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WEBVTT
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The following is a conversation with Paola Arlada.
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She is a professor of stem cell and regenerative biology
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at Harvard University and is interested in understanding
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the molecular laws that govern the birth, differentiation,
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and assembly of the human brain's cerebral cortex.
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She explores the complexity of the brain
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by studying and engineering elements
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of how the brain develops.
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This was a fascinating conversation to me.
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It's part of the Artificial Intelligence podcast.
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If you enjoy it, subscribe on YouTube,
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give it five stars on iTunes.
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Support on Patreon or simply connect with me on Twitter
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at Lex Freedman, spelled F R I D M A N.
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And I'd like to give a special thank you to Amy Jeffers
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for her support of the podcast on Patreon.
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She's an artist and you should definitely check out
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her Instagram at LoveTruthGood, three beautiful words.
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Your support means a lot and inspires me
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to keep the series going.
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And now here's my conversation with Paola Arlada.
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You studied the development of the human brain
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for many years.
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So let me ask you an out of the box question first.
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How likely is it that there's intelligent life out there
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in the universe outside of earth
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with something like the human brain?
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So I can put it another way.
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How unlikely is the human brain?
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How difficult is it to build a thing
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through the evolutionary process?
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Well, it has happened here, right?
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On this planet.
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Once, yes.
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Once.
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So that simply tells you that it could, of course,
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happen again, other places is only a matter of probability.
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What the probability that you would get a brain
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like the ones that we have, like the human brain.
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So how difficult is it to make the human brain?
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It's pretty difficult.
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But most importantly, I guess we know very little
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about how this process really happens.
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And there is a reason for that,
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actually multiple reasons for that.
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Most of what we know about how the mammalian brains
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or the brain of mammals develop,
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comes from studying in labs other brains,
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not our own brain, the brain of mice, for example.
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But if I showed you a picture of a mouse brain
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and then you put it next to a picture of a human brain,
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they don't look at all like each other.
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So they're very different.
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And therefore, there is a limit to what you can learn
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about how the human brain is made by studying the mouse brain.
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There is a huge value in studying the mouse brain.
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There are many things that we have learned,
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but it's not the same thing.
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So in having studied the human brain
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or through the mouse and through other methodologies
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that we'll talk about, do you have a sense?
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I mean, you're one of the experts in the world.
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How much do you feel you know about the brain?
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And how often do you find yourself in awe
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of this mysterious thing?
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Yeah, you pretty much find yourself in awe all the time.
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It's an amazing process.
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It's a process by which,
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by means that we don't fully understand
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at the very beginning of embryogenesis,
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the structure called the neural tube literally self assembles.
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And it happens in an embryo
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and it can happen also from stem cells in a dish.
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Okay.
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And then from there, these stem cells that are present
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within the neural tube give rise to all of the thousands
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and thousands of different cell types
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that are present in the brain through time, right?
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With the interesting, very intriguing, interesting observation
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is that the time that it takes for the human brain to be made,
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it's human time, meaning that for me and you,
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it took almost nine months of gestation to build the brain
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and then another 20 years of learning postnatally
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to get the brain that we have today
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that allows us to this conversation.
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A mouse takes 20 days or so
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for an embryo to be born and so the brain is built
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in a much shorter period of time and the beauty of it
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is that if you take mouse stem cells
04:27.160 --> 04:29.880
and you put them in a cultured dish,
04:29.880 --> 04:34.840
the brain organoid that you get from a mouse is formed faster
04:34.840 --> 04:39.120
that if you took human stem cells and put them in the dish
04:39.120 --> 04:42.120
and let them make a human brain organoid.
04:42.120 --> 04:45.560
So the very developmental process is...
04:45.560 --> 04:49.000
Controlled by the speed of the species.
04:49.000 --> 04:54.080
Which means it's by its own purpose, it's not accidental
04:54.080 --> 04:59.800
or there is something in that temporal dynamic to that development.
04:59.800 --> 05:04.000
Exactly, that is very important for us to get the brain we have
05:04.000 --> 05:08.120
and we can speculate for why that is.
05:08.120 --> 05:13.000
It takes us a long time as human beings after we're born
05:13.000 --> 05:16.040
to learn all the things that we have to learn
05:16.040 --> 05:17.920
to have the adult brain.
05:17.920 --> 05:20.160
It's actually 20 years, think about it.
05:20.160 --> 05:23.440
From when a baby is born to when a teenager
05:23.440 --> 05:27.160
goes through puberty to adults, it's a long time.
05:27.160 --> 05:32.320
Do you think you can maybe talk through the first few months
05:32.320 --> 05:35.080
and then on to the first 20 years
05:35.080 --> 05:37.640
and then for the rest of their lives?
05:37.640 --> 05:41.080
What does the development of the human brain look like?
05:41.080 --> 05:43.360
What are the different stages?
05:43.360 --> 05:46.720
At the beginning you have to build a brain, right?
05:46.720 --> 05:48.840
And the brain is made of cells.
05:48.840 --> 05:51.960
What's the very beginning? Which beginning are we talking about?
05:51.960 --> 05:53.280
In the embryo.
05:53.280 --> 05:56.000
As the embryo is developing in the womb,
05:56.000 --> 05:59.680
in addition to making all of the other tissues of the embryo,
05:59.680 --> 06:02.040
the muscle, the heart, the blood,
06:02.040 --> 06:04.960
the embryo is also building the brain.
06:04.960 --> 06:08.480
And it builds from a very simple structure
06:08.480 --> 06:10.000
called the neural tube,
06:10.000 --> 06:13.160
which is basically nothing but a tube of cells
06:13.160 --> 06:15.800
that spans sort of the length of the embryo
06:15.800 --> 06:20.840
from the head all the way to the tail, let's say, of the embryo.
06:20.840 --> 06:23.360
And then over in human beings,
06:23.360 --> 06:25.520
over many months of gestation,
06:25.520 --> 06:28.240
from that neural tube,
06:28.240 --> 06:32.480
which contains a stem cell like cells of the brain,
06:32.480 --> 06:37.000
you will make many, many other building blocks of the brain.
06:37.000 --> 06:39.600
So all of the other cell types,
06:39.600 --> 06:43.080
because there are many, many different types of cells in the brain,
06:43.080 --> 06:46.640
that will form specific structures of the brain.
06:46.640 --> 06:49.800
So you can think about embryonic development of the brain
06:49.800 --> 06:54.440
as just the time in which you are making the building blocks, the cells.
06:54.440 --> 06:56.840
Are the stem cells relatively homogeneous,
06:56.840 --> 06:59.240
like uniform, or are they all different types?
06:59.240 --> 07:01.280
It's a very good question. It's exactly how it works.
07:01.280 --> 07:05.200
You start with a more homogeneous,
07:05.200 --> 07:09.120
perhaps more multipotent type of stem cell.
07:09.120 --> 07:13.520
That multipotent means that it has the potential
07:13.520 --> 07:17.360
to make many, many different types of other cells.
07:17.360 --> 07:21.440
And then with time, these progenitors become more heterogeneous,
07:21.440 --> 07:22.840
which means more diverse.
07:22.840 --> 07:26.200
There are going to be many different types of these stem cells.
07:26.200 --> 07:28.760
And also they will give rise to progeny,
07:28.760 --> 07:31.760
to other cells that are not stem cells,
07:31.760 --> 07:33.320
that are specific cells of the brain,
07:33.320 --> 07:36.080
that are very different from the mother stem cell.
07:36.080 --> 07:40.360
And now you think about this process of making cells from the stem cells
07:40.360 --> 07:43.760
over many, many months of development for humans.
07:43.760 --> 07:48.200
And what you're doing here, building the cells that physically make the brain,
07:48.200 --> 07:52.400
and then you arrange them in specific structures
07:52.400 --> 07:55.440
that are present in the final brain.
07:55.440 --> 07:59.280
So you can think about the embryonic development of the brain
07:59.280 --> 08:02.120
as the time where you're building the bricks.
08:02.120 --> 08:05.520
You're putting the bricks together to form buildings,
08:05.520 --> 08:08.120
structures, regions of the brain,
08:08.120 --> 08:13.040
and where you make the connections between these many different types of cells,
08:13.040 --> 08:15.200
especially nerve cells, neurons, right,
08:15.200 --> 08:19.240
that transmit action potentials and electricity.
08:19.240 --> 08:22.280
I've heard you also say somewhere, I think, correct me if I'm wrong,
08:22.280 --> 08:25.080
that the order of the way this builds matters.
08:25.080 --> 08:26.040
Oh, yes.
08:26.040 --> 08:29.880
If you are an engineer and you think about development,
08:29.880 --> 08:34.960
you can think of it as, well, I could also take all the cells
08:34.960 --> 08:37.960
and bring them all together into a brain in the end.
08:37.960 --> 08:40.320
But development is much more than that.
08:40.320 --> 08:43.880
So the cells are made in a very specific order
08:43.880 --> 08:47.400
that subserve the final product that you need to get.
08:47.400 --> 08:52.200
And so, for example, all of the nerve cells, the neurons, are made first.
08:52.200 --> 08:56.760
And all of the supportive cells of the neurons, like the glia, is made later.
08:56.760 --> 09:02.080
And there is a reason for that because they have to assemble together in specific ways.
09:02.080 --> 09:05.720
But you also may say, well, why don't we just put them all together in the end?
