WEBVTT 00:00:02.134 --> 00:00:06.615 Can we, as adults, grow new nerve cells? 00:00:07.358 --> 00:00:10.473 There's still some confusion about that question, 00:00:10.473 --> 00:00:13.211 as this is a fairly new field of research. 00:00:13.743 --> 00:00:16.994 For example, I was talking to one of my colleagues, Robert -- 00:00:16.994 --> 00:00:18.487 who is an oncologist -- 00:00:18.487 --> 00:00:20.173 and he was telling me, 00:00:20.173 --> 00:00:22.102 "Sandrine, this is puzzling, 00:00:22.102 --> 00:00:26.235 some of my patients that have been told they are cured of their cancer, 00:00:26.235 --> 00:00:28.863 still develop symptoms of depression." 00:00:29.695 --> 00:00:30.999 And I responded to him, 00:00:30.999 --> 00:00:33.203 "Well, from my point of view that makes sense. 00:00:33.203 --> 00:00:38.054 The drug you give to your patients that stops the cancer cells multiplying, 00:00:38.054 --> 00:00:43.010 also stops the newborn neurons being generated in their brain." 00:00:43.997 --> 00:00:46.688 And then Robert looked at me like I was crazy and said, 00:00:46.688 --> 00:00:49.252 "But Sandrine, these are adult patients -- 00:00:49.252 --> 00:00:51.606 adults do not grow new nerve cells." 00:00:52.494 --> 00:00:56.720 And much to his surprise, I said, "Well actually, we do." 00:00:57.161 --> 00:01:01.665 And this is a phenomenon that we call neurogenesis. NOTE Paragraph 00:01:02.061 --> 00:01:03.316 [Neurogenesis] NOTE Paragraph 00:01:03.586 --> 00:01:07.124 Now Robert is not a neuroscientist, 00:01:07.124 --> 00:01:11.303 and when he went to medical school he was not taught what we know now -- 00:01:11.676 --> 00:01:15.159 that the adult brain can generate new nerve cells. 00:01:17.504 --> 00:01:18.503 So Robert -- 00:01:18.990 --> 00:01:19.942 you know -- 00:01:20.128 --> 00:01:22.102 being a good doctor that he is, 00:01:22.403 --> 00:01:26.583 wanted to come to my lab to understand the topic a little better. 00:01:27.070 --> 00:01:29.299 And I took him for a tour 00:01:29.532 --> 00:01:32.086 of one the of most exciting parts of the brain 00:01:32.388 --> 00:01:34.175 when it comes to neurogenesis -- 00:01:34.593 --> 00:01:36.544 and this is the hippocampus. 00:01:37.310 --> 00:01:40.932 So this is this gray structure in the center of the brain. 00:01:41.838 --> 00:01:44.299 And what we've known for what seems like already very long, 00:01:44.531 --> 00:01:48.896 is that this is important for learning, and memory and mood and emotion. 00:01:49.477 --> 00:01:52.031 However, what we have learned more recently, 00:01:52.495 --> 00:01:56.442 is that this is one of the unique structures of the adult brain 00:01:57.046 --> 00:01:59.623 where new neurons can be generated. 00:02:00.483 --> 00:02:02.363 And if we slide through the hippocampus, 00:02:02.874 --> 00:02:04.012 and zoom in, 00:02:04.337 --> 00:02:06.450 what you actually see here in blue 00:02:06.868 --> 00:02:11.094 is a newborn neuron in an adult mouse brain. 00:02:12.812 --> 00:02:15.900 So when it comes to the human brain, 00:02:16.225 --> 00:02:19.383 my colleague Jonas Frisén from the Karolinska Institute, 00:02:19.731 --> 00:02:21.821 has estimated that we produce 00:02:22.146 --> 00:02:26.441 700 new neurons per day in the hippocampus. 00:02:27.370 --> 00:02:28.879 So you might think this is not much 00:02:29.135 --> 00:02:31.526 according to the billions of neurons we have, 00:02:31.828 --> 00:02:34.289 but by the time we will turn 50, 00:02:35.009 --> 00:02:39.073 we will have exchanged all the neurons we were born with in that structure 00:02:39.560 --> 00:02:41.511 with adult-born neurons. NOTE Paragraph 00:02:43.438 --> 00:02:48.453 So, why are these neurons important and what are their functions? 00:02:49.568 --> 00:02:52.795 So first, we know that they're important for learning and memory. 