體,
04:20
because the cost for development
of monoclonal antibodies
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因為發展單株抗體的成本,
04:23
before you can start a clinical trial,
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在還沒有開始臨床實驗之前
04:25
was in the range of 20, 30 million euros,
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就已經要花到兩、三千萬歐元,
04:30
and therefore we decided
to start a company to get the funding.
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因此我們決定創立
一間公司來取得資金。
04:35
CA: Now, soon after
you started this company,
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克:你們成立這間公司後
沒多久,就決定結婚了。
04:37
you decided to get married.
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04:39
Tell me about your wedding day.
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能否談談你們的結婚日。
04:41
ÖT: Day was well planned, a quick wedding.
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圖:那天的規劃很好,
快速的婚禮。
04:45
And thereafter we went back
to the laboratory
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結束後我們就回到實驗室,
04:48
and our guests at our wedding,
that was basically our team,
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婚禮的賓客基本上都是我們的團隊,
04:54
our research team.
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我們的研究團隊。
04:56
So no time to lose, Chris.
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分秒必爭,克里斯。
克:(笑)
04:58
CA: (Laughs)
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04:59
That was a pretty special honeymoon.
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挺特別的蜜月。
05:01
I mean, it seems like
your love for each other
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你們對彼此的愛似乎
緊繫著你們對這份工作的愛,
05:04
is very much bound up
in your love for this work
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05:07
and your sense of
the importance of this work.
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以及你們對這份工作的重視。
05:10
How would you characterize
those intersecting relationships there?
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你們會怎麼描述那些交錯的關係?
05:16
UŞ: We are really two scientists.
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吳:我們其實就是兩個科學家。
05:19
At the end of the day, we love what we do,
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到頭來,我們熱愛我們的工作,
05:22
and for us,
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而且,對我們而言,我們不用
05:25
we don't differentiate between
work and life balance.
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去區別工作和生活的平衡。
05:30
It's for us really a privilege
to be scientists,
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我們覺得三生有幸能夠成為科學家,
05:34
to be able to do what we love.
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能夠去做我們熱愛的事。
05:36
And therefore, we combine our normal life
with our professional life.
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因此,
我們把日常生活和工作生活結合。
05:42
And therefore, this is pretty
normal for us.
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因此,這對我們而言挺正常的。
05:44
CA: So talk to me about this
extraordinary molecule RNA,
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克:能否談談這個
不可思議的分子 RNA,
05:49
and how you got interested in it
and how it became, as I understand it,
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你們怎麼會對它產生興趣?
還有,就我的了解,
它變成你們工作的重心?
05:54
an increasing focus of your work.
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05:56
And indeed, it led
to the founding of BioNTech.
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它也的確為 BioNTech 帶來了資金。
06:00
Talk about that.
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跟我們談談這些。
06:02
UŞ: Yeah, mRNA is a natural molecule,
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吳:好的,mRNA 是種天然分子,
06:05
it's one of the first molecules of life.
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它是生命最早的分子之一。
06:10
It is a carrier of genetic information.
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它帶著遺傳訊息。
06:15
But in contrast to DNA, it's not stable.
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但和 DNA 相反,它並不穩定。
06:18
So it can be used to transfer
information to human cells.
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所以可以用它
傳遞訊息給人類細胞。
06:23
And the human cells can use
this information to build proteins,
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人類細胞
則可以利用這些訊息來創造蛋白質,
06:29
which can be used
for therapeutic settings,
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然後拿來治療,
06:33
for example, to make a protein
which is a vaccine,
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比如,
製造當作疫苗用的蛋白質,
06:37
or to make a protein which is an antibody,
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或製造當作抗體用的蛋白質,
06:40
or to make a protein
which is another type of drug.
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或製造當作其他藥物用的蛋白質。
06:43
And we were fascinated
by this molecule class,
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我們對這類分子十分著迷,
06:48
because it was very clear
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因為,
我們非常清楚,
06:53
that mRNA can be produced
pretty fast, within a few days.
