1 00:00:00,913 --> 00:00:05,063 I'm going to start by saying something you think you know to be true. 2 00:00:06,706 --> 00:00:09,992 Your brain creates all facets of your mind. 3 00:00:11,133 --> 00:00:14,784 So then why do we treat mental and physical illnesses 4 00:00:14,808 --> 00:00:15,982 so differently, 5 00:00:16,006 --> 00:00:18,737 if we think we know that the mind comes from the brain? 6 00:00:20,197 --> 00:00:22,078 As a neuroscientist, I'm often told 7 00:00:22,102 --> 00:00:25,090 that I'm not allowed to study how internal states 8 00:00:25,114 --> 00:00:28,592 like anxiety or craving or loneliness 9 00:00:28,616 --> 00:00:30,409 are represented by the brain, 10 00:00:30,433 --> 00:00:33,894 and so I decided to set out and do exactly that. 11 00:00:35,870 --> 00:00:38,943 My research program is designed to understand the mind 12 00:00:38,967 --> 00:00:41,323 by investigating brain circuits. 13 00:00:41,347 --> 00:00:45,014 Specifically, how does our brain give rise to emotion. 14 00:00:45,847 --> 00:00:48,791 It's really hard to study feelings and emotions, 15 00:00:48,815 --> 00:00:50,882 because you can't measure them. 16 00:00:51,351 --> 00:00:55,610 Behavior is still the best and only window 17 00:00:55,634 --> 00:00:58,184 into the emotional experience of another. 18 00:00:59,359 --> 00:01:01,664 For both animals and people, 19 00:01:01,688 --> 00:01:04,355 yes, self-report is a behavioral output. 20 00:01:05,633 --> 00:01:08,839 Motivated behaviors fall into two general classes: 21 00:01:08,863 --> 00:01:11,313 seeking pleasure and avoiding pain. 22 00:01:12,099 --> 00:01:14,528 The ability to approach things that are good for you 23 00:01:14,552 --> 00:01:16,345 and avoid things that are bad for you 24 00:01:16,369 --> 00:01:17,678 is fundamental to survival. 25 00:01:17,702 --> 00:01:19,337 And in our modern-day society, 26 00:01:19,361 --> 00:01:22,779 trouble telling the difference can be labeled as a mental illness. 27 00:01:23,653 --> 00:01:26,454 If I was having car trouble, 28 00:01:26,478 --> 00:01:28,319 and I took my car to the mechanic, 29 00:01:28,343 --> 00:01:31,911 the first thing they do is look under the hood. 30 00:01:32,593 --> 00:01:35,021 But with mental health research, 31 00:01:35,045 --> 00:01:38,069 you can't just pop open the hood with the press of a button. 32 00:01:38,911 --> 00:01:41,624 So this is why we do experiments on animals. 33 00:01:41,648 --> 00:01:44,482 Specifically, in my lab, mice. 34 00:01:45,585 --> 00:01:49,328 To understand the brain, well, we need to study brains. 35 00:01:49,752 --> 00:01:52,562 And for the first time, we actually can. 36 00:01:52,586 --> 00:01:54,205 We can pop open the hood. 37 00:01:54,229 --> 00:01:55,681 We can look inside 38 00:01:55,705 --> 00:01:58,494 and do an experiment and see what comes out. 39 00:02:00,149 --> 00:02:04,727 Technology has opened new windows into the black box that is our minds. 40 00:02:05,363 --> 00:02:08,966 The development of optogenetic tools 41 00:02:08,990 --> 00:02:13,443 has allowed us unprecedented control over specific neurons in the brain 42 00:02:13,467 --> 00:02:17,034 and how they talk to each other by firing electrical signals. 43 00:02:18,109 --> 00:02:21,324 We can genetically engineer neurons to be light sensitive 44 00:02:21,348 --> 00:02:25,402 and then use light to control how neurons fire. 45 00:02:25,426 --> 00:02:27,553 This can change an animal's behavior, 46 00:02:27,577 --> 00:02:31,212 giving us insight into what that neural circuit can do. 47 00:02:31,895 --> 00:02:34,704 Want to know how scientists figure this out? 48 00:02:35,855 --> 00:02:39,323 Scientists developed optogenetic tools by borrowing knowledge 49 00:02:39,347 --> 00:02:41,480 from other basic science fields. 