WEBVTT 00:00:15.117 --> 00:00:18.959 So, it all came to life in a dark bar in Madrid, 00:00:19.289 --> 00:00:24.911 and as I was stepping into the bar, I encountered my colleague from McGill, 00:00:24.911 --> 00:00:26.271 Michael Meaney. 00:00:27.282 --> 00:00:29.272 And we're drinking a few beers, 00:00:29.692 --> 00:00:33.501 and like scientists do, he told me about his work. 00:00:34.317 --> 00:00:39.333 He told me that he is interested in how mother rats 00:00:39.333 --> 00:00:42.581 lick their pups after they are born. 00:00:43.632 --> 00:00:49.351 And I was sitting there and saying, "This is where my tax dollars are wasted, 00:00:49.351 --> 00:00:50.432 (Laughter) 00:00:50.432 --> 00:00:53.302 on this kind of soft science." 00:00:53.823 --> 00:00:57.725 But as the beer got more intense and the alcohol gets into the brain, 00:00:57.725 --> 00:01:02.385 you become more receptive, and he started telling me 00:01:02.385 --> 00:01:08.374 that the rats, like humans, lick their pups in very different ways. 00:01:08.374 --> 00:01:11.096 Some mothers do a lot of that, 00:01:11.096 --> 00:01:13.344 some mothers do very little, 00:01:13.344 --> 00:01:15.546 and most are in-between. 00:01:15.926 --> 00:01:17.777 But what's interesting about it 00:01:17.777 --> 00:01:22.779 is that when he follows these pups when they become adults, 00:01:22.779 --> 00:01:26.948 like years in human life, long after their mother has died, 00:01:26.948 --> 00:01:29.090 they are completely different animals. 00:01:29.090 --> 00:01:33.069 The animals that were licked and groomed heavily - 00:01:33.409 --> 00:01:37.509 the high licking and grooming - are not stressed, 00:01:38.129 --> 00:01:43.389 they have different sexual behavior, they have a different way of living, 00:01:43.389 --> 00:01:48.930 than those that were not treated as intensively by her mother. 00:01:49.910 --> 00:01:52.380 So, then I was thinking to myself, 00:01:53.070 --> 00:01:54.400 Is this magic? 00:01:55.090 --> 00:01:56.463 How does this work? 00:01:56.463 --> 00:01:57.859 I'm a biochemist. 00:01:58.058 --> 00:02:02.149 I believe that there are chemical explanations to nature. 00:02:03.038 --> 00:02:07.370 I was working in a field called 'epigenetics,' 00:02:08.401 --> 00:02:14.268 but before I jumped into that conclusion, we had to do another experiment. 00:02:14.268 --> 00:02:18.639 "Is this genetic?" a geneticist would like you to think. 00:02:19.269 --> 00:02:23.300 Perhaps the mother had the 'bad mother' gene 00:02:23.300 --> 00:02:27.053 that caused her pups to be stressful, 00:02:27.053 --> 00:02:29.550 and then it was passed from generation to generation; 00:02:29.550 --> 00:02:31.671 it's all determined by genetics. 00:02:32.241 --> 00:02:35.610 Or is it possible that something else is going on here? 00:02:35.979 --> 00:02:39.071 In rats, we can ask this question and answer it. 00:02:39.422 --> 00:02:42.762 So, what we did is a cross-fostering experiment. 00:02:43.002 --> 00:02:47.783 You essentially separate the litter, the babies of this rat, at birth, 00:02:47.783 --> 00:02:49.764 to two kinds of fostering mothers, 00:02:49.764 --> 00:02:52.924 not the real mothers, but mothers that will take care of them: 00:02:52.924 --> 00:02:55.225 high-licking mothers and low-licking mothers. 00:02:55.225 --> 00:02:59.255 And you can do the opposite with the low-licking pups. 00:02:59.615 --> 00:03:01.965 And the remarkable answer was, 00:03:01.965 --> 00:03:06.135 it wasn't important what gene you got from your mother. 00:03:06.135 --> 00:03:11.886 It was not the biological mother that defined this property of these rats, 00:03:11.886 --> 00:03:16.156 it is the mother that took care of the pups. 00:03:16.726 --> 00:03:19.718 So, how can this work? 00:03:20.430 --> 00:03:23.048 And as I told you, I am an epigeneticist. 00:03:23.048 --> 00:03:26.830 I am interested in how genes are marked 00:03:26.830 --> 00:03:30.410 by a chemical mark during embryogenesis, 00:03:30.410 --> 00:03:33.239 during the time we're in the womb of our mothers, 00:03:33.239 --> 00:03:37.011 and decide which gene will be expressed in what tissue. 