00:02:53.306 --> 00:02:54.513 And in the lab we have shown 00:02:54.745 --> 00:02:57.532 that if we block the ability of the adult brain 00:02:58.066 --> 00:03:00.132 to produce new neurons in the hippocampus, 00:03:00.597 --> 00:03:02.988 then we block certain memory abilities. 00:03:03.801 --> 00:03:10.627 And this is especially new and true for spacial recognition -- 00:03:10.999 --> 00:03:13.808 so like, how you navigate your way in the city. NOTE Paragraph 00:03:14.412 --> 00:03:15.921 So we are still learning a lot, 00:03:16.223 --> 00:03:18.940 and we are not only important for memory capacity, 00:03:19.218 --> 00:03:21.587 but also for the quality of the memory. 00:03:21.912 --> 00:03:25.673 And we will be helpful to add time to our memory 00:03:25.882 --> 00:03:29.411 and we will help differentiate very similar memories. 00:03:30.131 --> 00:03:32.244 Like, how do you find your bike 00:03:32.871 --> 00:03:36.307 when you park at this station everyday in the same area 00:03:36.609 --> 00:03:38.722 but in a slightly different position? NOTE Paragraph 00:03:40.301 --> 00:03:42.484 And more interesting to my colleague Robert, 00:03:42.855 --> 00:03:47.499 is the research we have been doing on neurogenesis and depression. 00:03:48.010 --> 00:03:49.779 So in an animal model of depression, 00:03:50.127 --> 00:03:53.750 we have seen that we have a lower level of neurogenesis, 00:03:54.539 --> 00:03:56.466 and if we give antidepressants, 00:03:56.861 --> 00:03:59.879 then we increase the production of these newborn neurons, 00:04:00.367 --> 00:04:02.828 and we decrease the symptoms of depression, 00:04:03.641 --> 00:04:08.517 establishing a clear link between neurogenesis and depression. 00:04:09.422 --> 00:04:12.743 But moreover, if you just block neurogenesis, 00:04:13.277 --> 00:04:16.260 then you block the efficacy of the antidepressant. 00:04:18.071 --> 00:04:19.580 So by then, Robert had understood 00:04:19.812 --> 00:04:23.295 that very likely his patients were suffering from depression 00:04:23.666 --> 00:04:25.663 even after being cured of their cancer 00:04:26.128 --> 00:04:29.634 because the cancer drug had stopped the newborn neurons to be generated -- 00:04:30.377 --> 00:04:31.723 and it will take time 00:04:31.956 --> 00:04:36.019 to generate new neurons that reach their normal functions. NOTE Paragraph 00:04:37.993 --> 00:04:40.593 So, collectively, now, 00:04:40.779 --> 00:04:45.516 we think we have enough evidence to say that neurogenesis is a target of choice 00:04:46.096 --> 00:04:49.649 if we want to improve memory information or mood, 00:04:49.881 --> 00:04:52.876 or even prevent their decline associated with aging, 00:04:53.387 --> 00:04:55.244 or associated with stress. NOTE Paragraph 00:04:56.545 --> 00:04:57.961 So the next question is, 00:04:58.216 --> 00:05:00.631 can we control neurogenesis? 00:05:01.328 --> 00:05:02.744 The answer is yes. 00:05:03.278 --> 00:05:05.995 And we are now going to do a little quiz. 00:05:06.506 --> 00:05:09.199 So I'm going to give you a set of behaviors and activities, 00:05:09.733 --> 00:05:13.448 and you tell me if you think it will increase neurogenesis 00:05:14.052 --> 00:05:16.420 or if it will decrease neurogenesis. 00:05:17.070 --> 00:05:18.394 Are we ready? 00:05:18.835 --> 00:05:19.973 Okay, let's go. NOTE Paragraph 00:05:20.483 --> 00:05:22.016 So what about learning? 00:05:22.759 --> 00:05:23.827 Increasing? 00:05:24.129 --> 00:05:25.011 Yes. 00:05:25.290 --> 00:05:29.074 So learning will increase the production of these new neurons. NOTE Paragraph 00:05:29.330 --> 00:05:31.002 How about stress? 00:05:32.650 --> 00:05:36.365 Yes, stress will decrease the production of new neurons in the hippocampus. NOTE Paragraph 00:05:36.667 --> 00:05:38.083 How about sleep deprivation? 