50 00:02:41,887 --> 00:02:46,759 Algae are single-celled organisms that have evolved to swim towards light. 51 00:02:46,783 --> 00:02:51,236 And when blue light shines onto the eyespot of an algae cell, 52 00:02:51,260 --> 00:02:53,514 a channel opens, sending an electrical signal 53 00:02:53,538 --> 00:02:55,387 that makes little flagella flap 54 00:02:55,411 --> 00:02:57,910 and propels the algae towards sunlight. 55 00:02:58,482 --> 00:03:01,545 If we clone this light-sensitive part of the algae 56 00:03:01,569 --> 00:03:05,255 and then add it to neurons through genetic modification, 57 00:03:05,279 --> 00:03:07,946 we can make neurons light-sensitive, too. 58 00:03:08,755 --> 00:03:10,692 Except, with neurons, 59 00:03:10,716 --> 00:03:14,236 when we shine light down an optical fiber deep into the brain, 60 00:03:14,260 --> 00:03:18,204 we change how they send electrical signals to other neurons in the brain 61 00:03:18,228 --> 00:03:21,053 and thus change the animal's behavior. 62 00:03:22,014 --> 00:03:23,712 With the help of my colleagues, 63 00:03:23,736 --> 00:03:26,585 I pioneered the use of optogenetic tools 64 00:03:26,609 --> 00:03:30,407 to selectively target neurons that are living in point A, 65 00:03:30,431 --> 00:03:34,105 sending messages down wires aimed at point B, 66 00:03:35,899 --> 00:03:39,153 leaving neighboring neurons going other places unaffected. 67 00:03:40,347 --> 00:03:44,442 This approach allowed us to test the function of each wire 68 00:03:44,466 --> 00:03:47,037 within the tangled mess that is our brain. 69 00:03:47,775 --> 00:03:49,585 A brain region called the amygdala 70 00:03:49,609 --> 00:03:52,125 has long been thought to be important for emotion, 71 00:03:52,149 --> 00:03:53,839 and my laboratory discovered 72 00:03:53,863 --> 00:03:56,156 that the amygdala resembles a fork in the road 73 00:03:56,180 --> 00:04:00,323 where activating one path can drive positive emotion and approach, 74 00:04:00,347 --> 00:04:04,763 and activating another path can drive negative emotion and avoidance. 75 00:04:06,600 --> 00:04:08,696 I'm going to show you a couple of examples -- 76 00:04:08,720 --> 00:04:10,942 a taste of raw data -- 77 00:04:10,966 --> 00:04:14,974 of how we can use optogenetics to target specific neurons in the brain 78 00:04:14,998 --> 00:04:17,798 and get very specific changes in behavior. 79 00:04:18,117 --> 00:04:21,475 Anxiety patients have abnormal communication 80 00:04:21,499 --> 00:04:23,641 between two parts of the amygdala, 81 00:04:23,665 --> 00:04:28,549 but in people, it's hard to know if this abnormality is cause or effect 82 00:04:28,573 --> 00:04:29,723 of the disease. 83 00:04:30,787 --> 00:04:35,509 We can use optogenetics to target the same pathway in a mouse, 84 00:04:35,533 --> 00:04:36,723 and see what happens. 85 00:04:36,747 --> 00:04:39,546 So this is the elevated plus maze. 86 00:04:39,570 --> 00:04:41,348 It's a widely used anxiety test 87 00:04:41,372 --> 00:04:43,316 that measures the amount of time 88 00:04:43,340 --> 00:04:46,070 that the mouse spends in the safety of the closed arms 89 00:04:46,094 --> 00:04:48,494 relative to exploring the open arms. 90 00:04:49,046 --> 00:04:52,031 Mice have evolved to prefer enclosed spaces, 91 00:04:52,055 --> 00:04:54,008 like the safety of their burrows, 92 00:04:54,032 --> 00:04:56,374 but to find food, water, mates, 93 00:04:56,398 --> 00:04:58,945 they need to go out into the open 94 00:04:58,969 --> 00:05:01,529 where they're more vulnerable to predatory threats. 95 00:05:02,039 --> 00:05:04,047 So I'm sitting in the background here, 96 00:05:04,071 --> 00:05:06,134 and I'm about to flip the switch. 