09:05.720 --> 09:08.920
It's because as they develop next to each other,
09:08.920 --> 09:11.280
they influence their own development.
09:11.280 --> 09:15.400
So it's a different thing for a glia to be made alone in a dish
09:15.400 --> 09:19.360
than a glia cell be made in a developing embryo
09:19.360 --> 09:23.680
with all these other cells around it that produce all these other signals.
09:23.680 --> 09:27.840
First of all, that's mind blowing, that this development process.
09:27.840 --> 09:29.760
From my perspective in artificial intelligence,
09:29.760 --> 09:33.480
you often think of how incredible the final product is,
09:33.480 --> 09:35.200
the final product, the brain.
09:35.200 --> 09:40.400
But you just, you're making me realize that the final product is just,
09:40.400 --> 09:44.480
is the beautiful thing is the actual development process.
09:44.480 --> 09:51.640
Do we know the code that drives that development?
09:51.640 --> 09:53.640
Do we have any sense?
09:53.640 --> 09:59.320
First of all, thank you for saying that it's really the formation of the brain.
09:59.320 --> 10:05.120
It's really its development, this incredibly choreographed dance
10:05.120 --> 10:10.560
that happens the same way every time each one of us builds the brain, right?
10:10.560 --> 10:14.880
And that builds an organ that allows us to do what we're doing today, right?
10:14.880 --> 10:16.360
That is mind blowing.
10:16.360 --> 10:21.880
And this is why developmental neurobiologists never get tired of studying that.
10:21.880 --> 10:23.800
Now, you're asking about the code.
10:23.800 --> 10:26.520
What drives this? How is this done?
10:26.520 --> 10:29.720
Well, it's millions of years of evolution
10:29.720 --> 10:33.120
of really fine tuning gene expression programs
10:33.120 --> 10:37.480
that allow certain cells to be made at a certain time
10:37.480 --> 10:41.680
and to become a certain cell type,
10:41.680 --> 10:47.360
but also mechanical forces of pressure bending.
10:47.360 --> 10:50.280
This embryo is not just, it will not stay a tube,
10:50.280 --> 10:52.000
this brain for very long.
10:52.000 --> 10:55.720
At some point, this tube in the front of the embryo will expand
10:55.720 --> 10:58.160
to make the primordium of the brain, right?
10:58.160 --> 11:02.880
Now, the forces that control the cells feel,
11:02.880 --> 11:04.840
and this is another beautiful thing,
11:04.840 --> 11:09.240
the very force that they feel, which is different from a week before,
11:09.240 --> 11:11.080
a week ago, will tell the cell,
11:11.080 --> 11:13.640
oh, you're being squished in a certain way,
11:13.640 --> 11:16.560
begin to produce these new genes,
11:16.560 --> 11:18.400
because now you are at the corner,
11:18.400 --> 11:23.160
or you are in a stretch of cells or whatever it is.
11:23.160 --> 11:26.000
And so that mechanical physical force
11:26.000 --> 11:29.440
shapes the fate of the cell as well.
11:29.440 --> 11:31.880
So it's not only chemical, it's also mechanical.
11:31.880 --> 11:38.360
So from my perspective, biology is this incredibly complex mess,
11:38.360 --> 11:40.160
gooey mess.
11:40.160 --> 11:43.440
So you're seeing mechanical forces.
11:43.440 --> 11:50.000
How different is a computer or any kind of mechanical machine
11:50.000 --> 11:53.840
that humans build and the biological systems?
11:53.840 --> 11:57.000
Have you been, because you've worked a lot with biological systems,
11:57.000 --> 11:59.960
are they as much of a mess as it seems
11:59.960 --> 12:03.520
from a perspective of an engineer, a mechanical engineer?
12:03.520 --> 12:11.680
Yeah, they are much more prone to taking alternative routes, right?
12:11.680 --> 12:18.160
So if you, we go back to printing a brain versus developing a brain,
12:18.160 --> 12:20.440
of course, if you print a brain,
12:20.440 --> 12:23.960
given that you start with the same building blocks, the same cells,
12:23.960 --> 12:28.600
you could potentially print it the same way every time.
12:28.600 --> 12:32.520
But that final brain may not work the same way
12:32.520 --> 12:34.440
as a brain built during development does,
12:34.440 --> 12:38.680
because the very same building blocks that you're using
12:38.680 --> 12:41.440
developed in a completely different environment, right?
12:41.440 --> 12:43.000
That was not the environment of the brain.
12:43.000 --> 12:47.120
Therefore, they're going to be different just by definition.
12:47.120 --> 12:51.840
So if you instead use development to build, let's say, a brain
12:51.840 --> 12:55.840
organoid, which maybe we will be talking about in a few minutes.
12:55.840 --> 12:57.000
Those things are fascinating.
12:57.000 --> 13:01.960
Yes, so if you use processes of development,
13:01.960 --> 13:06.480
then when you watch it, you can see that sometimes things can go wrong
13:06.480 --> 13:07.520
in some organoids.
13:07.520 --> 13:10.880
And by wrong, I mean different one organoid from the next.
13:10.880 --> 13:14.840
While if you think about that embryo, it always goes right.
13:14.840 --> 13:18.960
So it's this development, it's for as complex as it is.
13:18.960 --> 13:23.680
Every time a baby is born has, you know, with very few exceptions,
13:23.680 --> 13:26.200
the brain is like the next baby.
13:26.200 --> 13:31.320
But it's not the same if you develop it in a dish.
13:31.320 --> 13:33.840
And first of all, we don't even develop a brain.
13:33.840 --> 13:36.080
You develop something much simpler in the dish.
13:36.080 --> 13:39.680
But there are more options for building things differently,
13:39.680 --> 13:46.080
which really tells you that evolution has played a really
13:46.080 --> 13:53.280
tight game here for how in the end the brain is built in vivo.
13:53.280 --> 13:55.360
So just a quick maybe dumb question,
13:55.360 --> 14:01.120
but it seems like the building process is not a dictatorship.
14:01.120 --> 14:06.680
It seems like there's not a centralized high level mechanism
14:06.680 --> 14:10.320
that says, OK, this cell built itself the wrong way.
14:10.320 --> 14:11.560
I'm going to kill it.
14:11.560 --> 14:15.480
It seems like there's a really strong distributed mechanism.
14:15.480 --> 14:18.440
Is that in your sense for what you have?
14:18.440 --> 14:20.920
There are a lot of possibilities, right?
14:20.920 --> 14:25.080
And if you think about, for example, different species,
14:25.080 --> 14:28.920
building their brain, each brain is a little bit different.
14:28.920 --> 14:31.360
So the brain of a lizard is very different from that
14:31.360 --> 14:36.560
of a chicken, from that of one of us, and so on and so forth.
14:36.560 --> 14:40.960
And still is a brain, but it was built differently.
14:40.960 --> 14:44.120
Starting from stem cells, they pretty much
14:44.120 --> 14:46.040
had the same potential.
14:46.040 --> 14:49.400
But in the end, evolution builds different brains
14:49.400 --> 14:51.520
in different species, because that
14:51.520 --> 14:54.040
serves in a way the purpose of that species
14:54.040 --> 14:56.680
and the well being of that organism.
14:56.680 --> 15:00.720
And so there are many possibilities,
15:00.720 --> 15:04.880
but then there is a way, and you were talking about a code.
15:04.880 --> 15:07.560
Nobody knows what the entire code of development is.
15:07.560 --> 15:08.680
Of course, we don't.
15:08.680 --> 15:13.400
We know bits and pieces of very specific aspects
15:13.400 --> 15:15.680
of development of the brain, what genes are involved
15:15.680 --> 15:18.520
to make a certain cell types, how those two cells interact
15:18.520 --> 15:21.480
to make the next level structure that we might know,
15:21.480 --> 15:24.560
but the entirety of it, how it's so well controlled.
15:24.560 --> 15:26.160
It's really mind blowing.
15:26.160 --> 15:29.120
So in the first two months in the embryo,
15:29.120 --> 15:32.720
or whatever, the first few weeks, few months.
15:32.720 --> 15:37.120
So yeah, the building blocks are constructed,
15:37.120 --> 15:40.040
the actual, the different regions of the brain,
15:40.040 --> 15:42.760
I guess, in the nervous system.
15:42.760 --> 15:46.520
Well, this continues way longer than just the first few months.
15:46.520 --> 15:50.480
So over the very first few months,
15:50.480 --> 15:52.080
you build a lot of these cells,
15:52.080 --> 15:56.800
but then there is continuous building of new cell types
15:56.800 --> 15:58.480
all the way through birth.
15:58.480 --> 16:00.400
And then even postnatally,
16:01.520 --> 16:04.000
I don't know if you've ever heard of myelin.
16:04.000 --> 16:06.720
Myelin is this sort of insulation
16:06.720 --> 16:09.800
that is built around the cables of the neurons
16:09.800 --> 16:12.200
so that the electricity can go really fast from.
16:12.200 --> 16:13.520
The axons, I guess they're called.
16:13.520 --> 16:15.720
The axons are called axons, exactly.
16:15.720 --> 16:20.720
And so as human beings, we myelinate ourselves
16:22.920 --> 16:27.000
postnatally, a kid, a six year old kid,
16:27.000 --> 16:29.720
as barely started the process of making
16:29.720 --> 16:31.640
the mature oligodendrocytes,
16:31.640 --> 16:33.400
which are the cells that then eventually
16:33.400 --> 16:36.360
will wrap the axons into myelin.