00:03:37.011 --> 00:03:40.621 Different genes are expressed in the brain than in the liver and the eye. 00:03:41.991 --> 00:03:43.093 And we thought, 00:03:43.093 --> 00:03:49.183 is it possible that the mother is somehow reprogramming 00:03:49.183 --> 00:03:53.444 the gene of her offspring through her behavior? 00:03:53.444 --> 00:03:55.027 We spent ten years, 00:03:55.027 --> 00:03:59.035 and we found that there is a cascade of biochemical events 00:03:59.035 --> 00:04:02.414 by which the licking and grooming of the mother, the care of the mother, 00:04:02.414 --> 00:04:08.434 is translated to biochemical signals that go into the nucleus and into the DNA, 00:04:08.434 --> 00:04:10.405 and program it differently. 00:04:10.405 --> 00:04:15.476 So now the animal can prepare itself for life. 00:04:15.476 --> 00:04:17.862 Is life going to be harsh? 00:04:18.103 --> 00:04:19.928 Is there going to be a lot of food? 00:04:19.928 --> 00:04:22.466 Are there going to be a lot of cats and snakes around? 00:04:22.466 --> 00:04:24.786 Or will I live in an upper class neighborhood 00:04:24.786 --> 00:04:27.511 where all I have to do is behave well and proper, 00:04:27.511 --> 00:04:30.728 and that will gain me social acceptance? 00:04:31.328 --> 00:04:37.710 And now, one can think about how important that process can be for our lives. 00:04:37.710 --> 00:04:41.249 We inherit our DNA from our ancestors. 00:04:41.689 --> 00:04:45.849 The DNA is old; it evolved during evolution. 00:04:46.270 --> 00:04:50.610 But it doesn't tell us if you are going to be born in Stockholm, 00:04:50.610 --> 00:04:54.038 where the days are long in summer and short in the winter, 00:04:54.038 --> 00:04:57.511 or in Ecuador, where there are an equal number of hours for day and night 00:04:57.511 --> 00:05:02.612 all year around, and that has such an enormous [impact] on our physiology. 00:05:03.721 --> 00:05:08.130 So, what we suggest is perhaps what happens early in life, 00:05:08.130 --> 00:05:11.501 those signals that come through the mother tell the child 00:05:11.501 --> 00:05:14.690 what kind of social world you are going to be living in. 00:05:14.690 --> 00:05:18.131 Is it going to be harsh and you better be anxious and be stressful? 00:05:18.131 --> 00:05:21.140 Or is it going to be an easy world and you have to be different? 00:05:21.140 --> 00:05:24.283 Is it going to be a world with a lot of light or a little light? 00:05:24.588 --> 00:05:28.301 Is it going to be a world with a lot of food or a little food? 00:05:28.601 --> 00:05:30.152 If there's no food around, 00:05:30.152 --> 00:05:34.212 you better develop your brain to binge whenever you see a meal, 00:05:34.802 --> 00:05:39.691 or store every piece of food that you have as fat. 00:05:41.123 --> 00:05:44.452 So, this is good; evolution has selected this 00:05:44.452 --> 00:05:51.414 to allow our fixed old DNA to function in a dynamic way in new environments. 00:05:51.694 --> 00:05:54.408 But sometimes things can go wrong. 00:05:54.994 --> 00:06:00.474 For example, if you're born to a poor family and the signals are 00:06:00.474 --> 00:06:04.702 'You better binge, you better eat every piece of food you're going to encounter.' 00:06:05.013 --> 00:06:07.334 But now we humans, in our brain, have evolved, 00:06:07.334 --> 00:06:09.484 have changed evolution even faster. 00:06:09.484 --> 00:06:12.618 Now you can buy a McDonald's [hamburger] for $1.00. 00:06:12.861 --> 00:06:19.287 And therefore, the preparation that we had by our mothers 00:06:19.287 --> 00:06:21.953 is turning out to be maladaptive. 00:06:22.737 --> 00:06:27.688 The same preparation that was supposed to protect us from hunger and famine 00:06:27.688 --> 00:06:31.887 is going to cause obesity, cardiovascular problems, 00:06:31.887 --> 00:06:33.577 and metabolic disease. 00:06:33.798 --> 00:06:37.378 So, this concept that genes could be marked by our experience, 00:06:37.378 --> 00:06:39.599 especially the early life experience, 00:06:39.599 --> 00:06:44.830 can provide us a unifying explanation of both health and disease. 