97 00:05:06,158 --> 00:05:08,890 And now, when I flip the switch and turn the light on, 98 00:05:08,914 --> 00:05:13,355 you can see the mouse begins to explore the open arms of the maze more. 99 00:05:13,843 --> 00:05:17,692 And in contrast to drug treatments for anxiety, 100 00:05:17,716 --> 00:05:21,113 there's no sedation, no locomotor impairment, 101 00:05:21,137 --> 00:05:24,989 just coordinated, natural-looking exploration. 102 00:05:25,406 --> 00:05:28,826 So not only is the effect almost immediate, 103 00:05:28,850 --> 00:05:31,584 but there are no detectable side effects. 104 00:05:31,970 --> 00:05:33,819 Now, when I flip the switch off, 105 00:05:33,843 --> 00:05:37,652 you can see that the mouse goes back to its normal brain function 106 00:05:37,676 --> 00:05:39,210 and back to its corner. 107 00:05:40,427 --> 00:05:44,053 When I was in the lab and I was taking these data, 108 00:05:44,077 --> 00:05:46,997 I was all by myself, and I was so excited. 109 00:05:47,632 --> 00:05:50,029 I was so excited, I did one of these quiet screams. 110 00:05:50,053 --> 00:05:51,554 (Silently) Aah! 111 00:05:51,578 --> 00:05:53,577 (Laughter) 112 00:05:53,601 --> 00:05:54,791 Why was I so excited? 113 00:05:54,815 --> 00:05:58,603 I mean, yeah, theoretically, I knew that the brain controlled the mind, 114 00:05:58,627 --> 00:06:01,132 but to flip the switch with my hand 115 00:06:01,156 --> 00:06:03,452 and see the mouse change its behavioral state 116 00:06:03,476 --> 00:06:05,950 so rapidly and so reversibly, 117 00:06:05,974 --> 00:06:09,172 it was really the first time that I truly believed it. 118 00:06:10,450 --> 00:06:12,291 Since that first breakthrough, 119 00:06:12,315 --> 00:06:14,822 there have been a number of other discoveries. 120 00:06:14,846 --> 00:06:18,377 Finding specific neural circuits that can elicit dramatic changes 121 00:06:18,401 --> 00:06:19,884 in animal behavior. 122 00:06:20,956 --> 00:06:23,761 Here's another example: compulsive overeating. 123 00:06:24,633 --> 00:06:26,625 We can eat for two reasons. 124 00:06:26,649 --> 00:06:29,188 Seeking pleasure, like tasty food, 125 00:06:29,212 --> 00:06:31,736 or avoiding pain, like being hungry. 126 00:06:32,603 --> 00:06:36,254 How can we find a treatment for compulsive overeating 127 00:06:36,278 --> 00:06:38,326 without messing up the hunger-driven feeding 128 00:06:38,350 --> 00:06:39,950 that we need to survive? 129 00:06:40,500 --> 00:06:42,485 The first step is to understand 130 00:06:42,509 --> 00:06:45,648 how the brain gives rise to feeding behavior. 131 00:06:46,165 --> 00:06:50,450 This fully-fed mouse is just exploring a space 132 00:06:50,474 --> 00:06:53,021 completely devoid of any food. 133 00:06:53,736 --> 00:06:57,268 Here we're using optogenetics to target neurons living in the hypothalamus, 134 00:06:57,292 --> 00:07:01,101 sending messages down wires aimed at the midbrain. 135 00:07:01,736 --> 00:07:05,117 When I turn the light on, right here, 136 00:07:05,141 --> 00:07:08,823 you can see that the mouse immediately begins licking the floor. 137 00:07:08,847 --> 00:07:10,799 (Laughter) 138 00:07:13,048 --> 00:07:15,143 This seemingly frenzied behavior 139 00:07:15,167 --> 00:07:18,818 is about to escalate into something I find really incredible. 140 00:07:19,151 --> 00:07:20,857 It's kind of trippy, actually. 141 00:07:21,532 --> 00:07:22,682 Ready? 142 00:07:23,006 --> 00:07:25,482 It's right here. 143 00:07:25,856 --> 00:07:29,720 See, he picks up his hands as if he is eating a piece of food, 144 00:07:29,744 --> 00:07:32,245 but there's nothing there, he's not holding anything. 