16:36.360 --> 16:38.720
And this will continue, believe it or not,
16:38.720 --> 16:42.200
until we are about 25, 30 years old.
16:42.200 --> 16:45.080
So there is a continuous process of maturation
16:45.080 --> 16:46.600
and tweaking and additions,
16:46.600 --> 16:51.040
and also in response to what we do.
16:51.040 --> 16:53.960
I remember taking api biology in high school,
16:53.960 --> 16:57.040
and in the textbook, it said that,
16:57.040 --> 16:58.560
I'm going by memory here,
16:58.560 --> 17:02.000
that scientists disagree on the purpose of myelin
17:03.040 --> 17:04.720
in the brain.
17:04.720 --> 17:06.400
Is that totally wrong?
17:06.400 --> 17:10.000
So like, I guess it speeds up the,
17:12.000 --> 17:13.200
okay, but I'd be wrong here,
17:13.200 --> 17:15.280
but I guess it speeds up the electricity traveling
17:15.280 --> 17:17.680
down the axon or something.
17:17.680 --> 17:20.160
So that's the most sort of canonical,
17:20.160 --> 17:21.760
and definitely that's the case.
17:21.760 --> 17:24.880
So you have to imagine an axon,
17:24.880 --> 17:27.680
and you can think about it as a cable or some type
17:27.680 --> 17:29.520
with electricity going through.
17:29.520 --> 17:34.400
And what myelin does by insulating the outside,
17:34.400 --> 17:36.360
I should say there are tracts of myelin
17:36.360 --> 17:39.600
and pieces of axons that are naked without myelin.
17:39.600 --> 17:41.760
And so by having the insulation,
17:41.760 --> 17:44.040
the electricity instead of going straight through the cable,
17:44.040 --> 17:47.240
it will jump over a piece of myelin, right?
17:47.240 --> 17:49.960
To the next naked little piece and jump again,
17:49.960 --> 17:52.720
and therefore, that's the idea that you go faster.
17:53.920 --> 17:58.720
And it was always thought that in order to build
17:58.720 --> 18:01.840
a big brain, a big nervous system,
18:01.840 --> 18:04.160
in order to have a nervous system
18:04.160 --> 18:06.440
that can do very complex type of things,
18:06.440 --> 18:09.400
then you need a lot of myelin because you wanna go fast
18:09.400 --> 18:13.320
with this information from point A to point B.
18:13.320 --> 18:17.960
Well, a few years ago, maybe five years ago or so,
18:17.960 --> 18:20.680
we discovered that some of the most evolved,
18:20.680 --> 18:24.120
which means the newest type of neurons that we have
18:24.120 --> 18:26.520
as non human primates, as as human beings,
18:26.520 --> 18:29.120
in the top of our cerebral cortex,
18:29.120 --> 18:30.920
which should be the neurons that do some
18:30.920 --> 18:33.200
of the most complex things that we do.
18:33.200 --> 18:37.080
Well, those have axons that have very little myelin.
18:37.080 --> 18:42.080
Wow. And they have very interesting ways
18:42.080 --> 18:44.400
in which they put this myelin on their axons,
18:44.400 --> 18:46.400
you know, a little piece here, then a long track
18:46.400 --> 18:48.680
with no myelin, another chunk there,
18:48.680 --> 18:50.600
and some don't have myelin at all.
18:50.600 --> 18:53.120
So now you have to explain
18:54.760 --> 18:57.960
where we're going with evolution.
18:57.960 --> 19:01.360
And if you think about it, perhaps as an electrical engineer,
19:02.800 --> 19:06.000
when I looked at it, I initially thought,
19:06.000 --> 19:07.560
I'm a developmental neurobiology,
19:07.560 --> 19:10.880
I thought maybe this is what we see now,
19:10.880 --> 19:14.160
but if we give evolution another few million years,
19:14.160 --> 19:16.520
we'll see a lot of myelin on these neurons too.
19:16.520 --> 19:18.840
But I actually think now that that's instead
19:18.840 --> 19:22.000
the future of the brain, less myelin,
19:22.000 --> 19:24.720
and my allow for more flexibility
19:24.720 --> 19:26.720
on what you do with your axons,
19:26.720 --> 19:28.560
and therefore more complicated
19:28.560 --> 19:32.200
and unpredictable type of functions,
19:32.200 --> 19:34.320
which is also a bit mind blowing.
19:34.320 --> 19:38.480
So it seems like it's controlling the timing of the signal.
19:38.480 --> 19:40.160
So they're in the timing,
19:40.160 --> 19:43.320
you can encode a lot of information.
19:43.320 --> 19:44.680
And so the brain...
19:44.680 --> 19:48.600
The timing, the chemistry of that little piece of axon,
19:48.600 --> 19:52.160
perhaps it's a dynamic process where the myelin can move.
19:52.160 --> 19:57.160
Now you see how many layers of variability you can add,
19:57.520 --> 19:58.960
and that's actually really good.
19:58.960 --> 20:02.320
If you're trying to come up with a new function
20:02.320 --> 20:06.600
or a new capability or something unpredictable in a way.
20:06.600 --> 20:08.240
So we're gonna jump right out a little bit,
20:08.240 --> 20:12.880
but the old question of how much is nature
20:12.880 --> 20:14.560
and how much is nurture,
20:14.560 --> 20:17.360
in terms of this incredible thing
20:17.360 --> 20:18.920
after the development is over,
20:20.280 --> 20:25.160
we seem to be kind of somewhat smart, intelligent,
20:26.160 --> 20:27.600
cognition, consciousness,
20:27.600 --> 20:30.680
all these things are just incredible ability of reason
20:30.680 --> 20:32.080
and so on emerge.
20:32.080 --> 20:34.960
In your sense, how much is in the hardware,
20:34.960 --> 20:39.320
in the nature and how much is in the nurtures
20:39.320 --> 20:41.040
learned through with our parents
20:41.040 --> 20:42.480
through interacting with the environment, so on.
20:42.480 --> 20:43.800
It's really both, right?
20:43.800 --> 20:45.040
If you think about it.
20:45.040 --> 20:48.040
So we are born with a brain as babies
20:48.040 --> 20:53.040
that has most of its cells and most of its structures
20:53.640 --> 20:57.920
and that will take a few years to grow,
20:57.920 --> 21:00.640
to add more, to be better.
21:00.640 --> 21:04.160
But really then we have this 20 years
21:04.160 --> 21:07.080
of interacting with the environment around us.
21:07.080 --> 21:10.800
And so what that brain that was so perfectly built
21:10.800 --> 21:15.800
or imperfectly built due to our genetic cues
21:16.480 --> 21:20.200
will then be used to incorporate the environment
21:20.200 --> 21:22.760
in its farther maturation and development.
21:22.760 --> 21:27.000
And so your experiences do shape your brain.
21:27.000 --> 21:29.480
I mean, we know that like if you and I
21:29.480 --> 21:33.000
may have had a different childhood or a different,
21:33.000 --> 21:35.080
we have been going to different schools,
21:35.080 --> 21:36.480
we have been learning different things
21:36.480 --> 21:38.080
and our brain is a little bit different
21:38.080 --> 21:41.200
because of that we behave differently because of that.
21:41.200 --> 21:44.080
And so especially postnatally,
21:44.080 --> 21:46.040
experience is extremely important.
21:46.040 --> 21:48.800
We are born with a plastic brain.
21:48.800 --> 21:51.480
What that means is a brain that is able to change
21:51.480 --> 21:54.280
in response to stimuli.
21:54.280 --> 21:56.400
They can be sensory.
21:56.400 --> 22:01.040
So perhaps some of the most illuminating studies
22:01.040 --> 22:03.440
that were done were studies in which
22:03.440 --> 22:07.000
the sensory organs were not working, right?
22:07.000 --> 22:09.520
If you are born with eyes that don't work,
22:09.520 --> 22:12.520
then your very brain, the piece of the brain
22:12.520 --> 22:16.000
that normally would process vision, the visual cortex
22:17.240 --> 22:19.840
develops postnatally differently
22:19.840 --> 22:23.520
and it might be used to do something different, right?
22:23.520 --> 22:25.600
So that's the most extreme.
22:25.600 --> 22:27.480
The plasticity of the brain, I guess,
22:27.480 --> 22:29.480
is the magic hardware that it,
22:29.480 --> 22:32.960
and then its flexibility in all forms
22:32.960 --> 22:36.320
is what enables the learning postnatally.
22:36.320 --> 22:39.280
Can you talk about organoids?
22:39.280 --> 22:40.920
What are they?
22:40.920 --> 22:43.760
And how can you use them to help us understand
22:43.760 --> 22:45.760
the brain and the development of the brain?
22:45.760 --> 22:47.360
This is very, very important.
22:47.360 --> 22:49.920
So the first thing I'd like to say,
22:49.920 --> 22:51.440
please keep this in the video.
22:51.440 --> 22:56.040
The first thing I'd like to say is that an organoid,
22:56.040 --> 23:01.040
a brain organoid, is not the same as a brain, okay?
23:01.600 --> 23:03.640
It's a fundamental distinction.