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製造 mRNA 的速度很快,
只需要幾天。
06:58
And we were, as MDs,
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而我們身為醫師,
07:01
we were particularly interested
to develop personalized medicines.
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我們對於開發個人化的藥物
特別感興趣。
07:06
That means a treatment and immunotherapy
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意思就是針對個別癌症病人
設計的療程和免疫治療,
07:11
specifically designed
for a cancer patient,
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07:14
because one of the key challenges
in cancer treatment,
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因為癌症治療的難題挑戰之一,
07:18
is that every patient
has a different tumor.
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就是每位病人的腫瘤都不一樣。
07:21
If you compare two tumors
of two patients
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如果把兩位得到同樣腫瘤的病人
07:25
with the same type of tumor,
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拿來做比較,
07:27
the similarity of the tumors
is less than three percent
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兩人腫瘤的相似性不到 3%,
07:32
and 97 percent is really unique.
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其餘 97% 都非常獨特。
07:35
And today, it's still not possible
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現今,仍然沒有辦法
07:39
to address the uniqueness
of the tumor of a patient.
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處理病患腫瘤的獨特性。
07:45
And therefore,
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因此,我們在尋找能夠用在
07:46
we were seeking for a technology
which could be used for immunotherapy
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免疫治療上的技術,
07:50
and which could be used
to develop a treatment
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能夠在最短的時間內
07:55
within the shortest possible time.
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開發出治療方法。
07:58
The idea to get the genetic
sequence of the tumor
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我們的想法是要取得腫瘤的基因序列,
08:01
and then make a vaccine
which is personalized,
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並製造出個人化的疫苗,
08:05
within a few weeks.
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且在幾週內就完成製造。
08:07
CA: Is it fair to say
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克:是不是可以說,
08:08
that almost all of the significant things
that happen to us biologically
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我們身上發生的各種重要
生物現象,幾乎都是
08:14
are actions done by proteins,
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蛋白質的作為?
08:17
and that it's mRNA that actually
makes those proteins?
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而且那些蛋白質是由
mRNA 製造的嗎?
08:21
If you can understand
the language of mRNA,
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如果你能了解 mRNA 的語言,
08:25
you can get involved in pretty much
everything of significance
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你就可以介入幾乎所有
對人類健康很重要的因素?
08:30
to the well-being of a human being.
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08:33
ÖT: Exactly.
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圖:沒錯。所以,原則上,
08:34
So in principle,
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08:35
the information instructions
are in the DNA.
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訊息的指令位在 DNA 裡面。
08:41
These have to be translated into protein
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它們必須要被轉譯為蛋白質,
08:44
because proteins are the actors
which keep our cells alive
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因為蛋白質的角色
就是維持細胞的生命
08:49
and our organism functional.
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並確保生物組織能運作。
08:52
And the way how to translate
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至於要如何轉譯
08:55
what is instructed by DNA
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DNA 的指令,
08:59
in a fashion that it is well-timed
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且要能即時,
09:04
and happens at the right places,
into protein,
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要在對的地方發生,進入蛋白質,
09:07
there is messenger RNA.
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那就是 mRNA(信使核糖核酸),
09:09
Messenger RNA sort of instructs when
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它會指示在什麼時候
09:13
and how much of which protein
has to be built
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要製造多少量的哪一種蛋白質,
09:17
in order to ensure
the activity of our body.
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才能確保我們的身體能正常活動。
09:22
CA: So you can almost think of DNA
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克:所以可以把 DNA 想成是
09:23
as the sort of The Oxford English
Dictionary of Language.
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語言的牛津字典。
09:27
It sort of sits there
as the reference point.
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它就在那裡當參考書。
09:29
But for the actual living work,
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但在實際生活上,
那些活的語言工作,
09:31
the living work of language
out there in the world instructing things,
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要下指令的事,就由 mRNA 來做。
09:34
that is done by mRNA.
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09:36
UŞ: Yeah, absolutely, it is possible.
