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These are the user uploaded subtitles that are being translated: 1 00:00:09,147 --> 00:00:10,320 Mother Nature gave us something 2 00:00:10,389 --> 00:00:13,151 that's richer than our imagination. 3 00:00:14,566 --> 00:00:17,569 We saw a very peculiar pattern. 4 00:00:17,672 --> 00:00:18,880 Never seen anything like this before. 5 00:00:22,539 --> 00:00:24,472 I remember him saying, 6 00:00:24,541 --> 00:00:27,820 "Remember this word: CRISPR." 7 00:00:27,889 --> 00:00:31,652 We've never had the ability to change 8 00:00:31,721 --> 00:00:33,688 the fundamental chemical nature 9 00:00:33,723 --> 00:00:35,690 of who we are, and now we do. 10 00:00:35,725 --> 00:00:36,898 And what do we do with that? 11 00:00:38,866 --> 00:00:41,558 David's doctor told me, "Just hold on. 12 00:00:41,662 --> 00:00:42,525 There's something coming." 13 00:00:44,527 --> 00:00:46,736 To change DNA. 14 00:00:46,839 --> 00:00:48,393 You can actually do it. 15 00:00:51,258 --> 00:00:53,605 We could engineer a single gene that could 16 00:00:53,674 --> 00:00:56,056 potentially make us all more muscular. 17 00:00:56,090 --> 00:01:00,612 But should we make that universally available? 18 00:01:15,696 --> 00:01:19,458 Should we really be manipulating the heredity 19 00:01:19,562 --> 00:01:21,564 of future generations given 20 00:01:21,633 --> 00:01:24,705 our lack of knowledge about so many things? 21 00:01:24,774 --> 00:01:27,466 I don't know where you draw the line 22 00:01:27,535 --> 00:01:29,399 between not having albinism 23 00:01:29,468 --> 00:01:31,539 and deciding your kid needs to be an extra foot taller 24 00:01:31,608 --> 00:01:32,540 so they can be a good oarsman 25 00:01:32,609 --> 00:01:35,025 and go to Yale... where is that line? 26 00:01:35,095 --> 00:01:37,062 Who's gonna draw that? 27 00:01:37,131 --> 00:01:40,548 Anything that will stop my child from suffering 28 00:01:40,617 --> 00:01:41,963 I'm for. 29 00:01:43,724 --> 00:01:46,140 But don't draw it in front of my disease. 30 00:01:48,591 --> 00:01:50,282 What does this mean for this science, 31 00:01:50,317 --> 00:01:52,491 where we have the capacity to edit in 32 00:01:52,560 --> 00:01:55,494 some things that we think are important? 33 00:01:55,598 --> 00:01:57,151 Are we playing God? 34 00:01:57,220 --> 00:01:58,877 You don't realize it's disruptive 35 00:01:58,946 --> 00:02:00,637 until you look backward. 36 00:02:00,741 --> 00:02:02,260 Often you don't realize 37 00:02:02,329 --> 00:02:03,744 that you're in the middle of a revolution 38 00:02:03,813 --> 00:02:06,402 until after the revolution has occurred. 39 00:02:13,788 --> 00:02:13,823 Major funding for NOVA is provided by the following: 40 00:02:31,841 --> 00:02:36,259 Dr. Bonner, fellow prophets, and... 41 00:02:36,294 --> 00:02:38,917 Ladies and gentlemen... 42 00:02:42,334 --> 00:02:44,785 This summer, I traveled through 43 00:02:44,854 --> 00:02:49,824 northern Arizona and southern Utah. 44 00:02:49,893 --> 00:02:56,106 In this land, the rivers have carved great gorges, 45 00:02:56,141 --> 00:03:01,457 and on the sheer cliffs of these gorges, 46 00:03:01,526 --> 00:03:06,462 one can read a billion years of the history of the Earth. 47 00:03:10,776 --> 00:03:14,263 On that immense scale, 48 00:03:14,332 --> 00:03:19,475 a foot represents the passage of perhaps 100,000 years; 49 00:03:19,544 --> 00:03:23,203 all of man's recorded history took place 50 00:03:23,306 --> 00:03:25,653 as an inch was deposited; 51 00:03:25,688 --> 00:03:29,036 all of organized science, a millimeter; 52 00:03:29,105 --> 00:03:33,558 all we know of genetics, a few tens of microns. 53 00:03:54,095 --> 00:03:56,615 The dramatic advances of the past few decades 54 00:03:56,684 --> 00:04:00,205 have led to the discovery of DNA 55 00:04:00,274 --> 00:04:01,862 and to the decipherment 56 00:04:01,931 --> 00:04:04,520 of the universal hereditary code, 57 00:04:04,589 --> 00:04:07,695 the age-old language of the living cell. 58 00:04:11,699 --> 00:04:14,219 And with this understanding 59 00:04:14,288 --> 00:04:17,429 will come the control of processes 60 00:04:17,533 --> 00:04:20,190 that have known only the mindless discipline 61 00:04:20,260 --> 00:04:24,540 of natural selection for two billion years. 62 00:04:24,609 --> 00:04:30,546 And now the impact of science will strike straight home, 63 00:04:30,615 --> 00:04:32,513 for the biological world includes us. 64 00:04:39,796 --> 00:04:41,798 We will surely come to the time 65 00:04:41,902 --> 00:04:44,767 when man will have the power to alter, 66 00:04:44,836 --> 00:04:49,254 specifically and consciously, his very genes. 67 00:04:49,323 --> 00:04:52,050 This will be a new event in the universe. 68 00:04:52,119 --> 00:04:55,087 The prospect is, to me, 69 00:04:55,122 --> 00:04:58,298 awesome in its potential for deliverance 70 00:04:58,401 --> 00:05:00,369 or equally for disaster. 71 00:05:19,457 --> 00:05:21,907 There we go, much better. 