23:03.640 --> 23:08.560
It's a system, a cellular system,
23:08.560 --> 23:12.200
that one can develop in the culture dish
23:12.200 --> 23:17.200
starting from stem cells that will mimic some aspects
23:17.200 --> 23:21.400
of the development of the brain, but not all of it.
23:21.400 --> 23:23.760
They are very small, maximum,
23:23.760 --> 23:27.920
they become about four to five millimeters in diameters.
23:27.920 --> 23:32.920
They are much simpler than our brain, of course,
23:33.400 --> 23:36.480
but yet they are the only system
23:36.480 --> 23:39.520
where we can literally watch a process
23:39.520 --> 23:42.560
of human brain development unfold.
23:42.560 --> 23:45.080
And by watch, I mean study it.
23:45.080 --> 23:48.000
Remember when I told you that we can't understand
23:48.000 --> 23:50.040
everything about development in our own brain
23:50.040 --> 23:51.560
by studying a mouse?
23:51.560 --> 23:53.600
Well, we can't study the actual process
23:53.600 --> 23:54.840
of development of the human brain
23:54.840 --> 23:56.320
because it all happens in utero.
23:56.320 --> 23:59.320
So we will never have access to that process ever.
24:00.400 --> 24:04.320
And therefore, this is our next best thing,
24:04.320 --> 24:08.400
like a bunch of stem cells that can be coaxed
24:08.400 --> 24:11.720
into starting a process of neural tube formation.
24:11.720 --> 24:14.680
Remember that tube that is made by the embryo rion?
24:14.680 --> 24:17.160
And from there, a lot of the cell types
24:17.160 --> 24:20.680
that are present within the brain
24:20.680 --> 24:24.960
and you can simply watch it and study,
24:24.960 --> 24:28.680
but you can also think about diseases
24:28.680 --> 24:30.880
where development of the brain
24:30.880 --> 24:34.200
does not proceed normally, right, properly.
24:34.200 --> 24:35.920
Think about neurodevelopmental diseases
24:35.920 --> 24:38.280
that are many, many different types.
24:38.280 --> 24:40.200
Think about autism spectrum disorders,
24:40.200 --> 24:42.640
there are also many different types of autism.
24:42.640 --> 24:45.320
So there you could take a stem cell
24:45.320 --> 24:47.520
which really means either a sample of blood
24:47.520 --> 24:50.960
or a sample of skin from the patient,
24:50.960 --> 24:54.360
make a stem cell, and then with that stem cell,
24:54.360 --> 24:57.480
watch a process of formation of a brain organoid
24:57.480 --> 25:00.640
of that person, with that genetics,
25:00.640 --> 25:02.240
with that genetic code in it.
25:02.240 --> 25:05.840
And you can ask, what is this genetic code doing
25:05.840 --> 25:08.800
to some aspects of development of the brain?
25:08.800 --> 25:12.040
And for the first time, you may come to solutions
25:12.040 --> 25:15.440
like, what cells are involved in autism?
25:15.440 --> 25:17.400
So I have so many questions around this.
25:17.400 --> 25:20.560
So if you take this human stem cell
25:20.560 --> 25:23.400
for that particular person with that genetic code,
25:23.400 --> 25:26.560
how, and you try to build an organoid,
25:26.560 --> 25:28.880
how often will it look similar?
25:28.880 --> 25:31.880
What's the, yeah, so.
25:31.880 --> 25:33.320
Reproducibility.
25:33.320 --> 25:37.360
Yes, or how much variability is the flip side of that, yeah.
25:37.360 --> 25:42.360
So there is much more variability in building organoids
25:42.360 --> 25:44.560
than there is in building brain.
25:44.560 --> 25:47.320
It's really true that the majority of us,
25:47.320 --> 25:49.600
when we are born as babies,
25:49.600 --> 25:52.480
our brains look a lot like each other.
25:52.480 --> 25:54.920
This is the magic that the embryo does,
25:54.920 --> 25:57.680
where it builds a brain in the context of a body
25:57.680 --> 26:01.280
and there is very little variability there.
26:01.280 --> 26:02.320
There is disease, of course,
26:02.320 --> 26:04.000
but in general, little variability.
26:04.000 --> 26:08.400
When you build an organoid, we don't have the full code
26:08.400 --> 26:09.520
for how this is done.
26:09.520 --> 26:13.440
And so in part, the organoid somewhat builds itself
26:13.440 --> 26:15.560
because there are some structures of the brain
26:15.560 --> 26:17.280
that the cells know how to make.
26:18.160 --> 26:21.840
And another part comes from the investigator,
26:21.840 --> 26:26.160
the scientist, adding to the media factors
26:26.160 --> 26:28.040
that we know in the mouse, for example,
26:28.040 --> 26:30.760
would foster a certain step of development.
26:30.760 --> 26:33.240
But it's very limited.
26:33.240 --> 26:36.160
And so as a result,
26:36.160 --> 26:38.200
the kind of product you get in the end
26:38.200 --> 26:39.720
is much more reductionist.
26:39.720 --> 26:42.680
It's much more simple than what you get in vivo.
26:42.680 --> 26:46.200
It mimics early events of development as of today.
26:46.200 --> 26:49.080
And it doesn't build very complex type of anatomy
26:49.080 --> 26:51.440
and structure does not as of today,
26:52.600 --> 26:54.920
which happens instead in vivo.
26:54.920 --> 26:59.120
And also the variability that you see
26:59.120 --> 27:02.800
one organoid to the next tends to be higher
27:02.800 --> 27:05.560
than when you compare an embryo to the next.
27:05.560 --> 27:08.960
So, okay, then the next question is how hard
27:08.960 --> 27:11.120
and maybe another flip side of that expensive
27:11.120 --> 27:14.960
is it to go from one stem cell to an organoid?
27:14.960 --> 27:16.760
How many can you build in like,
27:16.760 --> 27:18.480
because it sounds very complicated.
27:18.480 --> 27:23.480
It's work, definitely, and it's money, definitely.
27:23.480 --> 27:28.080
But you can really grow a very high number
27:28.080 --> 27:31.640
of these organoids, you know, can go perhaps,
27:31.640 --> 27:33.160
I told you the maximum they become
27:33.160 --> 27:34.800
about five millimeters in diameter.
27:34.800 --> 27:39.800
So this is about the size of a tiny, tiny, you know, raising
27:40.800 --> 27:43.160
or perhaps the seed of an apple.
27:43.160 --> 27:47.560
And so you can grow 50 to 100 of those
27:47.560 --> 27:51.360
inside one big bioreactors, which are these flasks
27:51.360 --> 27:55.520
where the media provides nutrients for the organoids.
27:55.520 --> 28:00.520
So the problem is not to grow more or less of them.
28:01.760 --> 28:06.480
It's really to figure out how to grow them in a way
28:06.480 --> 28:08.440
that they are more and more reproducible.
28:08.440 --> 28:10.000
For example, organoid to organoid,
28:10.000 --> 28:13.200
so they can be used to study a biological process
28:13.200 --> 28:15.640
because if you have too much of variability,
28:15.640 --> 28:17.160
then you never know if what you see
28:17.160 --> 28:19.560
is just an exception or really the rule.
28:19.560 --> 28:22.160
So what does an organoid look like?
28:22.160 --> 28:25.120
Are there different neurons already emerging?
28:25.120 --> 28:27.520
Is there, you know, well, first,
28:27.520 --> 28:29.920
can you tell me what kind of neurons are there?
28:29.920 --> 28:30.920
Yes.
28:30.920 --> 28:35.560
Are they sort of all the same?
28:35.560 --> 28:37.480
Are they not all the same?
28:37.480 --> 28:39.560
Is how much do we understand
28:39.560 --> 28:42.440
and how much of that variance
28:42.440 --> 28:45.800
if any can exist in organoids?
28:45.800 --> 28:49.360
Yes, so you could grow,
28:49.360 --> 28:52.440
I told you that the brain has different parts.
28:52.440 --> 28:56.000
So the cerebral cortex is on the top part of the brain,
28:56.000 --> 28:57.960
but there is another region called the striatum
28:57.960 --> 28:59.960
that is below the cortex and so on and so forth.
28:59.960 --> 29:03.760
All of these regions have different types of cells
29:03.760 --> 29:05.040
in the actual brain.
29:05.040 --> 29:05.880
Okay.
29:05.880 --> 29:08.880
And so scientists have been able to grow organoids
29:08.880 --> 29:11.440
that may mimic some aspects of development
29:11.440 --> 29:13.920
of these different regions of the brain.
29:13.920 --> 29:16.480
And so we are very interested in the cerebral cortex.
29:16.480 --> 29:17.720
That's the coolest part, right?
29:17.720 --> 29:18.560
Very cool.
29:18.560 --> 29:20.880
I agree with you.
29:20.880 --> 29:23.880
We wouldn't be here talking if we didn't have a cerebral cortex.
29:23.880 --> 29:25.200
It's also, I like to think,
29:25.200 --> 29:27.600
the part of the brain that really truly makes us human,
29:27.600 --> 29:30.200
the most evolved in recent evolution.
