Unraveling the Mystery of Immunity | Dr. James Crowe, Jr. | TEDxNashville

TEDx Talks
9 May 201720:43

Summary

TLDRThe speaker, a physician and scientist, recounts a profound experience with the death of a child in East Africa, igniting a passion to combat infectious diseases. He discusses the human immune system's complexity, highlighting its vast potential to create antibodies, and the importance of vaccination as evidenced by smallpox eradication. The talk also explores modern challenges, like the 1918 flu, and innovative approaches in synthetic genomics to harness natural antibodies from survivors as potential treatments for future outbreaks.

Takeaways

  • 🌱 The speaker is a physician and scientist with a focus on the human immune system, motivated by a profound experience in East Africa witnessing the impact of infectious diseases on children.
  • 💔 A pivotal moment in the speaker's career was when they had to return a deceased child to its mother, an event that instilled a lifelong commitment to combating infectious diseases.
  • 📚 Historically, pandemics like the Black Death, the 1918 influenza, and smallpox have had devastating effects on human populations, with death tolls reaching into the millions.
  • 🌟 The eradication of smallpox through vaccination represents a significant victory for humanity against infectious diseases, demonstrating the power of medical science.
  • 🛡️ The human immune system is a complex defense mechanism that circulates throughout the body, with white blood cells playing a crucial role in fighting infections.
  • 🧬 The Human Genome Project revealed that humans have approximately 25,000 genes, a number that initially seemed insufficient to account for the diversity needed to combat pathogens.
  • 🔬 The immune system's ability to generate a vast array of antibodies through gene combinations and mutations provides a deep and rich defense against a multitude of pathogens.
  • 🧬🌌 The potential diversity of antibodies in the human body is estimated to be greater than the number of stars in the galaxy, highlighting the immense capacity of the immune system.
  • 🧪 Modern techniques in synthetic genomics and sequencing allow scientists to study and replicate antibodies from individuals who have survived infections, offering new therapeutic possibilities.
  • 🌐 The speaker's team is undertaking an ambitious project to sequence all antibodies in the human population, which could lead to a publicly accessible database for scientific research.
  • 🛡️🌟 The human immune system is a marvel of nature, capable of incredible feats of defense and adaptation, and each person carries this 'universe within' them.

Q & A

  • What was the speaker's profession and area of study?

    -The speaker is a physician and a scientist who studies the human immune system.

  • Where did the speaker work during his senior medical student years?

    -The speaker worked in a rural hospital in East Africa, among the Kip, Cigy people.

  • What was the challenging aspect of the speaker's experience in East Africa?

    -The challenging aspect was the overwhelming burden of infectious diseases in young children.

  • What event during the speaker's time in the hospital deeply affected him?

    -The event was when the speaker encountered a child who had no heartbeat and had to inform the parents of the child's death.

  • What did the speaker vow to do after the traumatic experience with the child's death?

    -The speaker vowed to dedicate his life and career to combating infectious diseases, especially for the most vulnerable.

  • What historical pandemics were mentioned in the script?

    -The script mentioned the Black Plague, the 1918 influenza pandemic, and smallpox.

  • How did humanity achieve the eradication of smallpox?

    -Humanity achieved the eradication of smallpox through vaccination using a weakened virus.

  • What is the significance of the immune system in the human body?

    -The immune system is the body's defense mechanism that wards off or cures infections.

  • How does the speaker describe the diversity of antibodies in the human immune system?

    -The speaker describes the diversity of antibodies as having combinatorial diversity, with the potential to create 10 to the 18th different antibodies.

  • What is the process of synthetic genomics mentioned in the script?

    -Synthetic genomics is the process of creating artificial DNA sequences, which can be used to produce specific antibodies in a lab setting.

  • How did the speaker's team obtain antibodies from a survivor of the 1918 pandemic?

    -They obtained blood from 100-year-old subjects who had experienced the 1918 infection and extracted antibodies from their blood that could kill the virus.

  • What is the potential application of the antibodies obtained from Michelle Barnes, a survivor of Marburg virus infection?

    -The antibodies obtained from Michelle Barnes are being developed as a therapy for future cases of Marburg virus or in the event of an outbreak.

  • What does the speaker suggest about the human immune system's capability against infectious diseases?

    -The speaker suggests that the human immune system is a deeply complex and powerful system capable of combating a vast array of infectious diseases.