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沙:的確,是有可能的。
09:39
So the human cells,
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人類細胞,
09:41
exactly, DNA is like a library.
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DNA 就像是圖書館。
09:43
If you have the platform
for the messenger RNA therapy,
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如果有一個 mRNA 治療的平台,
09:48
you can deliver any type of message
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你就可以傳遞任何類型的訊息,
09:50
and the body cells ensure
that the message is translated
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身體細胞會確保那些訊息
被轉譯成正確的蛋白質。
09:55
into the right protein.
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09:57
ÖT: A high advantage of mRNA
is that it is so versatile.
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圖:mRNA 的一大優勢在於
它的功能非常多。
10:02
You can deliver all sorts of messages,
as Uğur has called them.
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你可以像沙忻說的那樣
傳遞各種訊息。
10:08
On the one hand, you can deliver
the blueprint for the protein
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一方面,你可以傳遞蛋白質的藍圖,
10:14
which you want
to be produced in this cell.
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即你想要在這個細胞中
製造什麼蛋白質。
10:18
But you can, with the same molecule,
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但是同樣用這個分子,
10:20
also design into the mRNA
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你也可以將 mRNA 設計成
10:25
instructions how this protein
should be built,
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指示這種蛋白質應如何製造,
10:30
instructions to the protein
factories of the cell.
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指示細胞中的蛋白質工廠。
10:33
So you can define
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所以你可以定義
10:35
whether you want this protein
to be built in high amounts
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你是否想要大量生產這種蛋白質
10:41
or for a long duration,
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或是要長期製造,
10:44
how the pharmacokinetics
of this protein should be in the cell.
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這種蛋白質在細胞中
該有怎樣的藥物動力學。
10:49
CA: So talk about January of last year
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克:談談去年一月,
10:51
when you first heard about this new
virus that was spreading.
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當你第一次聽到
這種新病毒在傳播的情況。
10:55
UŞ: So in the end of January,
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吳:去年一月底,
10:58
we read a paper published
about this outbreak in Wuhan,
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我們讀到一篇論文在談武漢疫情爆發,
11:03
and realized that this new outbreak
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意識到這場新爆發的疫情,
11:06
has all features to become
a global pandemic,
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具備會成為全球大流行的所有特點,
11:09
and we were concerned
that our life will change,
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5797
我們很擔憂我們的生活會起變化,
11:15
that this outbreak could change
the fate of mankind.
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這場疫情可能會改變人類的命運。
11:22
And we knew that we have this
messenger RNA technology,
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那時我們知道
我們有這種 mRNA 科技,
11:26
which was actually developed
for personalized cancer therapy.
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實際用於開發個人化的癌症治療。
11:30
But the idea of personalized
cancer therapy
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但是個人化的癌症療法
11:32
is to get the genetic
information of the patient
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是得到病人的遺傳資訊,
11:35
and then make a vaccine
as fast as possible.
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然後在最短的時間內製造出疫苗。
11:38
And we had now the same situation.
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1960
我們現在有同樣的情況。
11:40
It was not a personalized vaccine,
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2544
不是個人化的疫苗,
11:42
but it was a genetic
information of the virus,
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而是用病毒的遺傳資訊,
11:45
which was released two weeks earlier.
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這個資訊那之前兩週已經公布了。
11:48
And so this genetic information
of this virus was available,
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所以這種病毒的遺傳資訊已經到手,
11:51
and our task was to make
a vaccine as fast as possible.
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5798
我們的任務就是盡快把疫苗做出來。
11:57
And the challenge at that time point was,
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當時的挑戰是
11:59
there was almost nothing known
about this virus.
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3712
我們對此種病毒一無所知。
12:03
It was a completely new virus.
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這是種全新的病毒。
12:06
We had some assumptions
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3128
我們有一些假設,
12:09
which target which molecule
encoded by the virus
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3754
猜想這個病毒編碼的那種分子
12:13
could be the right target.