145 00:07:32,269 --> 00:07:36,364 So this circuit is sufficient to drive feeding behavior 146 00:07:36,388 --> 00:07:38,126 in the absence of hunger, 147 00:07:38,150 --> 00:07:40,474 even in the absence of food. 148 00:07:41,530 --> 00:07:44,185 I can't know for sure how this mouse is feeling, 149 00:07:44,209 --> 00:07:47,274 but I speculate these neurons drive craving 150 00:07:47,298 --> 00:07:51,297 based on the behaviors we elicit when we target this pathway. 151 00:07:52,655 --> 00:07:54,417 Turn the light back off -- 152 00:07:54,441 --> 00:07:56,041 animal's back to normal. 153 00:07:56,743 --> 00:07:59,711 When we silence this pathway, 154 00:07:59,735 --> 00:08:03,132 we can suppress and reduce compulsive overeating 155 00:08:03,156 --> 00:08:06,028 without altering hunger-driven feeding. 156 00:08:08,593 --> 00:08:10,664 What did you take away from these two videos 157 00:08:10,688 --> 00:08:11,936 that I just showed you? 158 00:08:11,960 --> 00:08:15,912 That making a very specific change to neural circuits in the brain 159 00:08:15,936 --> 00:08:18,737 can have specific changes to behavior. 160 00:08:18,761 --> 00:08:22,244 That every conscious experience that we have 161 00:08:22,268 --> 00:08:24,534 is governed by cells in our brain. 162 00:08:27,085 --> 00:08:30,783 I am the daughter of a physicist and a biologist, 163 00:08:30,807 --> 00:08:33,895 who literally met on the boat coming to America 164 00:08:33,919 --> 00:08:35,719 in pursuit of an education. 165 00:08:36,714 --> 00:08:37,874 So naturally, 166 00:08:37,898 --> 00:08:41,056 since there was "no pressure" to be a scientist ... 167 00:08:41,080 --> 00:08:44,246 (Laughter) 168 00:08:44,270 --> 00:08:45,449 as a college student, 169 00:08:45,473 --> 00:08:50,434 I had to decide whether I wanted to focus on psychology, the study of the mind, 170 00:08:50,458 --> 00:08:52,945 or neuroscience, the study of the brain. 171 00:08:52,969 --> 00:08:54,498 And I chose neuroscience, 172 00:08:54,522 --> 00:08:57,392 because I wanted to understand how the mind is born 173 00:08:57,416 --> 00:08:59,272 out of biological tissue. 174 00:08:59,296 --> 00:09:01,883 But really, I've come full circle to do both. 175 00:09:01,907 --> 00:09:03,645 And now my research program 176 00:09:03,669 --> 00:09:06,256 bridges the gap between the mind and the brain. 177 00:09:07,315 --> 00:09:08,609 Research from my laboratory 178 00:09:08,633 --> 00:09:12,180 suggests that we can begin to tie specific neural circuits 179 00:09:12,204 --> 00:09:14,029 to emotional states. 180 00:09:14,053 --> 00:09:15,897 And we have found a number of circuits 181 00:09:15,921 --> 00:09:18,522 that control anxiety-related behavior, 182 00:09:18,546 --> 00:09:20,022 compulsive overeating, 183 00:09:20,046 --> 00:09:22,688 social interaction, avoidance 184 00:09:22,712 --> 00:09:24,773 and many other types of motivated behaviors 185 00:09:24,797 --> 00:09:28,208 that may reflect internal emotional states. 186 00:09:29,899 --> 00:09:34,335 We used to think of functions of the mind as being defined by brain regions. 187 00:09:34,810 --> 00:09:37,191 But my work shows that within a given brain region, 188 00:09:37,215 --> 00:09:40,024 there are many different neurons doing different things. 189 00:09:40,414 --> 00:09:44,807 And these functions are partly defined by the paths they take. 190 00:09:46,033 --> 00:09:48,232 Here's a metaphor to help illustrate 191 00:09:48,256 --> 00:09:52,164 how these discoveries change the way that we think about the brain. 192 00:09:53,069 --> 00:09:56,807 Let's say that the brain is analogous to the world 193 00:09:56,831 --> 00:09:59,434 and that neurons are analogous to people. 194 00:09:59,458 --> 00:10:04,331 And we want to understand how information is transmitted across the planet. 195 00:10:05,073 --> 00:10:06,819 Sure, it's useful to know 196 00:10:06,843 --> 00:10:10,017 where a given person is located when recording what they're saying. 