Outlines

00:00

😔 Heartbreaking Encounter with Childhood Mortality

The speaker, a physician and scientist, recounts a profound experience from his time as a senior medical student in a rural East African hospital. Overwhelmed by the prevalence of infectious diseases, he faced a particularly challenging moment when he was unable to save a child's life. This encounter deeply affected him, leading to a personal vow to dedicate his career to combating infectious diseases, especially for the most vulnerable. The narrative emphasizes the historical impact of pandemics, such as the Black Plague and the 1918 influenza pandemic, and the speaker's commitment to the field of immunology.

05:01

🛡️ Triumphs and Challenges of the Immune System

This paragraph delves into the speaker's professional journey and the broader context of infectious diseases. It highlights the success of vaccination in eradicating smallpox, a historic achievement marked by the WHO's declaration in 1980. However, the speaker also underscores the ongoing challenges, such as recent pandemics and outbreaks like bird flu, SARS, and Ebola, emphasizing the need for constant vigilance and innovation in the face of evolving pathogens. The paragraph concludes with a reflection on human vulnerability and resilience, and a call to consider the role of the immune system in personal and public health.

10:03

🔬 Exploring the Complexity of the Immune System

The speaker provides an in-depth look at the human immune system, starting with a demonstration of blood cell observation under a microscope. He discusses the role of white blood cells in immunity and then transitions into the genetic basis of the immune system. The Human Genome Project is mentioned, revealing the relatively small number of genes in the human body. However, the speaker explains the combinatorial diversity of antibodies, which allows for an immense range of potential immune responses. This section illustrates the complexity and the genetic underpinnings of our immune defenses.

15:04

🌟 Harnessing the Power of Antibodies

In this segment, the speaker discusses the process of extracting and sequencing antibodies from individuals who have survived various infectious diseases. He describes the procedure of removing white blood cells, sequencing them, and using the data to create a public database of antibody sequences. The speaker also touches on synthetic genomics, which allows for the reproduction of these antibodies in a lab setting, providing a potential source of treatment for current and future outbreaks. The narrative includes personal stories of survivors and the scientific efforts to understand and utilize their immune responses.

20:06

🌌 The Immune System: A Universe of Defense

The final paragraph wraps up the speaker's presentation by emphasizing the incredible capacity and complexity of the human immune system. He likens it to the vastness of the universe, with each person carrying an intricate network of defenses within. The speaker encourages the audience to face the future with a sense of confidence in the power of their immune systems, while also maintaining caution and wisdom in the face of infectious diseases. The summary serves as a reminder of the ongoing battle between pathogens and human resilience.

Mindmap

Keywords

💡Immune System

The immune system is a complex network of cells, tissues, and organs that work together to defend the body against harmful pathogens. In the video, the immune system is the central theme, as the speaker discusses its role in fighting infectious diseases, especially in vulnerable populations. The speaker's personal experience with a child's death in East Africa underscores the importance of the immune system in health and survival.

💡Infectious Diseases

Infectious diseases are illnesses caused by pathogens such as bacteria, viruses, parasites, or fungi. The video script highlights the overwhelming burden of infectious diseases, particularly in young children in East Africa, which was a pivotal moment for the speaker's career in studying the human immune system and its defenses against such diseases.

💡Vital Signs

Vital signs are the essential clinical measurements indicating the most basic functions of a living being's body, including pulse, respiration, and temperature. In the context of the video, the absence of a heartbeat, a vital sign, tragically indicated the death of a child, which deeply affected the speaker and reinforced the importance of medical intervention in treating infectious diseases.

💡Vaccination

Vaccination is the process of introducing a weakened or modified form of a pathogen to stimulate an immune response and provide immunity against future infections. The script refers to the success of vaccination in eradicating smallpox, a major victory for humanity and a testament to the power of the immune system when aided by medical science.

💡Antibodies

Antibodies are proteins produced by the immune system to identify and neutralize foreign objects such as bacteria and viruses. The script explains how the diversity of antibodies, generated through combinations of genes and mutations, provides a vast defense arsenal against pathogens. This is exemplified by the speaker's work in sequencing and synthesizing antibodies from survivors of various infectious diseases.

💡Genetics

Genetics is the study of genes, heredity, and variation in living organisms. The video script delves into the Human Genome Project, which sequenced all human genes, and the subsequent understanding of the immune system's genetic complexity. The speaker uses genetics to explain the combinatorial diversity of antibodies and their role in fighting pathogens.