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可能是正確的目標。
12:14
That means the molecule which can be used
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這也意味著這個分子可以拿來
12:19
to precisely engineer an immune attack.
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精確設計免疫攻擊。
12:23
This is the spike protein.
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這是棘蛋白。
12:25
It is on the surface of the virus.
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存在於病毒的表面上。
12:26
And there's not only one copy
of the spike protein on the virus,
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病毒上的棘蛋白不只一個,
12:31
but multiple in the range
of 20, 25, 30 spike proteins.
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而是落在 20、25、30 個的範圍內。
12:38
And the spike protein has two functions.
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2294
棘蛋白有兩個功能。
12:40
One function is really to enable
that the virus sticks to human cells.
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6131
第一個功能是讓病毒
黏附在人體細胞上。
12:48
For example, it sticks to cells
in the human lung.
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3879
例如,它黏在人類的肺部細胞上。
12:52
And the second is that the spike
protein acts as a key.
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4463
第二個功能是棘蛋白就像把鑰匙。
12:57
It allows the virus
to enter into the cells.
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它讓病毒能進入細胞內。
13:01
Our goal was to engineer
an immune response.
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我們的目標是設計一種免疫反應。
13:04
CA: You've got a slide showing the T-cell
response to your vaccine.
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6089
克:你有一張圖顯示 T 細胞
對疫苗的反應。
13:10
How long were you into the process
before you saw this
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你開始之後等了多久才看到這個?
13:13
and you saw, wow, there really is
a spectacular response going on here?
213
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4004
你看到了,哇,真的有驚人的反應?
13:17
ÖT: We saw this already
in the animal models
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2961
圖:我們早就在動物上看到反應,
13:20
because they are also meant to assess
the immune response.
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5214
因為它們也旨在評估免疫反應。
13:25
And what is shown on this slide
216
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2002
這張圖上顯示
13:27
is on the left side, a lymph node
217
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3545
左邊的淋巴結
13:31
from a setting where there was no
RNA treatment or RNA vaccination.
218
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4797
處在沒有 RNA 治療
或 RNA 疫苗的環境下,
13:36
And on the right side,
a lymph node of a treated organism,
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6047
右邊的則是受過治療的
某種生物的淋巴結,
13:42
in this case, an animal.
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2461
這個例子是一隻動物。
13:44
And the localization matters.
221
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3045
定位也很重要。
13:47
And we have constructed
our RNA nanoparticles,
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3963
我們建構了 RNA 奈米粒子,
13:51
with encapsulation into lipids
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2878
以脂質包囊,
13:54
such that the mRNA
is carried into lymph nodes,
224
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5297
讓 mRNA 被帶入淋巴結,
14:00
not just anywhere,
it's carried into lymph nodes
225
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3253
不是到處亂跑,而是被帶入淋巴結,
14:03
and in the lymph nodes
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1502
在淋巴結,
14:04
it reaches a very special cell type,
which is called dendritic cells,
227
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5047
它可接觸到一種非常特別的細胞,
稱為樹突狀細胞,
14:10
and these cells are coaches
of the immune system.
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3378
這些細胞可以指導免疫系統。
14:13
So they are the generals which call
all the different special forces
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6006
所以它們就是將領,
召喚各種特種部隊,
14:19
and train them on the wanted
poster of attacker.
230
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5172
訓練它們找出通緝令上的攻擊者。
14:24
And it's very important
that you reach those cells.
231
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3295
能夠傳遞到這種細胞非常重要。
14:27
On the right side, you can see
the effect of reaching those cells.
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5047
在右邊你們可以看到
傳遞到這些細胞後的效果。
14:33
You see many red dots.
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2085
你們可以看到很多紅點。
14:35
And these are T-cells which have been
trained to recognize the antigen,
234
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6590
這些就是 T 細胞,
它們受過訓練、能辨認抗原,
14:42
the protein which mRNA has delivered,
235
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4004
即 mRNA 傳遞的蛋白質,
14:46
and they have expanded
to a sort of army of clones, so to say.
