THE STORY OF YOUR DRUGS
Cindy Maddera
In 2007, a paper from Dr. Daniel Drucker’s lab was published in The Journal of Clinical Investigation titled The role of gut hormones in glucose homeostasis. The paper reviews the actions of gut hormones that regulate glucose levels and the discovery of one hormone in particular, a glucagon-like peptide-1 or GPL1. A little further back in time, Dr. John Eng, an endocrinologist at the Veterans Administration Center in the Bronx, released a paper about Exendin-4. Dr. Eng had been looking into identifying new hormones and heard about certain snake and lizard venoms that produced an enlargement of the pancreas. The pancreas is where our bodies produce insulin and Dr. Eng was curious. What if this could be useful in treating diabetes? One of those hormones is Exendin-4.
Exendin-4 turned out to be very similar to GLP1. Then, around the same time Dr. Eng was playing around with Exendin-4, Dr. Josephine Egan, in collaboration with Amylin Pharmaceuticals, found that injecting diabetic mice daily with Exendin-4 stabilized their blood sugar levels. Several trials later, gave us Ozempic. All from a peptide from gila monster venom and patented by Dr. Eng. This is just one of an infinite number of examples of how basic scientific research leads to big developments in fighting diseases. It is also the kind of research not possible without federal funding. Early studies in Ro ribonucleoproteins by Dr. Judith James gave birth to the Rheumatology Research Center at the Oklahoma Medical Research Foundation. This center currently has a long list of clinical trials going, because of federally funded basic research.
Right there, in my home state!
This time every year, an independent outside group of scientists gather together at the FDA to compare and collaborate on data for developing the flu vaccine. Flu viruses change every year either through antigenic drift where the virus’s genes mutate or through antigenic shift where two different flu strains swap genetic material. Through sequencing the most potent flu strains, scientists can predict what the sequence will be in the next flu strain and then vaccines are designed around those predictions. This meeting determines the effectiveness and safety of the flu vaccine you will receive in the Fall. That meeting has been cancelled this year. NPR talked to one of the vaccine experts on the committee, Dr. Paul Offit.
I think there's a value in having an independent committee that looks at the data, holds it to a very high standard. That's a process that makes sure that we can have the best science behind the decisions we make. - Dr. Paul Offit.
A similar meeting has also been cancelled at the CDC. This is going to result in a large delay in making the vaccine for this year’s flu and producing enough to ensure the safety of the public. This is what happens when we freeze money for science and force massive blind layoffs of Federal employees. I selfishly have chosen to highlight a small portion of the destruction forced by the DOGE, mainly because there is so much happening right now. I only have so much energy, but here is the current list of agencies where federal employees are being fired:
Department of Education (includes the Federal Student Aid office)
Department of Homeland Security (half of those cuts are in the Federal Emergency Management Agency- FEMA, including our Coast Guard)
Department of Energy (including the National Nuclear Security Administration)
United States Agency for International Development
Consumer Financial Protection Bureau
Department of Veterans Affairs
Department of Agriculture (including cuts the US Forest Service- wildfire response and prevention)
Environmental Protection Agency
Department of Health and Human Services, Department of Interior (our National Parks)
Office of Personnel Management (Human resources for the government)
General Services Administration
Small Business Administration
Internal Revenue Service
Department of Defense.
I am a middle class tax bracket citizen. I have required and received help and or aid in some form from more than half of these agencies. I relied on information from HUD and the first time home buyer benefits when I purchased my house. My family receives benefits from the Gold Star Family program, a federally funded program. I have a lifetime pass to the National Parks through this program. I would not have been able to pay for graduate school without federal loans. Chris would not have been able to pay for any of his college education without federal funding. This is just a drop in the bucket. I can assure you that we all have benefitted from federal programs and I don’t even mind paying federal taxes to contribute to the benefits. I do mind that so much of the federal tax burden lands on the middle class and poor. Trump’s new tax proposal is set to increase my federal taxes by $1,500 while 4% of the country who makes almost one million a year gets a tax cut of $7,000. Want to get really mad? Check out this graph. Did the 77,284,118 people who voted for Trump know he was going to raise their taxes by fifteen hundred dollars? What about their representatives? Did they willingly support candidates who refuse to stand up to a tyrant and allow for an increase in their taxes? Is abortion and the removal of trans rights really worth this tax increase to them?
After about my third gin and tonic Saturday night, I looked at Michael and said “I’m just so angry all the time and so much of it is directed at things I have no control over.” I can’t fix what’s happening. I can’t reason with those who support this fascist. This administration is by far not making America great, but they are doing a fine job of making it harder to be an American. I know that when I write these entries, the only people reading are those already part of the choir. Michael reminded me that we just keep doing what we’ve been doing. As soon as the Ivanhoe Farmers Market opens, we’ll buy produce there and we will be very mindful of how and where we spend our money. We have a local election in April. We will vote to improve Kansas City schools. I will continue to send money for aid to Ukraine and Palestinians. I will continue to send my weekly accomplishment list to the Nazi. I keep preaching to the choir.
And I will remember that this battle is going to be a long haul. So I need to pace myself and give myself some grace.