💡Synthetic Genomics

Synthetic genomics is the design and construction of new artificial genomes or the modification of existing ones. In the script, the speaker discusses using synthetic genomics to create DNA sequences of antibodies, enabling the production of these antibodies in a lab setting, which can then be used for therapeutic purposes.

💡Eradication

Eradication refers to the complete elimination of a disease, typically through a combination of vaccination, sanitation, and other public health measures. The video script mentions the successful eradication of smallpox as a landmark achievement of the human immune system, aided by medical interventions.

💡Pandemics

A pandemic is an outbreak of a disease that occurs over a wide geographic area and affects an exceptionally high proportion of the population. The script references several historical and recent pandemics, such as the 1918 influenza pandemic and the Ebola outbreak, to illustrate the ongoing threat of infectious diseases to human populations.

💡White Blood Cells

White blood cells, or leukocytes, are a crucial component of the immune system that fights infections by identifying and eliminating pathogens. The video script describes the speaker's demonstration of white blood cells under a microscope, emphasizing their importance in the body's defense mechanisms.

💡Cryo-electron Microscopy

Cryo-electron microscopy is a technique used to visualize biological molecules in three dimensions at near-atomic resolution. The script mentions the use of this technology to observe the interaction between antibodies and the Zika virus, showcasing the power of modern scientific tools in understanding and combating infectious diseases.

Highlights

The speaker is a physician and scientist studying the human immune system.

Worked in a rural hospital in East Africa, witnessing the burden of infectious diseases on children.

A traumatic event involving the death of a child deeply affected the speaker and influenced their career focus.

The speaker vowed to dedicate their life to combating infectious diseases, especially for the most vulnerable.

Historical context provided on the impact of the Black Plague, 1918 influenza pandemic, and smallpox.

The eradication of smallpox through vaccination is highlighted as a major victory against infectious diseases.

Recent outbreaks of infectious diseases like bird flu, SARS, and Ebola are discussed.

The speaker emphasizes the importance of the immune system as the body's defense mechanism against infections.

A demonstration of blood cell observation under a microscope is conducted to illustrate the presence of white blood cells.

The Human Genome Project is mentioned, revealing the number of genes in the human body.

The complexity of the immune system, particularly the diversity of antibodies, is explained.

The speaker discusses the potential of sequencing all antibodies in the human population.

Synthetic genomics and the ability to create antibodies from DNA sequences are introduced.

Examples of antibodies derived from survivors of historical pandemics and their potential for future treatments are provided.

The speaker concludes by emphasizing the strength and complexity of the human immune system.

Transcripts

play00:08

I'm a physician and a scientist and I

play00:11

study the human immune

play00:13

system now when I was a senior medical

play00:16

student I worked for several months in a

play00:18

rural Hospital in East Africa very

play00:21

interesting place uh tea Farmers the kip

play00:24

cigy people very beautiful and dignified

play00:26

people but working in this place at my

play00:28

young age was very challenging to me

play00:30

because of the

play00:31

overwhelming uh burden of infectious

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diseases in young children

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there and I had just learned to put on

play00:38

my white coat and really my professional

play00:40

demeanor as a physician in training but

play00:43

an event happened very early in my time

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there that broke through my shield uh

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and shattered my world so uh I was

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working on the ward the inpatient Ward

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and every day we had about a dozen

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children referred from the clinic for

play00:56

admission to be admitted and treated in

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hospital and I was along this Hall the

play01:00

corridor and there were about a dozen

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families waiting to be seen and as I

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came in uh a man tugged gently at my my

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coat and said sir would you see my child

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and I turned to him thinking to say you

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really need to wait your turn in line

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sir when I looked over I saw his wife

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was holding a small child and the child

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was limp and somewhat blue looking and

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this was very disturbing so we moved the

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family very quickly into our procedure

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room which was just really a closet and

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the mother and father and I went in with

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the nurse who is the translator now when

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a doctor sees you uh at an exam the

play01:35

first thing they typically do is take

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Vital Signs and the first of those is

play01:38

the pulse but in a child it's actually

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easier to use your stethoscope to just

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count the the heartbeat so I put my

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stethoscope on uh and I was had the

play01:48

child and I was really going to just

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count the heartbeats and I was having

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trouble with my stethoscope and they

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toggle back and forth so I checked them

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and just to make sure I had it in the

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right place and I'm I'm listening and I

play01:58

you know really I'm still having having

play02:00

silence and then I realized I'm having

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silence because the child does not have