236
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5631
我們還可以這麼說,
它們會擴充成一支複製人軍隊。
14:51
So all these red dots are an army
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5256
這些紅點就是一支軍隊,
14:57
which only knows one goal,
238
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2460
它們只有一個目標,
14:59
namely attacking this specific
protein encoded by the mRNA.
239
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5089
就是攻擊這個由 mRNA
編碼出的特定蛋白質。
15:04
CA: So it's really stunning
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1293
克:所以這真的很驚人,
15:05
that within just a few days
of your looking at this sequence
241
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6465
在你們看到這個病原體的
基因序列後幾天內,
15:12
of the most dangerous pathogen
to hit humanity in 100 years, I guess,
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5756
我猜這百年內打擊人類
最危險的病原體,
15:18
that you were able to come up
with these these candidate vaccines.
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4338
就能找出這幾種候選疫苗。
15:22
And I guess over the course
of the next weeks and months,
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2753
我猜在接下來幾週及幾個月內,
15:25
you had growing confidence
that, wow, this was going to work.
245
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3420
你愈來愈有信心,說哇,這個會有用。
15:28
It wasn't until the results
of the human trials came out,
246
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3879
直到人體試驗結果出爐,
15:32
I guess in November of last year,
247
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2586
我猜是去年十一月,
15:35
that you really knew.
248
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1168
你才真的確知。
15:36
Tell us about that moment.
249
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1752
談談那個瞬間。
15:38
ÖT: It was a Sunday
when we were waiting for these results,
250
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3795
圖:那是個星期日,我們都在等結果。
15:42
which are assessed in such trials
by an independent committee
251
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5213
此類試驗通常都由一個
獨立委員會評估。
15:48
and Uğur said, "So let's see
how the data will look like."
252
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5881
沙忻說:「我們來看看
數據會是什麼樣子。」
15:53
It was not clear whether it would be
a thumbs up or down.
253
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4671
當時還不清楚會是通過還是否決。
15:58
And we were very relieved.
254
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2461
我們都大大鬆了一口氣。
16:01
And I felt blessed to hear
that the vaccine was efficacious
255
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6173
我很欣喜聽到疫苗是有效的,
16:07
and it was highly efficacious,
over 90 percent.
256
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5047
而且是非常有效,超過 90% 。
16:13
CA: And that more than 90 percent
almost disguises the full extent,
257
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3212
克:而且那個「超過 90% 」
幾乎涵蓋了所有範圍,
16:17
because that's just against any kind
of level of infection of COVID.
258
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5922
因為可以保護任何程度的新冠感染。
16:22
Severe infection and fatalities
were almost completely protected against,
259
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4963
幾乎可以完全保護
不受嚴重感染和死亡,
16:27
I think.
260
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1168
我想。
16:29
And it must have been
an ecstatic moment for you.
261
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2336
你當時一定欣喜若狂。
16:31
Certainly was for so many people
around the world.
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2502
對世界各地的許多人而言的確如此。
16:34
UŞ: Yes, absolutely.
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1460
吳:是,絕對是。
16:36
So this was a Sunday evening,
264
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2336
那是星期天晚上,
16:38
and there were a handful of people
265
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3170
有一小搓人
16:41
knowing that an effective vaccine
is existing against this global pandemic.
266
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6006
知道有一種有效的疫苗存在,
可以對抗這個全球疫情。
16:48
And we were so excited and so happy
267
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4296
我們超興奮、超開心,
16:52
and we shared of course
this information the next day.
268
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2961
而且我們隔天就分享了這個資訊。
16:56
CA: So based on what's happened
this time around
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3837
克:所以根據這次發生的事
17:00
and the amazing acceleration,
270
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2586
及驚人的加速度,
17:03
compared with any other
vaccine development,
271
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2711
跟其他疫苗的開發相比,
17:05
I mean, if we were hit by another virus,
272
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4421
如果我們又碰到另一種病毒,
17:10
could you picture that next time
273
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1710
你能想像下次
17:12
we could accelerate the time line
further still if need be?
