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I think we can all pretty much agree
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that germs are really annoying.
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You can take my word for this
because I'm kind of an expert.
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Not only because I work
with viruses for a living,
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which I do,
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but mainly because I have
two young sons at home.
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They're four and two,
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and I swear they are germ factories.
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It seems like every single week
they are sick with something.
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They have some upper respiratory,
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lower respiratory, diarrhea, vomiting,
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you name it, they've been infected.
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What that means is I am constantly sick.
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So, yes, germs are a real big pain.
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But luckily if it's a bacterial infection
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you can treat it with antibiotics,
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but if it's a viral infection
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you just kind of wait it out, right?
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But luckily most of the infections
are not that bad
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and my kids will cure them
in a couple of weeks.
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But we also know
that there are a lot of other viruses
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that lead to more significant problems.
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It can range from maybe
having life-long cold sores
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to something more serious
like debilitation or even death.
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So in general viruses are something
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I want to stay away from.
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They're nasty.
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But now let me introduce you to my mom.
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This picture was taken in December 2008.
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We were visiting my brother,
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who lived in Hawaii at that time.
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My mom loves golf,
her family and warm weather.
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Probably in that order.
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So Hawaii is really her paradise.
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We had a really great time,
it was really fun.
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Unfortunately, when I took this picture,
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I didn't realize that my mom's body
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was in the process of betraying her.
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Because just six months later
she was diagnosed with breast cancer.
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When she was diagnosed,
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I was pregnant with my first son.
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So it became this big
emotionally confusing time for me.
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Because there I was,
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growing life in my body,
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and there she was,
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growing what could potentially
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be her death.
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And in addition, since I was pregnant,
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I was starting to appreciate
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the female breasts as something
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that provides sustenance, right?
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They're supposed to support life.
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But hers may ultimately
be the source of her demise.
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So it was a very difficult time.
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In a couple months after her diagnosis,
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she started her cancer treatment.
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Chemo, surgery, radiation.
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It was a very difficult time.
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And all the things that you hear
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about cancer treatment,
especially chemo being horrible,
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it's true, it is really horrible.
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And this is something
that you will not appreciate
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unless you or someone you love
goes through it.
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But we've made it.
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We made it through that long, intense year
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and at her cancer hospital
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there's this bell
that they hung on the wall
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and at the end of the year
you can go and ring that bell,
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telling everyone
you're done with treatment,
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you're done with cancer.
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So we were very happy that day,
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but that happiness and that relief
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was extremely short-lived.
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And the worry starts to creep in.
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The source of that worry
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is because of this one word.
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This one word has so much power.
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Metastasis.
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Metastasis is where the cancer
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that originated in one part of the body
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spreads and moves
to different parts of your body,
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to set up tumors elsewhere.
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According to the American Cancer Society,
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if the cancer cells
are found just in your breasts,
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your 5-year relative survival rate
is 99 percent.
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Which is great.
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But you can see that if cancer cells
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are found at distant metastatic sites,
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your survival rate drops to 24 percent.
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That is scary.
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Hence, we have one
of the greatest challenges
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to modern medicine.
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Which is, how do we deliver
these toxic drugs,
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these messages of death, if you will,
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just to those metastatic cancer cells?
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When we're talking about delivery,
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there are really two factors
that you must consider.
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One is efficiency.
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How well can you get these drugs,
these messages of death,
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just to the cancer cells, right?
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And the second is specificity.
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That's where you want those drugs
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delivered just to the cancer cells,
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those metastatic cancer cells,
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but leave all the other
healthy tissues alone.
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And that will decrease
those horrible side effects.
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The question is, how?
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In my work,
the answer lies with the virus.
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Viruses are nature's nano-cell machines
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that have evolved to deliver genes,
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or deliver messages
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into those cells.
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They are incredibly good at their job.
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So what we're trying to do
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is engineer viruses to treat cancer.
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Let me introduce you now
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to the virus that we work on.
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It's called the adeno-associated virus,
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it's a very benign virus,
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it is not linked to any disease.
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Actually most of us,
80 to 90 percent of us
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sitting here today,
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we've already been infected by this virus.
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So I'm showing you here
the outside shell of this virus.
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It is empty on the inside,
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so that it could carry
a very small piece of DNA
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that encodes for that message
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that you would want to deliver
to the cancer cells.
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And so when I look
at images like this, of the virus,
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I am convinced
that Mother Nature is an artist.
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Not only that,
she is a proficient designer.
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The tight interlock
between form and function
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is fundamental for design.
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This virus is only
25 nanometers in diameter,
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which is 4,000 times smaller
than the width of your hair.