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a

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heartbeat and at that moment in that

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place with no ICU no life support all I

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could do was to hand the child back to

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the mother and say I'm so sorry your

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child is

play02:16

dead that mother let out a whale that

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filled the entire room and the soul of

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everyone who was there at the

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time and something broke in my heart

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that day I can't you know forget that

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moment uh it start with me forever and I

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was experienced in part by proximity the

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sadness and loneliness that parents feel

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when they experience the death of a

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child sometimes when I would put my own

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uh child to sleep I would kiss them and

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and think about uh the child that died

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in my arms and so I vowed in my bed that

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night crying that I would use my life

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and career to do something about

play02:55

infectious diseases especially for the

play02:57

most vulnerable Among Us and I would ask

play03:00

you when you think about uh what's

play03:02

happened in in history who is the more

play03:05

formidable foe is it human beings or

play03:07

pathogens now you know from your history

play03:10

books about uh the black plague or

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Bubonic plague starting about 1340 at

play03:16

Peak about 2 million people a year died

play03:19

um this is a painting from brole from

play03:22

the 16th century this one on on a very

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long time and I think most of us think

play03:26

of the black plague as the most uh

play03:28

impressive uh and horrific uh epidemic

play03:32

that happened in history and certainly

play03:35

it was

play03:35

horrible uh but this seems uh long ago

play03:39

and far away like a fairy tale of sorts

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almost like it didn't happen uh but I

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want you to remember that there are

play03:46

people living today who were alive in

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1918 when the 1918 influenza pandemic

play03:52

occurred and 50 million people died in

play03:55

one year due to that flu virus

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interestingly people who are in their

play03:59

20s and 30s were very susceptible during

play04:02

this pandemic as well as in the

play04:04

pandemics in 1957 68 and so on this is a

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photograph from a makeshift infirmary in

play04:11

a barracks in Kansas in the US during

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the pandemic 5% of the US population

play04:16

died that year 50 million people in the

play04:19

world which far exceeds all of the

play04:21

deaths in in the world war that was

play04:23

going on at the time and so this is in

play04:26

the memory of people who are living

play04:28

today and at million people doesn't

play04:31

impress you you may not realize 500

play04:34

million people died of small pox and

play04:37

recorded history now small pox is a

play04:40

horrific disease it goes in every organ

play04:42

of your body including your skin and

play04:44

that's what you see these pox and a

play04:47

third of the people who are infected die

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now small pox is our first major victory

play04:53

against an infectious Foe and how did we

play04:56

do it we did it with vaccination uh we

play04:58

used a weaken virus in a solution and

play05:01

used a little forked needle and took

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that needle and we pricked the skin

play05:05

usually the skin of the arm 15 times

play05:07

this video is actually me getting my

play05:09

last small pox vaccine because we work

play05:11

with similar viruses in the lab um so

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I'm well protected against small pox if

play05:17

it ever comes back but the thing is

play05:20

small pox does not circulate in the

play05:22

earth anymore because we eradicated so

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we went from 500 million people dying to

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no one dying not a single person is

play05:29

infected with small pux and this is a

play05:30

major victory but you have to realize

play05:32

this only happened within the last you

play05:34

know it's less than 40 years ago and

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we've only done it once and it may seem

play05:40

like a very uh crude way to fight but

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this was the magic that allowed us to

play05:46

eradicate infectious disease and we have

play05:47

not been able to um do it again now the

play05:52

who declared that small pox was

play05:54

eradicated in 1980 and if you're a

play05:57

millennial 1980 seems long ago and far

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far away and kind of like a fairy tale

play06:01

uh but if you've been uh watching the

play06:03

news this keeps happening

play06:05

1997 bird flu h5n1 Aven influenza SARS

play06:10

2003 coming out in Asia very virulent

play06:13

virus uh we just lived through the 2009

play06:16

pandemic H1N1 flu Middle Eastern

play06:19

respiratory uh syndrome virus in Saudi

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Arabia very virulent virus chicken gunia

play06:25

a million people in the Caribbean were

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infected in one year in 20 14 with