29:30.200 --> 29:33.600
And so in the attempt to make the cerebral cortex
29:33.600 --> 29:37.200
and by figuring out a way to have these organoids
29:37.200 --> 29:40.240
continue to grow and develop for extended periods of time,
29:40.240 --> 29:42.400
much like it happens in the real embryo,
29:42.400 --> 29:44.240
months and months in culture,
29:44.240 --> 29:47.920
then you can see that many different types
29:47.920 --> 29:50.200
of neurons of the cortex appear
29:50.200 --> 29:52.200
and at some point also the astrocytes,
29:52.200 --> 29:57.200
so the glia cells of the cerebral cortex also appear.
29:57.640 --> 29:59.000
What are these?
29:59.000 --> 29:59.840
Astrocytes.
29:59.840 --> 30:00.680
Astrocytes.
30:00.680 --> 30:02.080
The astrocytes are not neurons,
30:02.080 --> 30:03.440
so they're not nerve cells,
30:03.440 --> 30:06.160
but they play very important roles.
30:06.160 --> 30:09.000
One important role is to support the neuron,
30:09.000 --> 30:11.880
but of course they have much more active type of roles.
30:11.880 --> 30:13.280
They're very important, for example,
30:13.280 --> 30:14.560
to make the synapses,
30:14.560 --> 30:17.640
which are the point of contact and communication
30:17.640 --> 30:21.480
between two neurons, they...
30:21.480 --> 30:25.680
So all that chemistry fun happens in the synapses
30:25.680 --> 30:28.160
happens because of these cells?
30:28.160 --> 30:29.680
Are they the medium in which?
30:29.680 --> 30:32.000
Happens because of the interactions,
30:32.000 --> 30:34.760
happens because you are making the cells
30:34.760 --> 30:36.320
and they have certain properties,
30:36.320 --> 30:40.360
including the ability to make neurotransmitters,
30:40.360 --> 30:43.320
which are the chemicals that are secreted to the synapses,
30:43.320 --> 30:46.480
including the ability of making these axons grow
30:46.480 --> 30:49.240
with their growth cones and so on and so forth.
30:49.240 --> 30:51.400
And then you have other cells around there
30:51.400 --> 30:55.200
that release chemicals or touch the neurons
30:55.200 --> 30:57.200
or interact with them in different ways
30:57.200 --> 30:59.880
to really foster this perfect process,
30:59.880 --> 31:02.480
in this case of synaptogenesis.
31:02.480 --> 31:05.680
And this does happen within organoids.
31:05.680 --> 31:06.520
Or with organoids.
31:06.520 --> 31:09.760
So the mechanical and the chemical stuff happens.
31:09.760 --> 31:11.640
The connectivity between neurons.
31:11.640 --> 31:13.320
This, in a way, is not surprising
31:13.320 --> 31:18.160
because scientists have been culturing neurons forever.
31:18.160 --> 31:20.760
And when you take a neuron, even a very young one,
31:20.760 --> 31:23.480
and you culture it, eventually finds another cell
31:23.480 --> 31:26.960
or another neuron to talk to, it will form a synapse.
31:26.960 --> 31:28.520
Are we talking about mice neurons?
31:28.520 --> 31:29.600
Are we talking about human neurons?
31:29.600 --> 31:30.600
It doesn't matter, both.
31:30.600 --> 31:33.280
So you can culture a neuron like a single neuron
31:33.280 --> 31:37.920
and give it a little friend and it starts interacting?
31:37.920 --> 31:40.240
Yes. So neurons are able to...
31:40.240 --> 31:44.560
It sounds... It's more simple than what it may sound to you.
31:44.560 --> 31:48.320
Neurons have molecular properties and structural properties
31:48.320 --> 31:51.120
that allow them to really communicate with other cells.
31:51.120 --> 31:53.160
And so if you put not one neuron,
31:53.160 --> 31:55.120
but if you put several neurons together,
31:55.120 --> 32:00.240
chances are that they will form synapses with each other.
32:00.240 --> 32:01.120
Okay, great.
32:01.120 --> 32:03.360
So an organoid is not a brain.
32:03.360 --> 32:03.880
No.
32:03.880 --> 32:07.600
But there's some...
32:07.600 --> 32:10.440
It's able to, especially what you're talking about,
32:10.440 --> 32:15.120
mimic some properties of the cerebral cortex, for example.
32:15.120 --> 32:17.960
So what can you understand about the brain
32:17.960 --> 32:21.040
by studying an organoid of the cerebral cortex?
32:21.040 --> 32:26.400
I can literally study all this incredible diversity of cell type,
32:26.400 --> 32:29.040
all these many, many different classes of cells.
32:29.040 --> 32:30.760
How are they made?
32:30.760 --> 32:32.520
How do they look like?
32:32.520 --> 32:34.920
What do they need to be made properly?
32:34.920 --> 32:36.280
And what goes wrong?
32:36.280 --> 32:39.680
If now the genetics of that stem cell
32:39.680 --> 32:42.800
that I used to make the organoid came from a patient
32:42.800 --> 32:44.320
with a neurodevelopmental disease,
32:44.320 --> 32:47.600
can I actually watch for the very first time
32:47.600 --> 32:51.400
what may have gone wrong years before in this kid
32:51.400 --> 32:53.480
when its own brain was being made?
32:53.480 --> 32:54.720
Think about that loop.
32:54.720 --> 32:59.600
In a way, it's a little tiny rudimentary window
32:59.600 --> 33:04.240
into the past, into the time when that brain,
33:04.240 --> 33:07.680
in a kid that had this neurodevelopmental disease,
33:07.680 --> 33:10.120
was being made.
33:10.120 --> 33:12.880
And I think that's unbelievably powerful
33:12.880 --> 33:16.800
because today we have no idea of what cell types,
33:16.800 --> 33:20.880
we barely know what brain regions are affected in these diseases.
33:20.880 --> 33:23.720
Now we have an experimental system
33:23.720 --> 33:25.440
that we can study in the lab
33:25.440 --> 33:28.440
and we can ask what are the cells affected?
33:28.440 --> 33:31.840
When, during development, things went wrong.
33:31.840 --> 33:35.200
What are the molecules among the many, many different molecules
33:35.200 --> 33:36.600
that control brain development?
33:36.600 --> 33:39.720
Which ones are the ones that really messed up here
33:39.720 --> 33:42.160
and we want perhaps to fix?
33:42.160 --> 33:44.520
And what is really the final product?
33:44.520 --> 33:48.560
Is it a less strong kind of circuit and brain?
33:48.560 --> 33:50.560
Is it a brain that lacks a cell type?
33:50.560 --> 33:52.040
Is it a, what is it?
33:52.040 --> 33:54.920
Because then we can think about treatment
33:54.920 --> 33:59.360
and care for these patients that is informed
33:59.360 --> 34:02.040
rather than just based on current diagnostics.
34:02.040 --> 34:06.240
So how hard is it to detect through the developmental process?
34:06.240 --> 34:09.920
It's a super exciting tool
34:09.920 --> 34:15.160
to see how different conditions develop.
34:15.160 --> 34:17.640
How hard is it to detect that, wait a minute,
34:17.640 --> 34:20.760
this is abnormal development.
34:20.760 --> 34:22.080
Yeah.
34:22.080 --> 34:24.840
That's how hard it, how much signals there,
34:24.840 --> 34:26.520
how much of it is it a mess?
34:26.520 --> 34:29.520
Because things can go wrong at multiple levels, right?
34:29.520 --> 34:34.360
You could have a cell that is born and built
34:34.360 --> 34:36.280
but then doesn't work properly
34:36.280 --> 34:38.360
or a cell that is not even born
34:38.360 --> 34:40.760
or a cell that doesn't interact with other cells differently
34:40.760 --> 34:42.160
and so on and so forth.
34:42.160 --> 34:44.440
So today we have technology
34:44.440 --> 34:47.800
that we did not have even five years ago
34:47.800 --> 34:49.800
that allows us to look, for example,
34:49.800 --> 34:52.160
at the molecular picture of a cell,
34:52.160 --> 34:56.840
of a single cell in a sea of cells with high precision.
34:56.840 --> 34:58.920
And so that molecular information
34:58.920 --> 35:01.840
where you compare many, many single cells
35:01.840 --> 35:03.720
for the genes that they produce
35:03.720 --> 35:06.240
between a control individual
35:06.240 --> 35:10.200
and an individual with a neurodevelopmental disease,
35:10.200 --> 35:13.880
that may tell you what is different, molecularly.
35:13.880 --> 35:18.640
Or you could see that some cells are not even made,
35:18.640 --> 35:20.840
for example, or that the process of maturation
35:20.840 --> 35:22.680
of the cells may be wrong.
35:22.680 --> 35:25.080
There are many different levels here
35:26.040 --> 35:29.640
and we can study the cells at the molecular level
35:29.640 --> 35:33.440
but also we can use the organoids to ask questions
35:33.440 --> 35:35.360
about the properties of the neurons,
35:35.360 --> 35:37.400
the functional properties,
35:37.400 --> 35:39.000
how they communicate with each other,
35:39.000 --> 35:41.440
how they respond to a stimulus and so on and so forth
35:41.440 --> 35:46.440
and we may get abnormalities there, right?
35:46.440 --> 35:51.440
And detect those, so how early is this work in the,
35:51.920 --> 35:54.400
maybe in the history of science?
35:54.400 --> 35:59.400
So, so, I mean, like, so if you were to,
35:59.840 --> 36:04.840
if you and I time travel a thousand years into the future,
36:05.280 --> 36:10.040
organoids seem to be, maybe I'm romanticizing the notion
36:10.040 --> 36:12.880
but you're building not a brain
36:12.880 --> 36:15.800
but something that has properties of a brain.