00:05:38.617 --> 00:05:42.216 Indeed, it will decrease neurogenesis. NOTE Paragraph 00:05:42.472 --> 00:05:43.540 How about sex? 00:05:44.678 --> 00:05:45.444 Oh wow! NOTE Paragraph 00:05:45.746 --> 00:05:47.046 (Laughter) NOTE Paragraph 00:05:47.325 --> 00:05:50.529 Yes, you are right, it will increase the production of new neurons. 00:05:50.854 --> 00:05:53.060 However, it's all about balance here. 00:05:53.315 --> 00:05:54.731 We don't want to fall in a situation 00:05:57.285 --> 00:05:59.561 about too much sex leading to sleep deprivation. NOTE Paragraph 00:06:00.025 --> 00:06:01.256 (Laughter) NOTE Paragraph 00:06:02.997 --> 00:06:05.157 So how about getting older? 00:06:07.757 --> 00:06:10.938 So neurogenesis' rate will decrease as we get older, 00:06:11.588 --> 00:06:13.423 but it is still occurring. NOTE Paragraph 00:06:14.328 --> 00:06:16.789 And then finally, how about running? 00:06:18.206 --> 00:06:21.015 So, I will let you judge that one by yourself. NOTE Paragraph 00:06:21.921 --> 00:06:23.685 So this is one of the first studies 00:06:23.941 --> 00:06:26.077 that was carried out by one of my mentors -- 00:06:26.332 --> 00:06:28.074 Rusty Gage for the Salk Institute -- 00:06:28.283 --> 00:06:30.071 showing that the environment can have an impact 00:06:30.280 --> 00:06:31.928 on the production of new neurons. 00:06:32.207 --> 00:06:36.340 And here you see a section of the hippocampus of a mouse 00:06:36.618 --> 00:06:38.476 that had no running wheel in its cage. 00:06:39.010 --> 00:06:42.423 And the little black dots you see are actually newborn neurons-to-be. 00:06:43.445 --> 00:06:47.694 And now, you see a section of the hippocampus of a mouse 00:06:48.460 --> 00:06:51.246 that did have a running wheel in its cage. 00:06:51.502 --> 00:06:52.686 So you see the massive increase 00:06:52.895 --> 00:06:55.588 in the black dots representing the new neurons-to-be. NOTE Paragraph 00:06:56.819 --> 00:07:00.557 So activity impacts neurogenesis but that's not all. 00:07:01.695 --> 00:07:03.645 What you eat will have an effect 00:07:03.924 --> 00:07:06.873 on the production of new neurons in the hippocampus. 00:07:07.360 --> 00:07:09.543 So here we have a sample of diet -- 00:07:10.193 --> 00:07:13.560 of nutrients that have been shown to have efficacy. 00:07:14.140 --> 00:07:16.787 And I'm just going to point a few out for you. 00:07:17.089 --> 00:07:21.663 So calorie restriction of 20% to 30% will increase neurogenesis. 00:07:22.128 --> 00:07:23.242 Intermittent fasting -- 00:07:23.544 --> 00:07:25.541 so spaces of time between your meal -- 00:07:26.052 --> 00:07:27.654 will increase neurogenesis. 00:07:27.932 --> 00:07:29.210 Intake of flavonoids, 00:07:29.535 --> 00:07:32.205 which are contained in dark chocolate or blueberries, 00:07:32.692 --> 00:07:33.900 will increase neurogenesis. 00:07:34.387 --> 00:07:36.013 Omega-3 fatty acids, 00:07:36.245 --> 00:07:38.242 present in fatty fish, like salmon, 00:07:38.474 --> 00:07:40.912 will increase the production of these new neurons. 00:07:41.701 --> 00:07:42.491 Conversely, 00:07:43.187 --> 00:07:45.347 a diet rich in high saturated fat 00:07:45.741 --> 00:07:48.481 will have a negative impact on neurogenesis. 00:07:49.085 --> 00:07:51.616 Ethanol -- intake of alcohol -- 00:07:51.987 --> 00:07:53.613 will decrease neurogenesis. 00:07:54.100 --> 00:07:56.445 However, not everything is lost -- 00:07:56.840 --> 00:07:59.742 resveratrol, which is contained in red wine, 00:08:00.021 --> 00:08:03.458 has been shown to promote the survival of these new neurons. 