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debilitating arthritis uh you'll

play06:33

remember watching the news with the

play06:34

horrific outbreak of Ebola in West

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Africa even came to the shores of the US

play06:39

uh and last year zika virus sweeping

play06:42

across South America millions of people

play06:44

being infected including pregnant women

play06:47

and the mosquito-born virus has

play06:48

transmitted to pregnant women passes to

play06:50

the fetus causing microsopy fetal damage

play06:53

and death so this stuff is happening

play06:55

every year around us and uh I want I

play06:59

want you to think you know what are we

play07:00

going to do about this uh what is the

play07:03

what is the next step what are our

play07:05

defenses and um I want you to just think

play07:08

about your own body how do you think

play07:10

about your your body and your health do

play07:12

you feel healthy and powerful and

play07:15

resistant or do you think of yourself as

play07:18

somewhat vulnerable and susceptible and

play07:21

at risk and when you think about the

play07:23

entire human race are we resilient and

play07:25

are we going to pass through all these

play07:27

things or is there some fear

play07:30

and and a realistic fear that the entire

play07:32

human race could be eradicated by one of

play07:34

these pandemics and I think you would be

play07:35

justified given what I just showed you

play07:37

to be concerned about that so the

play07:39

question is what are we going to do now

play07:41

when people think of their body um and

play07:43

their health they often talk about

play07:45

system they say well my system was run

play07:47

down and I got a cold last week or I'd

play07:49

really like to eat better and sleep more

play07:52

build my system up and be strong well

play07:54

what are you talking about when you talk

play07:55

about a system what is that word what

play07:57

you're really referring to is your

play07:58

immune IM system your immune system is

play08:01

your defense system that Wards off or

play08:04

cures the infections after they happen

play08:06

in you and I want you to think about

play08:08

where is that immune system uh the

play08:11

immune system traffics in all parts of

play08:13

your body and it does that by living in

play08:15

your blood so wonder if you ever

play08:18

wondered what is in blood um maybe

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you've never looked inside blood so

play08:22

we're going to look today uh welcome to

play08:25

my clinic uh I am actually the both the

play08:27

physician and the patient

play08:29

today and I'm going to draw my own

play08:33

blood

play08:38

ow uh we'll just get a little drop of

play08:41

blood going

play08:43

here so you know a a drop of blood is

play08:47

just a tiny a tiny

play08:50

little

play08:52

volume but there's amazing let's look

play08:54

and see what we've got

play08:56

there so I have a uh this microscope is

play09:01

wireless and my friends are going to

play09:04

project me up here I think live and

play09:07

let's see I've dyed this blood with a

play09:08

blue dye there we go wow that's pretty

play09:14

amazing so the little dark brown ones

play09:17

here let me Focus this here are the red

play09:19

blood cells and they carry the uh life

play09:22

sustaining oxygen and the little ones in

play09:24

the in the center that are blue they're

play09:26

called the white blood cells if I if I

play09:28

did put a stain you wouldn't see them

play09:30

but see those two little blue

play09:32

guys and then see if we can find some

play09:35

more wow there's some more so those are

play09:37

the white blood cells and Ted

play09:39

fortunately has painted the logos for us

play09:40

today so you'll remember this the red

play09:42

blood cells are on the left and the

play09:44

white blood cells on the right so

play09:45

whenever you want to see that logo

play09:46

you'll remember the two cells of the IM

play09:48

of the blood

play09:51

so um when I see these little blue cells

play09:54

there's a lot of them in your blood just

play09:56

just a tiny drop of blood and yet um

play10:00

we see thousands and thousands of cells

play10:02

but they all sort of look the same and

play10:05

uh I've always wondered how many uh

play10:07

different cells are there and really the

play10:09

question is do we have enough tools to

play10:13

um to defend ourself against all the

play10:16

millions of microorganisms around there

play10:18

is this enough these little blue dots

play10:20

that are floating around in my drops of

play10:21

blood how many do we have how many

play10:23

different ones we have and uh so I

play10:26

wanted to do a counting exercise and and

play10:29

uh figure out how many parts of the body

play10:31

there are in the immune system so when

play10:34

we think about Parts uh scientists

play10:37

usually these days are talking about

play10:39

genes because in genes the genetic

play10:41

material encode all your parts so we're

play10:43

going to go back to the slides and I'm

play10:45

going to give you a little genetics

play10:48

class the uh Human Genome Project was

play10:51

one of the major science projects that's

play10:52

been done in the last several decades so

play10:54

scientists spent about $3 billion doar

play10:57

back in the day and uh took blood and

play11:00

other body parts and sequenced all of

play11:02

the genes in the human genome one of the

play11:04

amazing things that that came out of

play11:05

that project was that there are only

play11:07

about 25,000 genes encoding your whole

play11:10

body all your body tissues and organs

play11:12

are encoded by just 25,000 genes

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actually less than that and but uh that

play11:18

number seems so small and not large

play11:22

enough to deal with all the

play11:23

microorganisms that we're going to face

play11:24

in our life so it seemed a little scary

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but uh what we didn't tell people was