197 00:10:10,581 --> 00:10:12,719 But I would argue that it's equally important 198 00:10:12,743 --> 00:10:15,664 to know who this person is talking to, 199 00:10:15,688 --> 00:10:17,283 who is listening 200 00:10:17,307 --> 00:10:21,379 and how the people listening respond to the information that they receive. 201 00:10:22,300 --> 00:10:24,450 The current state of mental health treatment 202 00:10:24,474 --> 00:10:27,220 is essentially a strategy of trial and error. 203 00:10:28,236 --> 00:10:30,212 And it is not working. 204 00:10:31,220 --> 00:10:34,800 The development of new drug therapies for mental health disorders 205 00:10:34,824 --> 00:10:36,149 has hit a brick wall, 206 00:10:36,173 --> 00:10:40,387 with scarcely any real progress since the 1950s. 207 00:10:40,927 --> 00:10:42,860 So what does the future hold? 208 00:10:43,474 --> 00:10:44,807 In the near future, 209 00:10:44,831 --> 00:10:48,093 I expect to see a mental health treatment revolution, 210 00:10:48,117 --> 00:10:51,291 where we focus on specific neural circuits in the brain. 211 00:10:51,315 --> 00:10:55,276 Diagnoses will be made based on both behavioral symptoms 212 00:10:55,300 --> 00:10:57,300 and measurable brain activity. 213 00:10:58,339 --> 00:11:00,331 Further in the future, 214 00:11:00,355 --> 00:11:03,654 by combining our ability to make acute changes to the brain 215 00:11:03,678 --> 00:11:05,704 and get acute changes to behavior 216 00:11:05,728 --> 00:11:10,053 with our knowledge of synaptic plasticity to make more permanent changes, 217 00:11:10,077 --> 00:11:13,684 we could push the brain into a state of fixing itself 218 00:11:13,708 --> 00:11:16,116 by reprogramming neural circuits. 219 00:11:16,927 --> 00:11:19,706 Exposure therapy at the circuit level. 220 00:11:21,238 --> 00:11:24,381 Once we switch the brain into a state of self-healing, 221 00:11:24,405 --> 00:11:26,913 this could potentially have long-lasting effects 222 00:11:26,937 --> 00:11:28,952 with no side effects. 223 00:11:29,831 --> 00:11:33,331 I can envision a future where neural circuit reprogramming 224 00:11:33,355 --> 00:11:37,323 represents a potential cure, not just a treatment. 225 00:11:39,877 --> 00:11:42,701 OK, but what about right now? 226 00:11:43,702 --> 00:11:46,130 If from this very moment forward, 227 00:11:46,154 --> 00:11:48,490 each and every one of you left this talk 228 00:11:48,514 --> 00:11:54,149 and truly believed that the mind comes entirely from cells in your brain, 229 00:11:54,173 --> 00:11:57,672 then we could immediately get rid of negative perceptions and stigmas 230 00:11:57,696 --> 00:11:58,990 that prevent so many people 231 00:11:59,014 --> 00:12:01,585 from getting the mental health support that they need. 232 00:12:01,998 --> 00:12:03,371 Mental health professionals, 233 00:12:03,395 --> 00:12:06,371 we're always thinking about what's the next new treatment. 234 00:12:06,395 --> 00:12:08,847 But before we can apply new treatments, 235 00:12:08,871 --> 00:12:11,624 we need people to feel comfortable seeking them. 236 00:12:12,522 --> 00:12:17,355 Imagine how dramatically we could reduce the rates of suicides 237 00:12:17,379 --> 00:12:18,815 and school shootings 238 00:12:18,839 --> 00:12:22,680 if everyone who needed mental health support actually got it. 239 00:12:24,486 --> 00:12:29,613 When we truly understand exactly how the mind comes from the brain, 240 00:12:29,637 --> 00:12:31,915 we will improve the lives of everyone 241 00:12:31,939 --> 00:12:34,613 who will have a mental illness in their lifetime -- 242 00:12:34,637 --> 00:12:36,444 half the population -- 243 00:12:36,468 --> 00:12:40,017 as well as everyone else with whom they share the world. 244 00:12:41,198 --> 00:12:42,349 Thank you. 245 00:12:42,373 --> 00:12:46,666 (Applause)