36:15.800 --> 36:19.120
So it feels like you might be getting close to,
36:19.120 --> 36:23.320
in the building process, to build us to understand.
36:23.320 --> 36:28.320
So how far are we in this understanding
36:29.160 --> 36:30.360
process of development?
36:31.520 --> 36:34.320
A thousand years from now, it's a long time from now.
36:34.320 --> 36:36.560
So if this planet is still gonna be here,
36:36.560 --> 36:38.280
a thousand years from now.
36:38.280 --> 36:42.080
So I mean, if, you know, like they write a book,
36:42.080 --> 36:44.120
obviously there'll be a chapter about you.
36:44.120 --> 36:47.320
That's probably the science fiction book today.
36:47.320 --> 36:48.160
Yeah, today.
36:48.160 --> 36:50.840
But I mean, I guess where we really understood
36:50.840 --> 36:53.400
very little about the brain a century ago,
36:53.400 --> 36:55.920
where I was a big fan in high school,
36:55.920 --> 36:58.760
reading Freud and so on, still am of psychiatry.
36:59.680 --> 37:01.480
I would say we still understand very little
37:01.480 --> 37:04.720
about the functional aspect of just,
37:04.720 --> 37:07.760
but how in the history of understanding
37:07.760 --> 37:09.640
the biology of the brain, the development,
37:09.640 --> 37:11.240
how far are we along?
37:11.240 --> 37:12.960
It's a very good question.
37:12.960 --> 37:15.520
And so this is just, of course, my opinion.
37:15.520 --> 37:19.720
I think that we did not have technology,
37:19.720 --> 37:23.160
even 10 years ago or certainly not 20 years ago,
37:23.160 --> 37:27.760
to even think about experimentally investigating
37:27.760 --> 37:30.160
the development of the human brain.
37:30.160 --> 37:32.200
So we've done a lot of work in science
37:32.200 --> 37:35.480
to study the brain on many other organisms.
37:35.480 --> 37:39.600
Now we have some technologies which I'll spell out
37:39.600 --> 37:43.120
that allow us to actually look at the real thing
37:43.120 --> 37:45.040
and look at the brain, at the human brain.
37:45.040 --> 37:46.840
So what are these technologies?
37:46.840 --> 37:50.440
There has been huge progress in stem cell biology.
37:50.440 --> 37:54.080
The moment someone figured out how to turn a skin cell
37:54.080 --> 37:57.760
into an embryonic stem cell, basically,
37:57.760 --> 38:00.160
and that how that embryonic stem cell
38:00.160 --> 38:02.480
could begin a process of development again
38:02.480 --> 38:04.000
to, for example, make a brain,
38:04.000 --> 38:06.040
there was a huge, you know, advance.
38:06.040 --> 38:08.200
And in fact, there was a Nobel Prize for that.
38:08.200 --> 38:10.440
That started the field, really,
38:10.440 --> 38:14.240
of using stem cells to build organs.
38:14.240 --> 38:17.080
Now we can build on all the knowledge of development
38:17.080 --> 38:18.560
that we build over the many, many, many years
38:18.560 --> 38:20.720
to say, how do we make these stem cells?
38:20.720 --> 38:22.680
Now make more and more complex aspects
38:22.680 --> 38:25.280
of development of the human brain.
38:25.280 --> 38:28.480
So this field is young, the field of brain organoids,
38:28.480 --> 38:30.120
but it's moving fast.
38:30.120 --> 38:32.560
And it's moving fast in a very serious way
38:32.560 --> 38:35.960
that is rooted in labs with the right ethical framework
38:35.960 --> 38:39.720
and really building on, you know,
38:39.720 --> 38:43.520
solid science for what reality is and what is not.
38:43.520 --> 38:46.120
And, but it will go fast
38:46.120 --> 38:49.120
and it will be more and more powerful.
38:49.120 --> 38:52.480
We also have technology that allows us to basically study
38:52.480 --> 38:54.640
the properties of single cells
38:54.640 --> 38:59.240
across many, many millions of single cells,
38:59.240 --> 39:02.160
which we didn't have perhaps five years ago.
39:02.160 --> 39:04.840
So now with that, even an organoid
39:04.840 --> 39:08.480
that has millions of cells can be profiled in a way,
39:08.480 --> 39:11.320
looked at with very, very high resolution,
39:11.320 --> 39:14.960
the single cell level to really understand what is going on.
39:14.960 --> 39:17.520
And you could do it in multiple stages of development
39:17.520 --> 39:20.120
and you can build your hypothesis and so on and so forth.
39:20.120 --> 39:22.600
So it's not gonna be a thousand years.
39:22.600 --> 39:25.240
It's gonna be a shorter amount of time.
39:25.240 --> 39:29.480
And I see this as sort of an exponential growth
39:29.480 --> 39:33.560
of this field enabled by these technologies
39:33.560 --> 39:35.000
that we didn't have before.
39:35.000 --> 39:36.960
And so we're gonna see something transformative
39:36.960 --> 39:41.880
that we didn't see at all in the prior thousand years.
39:41.880 --> 39:44.640
So I apologize for the crazy sci fi questions,
39:44.640 --> 39:48.840
but the developmental process is fascinating to watch
39:48.840 --> 39:53.360
and study, but how far are we away from
39:53.360 --> 39:57.280
and maybe how difficult is it to build
39:57.280 --> 40:02.280
not just an organoid, but a human brain from a stem cell?
40:02.280 --> 40:05.640
Yeah, first of all, that's not the goal
40:05.640 --> 40:09.400
for the majority of the serial scientists that work on this
40:09.400 --> 40:14.160
because you don't have to build the whole human brain
40:14.160 --> 40:17.000
to make this model useful for understanding
40:17.000 --> 40:20.440
how the brain develops or understanding disease.
40:20.440 --> 40:22.440
You don't have to build the whole thing.
40:22.440 --> 40:25.200
So let me just comment on that, it's fascinating.
40:25.200 --> 40:29.200
It shows to me the difference between you and I
40:29.200 --> 40:32.240
is you're actually trying to understand the beauty
40:32.240 --> 40:35.520
of the human brain and to use it to really help
40:35.520 --> 40:38.800
thousands or millions of people with disease and so on, right?
40:38.800 --> 40:41.480
From an artificial intelligence perspective,
40:41.480 --> 40:45.600
we're trying to build systems that we can put in robots
40:45.600 --> 40:49.080
and try to create systems that have echoes
40:49.080 --> 40:52.360
of the intelligence about reasoning about the world,
40:52.360 --> 40:53.600
navigating the world.
40:53.600 --> 40:56.040
It's different objectives, I think.
40:56.040 --> 40:57.520
Yeah, that's very much science fiction.
40:57.520 --> 41:00.280
Science fiction, but we operate in science fiction a little bit.
41:00.280 --> 41:03.440
But so on that point of building a brain,
41:03.440 --> 41:05.800
even though that is not the focus or interest,
41:05.800 --> 41:08.520
perhaps, of the community, how difficult is it?
41:08.520 --> 41:11.200
Is it truly science fiction at this point?
41:11.200 --> 41:13.960
I think the field will progress, like I said,
41:13.960 --> 41:17.960
and that the system will be more and more complex in a way,
41:17.960 --> 41:18.720
right?
41:18.720 --> 41:23.880
But there are properties that emerge from the human brain
41:23.880 --> 41:26.640
that have to do with the mind, that may have to do with consciousness,
41:26.640 --> 41:29.840
that may have to do with intelligence or whatever.
41:29.840 --> 41:33.720
We really don't understand even how they can emerge
41:33.720 --> 41:36.880
from an actual real brain, and therefore, we cannot measure
41:36.880 --> 41:40.160
or study in an organoid.
41:40.160 --> 41:43.040
So I think that this field, many, many years from now,
41:43.040 --> 41:48.240
may lead to the building of better neural circuits
41:48.240 --> 41:50.640
that really are built out of understanding of how
41:50.640 --> 41:52.400
this process really works.
41:52.400 --> 41:57.000
And it's hard to predict how complex this really will be.
41:57.000 --> 42:01.200
I really don't think we're so far from, it makes me laugh, really.
42:01.200 --> 42:05.120
It's really that far from building the human brain.
42:05.120 --> 42:10.040
But you're going to be building something that is always
42:10.040 --> 42:14.800
a bad version of it, but that may have really powerful properties
42:14.800 --> 42:18.560
and might be able to respond to stimuli
42:18.560 --> 42:21.880
or be used in certain contexts.
42:21.880 --> 42:24.800
And this is why I really think that there is no other way
42:24.800 --> 42:28.200
to do this science, but within the right ethical framework.
42:28.200 --> 42:31.440
Because where you're going with this is also,
42:31.440 --> 42:34.160
we can talk about science fiction and write that book,
42:34.160 --> 42:36.600
and we could today.
42:36.600 --> 42:41.520
But this work happens in a specific ethical framework
42:41.520 --> 42:44.880
that we don't decide just as scientists, but also as a society.
42:44.880 --> 42:48.560
So the ethical framework here is a fascinating one,
42:48.560 --> 42:51.120
is a complicated one.
42:51.120 --> 42:55.680
Do you have a sense, a grasp of how we think about ethically,
42:55.680 --> 43:04.160
of building organoids from human stem cells to understand the brain?
