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Immunothérapie 2.0 | Eric VIVIER | TEDxAix


[Music]

hello listen I am very happy

to be there thanks and actually I’m

come to share with you good

new

yes finally then actually I the

first good news they me

particularly concern

I have the privilege of being a researcher

do basic research in

immunology

you will see why it will become

important is actually the good news

which I come to talk to you about

it is quite infrequent in two

domains that will interest us

this afternoon because the estate

which I’m going to talk to you about

unfortunately know these suites the

Cancer

so cancer is a disease

terrible it’s an illness that would be

again very surprised that and

people yes there are some of between

you who has not been directly or

indirectly confronted with these

pathologies and you know that these

pathologies not only are they

painful painful and sometimes

very severe in their forecasts

but the treatments that

accompany are not devoid

themselves of toxicity these treatments

know them and surgery is the

radiotherapy and this is the

chemotherapy and in any case this

that we try to do with these

treatments

it is to remove the tumor it is very

intuitive

it makes sense as we say to

canadians there is a tumor we try to

the in v is actually that I will try

to send you today it’s

that there is a revolution

therapeutic that exists

today and that allows for

propose new treatments for this

cancer for these cancers

in fact to accompany you in the

understanding this new treatment

I’m going to talk about gold immunology

what is a mine in the home

immunology is science that

try to understand immunity

so what is it

immunity but immunity it’s

the set of mechanisms that we

to fight a whole bunch

of aggression to which one is subjected

constantly for example right now

I hear someone who all for example

right now in this room

second thank you we are in the process of

fight against 2.3 viral disease

three bacterial diseases a start

a parasitic disease

but rest assured you’ll be fine

and it’s going to be okay because you

have an immune system that

works and you know the system

unitary

he looks like a lot of very things

important in life is all these

things that we realize are

just essential to us even when

they are gone

and you know in my field that is

that of medicine the clinic puts

everyone agree in the research

then towards some interpretations

complicated a little acrobatic a few

time but the clinic she puts all the

world okay and the demonstration of

the importance of immunity in the fact

that we can not live in the world that

is ours

it is given by diseases

genetic by the clinic

you have all heard of

baby bubbles of her babies who have

deficient immune systems

because they have a gene that is not

exactly in accordance with the genes that we

in this case is actually this

immunodeficiency forbids them to

get out of their bubble because they’re going

be vulnerable to all

microbial diseases surrounding us

so me again I have the

privilege of trying to understand at

most basic level the

mechanisms that allow us to have

a unitary system that works

so if these military cancer how

it’s okay that’s what I

will explain to you but what am I

come with these are illustrations of

slides for you to believe us for

that when I tell you it’s a

revolution it’s with the name of

revolution is very overused at

At the moment we are talking about revolution

for example when we go from small

iphone means iphone me I do not speak

not that I’m talking about a milestone in

the history of medicine even in

the history of humanity that makes one

has passed a stage and who before and there

ya after so that’s what we’re going

talk and so I’m going to show you

evidence because I’m a

scientist

so I believe the data you know

the data is stubborn anyway

so this is a cancer of the

skin called a

a melanoma and it’s a cancer

called before generalized cancer you

know actually it’s a cancer that’s

metastatic ie that the

cancer cells went

elsewhere colonize other tissues like

the the liver and you see here a

liver metastasis

as I told you most of

these pathologies and you know it they

are unfortunately too often

escape compared to treatments

which are proposed and in addition these

treatments have side effects

which are not insignificant

this is the case for this patient and you

can judge for yourself

she escaped the treatments and you

have you can see here so a

considerable expansion of the

primary tumor that also accompanies

worsening of metastases

liver

it turns out that these patients who are

in therapeutic failure

they can go into trials

clinical and clinical trials there

are tests of what I came

to share with you ie the

reprogramming the immune system

of our own defenses and military

to fight against these pathologies of

moral and the result is there

that is, you see here already

a nice decrease in metastases

hepatic and then especially a day and

this patient she remembers this

day one day he woke up and his

tumor was dead next to her

it was the tumor worry dead well

obviously and you can see so the

result here and also it goes with

a disappearance of metastases

liver

that’s a real revolution it’s

a therapeutic revolution

[Applause]