274
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4379
我們還能更快嗎?如果有需要?
17:17
UŞ: Yes, Chris, this is
an excellent question.
275
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2169
吳:是的,克里斯,
這個問題問的太好了。
17:19
Actually, the world was not prepared
to deal with such a pandemic.
276
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4546
其實,世界並沒有準備好
應對這樣的疫情。
17:24
The science and the vaccine developers
reacted in an excellent fashion.
277
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6381
科學和疫苗開發者以極佳的方式應對,
17:30
And it is incredible and wonderful
278
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3170
這的確很不可思議,也很棒,
17:33
that it was possible to come up
with an effective vaccine
279
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4504
能找出非常有效的疫苗,
17:38
while a pandemic is ongoing,
in less than 12 months.
280
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4129
在疫情還在持續發展
不到 12 個月內。
17:42
But the challenges
that we have at the moment
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2127
但是我們目前的挑戰
17:45
is that we don't have
sufficient production capacity.
282
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3586
是沒有足夠的生產能力。
17:48
Ideally, we would be
prepared the next time,
283
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3462
理想的情況是,我們應該會
準備好下一次,
17:52
not only to develop a vaccine
in light speed,
284
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3795
不但要以光速發展疫苗,
17:56
but also to to make and distribute
the vaccine in light speed.
285
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4379
還要以光速製造及分配疫苗。
18:00
So what we need now is an additional
element which was not existing,
286
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4045
所以我們現在需要的
是之前沒有的另一個元素,
18:04
is manufacturing capacity.
287
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2502
就是製造能力。
18:07
And idle manufacturing capacity.
288
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2670
及閒置產能。
18:10
We must be bringing us into a position
289
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3712
我們必須讓自己達到一個情況,
18:13
that we can produce
12 billion doses of vaccine,
290
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5923
能生產 120 億劑疫苗,
18:19
if you consider prime boost,
within less than six months.
291
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4462
如果你想在短短六個月內
做初免加強接種方案。
18:24
And this is technically possible.
292
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1793
這在技術上是可行的。
18:26
So this can be done if governments
293
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5422
要做到這點,政府
18:32
and international organizations invest
into manufacturing capacity,
294
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5880
及國際組織要投資生產能力,
18:38
invest into keeping this idle capacity,
295
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4380
投資閒置產能,
18:42
and also come up with a standard
time span and process
296
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5756
也要提出標準時限及過程,
18:48
to enable even faster response.
297
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2378
才能夠更快地應對。
18:50
So we in principle,
298
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3003
所以原則上
18:53
we might be able to manage
to come up with a vaccine
299
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2795
我們可能可以設法找出一種疫苗
18:56
and start distribution
in even less than eight months.
300
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4171
並在八個月內開始分配。
19:00
CA: What does what's happened
in this last year tell you now
301
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3837
克: 從現在看去年發生的事,
19:04
about the prospects
for using mRNA to treat cancer
302
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4755
使用 mRNA 治療癌症
19:09
and indeed other diseases?
303
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2127
甚至其他疾病的前景如何?
19:11
Where is this heading?
304
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1460
未來的發展方向?
19:12
UŞ: What we have now is now
an approved technology
305
1152844
4713
吳:我們現在有已經核准的科技
19:17
and a first approved product.
306
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2210
以及第一個核准的產品。
19:19
The development of the coronavirus
mRNA vaccine shows the power
307
1159809
5047
新冠病毒 mRNA 疫苗的發展顯示出
19:24
of the mRNA
308
1164856
1585
mRNA 的力量,
19:26
and it shows also
the safety of this approach.
309
1166441
4004
也顯示出這個方法的安全性。
19:30
And it shows
310
1170486
2336
它指出了
19:32
that it opens up a door for new technology
311
1172822
5381
一扇新科技
19:38
and for new type of treatments.