43:04.160 --> 43:09.720
It seems like a tool for helping potentially millions of people
43:09.720 --> 43:14.960
cure diseases, or at least start to cure by understanding it.
43:14.960 --> 43:20.560
But is there more, is there gray areas that are ethical,
43:20.560 --> 43:22.320
that we have to think about ethically?
43:22.320 --> 43:23.160
Absolutely.
43:23.160 --> 43:25.520
We must think about that.
43:25.520 --> 43:29.560
Every discussion about the ethics of this
43:29.560 --> 43:34.480
needs to be based on actual data from the models that we have today
43:34.480 --> 43:36.280
and from the ones that we will have tomorrow.
43:36.280 --> 43:37.800
So it's a continuous conversation.
43:37.800 --> 43:39.840
It's not something that you decide now.
43:39.840 --> 43:42.000
Today, there is no issue, really.
43:42.000 --> 43:47.240
Very simple models that clearly can help you in many ways
43:47.240 --> 43:49.880
without much to think about.
43:49.880 --> 43:52.200
But tomorrow, we need to have another conversation,
43:52.200 --> 43:53.160
and so on and so forth.
43:53.160 --> 43:57.120
And so the way we do this is to actually really bring together
43:57.120 --> 44:00.440
constantly a group of people that are not only scientists,
44:00.440 --> 44:04.160
but also bioethicists, lawyers, philosophers, psychiatrists,
44:04.160 --> 44:06.680
and psychologists, and so on and so forth,
44:06.680 --> 44:13.040
to decide as a society, really, what we should
44:13.040 --> 44:15.320
and what we should not do.
44:15.320 --> 44:17.600
So that's the way to think about the ethics.
44:17.600 --> 44:21.440
Now, I also think, though, that as a scientist,
44:21.440 --> 44:23.840
I have a moral responsibility.
44:23.840 --> 44:28.360
So if you think about how transformative
44:28.360 --> 44:32.640
it could be for understanding and curing a neuropsychiatric
44:32.640 --> 44:37.320
disease, to be able to actually watch and study
44:37.320 --> 44:41.480
and treat with drugs the very brain of the patient
44:41.480 --> 44:44.720
that you are trying to study, how transformative
44:44.720 --> 44:47.200
at this moment in time this could be.
44:47.200 --> 44:47.960
We couldn't do it.
44:47.960 --> 44:50.800
Five years ago, we could do it now.
44:50.800 --> 44:53.440
Taking a stem cell of a particular patient
44:53.440 --> 44:57.480
and make an organoid for a simple and different
44:57.480 --> 45:01.160
from the human brain, it still is his process
45:01.160 --> 45:04.720
of brain development with his or her genetics.
45:04.720 --> 45:08.280
And we could understand perhaps what is going wrong.
45:08.280 --> 45:10.960
Perhaps we could use as a platform, as a cellular platform,
45:10.960 --> 45:13.720
to screen for drugs, to fix a process,
45:13.720 --> 45:15.280
and so on and so forth.
45:15.280 --> 45:18.840
So we could do it now, we couldn't do it five years ago.
45:18.840 --> 45:20.480
Should we not do it?
45:20.480 --> 45:24.760
What is the downside of doing it?
45:24.760 --> 45:27.320
I don't see a downside at this very moment.
45:27.320 --> 45:30.880
If we invited a lot of people, I'm sure there would be
45:30.880 --> 45:33.440
somebody who would argue against it,
45:33.440 --> 45:37.680
what would be the devil's advocate argument?
45:39.680 --> 45:42.960
So it's exactly perhaps what you alluded at
45:42.960 --> 45:47.120
with your question, that you are making a,
45:47.120 --> 45:51.680
enabling some process of formation of the brain
45:51.680 --> 45:54.440
that could be misused at some point,
45:54.440 --> 45:59.080
or that could be showing properties
45:59.080 --> 46:03.960
that ethically we don't wanna see in a tissue.
46:03.960 --> 46:07.760
So today, I repeat, today this is not an issue.
46:07.760 --> 46:11.280
And so you just gain dramatically from the science
46:11.280 --> 46:13.720
without, because the system is so simple
46:13.720 --> 46:17.840
and so different in a way from the actual brain.
46:17.840 --> 46:20.000
But because it is the brain,
46:20.000 --> 46:23.960
we have an obligation to really consider all of this, right?
46:23.960 --> 46:27.160
And again, it's a balanced conversation
46:27.160 --> 46:30.360
where we should put disease and betterment of humanity
46:30.360 --> 46:32.440
also on that plate.
46:32.440 --> 46:35.440
What do you think, at least historically,
46:35.440 --> 46:37.280
there was some politicization,
46:37.280 --> 46:42.280
politicization of embryonic stem cells,
46:44.360 --> 46:45.960
a stem cell research.
46:47.160 --> 46:49.160
Do you still see that out there?
46:49.160 --> 46:53.600
Is that still a force that we have to think about,
46:53.600 --> 46:55.600
especially in this larger discourse
46:55.600 --> 46:57.600
that we're having about the role of science
46:57.600 --> 47:00.640
in at least American society?
47:00.640 --> 47:03.520
Yeah, this is a very good question.
47:03.520 --> 47:05.040
It's very, very important.
47:05.040 --> 47:08.480
I see a very central role for scientists
47:08.480 --> 47:12.040
to inform decisions about what we should
47:12.040 --> 47:14.440
or should not do in society.
47:14.440 --> 47:16.400
And this is because the scientists
47:16.400 --> 47:20.440
have the firsthand look and understanding
47:20.440 --> 47:23.520
of really the work that they are doing.
47:23.520 --> 47:26.080
And again, this varies depending on
47:26.080 --> 47:27.480
what we're talking about here.
47:27.480 --> 47:30.800
So now we're talking about brain organoids.
47:30.800 --> 47:33.800
I think that the scientists need to be part
47:33.800 --> 47:36.520
of that conversation about what is,
47:36.520 --> 47:38.040
will be allowed in the future
47:38.040 --> 47:40.840
or not allowed in the future to do with the system.
47:40.840 --> 47:43.400
And I think that is very, very important
47:43.400 --> 47:47.880
because they bring reality of data to the conversation.
47:48.880 --> 47:51.720
And so they should have a voice.
47:51.720 --> 47:53.400
So data should have a voice.
47:53.400 --> 47:55.200
Data needs to have a voice.
47:55.200 --> 47:59.360
Because in not only data, we should also be good
47:59.360 --> 48:04.240
at communicating with non scientists the data.
48:04.240 --> 48:06.840
So there has been, often time,
48:06.840 --> 48:11.840
there is a lot of discussion and excitement
48:12.280 --> 48:16.320
and fights about certain topics
48:16.320 --> 48:19.320
just because of the way they are described.
48:19.320 --> 48:21.000
I'll give you an example.
48:21.000 --> 48:23.400
If I called the same cellular system,
48:23.400 --> 48:27.080
we just talked about a brain organoid.
48:27.080 --> 48:30.320
Or if I called it a human mini brain,
48:30.320 --> 48:34.600
your reaction is gonna be very different to this.
48:34.600 --> 48:37.760
And so the way the systems are described,
48:37.760 --> 48:40.720
I mean, we and journalists alike
48:40.720 --> 48:43.720
need to be a bit careful that this debate
48:43.720 --> 48:46.080
is a real debate and informed by real data.
48:46.080 --> 48:47.960
That's all I'm asking.
48:47.960 --> 48:49.600
And yeah, the language matters here.
48:49.600 --> 48:51.280
So I work on autonomous vehicles
48:51.280 --> 48:54.960
and there the use of language could drastically
48:54.960 --> 48:57.480
change the interpretation and the way people feel
48:57.480 --> 49:01.520
about what is the right way to proceed forward.
49:01.520 --> 49:04.720
You are, as I've seen from a presentation,
49:04.720 --> 49:06.240
you're a parent.
49:06.240 --> 49:09.840
I saw you show a couple of pictures of your son.
49:09.840 --> 49:11.440
Is it just the one?
49:11.440 --> 49:12.280
Two.
49:12.280 --> 49:13.120
Two.
49:13.120 --> 49:13.960
Son and a daughter.
49:13.960 --> 49:14.800
Son and a daughter.
49:14.800 --> 49:17.360
So what have you learned from the human brain
49:17.360 --> 49:20.120
by raising two of them?
49:20.120 --> 49:22.800
More than I could ever learn in a lab.
49:22.800 --> 49:25.600
What have I learned?
49:26.840 --> 49:28.640
I've learned that children really have
49:28.640 --> 49:31.520
these amazing plastic minds, right?
49:31.520 --> 49:35.880
That we have a responsibility to, you know,
49:35.880 --> 49:38.440
foster their growth in good, healthy ways
49:39.360 --> 49:42.320
that keep them curious, that keep some adventures,
49:42.320 --> 49:45.920
that doesn't raise them in fear of things.
49:46.840 --> 49:48.920
But also respecting who they are,
49:48.920 --> 49:51.320
which is in part, you know, coming from the genetics
49:51.320 --> 49:53.840
we talked about, my children are very different
49:53.840 --> 49:55.240
from each other despite the fact
49:55.240 --> 49:57.840
that they're the product of the same two parents.