72 00:05:26,153 --> 00:05:27,085 You want to squeeze my hand? 73 00:05:29,846 --> 00:05:31,331 Relax your shoulders. 74 00:05:31,434 --> 00:05:35,127 Relax your toes. 75 00:05:35,162 --> 00:05:39,684 Being in the hospital isn't scary to me. 76 00:05:39,787 --> 00:05:43,170 Having a certain new problem isn't scary to me anymore, 77 00:05:43,273 --> 00:05:45,414 'cause it's happened so many times. 78 00:05:47,070 --> 00:05:50,142 I don't know, my blood just does not like me very much, 79 00:05:50,211 --> 00:05:51,972 I guess. 80 00:05:52,041 --> 00:05:53,939 Your red cells are supposed to be round 81 00:05:54,008 --> 00:05:58,185 and have oxygen in them. 82 00:05:58,288 --> 00:06:00,360 Mine are half-moon-shaped, sickle-shaped, 83 00:06:00,463 --> 00:06:03,535 which is why it's called sickle cell, 84 00:06:03,639 --> 00:06:07,470 so I don't get the same amount of oxygen. 85 00:06:10,991 --> 00:06:13,752 I always say, like, oil change. 86 00:06:13,821 --> 00:06:15,409 You know, you drain the dirty out 87 00:06:15,478 --> 00:06:16,824 and then put a clean in. 88 00:06:16,893 --> 00:06:18,481 Yeah, so he just needs a tune-up 89 00:06:18,516 --> 00:06:23,210 every four to six weeks, yeah, uh-huh, yeah... okay? 90 00:06:23,313 --> 00:06:25,454 Okay. Put this on. 91 00:06:29,492 --> 00:06:31,977 Take deep breath and hold. 92 00:06:35,912 --> 00:06:36,844 Mm. 93 00:06:42,712 --> 00:06:43,679 Okay. 94 00:06:46,233 --> 00:06:47,993 You okay, David? Mm-hmm. 95 00:06:50,858 --> 00:06:52,342 He used to tell me, "Don't cry, Nonna. 96 00:06:52,377 --> 00:06:54,206 Why are you crying?" 97 00:06:54,241 --> 00:06:58,038 I said, you know... "Love you, baby." 98 00:06:58,072 --> 00:06:59,039 He goes, "Don't worry about it." 99 00:06:59,108 --> 00:07:00,903 He says, "If I lose my life," he goes, 100 00:07:01,006 --> 00:07:02,283 "You'll see me again." 101 00:07:02,387 --> 00:07:07,012 And I thought, "This child has more strength 102 00:07:07,081 --> 00:07:09,532 and faith than I do." 103 00:07:43,152 --> 00:07:46,120 It's often called the first molecular disease. 104 00:07:46,189 --> 00:07:49,883 It's caused by a single change in the DNA sequence. 105 00:07:55,129 --> 00:07:58,374 It's the letter A changed to a letter T. 106 00:07:58,443 --> 00:08:00,825 - That's it? - That's it. 107 00:08:00,928 --> 00:08:03,103 And that mutation causes a kink in the protein 108 00:08:03,172 --> 00:08:06,106 that prevents it from folding properly. 109 00:08:06,140 --> 00:08:10,317 If your folding structure of a protein is disrupted, 110 00:08:10,420 --> 00:08:11,456 now that protein can't function. 111 00:08:11,525 --> 00:08:18,290 It causes the red blood cell to really collapse. 112 00:08:18,359 --> 00:08:22,881 It becomes very stiff and it can't squeeze through, 113 00:08:22,950 --> 00:08:24,538 and you're not able to get red blood cells 114 00:08:24,607 --> 00:08:27,196 to the tissues where they can deliver oxygen, 115 00:08:27,299 --> 00:08:30,958 and if you block the ability of oxygen to get to those tissues, 116 00:08:31,027 --> 00:08:34,617 those tissues won't work well and they'll get damaged. 117 00:08:37,447 --> 00:08:39,829 In Africa, the life expectancy 118 00:08:39,898 --> 00:08:42,314 for somebody with sickle cell disease 119 00:08:42,383 --> 00:08:45,214 is on the order of five to eight years of age. 120 00:08:45,317 --> 00:08:48,528 In the U.S., it's the early to mid-40s. 121 00:08:48,597 --> 00:08:51,807 What do you say to a kid that their life is gonna be... 122 00:08:51,876 --> 00:08:54,154 We avoid it... we avoid that... 123 00:08:54,223 --> 00:08:55,673 It's not a, it's... Really? 124 00:08:55,742 --> 00:08:57,537 It's not a conversation we're good at having. 125 00:08:57,640 --> 00:09:00,298 Makes me very nervous. 126 00:09:03,163 --> 00:09:05,027 David can go from crazy teenager, 127 00:09:05,130 --> 00:09:08,651 joking, jumping around, 128 00:09:08,720 --> 00:09:13,483 to a fetal position on his knees. 129 00:09:13,553 --> 00:09:15,727 It's like... pulsing. 130 00:09:15,831 --> 00:09:17,315 "This hurts!" 131 00:09:19,179 --> 00:09:21,043 "You're having a sickle cell crisis!" 132 00:09:23,942 --> 00:09:25,772 Look, I can have, like, a little pain crisis 133 00:09:25,841 --> 00:09:28,188 where it really doesn't count, 134 00:09:28,257 --> 00:09:30,086 and then I can have something really bad, 135 00:09:30,190 --> 00:09:32,710 but I'm not just gonna not play basketball. 136 00:09:32,779 --> 00:09:34,574 You can't just not play basketball. 137 00:09:41,442 --> 00:09:44,514 This is David's old red blood cells. 138 00:09:44,549 --> 00:09:47,069 We're gonna save for research. 139 00:09:48,795 --> 00:09:52,764 How do you sing it? 140 00:09:52,868 --> 00:09:55,387 โ™ช Rain, rain, go away, come again... โ™ช 141 00:09:55,422 --> 00:09:57,424 It's a genetic disorder, 142 00:09:57,493 --> 00:09:59,081 so in order to cure a genetic disorder, 143 00:09:59,150 --> 00:10:01,428 you literally have to go in and fix the gene. 144 00:10:01,531 --> 00:10:03,637 We just didn't have the tools 145 00:10:03,741 --> 00:10:07,261 to make that single-letter change in a precise fashion. 