so now we will try to

understand together how it works

and the good news is very

intuitive very easy to understand

but there is also another good

new behind and I’ll keep you

for the end but you have to be

attentive so what we tried to

to do and when I say we got

collectively celebrates his 40 years

four decades of research into

purely fundamental immunology this

that we tried to know is how

to organize the immune response

so the immune response can be

we can observe it we can

dissect we try to understand it at

several scales the first

scale that of the body

so here the observation scale is

the m when we work in the

mouse models it can be the cm

to say the the 100th of m but when we

understands a little the system anatomy

immune then we can try to

to look at another scale

ie the cell leaders who

are really in action in this

immune response

if for example a tumor cell but

we discover that at cells like

lymphocytes for example but who

can possibly recognize these

tumor cells one is really at

this ladder the ladder is the

micro m is the millionth of a meter

fabulous ios4 in the job that I

do is we can also try to

understand on a bigger scale

small

ie the scale 3 log in

below the millionth of a meter is

to say the nanometer and here we are a

billionth of a meter and we

realizes that in fact the cells of the

immune system are and are

equipped with receiver receivers

as you see here one a receiver

glass activator which is a

molecule that will allow the

lymphocytes so there cells of the

immune system to interact with

outside and here in this case with

the tumor cell is a step

absolutely important in that

I’m trying to send you today

it was to realize that they

actually had two types of

activator receptor receptors

we will say these are accelerators

and then inhibitory receptors we’re going

to say that these are brakes is actually

to spin the metaphor we will say that

the opposite cell in the occurrence

to tumor cells

she will be able to act on this

accelerator on these receivers

activator the species of

molecular foot and then another

side she will also be able to act on

the brakes with another foot

molecular and so you see that the

how the lymphocyte will be able

react when he will meet a

tumor cell

it will be a function of the level

caval activation receive from

acceleration or inhibition other

point now extremely important

in the demonstration but I find

that the unitary system it is not

simply good at eliminating

viral microbial pathologies

bacterial parasitic and also

very good and mines and cells

tumor

he has been selected since

nearly 500 million years to fight

against all a defense system

multicards defends us in this

moment even against beginnings of

tumors rest assured you’re okay

pass

ok but so if the immune system

is so powerful it is known as

low cancers and that’s what was

very important is to notice

that when there is a tumor cell

when there is a tumor environment

there are many more signals

inhibitor that are given that are

transmitted to the unitary system of

Generally, it’s as if the

y tumor cell she pressed more

on the brake that on the accelerator and

so we have a system in which the

seminar is there but in fact it is

asleep a little like the beautiful wood

dormant

so sleeping beauty so much

that she is not awake and not being served

a lot so we will stop

the example at this point

other element of the demonstration that

is very important now that we

know all this now that we have so

dissected immune system yet

once purely

fundamental can we have

the ambition to transform its results

fundamentals in therapeutic approach

is what we can do what is called

translational research

Can we translate these

fundamental results in therapy and

well again it’s very

intuitive

the answer was fine of course

yes and how could we do it

could do by trying to cut the

brakes to let go of the brakes and that one

can do that because we have the chance

to have antibodies the antibodies

again we all have is

past ancient gold there which I speak

it turns out that and I have no time to

tell you the story comes from people

die in life is that antibodies

that we all have in our body in fact we

know how to make them outside we know

do them in factories to make

antibody it is a process that is

totally mastered at the level

industrial

we can do kilograms

of antibodies and that’s great

the beauty in fact of the antibody she

lies in the fact that this molecule

it is extremely specific to this

as it recognizes that

the antibody he’ll be able to target a

molecule and not another

for example so we will be able to generate

antibodies

from the industrial point of view yet a

times at the industrial level that go

recognize either the receivers

activator be the receivers

inhibitor obviously what we will do

in our case in the case of cancer

we will want to wake up the beautiful

sleeping wood we’re going to want to let go

the brakes

we will therefore make an antibody of such

way they can block

inhibitory receptors and so

woke up the immune system

asleep and well the result

you saw it is the result

clinic that I showed you it’s at

to say that today we arrived by

a purely fundamental research that

was never guided by desire

to cure cancer that has just been

guided by the curiosity that makes

the man is man and he wants to

understand the world

in which he lives and we biologists

we try to understand the world live

rather than the rest of the universe and

well thanks to his research

fundamental

we could highlight the whole

its processes happened this

knowledge to the generation of

new drugs

so these drugs again

they exist they are already in

clinics available for some

of them and the others are being tested

clinic and we are witnessing a

Revolution I have said but

is this word has already been used in

previous presentations we have

really is witnessing a break in

paradigm ie it’s a

moment in the history of humanity

which is an irreversible moment in

which a field there that of the

oncology and was deflected there

obviously remains the treatments

some of whom work very well who

consists of chemotherapy

radiotherapy and surgery too but

there is another field that has appeared and

So the whole field those lives

now to what is called local

immunology it’s downright

new science that has emerged and

all these discoveries

in fact they have the point of view

clinic not even 10 years of seniority

and what is absolutely amazing

is that all of these discoveries

is a pure product of research

fundamental and that was my other

good news

the other good news so it’s from

say that basic research and

just fundamental it is she who is the

source of revolutions today

that they can take care of these

treatments and that’s what I wanted

share with you and I hope you

are also fascinated by the living too

amazed by the discoveries of the

research and management of

cancers thank you very much for your

reply

[Applause]

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