49:59.320 --> 50:03.080
I also learned that what you do for them
50:03.080 --> 50:04.280
comes back to you.
50:04.280 --> 50:05.840
Like, you know, if you're a good parent,
50:05.840 --> 50:09.800
you're gonna, most of the time have, you know,
50:09.800 --> 50:12.200
perhaps decent kids at the end.
50:12.200 --> 50:13.760
So what do you think, just a quick comment,
50:13.760 --> 50:17.760
what do you think is the source of that difference?
50:17.760 --> 50:20.960
It's often the surprising thing for parents.
50:20.960 --> 50:24.000
I can't believe that our kids,
50:25.640 --> 50:28.080
they're so different, yet they came from the same parents.
50:28.080 --> 50:29.640
Well, they are genetically different.
50:29.640 --> 50:31.920
Even they came from the same two parents
50:31.920 --> 50:33.640
because the mixing of gametes,
50:33.640 --> 50:35.720
so when we know these genetics,
50:35.720 --> 50:39.800
creates every time a genetically different individual
50:39.800 --> 50:43.760
which will have a specific mix of genes
50:43.760 --> 50:46.560
that is a different mix every time from the two parents.
50:46.560 --> 50:50.320
And so they're not twins.
50:50.320 --> 50:52.960
They're genetically different.
50:52.960 --> 50:55.320
Just that little bit of variation.
50:55.320 --> 50:58.320
As you said, really from a biological perspective,
50:58.320 --> 51:00.600
the brains look pretty similar.
51:00.600 --> 51:02.400
Well, so let me clarify that.
51:02.400 --> 51:05.400
So the genetics you have, the genes that you have,
51:05.400 --> 51:08.680
that play that beautiful orchestrated symphony
51:08.680 --> 51:12.040
of development, different genes
51:12.040 --> 51:13.920
will play it slightly differently.
51:13.920 --> 51:16.120
It's like playing the same piece of music
51:16.120 --> 51:17.960
but with the different orchestra
51:17.960 --> 51:20.000
and a different director, right?
51:20.000 --> 51:21.440
The music will not come out.
51:21.440 --> 51:25.400
It will be still a piece by the same author
51:25.400 --> 51:27.040
but it will come out differently
51:27.040 --> 51:28.920
if it's played by the high school orchestra
51:28.920 --> 51:33.440
instead of the, instead of the Scala in Milan.
51:34.680 --> 51:39.160
And so you are born superficially with the same brain.
51:39.160 --> 51:43.440
It has the same cell types, similar patterns of connectivity
51:43.440 --> 51:45.200
but the properties of the cells
51:45.200 --> 51:47.600
and how the cells will then react to the environment
51:47.600 --> 51:51.320
as you experience your world will be also shaped
51:51.320 --> 51:53.680
by who genetically you are.
51:53.680 --> 51:55.120
Speaking just as a parent,
51:55.120 --> 51:56.880
this is not something that comes from my work.
51:56.880 --> 51:58.840
I think you can tell at birth
51:58.840 --> 52:01.120
that these kids are different
52:01.120 --> 52:04.560
and that they have a different personality in a way, right?
52:05.560 --> 52:07.600
So both is needed.
52:07.600 --> 52:10.800
The genetics as well as the nurturing afterwards.
52:11.760 --> 52:14.600
So you are one human with a brain
52:14.600 --> 52:17.200
sort of living through the whole mess of it.
52:17.200 --> 52:21.000
The human condition, full of love, maybe fear,
52:21.000 --> 52:22.880
ultimately mortal.
52:23.880 --> 52:27.080
How has studying the brain changed the way you see yourself?
52:27.080 --> 52:29.880
When you look in the mirror, when you think about your life,
52:29.880 --> 52:31.880
the fears, the love.
52:31.880 --> 52:34.040
When you see your own life, your own mortality.
52:34.040 --> 52:36.840
Yeah, that's a very good question.
52:37.960 --> 52:43.160
It's almost impossible to dissociate some time for me.
52:43.160 --> 52:45.880
Some of the things we do or some of the things
52:45.880 --> 52:48.200
that other people do from,
52:48.200 --> 52:51.080
oh, that's because that part of the brain
52:51.960 --> 52:54.080
is working in a certain way.
52:54.080 --> 52:57.840
Or thinking about a teenager,
52:59.080 --> 53:01.800
going through teenage years and being a time funny
53:01.800 --> 53:03.560
in the way they think.
53:03.560 --> 53:07.200
And impossible for me not to think it's because
53:07.200 --> 53:10.480
they're going through this period of time called
53:10.480 --> 53:12.640
critical periods of plasticity.
53:12.640 --> 53:13.480
Yeah.
53:13.480 --> 53:16.400
Where their synapses are being eliminated here and there
53:16.400 --> 53:17.760
and they're just confused.
53:17.760 --> 53:22.280
And so from that comes perhaps a different take
53:22.280 --> 53:27.280
on that behavior or maybe I can justify scientifically
53:28.080 --> 53:30.120
in some sort of way.
53:30.120 --> 53:32.280
I also look at humanity in general
53:32.280 --> 53:37.040
and I am amazed by what we can do
53:37.040 --> 53:39.960
and the kind of ideas that we can come up with.
53:39.960 --> 53:42.840
And I cannot stop thinking about
53:42.840 --> 53:46.440
how the brain is continuing to evolve.
53:46.440 --> 53:47.360
I don't know if you do this,
53:47.360 --> 53:49.720
but I think about the next brain sometimes.
53:49.720 --> 53:51.080
Where are we going with this?
53:51.080 --> 53:53.920
Like what are the features of this brain
53:53.920 --> 53:57.920
that evolution is really playing with
53:57.920 --> 54:02.920
to get us in the future, the new brain?
54:03.080 --> 54:04.280
It's not over, right?
54:04.280 --> 54:07.200
It's a work in progress.
54:07.200 --> 54:09.280
So let me just a quick comment on that.
54:09.280 --> 54:14.280
Do you see, do you think there's a lot of fascination
54:14.520 --> 54:16.240
and hope for artificial intelligence
54:16.240 --> 54:17.960
of creating artificial brains?
54:17.960 --> 54:20.320
You said the next brain.
54:20.320 --> 54:23.600
When you imagine over a period of a thousand years
54:23.600 --> 54:25.760
the evolution of the human brain,
54:25.760 --> 54:28.920
do you sometimes envisioning that future
54:28.920 --> 54:31.440
see an artificial one?
54:31.440 --> 54:34.280
Artificial intelligence as it is hoped by many,
54:34.280 --> 54:36.840
not hoped, thought by many people
54:36.840 --> 54:39.120
would be actually the next evolutionary step
54:39.120 --> 54:40.680
in the development of humans.
54:40.680 --> 54:45.480
Yeah, I think in a way that will happen, right?
54:45.480 --> 54:48.760
It's almost like a part of the way we evolve.
54:48.760 --> 54:51.400
We evolve in the world that we created,
54:51.400 --> 54:55.520
that we interact with, that shape us as we grow up
54:55.520 --> 54:56.840
and so on and so forth.
54:58.440 --> 55:01.120
Sometime I think about something that may sound silly,
55:01.120 --> 55:04.720
but think about the use of cell phones.
55:04.720 --> 55:07.240
Part of me thinks that somehow in their brain
55:07.240 --> 55:09.160
there will be a region of the cortex
55:09.160 --> 55:13.720
that is attuned to that tool.
55:13.720 --> 55:16.600
And this comes from a lot of studies
55:16.600 --> 55:21.000
in model organisms where really the cortex
55:21.000 --> 55:24.280
especially adapts to the kind of things you have to do.
55:24.280 --> 55:28.640
So if we need to move our fingers in a very specific way,
55:28.640 --> 55:31.040
we have a part of our cortex that allows us to do
55:31.040 --> 55:33.080
this kind of very precise movement.
55:34.440 --> 55:37.000
An owl that has to see very, very far away
55:37.000 --> 55:39.440
with big eyes, the visual cortex, very big.
55:39.440 --> 55:43.280
It's the brain attunes to your environment.
55:43.280 --> 55:47.600
So the brain will attune to the technologies
55:47.600 --> 55:51.200
that we will have and will be shaped by it.
55:51.200 --> 55:53.000
So the cortex very well may be.
55:53.000 --> 55:54.640
Will be shaped by it.
55:54.640 --> 55:57.360
In artificial intelligence, it may merge with it,
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it may get enveloped and adjusted.
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Even if it's not a merge of the kind of,
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oh, let's have a synthetic element together
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with a biological one.
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The very space around us, the fact, for example,
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think about we put on some goggles of virtual reality
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and we physically are surfing the ocean, right?
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Like I've done it and you have all these emotions
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that come to you, your brain placed you in that reality.
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And it was able to do it like that
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just by putting the goggles on.
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I didn't take thousands of years of adapting to this.
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The brain is plastic, so adapts to new technology.
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So you could do it from the outside
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by simply hijacking some sensory capacities that we have.
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So clearly over recent evolution,
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the cerebral cortex has been a part of the brain
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that has known the most evolution.
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So we have put a lot of chips on evolving
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this specific part of the brain
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and the evolution of cortex is plasticity.
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It's this ability to change in response to things.
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So yes, they will integrate that we want it or not.
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Well, there's no better way to end it, Paola.
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Thank you so much for talking to me.
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You're very welcome.
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That's great.
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Thank you.
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