@jacobtref.bsky.social
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jacobtref.bsky.social
So excited to share what Saloni and I have been up to.

Medical innovation is not inevitable. Sometimes breakthroughs take 40 years, thousands of people building on each others’ work & participating in clinical trials.

Check out ep 1, and subscribe for more Hard Drugs! harddrugs.worksinprogress.co
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dingdingpeng.the100.ci
Cool episode on how AI can help us design new proteins (e.g., for vaccines).

I’d heard of AlphaFold before, but not of ProteinMPNN. You feed a protein structure into PMPNN & generate possible sequences of amino acids. And then you feed those into AlphaFold to check whether they’d fold up that way!
scientificdiscovery.dev
New episode of HARD DRUGS!

AlphaFold, ProteinMPNN & other AI tools are transforming biology and drug design.

But how do they work? What can’t they do? And can we use them to make a vaccine against Strep A for the very first time?

In this episode, Jacob and I talk about hacking proteins with AI.
Hacking proteins with AI
open.spotify.com
jacobtref.bsky.social
Hearing a lot about AI designing drugs, but not sure what specifically that means?

Ever wonder how AlphaFold works, or what practical problems it helps with?

How rattan daybeds can hold their own in a modern home?

This episode is for you!
scientificdiscovery.dev
New episode of HARD DRUGS!

AlphaFold, ProteinMPNN & other AI tools are transforming biology and drug design.

But how do they work? What can’t they do? And can we use them to make a vaccine against Strep A for the very first time?

In this episode, Jacob and I talk about hacking proteins with AI.
Hacking proteins with AI
open.spotify.com
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economeager.bsky.social
every time i feel bad about writing long essays / blog posts i think, no. what would saloni and jacob do.
Reposted
scientificdiscovery.dev
The reviews are in!

"I heard it just now! So good 😊" – my mom

"Just listened to the new insulin episode and loved it." – @rossaokod.bsky.social

"you should have added 5 more minutes on how early researchers checked for the sweetness of animal urine..." – @pseudoerasmus.bsky.social
scientificdiscovery.dev
New podcast episode of HARD DRUGS!

A hundred years ago, insulin was scraped from pig pancreases.
Today, it’s made by bacteria in giant tanks.

In this episode, we cover 100 years of insulin … in 15 minutes!
100 years of insulin in 15 minutes
open.spotify.com
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andypurk.bsky.social
1/3 As someone diagnosed as Type 1 in 1976, I can remember beginning on porcine insulin (bovine was another alternative). The first "human" insulin I had was actually enzymatically modified porcine. I started with glass syringes, with exchangeable all metal needles, stored in methylated spirit.
jacobtref.bsky.social
Very interesting. Thank you so much for sharing!
jacobtref.bsky.social
Last episode: an introduction to what proteins are

This episode: proteins can be medicines!

Insulin is a protein. 104 years ago, no one with diabetes had been injected with it, then came insulin from animals, then came bioreactors...
scientificdiscovery.dev
New podcast episode of HARD DRUGS!

A hundred years ago, insulin was scraped from pig pancreases.
Today, it’s made by bacteria in giant tanks.

In this episode, we cover 100 years of insulin … in 15 minutes!
100 years of insulin in 15 minutes
open.spotify.com
Reposted
dingdingpeng.the100.ci
Saloni and Jacob have a natural way to make everything sound like it’s the coolest thing in the world, so naturally I’m now all on board of the protein train 🚂
scientificdiscovery.dev
NEW EPISODE of HARD DRUGS!

“5 hours is too long!” some of you said after our first episode. So our second episode is 20 minutes 🤭

@jacobtref.bsky.social and I explore the world of proteins: how proteins fold into complex shapes, why complexity matters, how crowded and dynamic a cell really is.
Proteins: Weird blobs that do important things
open.spotify.com
jacobtref.bsky.social
AI for protein design won a Nobel Prize last year. Are new protein drugs to cure diseases on their way?