00:06:45.781 --> 00:06:47.671 But is it true only for rats? 00:06:48.161 --> 00:06:50.961 The problem is, we cannot test this in humans, 00:06:51.185 --> 00:06:55.035 because ethically, we cannot administer childhood adversity in a random way. 00:06:55.298 --> 00:06:58.613 So, if a poor child develops a certain property, 00:06:58.613 --> 00:07:02.401 we don't know whether this is caused by poverty, 00:07:02.401 --> 00:07:04.783 or whether poor people have bad genes. 00:07:05.272 --> 00:07:07.021 So, geneticists will try to tell you 00:07:07.021 --> 00:07:10.282 that poor people are poor because their genes made them poor. 00:07:10.512 --> 00:07:14.492 Epigeneticists will tell you poor people are in a bad environment, 00:07:14.492 --> 00:07:16.512 or impoverished environment 00:07:16.512 --> 00:07:19.830 that creates that phenotype, that property. 00:07:20.772 --> 00:07:26.851 So, we moved to look into our cousins, the monkeys. 00:07:27.242 --> 00:07:32.063 My colleague Stephen Suomi has been rearing monkeys in two different ways. 00:07:32.063 --> 00:07:35.034 Randomly separated the monkey from the mother 00:07:35.034 --> 00:07:40.614 and reared her with a nurse in surrogate motherhood conditions. 00:07:40.614 --> 00:07:43.333 So, these monkeys didn't have a mother, they had a nurse. 00:07:43.333 --> 00:07:48.073 And other monkeys were reared with their normal, natural mothers. 00:07:48.073 --> 00:07:52.518 And when they were old, they were completely different animals. 00:07:52.740 --> 00:07:55.854 The monkeys that had a mother would not care about alcohol, 00:07:55.854 --> 00:07:57.494 they were not sexually aggressive. 00:07:57.494 --> 00:08:01.373 The monkeys that didn't have a mother were aggressive, were stressed, 00:08:01.373 --> 00:08:03.178 and were alcoholics. 00:08:03.692 --> 00:08:08.374 So, we looked at their DNA early after birth, 00:08:08.374 --> 00:08:11.944 to see, is it possible that the mother is marking? 00:08:11.944 --> 00:08:17.124 There is a signature of the mother in the DNA of the offspring. 00:08:17.288 --> 00:08:19.587 These are, today, 14 monkeys, 00:08:19.587 --> 00:08:23.523 and what you see here is the modern way by which we study epigenetics. 00:08:23.523 --> 00:08:28.374 We can now map those chemical marks, which we call methylation marks, 00:08:28.374 --> 00:08:33.534 on DNA at a single nucleotide resolution, we can map the entire genome. 00:08:33.534 --> 00:08:36.664 We can now compare the monkey that had a mother and not. 00:08:36.664 --> 00:08:38.664 And here is a visual presentation of this. 00:08:38.664 --> 00:08:42.993 What you see is the genes that got more methylated are red; 00:08:42.993 --> 00:08:46.060 the genes that got less methylated are green. 00:08:46.060 --> 00:08:48.606 You can see many genes are changing. 00:08:48.606 --> 00:08:51.344 Because not having a mother is not just one thing, 00:08:51.344 --> 00:08:52.770 if affects the whole way. 00:08:52.770 --> 00:08:56.369 It sends us signals about the whole way your world is going to look 00:08:56.369 --> 00:08:58.149 when you become an adult, 00:08:58.149 --> 00:09:03.300 and you can see the two groups of monkeys extremely well separated from each other. 00:09:03.300 --> 00:09:06.510 How early does this develop? 00:09:06.736 --> 00:09:08.830 These monkeys already didn't see their mother 00:09:08.830 --> 00:09:10.712 so they had a social experience. 00:09:10.712 --> 00:09:15.151 Do we sense our social status even at the moment of birth? 00:09:15.731 --> 00:09:16.841 So, in this experiment, 00:09:16.841 --> 00:09:22.122 we took placentas of monkeys that had different social status. 00:09:22.310 --> 00:09:27.724 What's interesting about social rank, is that across all living beings, 00:09:27.724 --> 00:09:30.643 they will structure themselves by hierarchy. 00:09:30.973 --> 00:09:32.925 Monkey number one is the boss. 00:09:33.305 --> 00:09:35.261 Monkey number four is the peon. 00:09:35.502 --> 00:09:39.597 And you put four monkeys in a cage, there will always be a boss, 00:09:39.597 --> 00:09:41.234 and always be a peon. 00:09:42.084 --> 00:09:45.926 And, what's interesting, is that monkey number one 00:09:45.926 --> 00:09:49.117 is much healthier than monkey number four. 00:09:49.338 --> 00:09:55.473 And if you put them in a cage, monkey number one will not eat as much, 00:09:55.843 --> 00:09:58.304 monkey number four will eat as much. 00:09:58.806 --> 00:10:02.875 And what you see here in this methylation mapping, 00:10:02.875 --> 00:10:05.615 the animals that had a high social status, 00:10:05.615 --> 00:10:08.926 versus the animals that did not have a high status. 