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that we of avoided the immune system

play11:30

genes because there were so many of them

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we were not able to get to them with the

play11:34

technology at the time and the reason is

play11:37

the molecules in your immune system that

play11:38

help you fight things like viruses are

play11:40

called antibodies and the antibodies are

play11:42

encoded by combinations of genes so you

play11:45

have these large buckets of genes

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there's three main buckets or groups and

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to make an antibody you choose one from

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each bucket and you put them together

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and by combining these things we get

play11:55

this amazing diversity combinatorial

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diversity is what we term and by doing

play12:00

that we already have an immune system

play12:02

collection that's as big as all the

play12:04

other genes in your body but when we put

play12:06

them together they don't go uh just end

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to end they're put together with little

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linkers or spacers and these spacers are

play12:13

near infinite they're like having two

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wild cards in your hand of uh your hand

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of cards if you were playing cards and

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by doing that we end up with 10 to the

play12:21

11th possibilities of antibodies we can

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make now we're talking real numbers and

play12:26

real diversity and then finally we have

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one more trick in our immune system and

play12:30

that is in our antibody genes our

play12:32

defense genes we allow those genes to

play12:35

mutate when they see an organism and so

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we get little uh point mutations so we

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make new genes that are just a little

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bit different from the ones we had

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before now you wouldn't want to do this

play12:45

in any of your other genes because you'd

play12:46

end up with cancer but in the in the

play12:49

immune system this is encouraged and

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allowed and by doing that we get numbers

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like 10 to the 18th are possible in your

play12:56

body and I was really excited about that

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um you can't get your mind around what

play13:01

what is that number 10 to the 18th the

play13:03

only thing I can say is you've heard a

play13:04

lot of astronomy talks at this

play13:06

conference you have more potential

play13:08

antibodies in your body than all the

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stars in the galaxy it's amazing and so

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uh a lot of scientists like me have

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obsessive compulsive Tendencies and they

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like to just count things and a lot of

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these star guys you were saying I want

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to go out there on the shuttle and count

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all these things well we have more

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antibody genes than there are stars and

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my friends and I want to count the 10 to

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the 18th genes uh and how do you do that

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well you do this with sequencing we have

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uh instruments that determine the gene

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sequences um so if if you were actually

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going to count that many uh what would

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you do so what I would like to do is

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take all the white blood cells out of

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your body and count every one of them

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and sequence

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them and you're giggling but that's

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actually what we do so we bring in

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people to uh our clinic at Vanderbilt

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and we put them on the this instrument

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that's like a blood filter we put one

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needle in one arm and one in the other

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the blood comes out we filter out all

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the white blood cells into a large bag

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there's 40 billion cells we collect into

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these bags and we put the red blood

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cells back in so that you can carry your

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oxygen and you walk away you're not

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anemic uh so you're fine and you'd say

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wow that sounds very dangerous to to

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remove all the white blood cells 40

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billion cells from your body your body

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is am amazing it can replenish those

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almost immediately you make those back

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and put them back so it's a very safe

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procedure this is actually a friend and

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a hero of mine Morris iuchi he's a

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physician he was working in Legos

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Nigeria during the Ebola outbreak and a

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person came into the country and

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basically lied about his situation he

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had a bowl and showed up in the in their

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hospital and Morris and several of his

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colleagues took care of this patient and

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they figured out it was Ebola and they

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contained the uh infection uh within

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their Hospital did not leak out in Legos

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Legos has an unknown number of people

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it's so large it's about 15 million

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people if the virus had gotten out into

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that high density population millions of

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people would have died but Morris and

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several of his physician colleagues

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contained that in the hospital Morris

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became infected while giving care to

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these patients without any specific

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treatment he survived uh and came to

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Nashville and talked about his

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experience and it was really just an

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amazing talk about his courage and

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persistence uh he survived he's fine now

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and he came and gave us blood cells so

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we've been studying people like Morris

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extraordinary people uh who face down

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these these

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pathogens um and uh so what happens when

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we take all these cells out we put them

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in our expensive machines we get all