00:08:03.922 --> 00:08:05.663 So next time you are at a dinner party, 00:08:05.896 --> 00:08:09.518 you might want to reach for this possibly "neurogenesis-neutral" drink. NOTE Paragraph 00:08:09.959 --> 00:08:11.375 (Laughter) NOTE Paragraph 00:08:12.327 --> 00:08:14.904 And then finally, let me point out the last one -- 00:08:15.137 --> 00:08:16.065 a quick one. 00:08:16.344 --> 00:08:19.177 So Japanese groups are fascinated with food textures, 00:08:19.804 --> 00:08:24.982 and they have shown that actually soft diet impairs neurogenesis, 00:08:25.307 --> 00:08:27.930 as opposed to food that requires mastication -- 00:08:28.279 --> 00:08:29.904 chewing, or crunchy food. NOTE Paragraph 00:08:31.018 --> 00:08:32.621 So all of this data, 00:08:32.992 --> 00:08:35.175 where we need to look at the cellular level, 00:08:35.593 --> 00:08:38.077 has been generated using animal models. 00:08:38.588 --> 00:08:42.999 But this diet has also been given to human participants, 00:08:43.278 --> 00:08:44.394 and what we could see 00:08:44.742 --> 00:08:49.315 is that diet modulates memory and mood 00:08:49.315 --> 00:08:52.403 in the same direction it modulates neurogenesis. 00:08:52.846 --> 00:08:56.770 Such as, calorie restriction will improve memory capacity, 00:08:57.350 --> 00:09:01.924 whereas a high-fat diet will exacerbate symptoms of depression -- 00:09:02.714 --> 00:09:05.941 as opposed to omega-3 fatty acids, which increase neurogenesis, 00:09:06.406 --> 00:09:11.589 and also help to decrease the symptoms of depression. 00:09:12.356 --> 00:09:15.862 So we think that the effect of diet 00:09:16.442 --> 00:09:20.134 on mental health, on memory and mood, 00:09:20.343 --> 00:09:24.685 is actually mediated by the production of the new neurons in the hippocampus. 00:09:24.940 --> 00:09:26.891 And it is not only what you eat, 00:09:27.146 --> 00:09:30.002 but it's also the texture of the food when you eat it, 00:09:30.281 --> 00:09:32.440 and how much of it you eat. NOTE Paragraph 00:09:34.135 --> 00:09:35.760 On our side -- 00:09:35.992 --> 00:09:38.175 neuroscientists interested in neurogenesis -- 00:09:38.430 --> 00:09:41.263 we need to understand better the function of these new neurons, 00:09:41.611 --> 00:09:45.628 and how we can control their survival and their production. 00:09:46.046 --> 00:09:50.435 We also need to find a way to protect the neurogenesis of Robert's patients. 00:09:51.271 --> 00:09:52.849 And on your side -- 00:09:53.128 --> 00:09:54.962 I leave you in charge of your neurogenesis. NOTE Paragraph 00:09:55.938 --> 00:09:56.843 Thank you. NOTE Paragraph 00:09:57.168 --> 00:10:01.835 (Applause) NOTE Paragraph 00:10:03.182 --> 00:10:04.923 Margaret Heffernan: Fantastic research, Sandrine! 00:10:05.318 --> 00:10:06.897 Now, I told you you changed my life -- 00:10:07.617 --> 00:10:09.521 I now eat a lot of blueberries. 00:10:09.846 --> 00:10:13.561 I'm really interested in the running thing -- 00:10:15.070 --> 00:10:16.579 Do I have to run? 00:10:17.601 --> 00:10:19.203 Or is it really just about 00:10:19.435 --> 00:10:21.827 aerobic exercise getting oxygen to the brain? 00:10:22.175 --> 00:10:24.056 Could it be any kind of vigorous exercise? NOTE Paragraph 00:10:24.451 --> 00:10:25.867 Sandrine Thuret: So for the moment, 00:10:26.238 --> 00:10:29.234 we can't really say if it's just the running itself, 00:10:29.489 --> 00:10:33.274 but we think that anything that indeed will increase the production -- 00:10:33.947 --> 00:10:37.151 of moving the blood flow to the brain -- 00:10:37.871 --> 00:10:39.589 should be beneficial. NOTE Paragraph 00:10:40.007 --> 00:10:41.888 MH: Right, so I don't have to get a running wheel in my office? NOTE Paragraph 00:10:42.213 --> 00:10:42.979 ST: No, you don't! NOTE Paragraph 00:10:43.304 --> 00:10:44.094 (Laughter) NOTE Paragraph 00:10:44.419 --> 00:10:45.626 MH: Oh, what a relief! 00:10:45.835 --> 00:10:46.810 Okay, that's wonderful. 00:10:47.135 --> 00:10:48.087 Thank you so much. NOTE Paragraph 00:10:48.320 --> 00:10:50.433 ST: Thank you, Margaret NOTE Paragraph 00:10:50.433 --> 00:10:50.976 (Applause)