00:10:08.926 --> 00:10:13.335 So, we are born already knowing the social information, 00:10:13.335 --> 00:10:16.289 and that social information is not bad or good, 00:10:16.289 --> 00:10:17.637 it just prepares us for life 00:10:17.637 --> 00:10:22.087 because we have to program our biology differently 00:10:22.087 --> 00:10:25.368 if we're in a high or low social status. 00:10:26.087 --> 00:10:28.068 But how can you study this in humans? 00:10:28.608 --> 00:10:31.879 We can't do experiments; we can't administer adversity to humans. 00:10:31.879 --> 00:10:36.659 But God does experiments with humans, and it's called natural disasters. 00:10:36.973 --> 00:10:42.318 One of the hardest natural disasters in Canadian history 00:10:42.318 --> 00:10:44.669 happened in my province of Quebec. 00:10:44.898 --> 00:10:47.149 It's the ice storm of 1998. 00:10:47.349 --> 00:10:51.239 We lost our entire electrical grid because of an ice storm 00:10:51.239 --> 00:10:54.049 when the temperatures were in the dead of winter in Quebec, 00:10:54.049 --> 00:10:58.812 -20 to -30, and there were pregnant mothers during that time. 00:10:59.142 --> 00:11:05.191 And my colleague, Suzanne King, followed the children of these mothers 00:11:05.191 --> 00:11:07.172 for 15 years. 00:11:07.621 --> 00:11:11.923 And what happened was that as the stress increased, 00:11:11.923 --> 00:11:14.642 and here we had objective measures of stress: 00:11:14.642 --> 00:11:16.691 How long you were without power; 00:11:16.691 --> 00:11:18.991 where did you spend your time? 00:11:18.991 --> 00:11:24.231 Was it in your mothers-in-law apartment or in some posh country home? 00:11:24.231 --> 00:11:26.592 All these added up to a social stress scale 00:11:26.592 --> 00:11:31.303 and you can ask the question, how did the children look? 00:11:31.303 --> 00:11:35.931 It appears that as stress increases, the children develop more autism, 00:11:35.931 --> 00:11:41.642 they develop more metabolic diseases, and they develop more autoimmune diseases. 00:11:41.921 --> 00:11:44.135 And we would map the methylation state 00:11:44.135 --> 00:11:49.922 and again, you see the green genes becoming red as stress increases. 00:11:49.922 --> 00:11:53.342 The red genes becoming green as stress increases, 00:11:53.342 --> 00:11:58.303 an entire rearrangement of the genome in response to stress. 00:11:58.694 --> 00:12:01.923 So, if we can program genes, 00:12:01.923 --> 00:12:06.253 if we are not just the slaves of the history of our genes, 00:12:06.253 --> 00:12:09.265 but they can be programmed, can we deprogram them? 00:12:09.783 --> 00:12:13.905 Because epigenetic causes can cause diseases like cancer, 00:12:13.905 --> 00:12:18.076 metabolic disease and mental health diseases. 00:12:18.326 --> 00:12:21.276 Let's talk about cocaine addiction. 00:12:21.846 --> 00:12:24.845 Cocaine addiction is a terrible situation, 00:12:24.845 --> 00:12:28.855 that can lead to death and to loss of human life. 00:12:29.847 --> 00:12:35.077 We ask the question, can we reprogram the addicted brain 00:12:35.077 --> 00:12:40.390 to make that animal non-addicted anymore? 00:12:40.609 --> 00:12:46.938 We used a cocaine addiction model that recapitulates what happens in humans. 00:12:46.938 --> 00:12:51.579 In humans, you're in high school, some friends suggest you use some cocaine, 00:12:51.579 --> 00:12:53.669 you take cocaine, nothing happens. 00:12:53.669 --> 00:12:57.800 Months pass by; something reminds you of what happened the first time, 00:12:57.800 --> 00:13:00.690 a pusher pushes cocaine, and you become addicted, 00:13:00.690 --> 00:13:02.548 and your life has changed. 00:13:02.548 --> 00:13:03.988 In rats, we do the same thing. 00:13:03.988 --> 00:13:08.637 My colleague Gal Yadid, he trains the animals to get used to cocaine, 00:13:08.637 --> 00:13:11.849 then for one month, no cocaine. 