146 00:10:07,365 --> 00:10:08,400 Even one letter? 147 00:10:08,469 --> 00:10:10,092 Especially one letter. 148 00:10:21,897 --> 00:10:26,177 Deoxyribonucleic acid, or DNA for short, 149 00:10:26,246 --> 00:10:29,318 is the material that's the basis of life. 150 00:10:29,421 --> 00:10:31,665 Each living thing has its unique DNA 151 00:10:31,734 --> 00:10:34,081 that determines what that living thing will be: 152 00:10:34,150 --> 00:10:35,669 plant or animal, man or muskrat. 153 00:10:40,916 --> 00:10:42,262 If we understood 154 00:10:42,331 --> 00:10:43,815 the structure of genes, 155 00:10:43,919 --> 00:10:46,162 the structure of chromosomes, and how genes work, 156 00:10:46,266 --> 00:10:48,648 then we might better be able to understand 157 00:10:48,751 --> 00:10:53,100 and treat genetic diseases which occur in humans. 158 00:10:53,169 --> 00:10:55,862 The work that Paul Berg did, 159 00:10:55,931 --> 00:10:59,935 that was probably the beginning. 160 00:11:00,004 --> 00:11:01,799 This dream of gene therapy 161 00:11:01,868 --> 00:11:05,354 was born out of those 1970s experiments, 162 00:11:05,457 --> 00:11:06,942 and we were still very far away from it, 163 00:11:06,976 --> 00:11:09,945 but you'll see people talking about that hope right away. 164 00:11:10,014 --> 00:11:12,499 The hope is that the isolation of the gene 165 00:11:12,602 --> 00:11:13,776 will lead to treatment of people 166 00:11:13,811 --> 00:11:15,122 with muscular dystrophy. 167 00:11:15,191 --> 00:11:17,815 Scientists are working on genetic cures 168 00:11:17,884 --> 00:11:21,370 for diseases such as Alzheimer's and Parkinson's. 169 00:11:21,439 --> 00:11:23,752 A, T, A, G, C... 170 00:11:23,821 --> 00:11:25,995 The idea behind gene therapy is really simple: 171 00:11:26,064 --> 00:11:28,135 add in a copy of the gene that works. 172 00:11:28,204 --> 00:11:29,481 Then they'll make the protein that works, 173 00:11:29,550 --> 00:11:30,862 and then they won't be sick anymore. 174 00:11:30,966 --> 00:11:33,727 But the devil, as is often the case, is in the details. 175 00:11:33,796 --> 00:11:35,625 Right now, we have the ability 176 00:11:35,695 --> 00:11:38,042 to identify the gene, to isolate it, 177 00:11:38,145 --> 00:11:40,630 but the ability to put it where we want it 178 00:11:40,665 --> 00:11:42,494 is still a long ways away. 179 00:11:42,563 --> 00:11:44,082 If you put a gene into a cell, 180 00:11:44,151 --> 00:11:47,430 you cannot tell exactly where that gene 181 00:11:47,499 --> 00:11:49,432 is going to enter the cell's chromosome. 182 00:11:49,501 --> 00:11:52,021 Conventional gene therapy 183 00:11:52,090 --> 00:11:54,817 is an essentially random process. 184 00:11:54,886 --> 00:11:58,303 So imagine taking this century-long narrative, 185 00:11:58,338 --> 00:12:00,236 which is human DNA, 186 00:12:00,340 --> 00:12:02,100 which is a very, very long text, 187 00:12:02,169 --> 00:12:03,826 and taking one paragraph 188 00:12:03,861 --> 00:12:05,069 and just sticking it somewhere random. 189 00:12:05,172 --> 00:12:08,866 The change you are creating is not a controlled one. 190 00:12:22,603 --> 00:12:27,194 There was a clinical trial that was done in France. 191 00:12:27,263 --> 00:12:29,887 This was for really sick children... I want to be clear. 192 00:12:29,956 --> 00:12:31,992 This was for children who would have died otherwise. 193 00:12:35,444 --> 00:12:38,205 Four of these children developed cancer. 194 00:12:38,274 --> 00:12:41,415 One of them died. 195 00:12:41,484 --> 00:12:44,384 The gene went into the wrong place. 196 00:12:44,418 --> 00:12:46,213 Because it's a random process, and, by chance, 197 00:12:46,282 --> 00:12:47,559 it went into the wrong place, 198 00:12:47,628 --> 00:12:49,699 and that random event caused cancer. 199 00:12:52,875 --> 00:12:55,222 You know, you always think that 200 00:12:55,291 --> 00:12:57,569 what you know is gonna get a little better 201 00:12:57,604 --> 00:12:58,881 and a little better and a little better, 202 00:12:58,916 --> 00:13:02,816 and soon be there, and what we knew how to do 203 00:13:02,885 --> 00:13:04,714 wasn't getting a whole lot better. 204 00:13:04,784 --> 00:13:06,233 It was getting a little bit better. 205 00:13:06,268 --> 00:13:09,271 The technology was just too clumsy 206 00:13:09,340 --> 00:13:11,894 to actually use it with human beings. 207 00:13:11,929 --> 00:13:14,621 It became very, very clear to us that 208 00:13:14,690 --> 00:13:17,141 we are at the foot of a very tall mountain 209 00:13:17,244 --> 00:13:19,591 and we may not even have the right mountaineering gear. 210 00:13:23,595 --> 00:13:26,598 I worked at this company called Sangamo Biosciences. 211 00:13:26,667 --> 00:13:30,913 We decided to figure out a way 212 00:13:30,982 --> 00:13:33,260 to change human genes in a precise fashion. 213 00:13:33,329 --> 00:13:36,056 You know, this would be like word processors for your DNA. 214 00:13:38,956 --> 00:13:41,303 This will get technical, but good technical. 