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these sequences well DNA is encoded by

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four letters g a t c so it's g g g c t a

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a a t c and it just looks like this and

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it's kind of like goly goo so what would

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you do with that now if you're obsessive

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compulsive you love these things and you

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just kind of uh you sort of memorize

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them how many can you memorize and my

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friends and I are attempting at the at

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this time to sequence all of the

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antibodies on the planet in in the

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entire human population and to put these

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on a database publicly so people can use

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them for their own studies now this is

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an enormous task it's the largest

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genetic project ever um ever attempted

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and we've already started and we're

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getting billions of sequences it's

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really exciting but what would you do

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other than just Catal in these things

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it's just just an exercise in in

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cataloging and Counting well it turns

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out there's another Revolution going on

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in biology it's called synthetic

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genomics or synthesizing genes and

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essentially we have little benchtop

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instruments that are like DNA printers

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so we can type in some letters and print

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out the DNA and well so what about that

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well if I type in uh the sequence of an

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antibody that I got from Morris's body

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that's for Ebola that machine will make

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me that DNA I can use that DNA as the

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recipe to make the antibody that he was

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making in in his body I can make it in

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the lab so then we end up with tubes

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full of antibodies that are the natural

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antibodies from his body but we can make

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them forever in unlimited quantities and

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give them to other people so it's really

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fun to make antibodies it's sort of like

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having a little Play-Doh Factory and you

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can make uh make things all day

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long so I'll give you some examples I

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mentioned there are survivors from the

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1918 pandemic we've learned a lot of

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things one is that your blood retains

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the memory of everything you've ever

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seen in your experience so uh we

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obtained blood from 100-year-old

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subjects who had experienced 1918

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infection and we were able to get

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antibodies out of them that kill the

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virus so this is a highresolution x-ray

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crystallography structure but basically

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you're seeing a single molecule of the

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flu protein in the middle and on the top

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and yellow and red are antibodies from a

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100y old person that bind to and inhibit

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1918 flu once we learn we could do it

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100 years later everything else seemed

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easy here's another example Michelle

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barns an adventure traveler went to

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Uganda with her husband they were on

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Safari seeing amazing animals and the

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guide said wow if you like these animals

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you should go in Python cave with us on

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the last day there this cave has 40,000

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fruit bats in it and they're amazing and

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Michelle did go in that cave this is a

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photograph of the roof of the cave taken

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by another friend Joel S he's a National

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Geographic photographer a fantastic

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photographer this is the actual cave in

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which she entered she went to kalala

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flew home to the Denver area and about a

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week later she nearly died no one knew

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what was happening to her she recovered

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of her own accord no specific therapy

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and a year later it was discovered she

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had had marberg Virus Infection marberg

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is a deadly cousin of Ebola it's very

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similar to Ebola so she was the only

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known marberg Survivor at least in the

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Western Hemisphere she talked about her

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experience at Ted axe Boulder last year

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was very very exciting to hear we took

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her blood and made a large number of

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antibodies this is one of them so in the

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center is the marberg protein from the

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virus and her antibodies are shown in

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yellow we isolate a lot of antibodies

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and they'll actually inhibit and kill

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the marberg virus so this particular

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antibody these antibodies are being

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developed in fact the United States

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government just invested $30 million to

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uh further develop this antibody as a

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therapy for the next cases of marberg or

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if an outbreak occurs another example

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would be zika virus we uh worked with uh

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a person who had been infected in South

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America last year got cells out made

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antibodies here you're seeing the

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antibodies in red and this is called a

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cryo electron micrograph but it's just

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one virus particle it's a picture of one

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virus of zika a zika particle and it's

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decorated on the surface by the red

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antibodies which are attaching to and

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killing the virus so in summary when we

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when we think back to uh my question

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who's who's the a bigger foe is it

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infectious diseases or is it you and

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your immune system and I hope it's

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obvious to you the amazing depth and

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complexity and beauty and Glory of what

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is within you the human immune system is

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the most deep and Rich information

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system on the planet and each one of you

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have it within you so when you think

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about the future I want you to walk

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boldly into your future with caution and

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wisdom of course but be confident of

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that glory and complexity that is the

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universe within you thank

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[Applause]

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you

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関連タグ
Immune SystemInfectious DiseasesHistorical PandemicsMedical ScienceAntibody DiversityVaccinationEbola Survivor1918 InfluenzaGenetic SequencingSynthetic Genomics
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