This episode introduces what proteins are. You can listen to it on its own, or as the first plank of us answering that question. Subscribe in a podcast app for future planks!
scientificdiscovery.dev
NEW EPISODE of HARD DRUGS!

“5 hours is too long!” some of you said after our first episode. So our second episode is 20 minutes 🤭

@jacobtref.bsky.social and I explore the world of proteins: how proteins fold into complex shapes, why complexity matters, how crowded and dynamic a cell really is.
Proteins: Weird blobs that do important things
open.spotify.com
jacobtref.bsky.social
life of the statistical paparazzi
jacobtref.bsky.social
I randomly sampled 1 day later and 1 block away from the original photo. Claim supported ✅
Saloni ice cream day 2
jacobtref.bsky.social
Reader, the gelato progressed
Saloni and pistachio
jacobtref.bsky.social
I found it difficult to write about the topic for a unified audience, since, in my experience, people have very different starting beliefs about it.

For readers who suspect AI might change everything soon, I wrote this, with a bunch of questions & responses:

blog.jacobtrefethen.com/ai-san-franc...
AI will not suddenly lead to an Alzheimer’s cure
I work on funding science for the sake of medical progress, but only 10% of our science funding at Open Philanthropy is related to AI. The whole premise of Open Philanthropy is we try to allocate mone...
blog.jacobtrefethen.com
jacobtref.bsky.social
Over the weekend I published an essay series on a question I've been thinking about for a while:

What does AI progress mean for medical progress?

It starts with this 500 word piece. If you want more after that, there are 10,000 words of forking paths:

blog.jacobtrefethen.com/ai-progress-...
What does AI progress mean for medical progress?
Rapid AI progress does not automatically mean rapid medical progress. If the point of AI progress is human flourishing, we must make other complementary investments too. Even with extremely powerful A...
blog.jacobtrefethen.com
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hannahritchie.bsky.social
In the 1980s, many thought tuberculosis was on the path to elimination. In reality, more were dying from the disease than ever.

The second article in our series on Tuberculosis: ourworldindata.org/the-end-of-t...
The end of tuberculosis that wasn’t
In the 1980s, many thought tuberculosis was on the path to elimination. In reality, more were dying from the disease than ever.
ourworldindata.org
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stuartbratton.emergentdrift.com
I am thankful every day for the work of scientists working to cure HIV/AIDS. We come such a long way.

I lost some amazing people to AIDS and they are missed every single day. I am so happy that this heartbreak can now be avoided thanks to these antivirals.

I still have hope for a cure one day.
scientificdiscovery.dev
Excellent piece on some of the scientists behind lenacapavir, the HIV antiviral that could be scaled up to change the course of the HIV epidemic worldwide.
statnews.com
STAT @statnews.com · Jun 23
Gilead’s twice-a-year HIV prevention drug lenacapavir is 30 years in the making. Here’s the story behind it.
www.statnews.com/2025/06/23/f...
Reposted
scientificdiscovery.dev
Excellent piece on some of the scientists behind lenacapavir, the HIV antiviral that could be scaled up to change the course of the HIV epidemic worldwide.
jacobtref.bsky.social
See, it only takes two weeks to finish, and then you're free... free to start the follow on reading... Go on, why not start listening today... 😈

open.spotify.com/show/7CgKi9l...
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josephpolitano.bsky.social
Listen to Saloni’s podcast if you want a 5hr drug discovery overview so good it made me cry at multiple points
scientificdiscovery.dev
LAUNCH DAY 🚀

Today I’m launching a new podcast, Hard Drugs, with Jacob Trefethen (@jacobtref.bsky.social)

Our first episode is about lenacapavir — a new HIV drug that blocks infections with an efficacy rate of nearly 100%, and which could completely change the fight against HIV worldwide.
Lenacapavir: The miracle drug that could end AIDS
Hard Drugs · Episode
open.spotify.com