215 00:13:43,305 --> 00:13:46,480 DNA breaks all the time. 216 00:13:46,584 --> 00:13:48,620 You go get a dental X-ray. 217 00:13:48,655 --> 00:13:50,553 The technician points this thing at your face... 218 00:13:50,622 --> 00:13:53,625 And the X-rays actually hit your DNA, 219 00:13:53,660 --> 00:13:55,006 and they physically create a break, 220 00:13:55,110 --> 00:13:57,112 so the familiar double helix of DNA 221 00:13:57,146 --> 00:13:58,285 physically goes. 222 00:13:58,320 --> 00:13:59,493 The good news is, 223 00:13:59,562 --> 00:14:01,081 the cell has its own machine to fixing breaks. 224 00:14:03,497 --> 00:14:05,396 Inside our cells, 225 00:14:05,465 --> 00:14:07,294 there are two identical DNA molecules 226 00:14:07,329 --> 00:14:09,745 lying side by side, literally side by side. 227 00:14:09,814 --> 00:14:12,955 If one is broken, it can say to its sister... 228 00:14:13,024 --> 00:14:15,509 and that, in fact, is the technical term, the sister... 229 00:14:15,578 --> 00:14:17,477 "Hey, sis, I'm sorry. I've had a break. 230 00:14:17,546 --> 00:14:21,032 I'm wondering if I can copy the missing genetic information." 231 00:14:21,136 --> 00:14:23,000 And the sister goes, "Yeah." 232 00:14:33,044 --> 00:14:35,633 Done. 233 00:14:35,667 --> 00:14:37,980 "Chromosome broken 234 00:14:38,049 --> 00:14:41,535 "awaits sounds of strands pairing, 235 00:14:41,639 --> 00:14:45,815 preserving life's thread." 236 00:14:45,850 --> 00:14:47,645 There's really, there is really a haiku 237 00:14:47,714 --> 00:14:49,578 about homology-directed repair. 238 00:14:51,166 --> 00:14:52,995 Why is that useful? 239 00:14:53,064 --> 00:14:54,686 So it's useful because 240 00:14:54,755 --> 00:14:58,345 if you can cut a gene inside a cell, 241 00:14:58,414 --> 00:14:59,933 so if you can create a break 242 00:15:00,002 --> 00:15:02,729 at a place of interest, 243 00:15:02,832 --> 00:15:04,938 then you can change that gene. 244 00:15:05,007 --> 00:15:08,183 You fool the cell, 245 00:15:08,217 --> 00:15:14,189 give it a separate piece of DNA that you have made, 246 00:15:14,223 --> 00:15:16,639 a piece of DNA which is identical 247 00:15:16,708 --> 00:15:18,848 to the chromosome that you are cutting 248 00:15:18,918 --> 00:15:21,575 except for the change that you wish to make. 249 00:15:25,372 --> 00:15:27,788 And Mother Nature will not know she's being fooled. 250 00:15:27,857 --> 00:15:29,652 She will repair the break 251 00:15:29,721 --> 00:15:32,966 using this piece of DNA you provided as a template, 252 00:15:33,035 --> 00:15:34,657 and so whatever change you brought in 253 00:15:34,726 --> 00:15:36,866 will then go into the chromosome. 254 00:15:41,699 --> 00:15:43,045 You can think of it 255 00:15:43,114 --> 00:15:45,220 like a cursor in Microsoft Word. 256 00:15:45,254 --> 00:15:47,877 In Word, if you have a document where you edit, 257 00:15:47,947 --> 00:15:50,397 first you have to place the cursor there. 258 00:15:53,297 --> 00:15:57,577 In DNA, wherever you make a cut 259 00:15:57,646 --> 00:15:59,234 is the equivalent of a cursor 260 00:15:59,268 --> 00:16:01,167 in this word processor of the genome. 261 00:16:01,236 --> 00:16:05,274 That's where you can type in a new word. 262 00:16:09,554 --> 00:16:10,935 So if you wanted 263 00:16:10,970 --> 00:16:16,113 to use that capability to "engineer the genome," 264 00:16:16,182 --> 00:16:19,288 the challenge was to introduce breaks in the DNA 265 00:16:19,357 --> 00:16:21,911 at places where you wanted to, to alter the code. 266 00:16:21,981 --> 00:16:24,673 How were we gonna do that? 267 00:16:27,917 --> 00:16:30,265 We need something that cuts only one gene 268 00:16:30,299 --> 00:16:33,061 out of the, you know, 25,000 that we have. 269 00:16:36,478 --> 00:16:41,966 There were just such serious blocks in the way. 270 00:16:42,035 --> 00:16:44,969 So it looked like it was gonna be a long road. 271 00:16:45,038 --> 00:16:47,868 And that's what changed. 272 00:16:47,937 --> 00:16:50,043 And that came sort of overnight. 273 00:16:56,946 --> 00:16:58,327 David's doctor told me, 274 00:16:58,396 --> 00:17:01,779 "Just hold on... there's something coming." 275 00:17:05,127 --> 00:17:06,749 When I first heard about it, 276 00:17:06,818 --> 00:17:08,130 I was at a conference in New York, 277 00:17:08,199 --> 00:17:10,995 and it was a very strange conference of, of futurists. 278 00:17:11,064 --> 00:17:12,824 It was put on by a Russian guy 279 00:17:12,893 --> 00:17:14,826 whose ambition is to download his brain 280 00:17:14,895 --> 00:17:16,138 and become an android who lives forever. 281 00:17:16,173 --> 00:17:18,865 In this future, people will be young, beautiful. 282 00:17:18,934 --> 00:17:23,042 They will have multiple bodies, not only just one. 283 00:17:23,111 --> 00:17:24,422 But they had a lot of good people there, 284 00:17:24,491 --> 00:17:25,837 including an important geneticist from Harvard, 285 00:17:25,906 --> 00:17:27,184 George Church. 