312
1178203
2002
及新療法的門。
19:40
And the mRNA molecules
313
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5005
mRNA 分子
19:45
that we are currently using for cancer,
314
1185585
1960
我們目前用來治療癌症的,
19:47
we have more than 10 products now
in clinical development,
315
1187545
4546
現在我們有超過十種產品
正在做臨床開發,
19:52
are diverse against different
types of cancer.
316
1192133
3128
可以對抗不同類型的癌症。
19:55
We are very confident that the success
that we have generated now
317
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3420
我們非常有信心目前
19:58
for our infectious disease vaccines
318
1198723
2711
對抗傳染病疫苗的成功經驗,
20:01
can be continued with our
cancer immunotherapies.
319
1201434
3462
可以持續到癌症的免疫療法。
20:04
CA: Some people may hear this
320
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1418
克:有些人聽到這個,
20:06
and say this is just another type
of drug that's coming along.
321
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4588
大概會說這只不過是另一種新的藥物。
20:10
But I think on the mental model
you're talking about,
322
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2836
但是我認為從你談到的
心智模式角度來看,
20:13
we should think about it
as much more revolutionary than that,
323
1213821
3170
我們應該認為這更具革命性,
20:17
that typically a drug, a traditional drug,
kind of changes the chemical environment,
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比普通藥物、傳統藥物更加革命性,
可以改變化學環境,
20:22
the background of an entire
area of the body.
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3545
即整個人體的背景狀況。
20:26
But your --
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但是你的——
20:28
If you understand the language of mRNA,
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如果你了解 mRNA 的語言,
20:31
you can do something much more
specific and precise.
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你就可以做得更具特異性、更精準。
20:34
Is that something like
a fair way to think about it?
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3170
這樣說公平嗎?
20:38
ÖT: Yes, indeed.
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圖:是,確實。
20:41
It could be the next revolution
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這很可能是
20:44
in the biopharm landscape.
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生物製藥領域的下一場革命。
20:47
UŞ: At the end of the day,
disease is a situation
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吳:到頭來,疾病不過就是
20:51
where the communication
between cells is disturbed.
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細胞間溝通不良的情況。
20:56
So, for example, autoimmune disease
is a disease condition
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例如自體免疫疾病就是
21:00
where immune cells attack normal cells.
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免疫細胞攻擊正常細胞的狀況。
21:04
And indeed, we could engineer
messenger RNA therapies
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確實,我們可以編碼信使 RNA 療法,
21:10
which could teach the immune system
to stop to do that,
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教免疫系統停止這樣做,
21:14
without inhibiting the whole
immune system,
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不需要抑制整個免疫系統,
21:17
by just communicating
with the immune cells which are attacking.
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只要直接傳達給攻擊的免疫細胞就好。
21:22
We could be precise and more specific.
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我們可以更精確及更具特異性。
21:27
CA: The success of BioNTech
over the last couple of years,
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克:生技公司 BioNTech
近幾年來的成功,
21:31
I think the value
of the company has rocketed
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3212
我想公司的價值飛漲,
21:35
because of the amazingness
of what's happened.
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因為發生的這一切太神奇了。
21:37
I mean, it's made you both
extremely wealthy,
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這讓你們兩位非常富有,
21:39
I think you're both billionaires now.
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我想你們兩位現在都是億萬富翁了。
21:41
How have you been able to respond to that?
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你們對此有何反應?
21:44
Sometimes so much money
brings its own problems with it.
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4046
有時候太多錢本身也會帶來問題。
21:48
Is that proving a distraction?
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這證明會讓人分心嗎?
21:51
ÖT: For a company
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1334
圖:對一家
21:52
which sees innovation as its core mission,
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視創新為核心使命的公司而言,
21:59
too much money is never a problem.
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2753
錢太多永遠不是問題。
22:03
Because innovation really means
that you have to invest.
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4088
因為創新真正的意思就是投資。
22:07
Otherwise, we will only have
two type of products
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4588
不然我們將只有兩種產品,
22:12
or incremental improvement
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2961
或只能漸進式改良
22:15
for solutions of high medical need.