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So, in this tiny little package,
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Nature doesn't really
have a lot of wiggle room
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to include things that are not important
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for the ultimate function of the virus.
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Which is to infect cells.
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The other thing I want to point out
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is that viruses are old technology.
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I mean, it's really,
really old technology.
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Billions of years.
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What we're trying to do
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is to simply piggy-back
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on Mother Nature's work.
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To program these viruses to kill cancer.
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Our over-arching strategy, in our lab,
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is to program synthetic algorithms
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into the virus structure,
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in order to train it to pick out
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those cancer cells and to destroy them.
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Now, it turns out, that you can already
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think of viruses
as nanoscopic computers.
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They have evolved to detect
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biomolecular signals
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in their environment,
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which could include
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biomolecular cues in our bodies,
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in order to have productive infections
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that lead to self-replication ultimately.
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In every step
of the virus infectious process
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the virus detects biomolecular signals
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that allow the virus to do the next step
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of that infection,
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and t's actually very fascinating,
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because it turns out that every
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biomolecular signal acts upon the capsid,
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changing it, sometimes just a little bit,
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and sometimes quite dramatically.
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So you can think of viruses
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as some of the most primitive
shape-shifters.
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In our work, we're basically taking
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these intrinsic properties of viruses
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as inspiration and we want to re-write
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or re-program what the virus
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detects and computes
as biomolecular input.
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Here are some of the viruses
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that we have re-programmed
in the laboratory.
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Just by looking at them,
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you actually won't be able
to tell the difference
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between our engineered viruses
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and the ones that exist in Nature.
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But these are different.
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These have algorithms
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programmed into their structure
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that turns them into
cancer-seeking assassins.
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Let me explain.
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The basic idea
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is that we want to create viruses
that will be able
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to travel throughout the body
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in an inert fashion,
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or in a locked configuration, if you will.
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In this locked configuration
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the virus cannot deliver the message
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that it's carrying
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until it comes across
some biomolecular cue,
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signal, represented by the key here,
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and that key will open up the capsid
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and now, in this open configuration,
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the virus can deliver that message
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to the cancer cells.
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The other way that I like to conceptualize
-
our design strategy is thinking of it
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as if we were programming encryption
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into these viruses.
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So, the message cannot be read
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unless it is deciphered
by the appropriate key.
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The next natural question is, what key?
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Luckily, advances in biomedical research
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has been answering that question for us.
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It turns out that if you look
at tumor cells,
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tumor masses, there are a lot
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of biochemical signals, these cues,
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that are present at higher concentrations
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in the tumor,
either outside of the cancer cells
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or within the cancer cells themselves.
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You can imagine all of these cues
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can act as the key
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that will open up our virus.
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This is a demonstration of how
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one of our devices work.
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In this black part, you don't see anything
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but there's an entire lawn of cells
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and onto this lawn we've added
these viruses
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that we have in here, and in this case
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the virus is still in its locked state,
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its encrypted state,
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and as a demonstration
this virus is delivering a message
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that, if read properly by that cell,
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would turn that cell green.
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It's a green message.
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You can see there's really not many cells
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that are able to read that green message.
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That's mainly because
the virus is encrypted.
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Conversely, when the virus sees
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these biomolecular keys,
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the viruses open,
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that message is decyphered
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and these cells can now read
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these green messages.
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Let's go back to the schematic here.
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I told you that there's a lot of keys
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within the tumor mass,
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greater concentration in the tumor,
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but you may have noticed
that there are also keys,
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present at lower concentrations,
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elsewhere in the body.
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And that represents some problem.
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That could lead to these
non-targeted side effects,
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that you want to run away from.
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Our answer to this is trying
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to make these viruses open
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only when it detects two,
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both the red and the green.
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As shown here.
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And we have successfully generated
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one of these devices recently.
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Another way to think about this
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is to program an "AND" logic operator
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into this virus structure.
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I believe that the virus
biotechnology community
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we are dreaming the same dream,
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we have the same vision.
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In the very near future,
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we want to be able to program viruses,
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real viruses, as we would
computer programs.
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And we want this design process
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to be standardized, modular
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and lead to a predictable outcome.
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I leave you with a cliff-hanger.
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The big looming question is,
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how will these devices work
in the human body?
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Will they actually do
what we are proposing?
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We don't know the answers
to these questions yet.
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But I work with a really great team,
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of very hard-working
and passionate students
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on this research.
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So follow us and see our progress
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over the next several years.
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I invite you. Go viral with us.
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Thank you.
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(Applause)