286 00:17:27,253 --> 00:17:29,979 And I remember him saying, "Remember this word: 287 00:17:30,049 --> 00:17:34,122 CRISPR," C-R-I-S-P-R. 288 00:17:34,191 --> 00:17:36,365 It's, like, you know, in "The Graduate," plastics. 289 00:17:36,434 --> 00:17:37,849 Remember the word CRISPR. 290 00:17:37,884 --> 00:17:41,819 This is going to allow human genome engineering 291 00:17:41,888 --> 00:17:43,683 on a unprecedented scale. 292 00:17:58,456 --> 00:18:00,217 How old is CRISPR? 293 00:18:00,286 --> 00:18:02,184 Oh, in terms of millions of years? 294 00:18:02,219 --> 00:18:06,188 Yeah. Oh, I mean... 295 00:18:06,257 --> 00:18:09,881 Probably... billions. 296 00:18:25,104 --> 00:18:26,933 When you are a student, 297 00:18:27,036 --> 00:18:29,694 you think everything is known. 298 00:18:31,800 --> 00:18:36,598 But there are places where no one else looked. 299 00:19:07,491 --> 00:19:09,078 The organism I was working with 300 00:19:09,148 --> 00:19:12,565 is called Haloferax mediterranei. 301 00:19:14,256 --> 00:19:18,295 This microorganism is very peculiar. 302 00:19:18,364 --> 00:19:21,056 They only live in environments 303 00:19:21,125 --> 00:19:25,854 where the salinity is about tenfold that of the seawater. 304 00:19:27,545 --> 00:19:30,307 These tiny organisms are... 305 00:19:30,376 --> 00:19:33,793 I would say, even, so clever, yeah? 306 00:19:33,827 --> 00:19:35,588 Clever because of the evolution, of course. 307 00:19:50,982 --> 00:19:54,641 Well, I'll tell you the story that I know. 308 00:19:54,676 --> 00:19:59,508 Microbial genome sequencing started sometime in the 1990s. 309 00:19:59,577 --> 00:20:01,993 What does that mean? See, okay, so, 310 00:20:02,062 --> 00:20:04,996 unraveling the DNA code of organisms of life 311 00:20:05,065 --> 00:20:07,033 is a relatively recent part of biology, 312 00:20:07,102 --> 00:20:10,312 and in the late 1990s, people started to turn their attention 313 00:20:10,347 --> 00:20:12,349 to the sequencing of microbial genomes. 314 00:20:17,699 --> 00:20:20,495 They're amazingly highly evolved entities 315 00:20:20,529 --> 00:20:24,602 that just chose a different way of surviving in the world 316 00:20:24,671 --> 00:20:27,329 than the cells that became us. 317 00:21:01,363 --> 00:21:04,573 We saw a very peculiar pattern. 318 00:21:06,886 --> 00:21:10,579 These very short fragments of DNA. 319 00:21:12,926 --> 00:21:15,929 They repeated many times. 320 00:21:17,241 --> 00:21:20,348 And they were regularly interspaced. 321 00:21:28,390 --> 00:21:32,256 Eventually, we realized these peculiar sequences, 322 00:21:32,291 --> 00:21:36,778 they were present in many different microorganisms. 323 00:21:40,644 --> 00:21:43,750 But they didn't have really any name. 324 00:21:43,819 --> 00:21:45,442 CRISPR came to my mind 325 00:21:45,511 --> 00:21:47,582 just thinking about the, the main features. 326 00:21:47,651 --> 00:21:52,414 Clustered regularly interspaced 327 00:21:52,483 --> 00:21:54,658 short palindromic repeats. 328 00:21:59,801 --> 00:22:02,631 There really wasn't much precedent 329 00:22:02,700 --> 00:22:05,634 for anything like this in the DNA of living things, 330 00:22:05,703 --> 00:22:07,602 and when you see something unusual, 331 00:22:07,671 --> 00:22:08,982 you automatically assume that it's interesting. 332 00:22:09,086 --> 00:22:10,329 That's just how science works. 333 00:22:13,953 --> 00:22:16,542 CRISPR is actually clustered regularly interspaced 334 00:22:16,611 --> 00:22:18,785 palindromic repeats, and so, 335 00:22:18,854 --> 00:22:22,133 it's actually named for the repeats. 336 00:22:22,202 --> 00:22:23,790 But what was really interesting 337 00:22:23,859 --> 00:22:25,792 were these sequences in between 338 00:22:25,861 --> 00:22:29,348 that were completely enigmatic. 339 00:22:29,451 --> 00:22:32,281 Spacers. 340 00:22:32,316 --> 00:22:35,526 And each spacer was different. 341 00:22:39,668 --> 00:22:41,429 Never seen anything like this before. 342 00:22:43,327 --> 00:22:46,330 Where the hell come these sequences from? 343 00:22:58,998 --> 00:23:00,344 I have my own way of kind of 344 00:23:00,413 --> 00:23:01,690 telling the story in short form, 345 00:23:01,759 --> 00:23:05,004 is, I show this article from 2007, right? 346 00:23:05,073 --> 00:23:06,385 Five years before anybody was talking about CRISPR, 347 00:23:06,488 --> 00:23:07,489 and it's this headline 348 00:23:07,558 --> 00:23:09,836 from a yogurt company saying, 349 00:23:09,905 --> 00:23:11,700 "Holy grail is discovered." 350 00:23:13,909 --> 00:23:18,017 And what was this yogurt company's holy grail? 351 00:23:18,086 --> 00:23:19,328 It was CRISPR. 352 00:23:19,363 --> 00:23:21,469 It was CRISPR. 353 00:23:23,678 --> 00:23:26,197 When did you get your CRISPR license plate? 354 00:23:26,266 --> 00:23:30,409 The first one I got back in the days in Wisconsin, 355 00:23:30,512 --> 00:23:32,411 and when I first moved to North Carolina... 