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3045
高醫療需求的解方。
22:19
UŞ: It really gives us the chance
to transform our company.
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5714
吳:它真的讓我們有機會
改造我們的公司。
22:25
So we were when we started --
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2544
我們剛開始的時候——
22:27
When we compare ourselves
with the situation we had
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4504
如果我們跟
2020 初的景況比較,
22:32
at the beginning of 2020,
360
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2044
22:34
we had a number of product
candidates in clinical testing,
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4212
我們有幾個臨床試驗的候選產品,
22:38
but the company required funding
every year or every second year.
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5339
但是公司每年或每隔一年都要找錢。
22:44
Now we have a situation to really address
the full vision of the company.
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5422
現在我們終於
能說出公司的完整願景。
22:49
We started BioNTech
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2085
我們開創 BioNTech
22:51
with the idea really
to provide novel treatments
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4797
抱持的想法就是提供新治療方法
22:56
wherever there is a high
unmet medical need.
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3671
給還未滿足的高醫療需求。
23:00
And we now can do that
in a much larger and broader scale,
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5214
現在我們可以用更大
更廣的規模來做,
23:05
and bring our innovations
faster to patients.
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4212
更快地將我們的創新帶給病患。
23:09
CA: You are both from families
who immigrated from Turkey to Germany.
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4463
克:你們兩位都來自從土耳其
移民到德國的移民家庭。
23:14
Immigrants have faced hard times
in many countries, including Germany.
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5088
移民的處境在許多國家都很艱難,
德國也包括在內。
23:19
And yet you, I think,
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2252
然而我想,你們
23:22
have helped transform
the debate about immigration,
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2503
幫助轉變對移民的爭論,
23:24
in Germany and elsewhere,
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1293
無論在德國及其他地方,
23:26
just by the extraordinary success
that you've achieved
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4296
因為你們達到的非凡成就,
23:30
creating this world-leading
company in Germany.
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5005
在德國創立領導世界的公司。
23:35
Do you take joy for the impact
you may have had on this issue?
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3754
也許你對這個議題已經產生衝擊,
你為此感到高興嗎?
23:40
UŞ: It is somehow surprising
377
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1877
吳:這有點令人驚訝,
23:42
because the way how we do science,
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3503
因為我們做科學的方法,
23:45
and how we recognize how people work
effectively in teams together
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6673
以及我們如何認定人們在團隊內
是否能合作無間的方法,
23:52
is not to us from where
the person is coming,
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3879
不是你從哪裡來,
23:56
but what the person can contribute.
381
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2377
而是這個人能貢獻什麼。
23:59
So in our company, we have
employees from more than 60 countries.
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5881
所以在我們的公司,
我們的員工從六十多個國家來。
24:05
So we are an international
group of scientists,
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3170
我們是一群來自世界各地的科學家,
24:08
as any other research institution.
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5630
就像任何其他研究單位一樣。
24:14
So we have to recognize
that globalization really helps
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3504
所以我們必須明瞭全球化的確有助於
24:17
to bring people, scientists
or other engineers into one place,
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5630
將人、科學家或其他工程師
帶到一個地方,
24:23
allowing to work together
387
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2085
讓他們能一起工作
24:25
and to come with extraordinary results.
388
1465656
2503
並產生非凡的結果。
24:28
For us, this is somehow surprising
that this is seen as special.
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1468201
6006
我們很驚訝這被視為特殊情況。
24:34
It is just the way how excellent
research and science work.
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1474248
3879
這其實就是卓越的研究
及科學的運作方式。
24:38
CA: Well, it's extraordinary and inspiring
what you've achieved,
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3045
克:你們的成就極非凡、極激勵人心,
24:41
and it'll be very exciting to track
progress over the coming years.
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3837
非常興奮能繼續追蹤未來幾年的進展。
24:45
Thank you so much. Thank you.
393
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1502
真的很感謝。謝謝。
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