00:13:11.849 --> 00:13:15.358 And then he reminds them of the party when they saw cocaine the first time 00:13:15.358 --> 00:13:18.411 via cue - the colors of the cage when they saw cocaine, 00:13:18.411 --> 00:13:20.071 and they go crazy. 00:13:20.071 --> 00:13:23.768 They will press the lever to get cocaine till they die. 00:13:24.308 --> 00:13:28.788 We first determined that the difference between these animals 00:13:28.788 --> 00:13:31.409 is that during that time, when nothing happens, 00:13:31.409 --> 00:13:34.980 there's no cocaine around, their epigenome is rearranged, 00:13:34.980 --> 00:13:38.099 their genes are re-marked in a different way, 00:13:38.099 --> 00:13:39.610 and when the cue comes, 00:13:39.610 --> 00:13:44.875 their genome is ready to develop this addictive phenotype. 00:13:44.875 --> 00:13:51.661 So, we treated these animals with drugs that either increase DNA methylation, 00:13:51.661 --> 00:13:53.682 which was the epigenetic mark to look at, 00:13:53.682 --> 00:13:57.373 or decrease epigenetic markings. 00:13:57.373 --> 00:14:00.652 And we found that if we increase methylation, 00:14:00.652 --> 00:14:05.025 these animals go even crazier, they have even more craving for cocaine. 00:14:05.025 --> 00:14:10.634 But if we reduce the DNA methylation, the animals are not addicted anymore, 00:14:10.634 --> 00:14:12.280 we have reprogrammed them. 00:14:12.280 --> 00:14:16.923 And the fundamental difference between an epigenetic drug and any other drug 00:14:16.923 --> 00:14:19.055 is that with epigenetic drugs 00:14:19.055 --> 00:14:23.435 we essentially remove the science of experience, 00:14:23.435 --> 00:14:25.451 and once they're gone, 00:14:25.451 --> 00:14:28.434 they will not come back unless you have the same experience, 00:14:28.434 --> 00:14:30.096 so the animal now is reprogrammed. 00:14:30.096 --> 00:14:34.246 So, when we visited the animals 30 days, 60 days longer, 00:14:34.246 --> 00:14:37.324 which is, in human terms, many years of life, 00:14:37.324 --> 00:14:43.098 they were still not addicted by a single epigenetic treatment. 00:14:44.693 --> 00:14:51.153 So, what we learned about DNA: the DNA is not just a sequence of letters, 00:14:51.153 --> 00:14:52.903 it's not just a script. 00:14:53.343 --> 00:14:56.104 DNA is a dynamic movie. 00:14:56.556 --> 00:15:01.525 Our experiences are being written into that movie, which is interactive. 00:15:01.525 --> 00:15:06.664 You're like watching a movie of your life, with the DNA, with your remote control. 00:15:06.877 --> 00:15:10.642 You can remove an actor, and add an actor. 00:15:11.376 --> 00:15:17.005 So, in spite of the deterministic nature of genetics, 00:15:17.005 --> 00:15:20.165 you have control of the way your genes look. 00:15:20.786 --> 00:15:23.985 And this has a tremendous optimistic message. 00:15:23.985 --> 00:15:27.527 For the ability to now encounter some of the deadly diseases 00:15:27.527 --> 00:15:33.388 like cancer, mental health, with a new approach, 00:15:33.388 --> 00:15:35.980 looking at them as maladaptation, 00:15:35.980 --> 00:15:42.240 that if we can epigenetically intervene, reverse the movie by removing an actor 00:15:42.670 --> 00:15:45.710 and setting up a new narrative. 00:15:46.321 --> 00:15:50.261 So, what I told you today is that our DNA 00:15:50.261 --> 00:15:56.081 is really a combination of two components, two layers of information. 00:15:56.351 --> 00:16:00.069 One layer of information is old, 00:16:00.069 --> 00:16:03.059 evolved from millions of years of evolution; 00:16:03.531 --> 00:16:07.164 it is fixed and very hard to change. 00:16:07.692 --> 00:16:11.562 The other layer of information is the epigenetic layer, 00:16:11.562 --> 00:16:14.683 which is open and dynamic, 00:16:15.403 --> 00:16:19.211 and sets up a narrative that is interactive. 00:16:19.870 --> 00:16:24.612 So, even though we are determined by our genes, 00:16:25.142 --> 00:16:27.904 we have a degree of freedom 00:16:28.174 --> 00:16:32.392 that can set up our life to a life of responsibility. 00:16:32.392 --> 00:16:33.864 Thank you. 00:16:33.864 --> 00:16:35.713 (Applause)