356 00:23:32,480 --> 00:23:34,447 It was one of the first things I did, 357 00:23:34,516 --> 00:23:36,691 was to make sure I still had my CRISPR rights 358 00:23:36,725 --> 00:23:37,692 with my CRISPR-mobile. 359 00:23:40,902 --> 00:23:42,869 People were, like, "Have you heard about this CRISPR thing?" 360 00:23:42,904 --> 00:23:44,112 And I'm, like, "Dude, like, 361 00:23:44,215 --> 00:23:45,251 "I've heard of this CRISPR thing for ten years. 362 00:23:45,320 --> 00:23:46,217 Like, what the hell are you talking about?" 363 00:23:53,880 --> 00:23:55,744 Danisco is a company that sells microbes 364 00:23:55,813 --> 00:23:57,470 to people who want to make food. 365 00:23:57,539 --> 00:24:01,612 A lot of foods are produced using bacteria, and... 366 00:24:01,716 --> 00:24:02,751 Yogurt, for example. 367 00:24:02,820 --> 00:24:07,066 Rodolphe was trying to work out how to deal 368 00:24:07,100 --> 00:24:09,378 with the problem of his bacterial cultures 369 00:24:09,448 --> 00:24:13,831 suddenly dying because of viral infections. 370 00:24:13,900 --> 00:24:15,281 Most people don't wake up 371 00:24:15,384 --> 00:24:16,593 in the morning and think about 372 00:24:16,662 --> 00:24:18,802 how bacteria defend themselves against viruses. 373 00:24:18,905 --> 00:24:20,148 It's just not on their, on their, 374 00:24:20,251 --> 00:24:21,736 on the sort of front and center in people's agenda, 375 00:24:21,805 --> 00:24:22,702 but it should be. 376 00:24:28,536 --> 00:24:31,918 Viruses are very simple lean machines. 377 00:24:31,953 --> 00:24:35,025 They have one job to do: look for a host, 378 00:24:35,094 --> 00:24:37,752 take the host over, and multiply, that's it. 379 00:24:37,821 --> 00:24:42,791 The virus will attach to the surface, 380 00:24:42,860 --> 00:24:46,415 and then it will inject its genetic material. 381 00:24:50,109 --> 00:24:53,768 It hijacks the cell and use the cell 382 00:24:53,837 --> 00:24:55,977 just as a factory of new viruses. 383 00:25:01,534 --> 00:25:04,261 And then it's over. 384 00:25:04,295 --> 00:25:06,090 It's over for the cell. 385 00:25:10,647 --> 00:25:14,133 This is when people call companies like Danisco and say, 386 00:25:14,202 --> 00:25:15,962 "You sold us a culture that's not working. 387 00:25:15,997 --> 00:25:17,446 We want our money back." 388 00:25:22,555 --> 00:25:25,800 But there's a small subset of the population 389 00:25:25,869 --> 00:25:28,527 that survives the viral attack. 390 00:25:30,701 --> 00:25:32,116 We don't know why they make it, 391 00:25:32,185 --> 00:25:33,808 but they make it. 392 00:25:33,842 --> 00:25:35,534 They become resistant. 393 00:25:37,501 --> 00:25:39,227 At that time, we still don't know what CRISPR is 394 00:25:39,296 --> 00:25:40,504 and what it does, 395 00:25:40,573 --> 00:25:42,782 so there's no assumption that CRISPR is involved. 396 00:25:45,682 --> 00:25:49,651 Then what we do is, we take the survivor that made it, 397 00:25:49,720 --> 00:25:51,550 and then we check its DNA. 398 00:25:54,311 --> 00:25:57,417 The DNA sequence had changed. 399 00:26:03,354 --> 00:26:07,117 There are new spacers 400 00:26:07,186 --> 00:26:09,498 that were not present before, 401 00:26:09,568 --> 00:26:13,192 and those spacers are identical 402 00:26:13,261 --> 00:26:17,368 to sequences from the virus that infect bacteria. 403 00:26:17,437 --> 00:26:20,026 And now it's immune. 404 00:26:20,095 --> 00:26:22,063 So now scientists have a clue, 405 00:26:22,132 --> 00:26:23,582 and, you know, at this point, of course, 406 00:26:23,685 --> 00:26:25,204 you've sort of put your Sherlock Holmes hat on, 407 00:26:25,273 --> 00:26:27,206 you take in your virtual pipe, and you go, 408 00:26:27,275 --> 00:26:28,828 "What are these clues telling us?" 409 00:26:30,589 --> 00:26:33,730 We do the experiment five different times. 410 00:26:35,697 --> 00:26:39,874 And consistently, the bacteria acquired a spacer 411 00:26:39,908 --> 00:26:42,601 that contains a sequence from the virus 412 00:26:42,704 --> 00:26:45,086 and became resistant. 413 00:26:49,055 --> 00:26:51,748 So what if I take it away? 414 00:26:51,817 --> 00:26:53,784 You lose the resistance. 415 00:26:53,888 --> 00:26:56,580 Without that little piece of DNA, 416 00:26:56,649 --> 00:27:01,102 the microbial cell, the bacterial cell, will die, 417 00:27:01,171 --> 00:27:02,655 and if it had it, it would survive. 418 00:27:02,724 --> 00:27:04,450 Oh, that was, like, that was, like, 419 00:27:04,553 --> 00:27:05,451 "We got it." 420 00:27:07,384 --> 00:27:10,214 CRISPR is an immune system. 421 00:27:12,596 --> 00:27:14,115 What an idea: 422 00:27:14,184 --> 00:27:16,082 a piece of the genome of your predator 423 00:27:16,117 --> 00:27:18,567 now stuck in your genome so you can recognize it in the future. 424 00:27:18,602 --> 00:27:22,468 Bacteria have memory. 425 00:27:22,571 --> 00:27:26,023 They are able to remember invaders, 426 00:27:26,092 --> 00:27:28,681 recognize them, and kill them. 427 00:27:28,750 --> 00:27:31,650 That was really fantastic. 428 00:27:36,206 --> 00:27:38,726 At the time, you know, it's useful 429 00:27:38,795 --> 00:27:44,870 in manufacturing cultures that are resistant to viruses. 430 00:27:44,939 --> 00:27:46,872 It's extremely valuable to Danisco. 431 00:27:46,941 --> 00:27:49,322 You know, but... 432 00:27:49,391 --> 00:27:52,049 But we don't know what the future holds. 433 00:27:52,118 --> 00:27:54,293 We have no idea how useful or not 434 00:27:54,327 --> 00:27:56,019 this technology is gonna be or pan out in the end. 435 00:28:03,164 --> 00:28:04,890 I think I first heard about it 436 00:28:04,959 --> 00:28:07,478 when I had coffee with Jill Banfield, 437 00:28:07,547 --> 00:28:08,479 my colleague here at Berkeley, 438 00:28:08,548 --> 00:28:12,138 at the Free Speech Movement Cafรฉ, 439 00:28:12,173 --> 00:28:14,382 classic Berkeley cafรฉ. 440 00:28:14,485 --> 00:28:16,625 One thing they'll write on my tombstone was, 441 00:28:16,660 --> 00:28:19,801 "Told Jennifer Doudna about CRISPR-Cas." 442 00:28:19,836 --> 00:28:22,493 Like, that will be the sum of my life. 443 00:28:26,981 --> 00:28:28,603 I love things that not a lot of people 444 00:28:28,672 --> 00:28:31,537 are paying attention to, which certainly CRISPR was 445 00:28:31,606 --> 00:28:33,988 in its early days, not anymore, but, but, you know, 446 00:28:34,022 --> 00:28:35,506 in the early days, it was like that. 447 00:28:35,575 --> 00:28:37,405 But then you always ask yourself, 448 00:28:37,508 --> 00:28:39,200 "Huh, is everybody else just a lot smarter than me 449 00:28:39,269 --> 00:28:42,065 "and they've figured out that this is a, you know, 450 00:28:42,168 --> 00:28:44,446 a dead path and..." 451 00:28:44,515 --> 00:28:47,173 So we've got the antibody tethered to Cas9. 452 00:28:47,208 --> 00:28:49,348 It's finding the T cell-specific antigen. 453 00:28:49,417 --> 00:28:53,007 We're biochemists in the lab. 454 00:28:53,076 --> 00:28:58,219 We study the way molecules work. 455 00:28:58,288 --> 00:28:59,945 We try to isolate them from 456 00:29:00,014 --> 00:29:02,326 all of the other pieces and parts of the cell. 457 00:29:02,361 --> 00:29:05,019 We love to ask, 458 00:29:05,053 --> 00:29:09,540 "Well, what are the essential parts of this little machine?" 459 00:29:09,575 --> 00:29:12,543 In nature, what CRISPR systems are doing is, 460 00:29:12,578 --> 00:29:15,029 they're giving bacteria immunity to viruses, 461 00:29:15,098 --> 00:29:17,203 so they're protecting them from viruses. 462 00:29:26,385 --> 00:29:28,111 When an invader shows up, 463 00:29:28,214 --> 00:29:32,874 the bacterium has a way to store a small bit 464 00:29:32,943 --> 00:29:35,704 of the invader's DNA in its own DNA. 465 00:29:39,294 --> 00:29:42,711 When the invader comes back, 466 00:29:42,781 --> 00:29:45,507 the bacterium makes a copy, 467 00:29:45,576 --> 00:29:49,891 like a little "Most Wanted" poster of that spacer, 468 00:29:49,960 --> 00:29:52,273 and gives it to the marvelous machine 469 00:29:52,376 --> 00:29:55,586 at the heart of CRISPR, 470 00:29:55,621 --> 00:29:58,797 this extraordinary protein that we call Cas9. 471 00:30:01,592 --> 00:30:04,112 Cas9 is truly wondrous. 472 00:30:06,183 --> 00:30:08,530 When Cas9 polices 473 00:30:08,599 --> 00:30:13,294 the intercellular neighborhood for invasions, 474 00:30:13,363 --> 00:30:14,640 it literally carries a copy 475 00:30:14,743 --> 00:30:16,159 of that "Most Wanted" poster with it. 476 00:30:18,644 --> 00:30:21,647 Asking everyone that comes in, 477 00:30:21,716 --> 00:30:25,375 "Excuse me, do you contain an exact match 478 00:30:25,444 --> 00:30:29,586 "to this little 'Most Wanted' poster that I'm carrying? 479 00:30:29,620 --> 00:30:31,415 Yes? Then I'll cut you." 480 00:30:36,213 --> 00:30:39,803 The thing about Cas9 that struck me at the time 481 00:30:39,872 --> 00:30:41,460 was that, you know, fundamentally, 482 00:30:41,529 --> 00:30:44,359 this thing was a programmable protein 483 00:30:44,428 --> 00:30:48,847 that finds and cuts DNA. 484 00:30:51,711 --> 00:30:54,645 As a tool, right, you could immediately see 485 00:30:54,680 --> 00:30:56,889 a lot of uses for something like that. 486 00:30:56,958 --> 00:30:59,996 I will never forget 487 00:31:00,065 --> 00:31:03,723 reading the last paragraph of Jennifer Doudna's 488 00:31:03,792 --> 00:31:07,486 and Emmanuelle Charpentier's deservedly... 489 00:31:07,555 --> 00:31:10,730 "immortal" is a strong word, so I'm gonna use it carefully... 490 00:31:10,799 --> 00:31:12,491 immortal science paper 491 00:31:12,525 --> 00:31:17,151 in which they describe that Cas9 can be directed. 492 00:31:25,159 --> 00:31:29,680 Cas9 cuts DNA based on an instruction that it carries, 493 00:31:29,715 --> 00:31:33,443 and that instruction is a molecule of RNA 494 00:31:33,512 --> 00:31:36,549 that matches perfectly the DNA of the invader. 495 00:31:36,618 --> 00:31:41,727 RNA, I think about it as DNA's chemical cousin. 496 00:31:41,830 --> 00:31:44,903 Like DNA, it has four letters, 497 00:31:44,972 --> 00:31:49,148 and they can form pairs with matching letters in DNA. 498 00:31:51,737 --> 00:31:53,704 The letters in the RNA 499 00:31:53,773 --> 00:31:56,880 allow Cas9 to find a unique DNA sequence. 500 00:31:56,949 --> 00:32:01,126 Bacteria were programming this thing all the time 501 00:32:01,195 --> 00:32:03,783 with different viral sequences, and then using it 502 00:32:03,852 --> 00:32:06,407 to find and cut and destroy those viruses. 503 00:32:10,376 --> 00:32:12,723 But because it's using these little RNA molecules, 504 00:32:12,792 --> 00:32:14,933 those can easily be exchanged. 505 00:32:17,901 --> 00:32:20,490 RNA molecules are trivial to make 506 00:32:20,559 --> 00:32:24,011 in a molecular biology lab or order from a company. 507 00:32:27,566 --> 00:32:29,568 And I can cut any DNA I want just by changing this, 508 00:32:29,637 --> 00:32:31,570 this little piece of RNA. 509 00:32:35,263 --> 00:32:39,302 It was clearly a useful tool, and I, initially, 510 00:32:39,405 --> 00:32:40,613 I was thinking about it that way, right? 511 00:32:40,682 --> 00:32:42,167 'Cause, you know, again, I'm a biochemist, right? 512 00:32:42,236 --> 00:32:44,272 I was thinking about it as a tool. 513 00:32:44,341 --> 00:32:46,274 I was thinking about all the cool experiments 514 00:32:46,343 --> 00:32:48,173 you could now do with this tool, right? 515 00:32:48,242 --> 00:32:49,415 I was thinking about that. 516 00:32:49,450 --> 00:32:51,348 I wasn't thinking about... 517 00:32:51,417 --> 00:32:55,249 Oh, my gosh, I mean, this is a tool that, 518 00:32:55,283 --> 00:32:57,803 you know, it fundamentally allows us 519 00:32:57,872 --> 00:33:00,150 to change our relationship with nature. 520 00:33:00,254 --> 00:33:03,912 It actually allows us to change human evolution 521 00:33:03,982 --> 00:33:05,431 if we want to. 522 00:33:05,500 --> 00:33:08,158 Right? It's that, it's that profound. 523 00:33:15,855 --> 00:33:19,204 In my left hand here, I have purified Cas9 nuclease, 524 00:33:19,273 --> 00:33:22,276 and in my right hand here, I have a guide RNA, 525 00:33:22,345 --> 00:33:25,451 and so CRISPR essentially is the combination 526 00:33:25,520 --> 00:33:28,385 of these two ingredients. 527 00:33:28,454 --> 00:33:31,147 It's actually millions of Cas9 molecules, 528 00:33:31,216 --> 00:33:32,700 and this is millions of RNA molecules. 529 00:33:36,186 --> 00:33:39,120 I have to say, it didn't immediately hit me, 530 00:33:39,189 --> 00:33:42,365 until I started seeing the data, that this could be 531 00:33:42,468 --> 00:33:46,162 an extraordinary transformation. 532 00:33:46,231 --> 00:33:48,888 You know, it was real. 533 00:33:48,992 --> 00:33:54,618 You can actually use CRISPR in humans to change DNA. 534 00:33:56,310 --> 00:33:57,207 You can actually do it. 535 00:34:00,728 --> 00:34:02,868 Here's a copy of a human gene. 536 00:34:04,904 --> 00:34:09,357 You give it to a Cas9 and put it inside human cells. 537 00:34:09,426 --> 00:34:10,600 It runs away, 538 00:34:10,669 --> 00:34:12,809 finds that DNA, and cuts it. 539 00:34:15,881 --> 00:34:17,503 Before CRISPR, we were getting 540 00:34:17,538 --> 00:34:18,677 one to two percent correction. 541 00:34:18,746 --> 00:34:22,819 We're now up to 50% to 80% of the cells. 542 00:34:25,511 --> 00:34:27,375 This could really work. 543 00:34:27,444 --> 00:34:30,516 This could really cure a patient. 544 00:34:32,518 --> 00:34:35,383 I think it's gonna help a lot of people, 545 00:34:35,452 --> 00:34:37,592 not just people with sickle cell, 546 00:34:37,696 --> 00:34:39,732 'cause I know they're working on it for other things. 547 00:34:42,183 --> 00:34:43,633 And I know so many other people 548 00:34:43,702 --> 00:34:46,084 that have, that have things like this, 549 00:34:46,187 --> 00:34:49,846 like, like my friend, he... 550 00:34:49,915 --> 00:34:51,882 uh, had leukemia. 551 00:34:51,917 --> 00:34:54,920 He actually didn't make it out of the hospital. 552 00:34:55,023 --> 00:34:58,268 If he had it just a little bit later, 553 00:34:58,372 --> 00:35:01,409 of course, he probably could have been cured of that, 554 00:35:01,478 --> 00:35:03,584 'cause that's what they're working on. 555 00:35:11,626 --> 00:35:14,905 CRISPR has, really, the ability 556 00:35:14,974 --> 00:35:18,254 to recognize and to target any piece of DNA 557 00:35:18,323 --> 00:35:20,290 in any type of cell and organism. 558 00:35:20,394 --> 00:35:23,121 It's really a universal tool. 559 00:35:23,190 --> 00:35:26,124 It's often described as a kind of Swiss Army knife. 560 00:35:42,105 --> 00:35:43,589 We have thousands of customers 561 00:35:43,658 --> 00:35:45,936 who are working with CRISPR in a wide variety 562 00:35:46,005 --> 00:35:47,593 of organisms, pretty much any organism 563 00:35:47,662 --> 00:35:49,595 you can think of, from butterflies 564 00:35:49,630 --> 00:35:52,288 to dogs to horses to wheat to corn. 565 00:35:52,357 --> 00:35:55,912 We have a design tool online. 566 00:35:58,501 --> 00:36:01,400 You can specify a gene that you're looking to knock out. 567 00:36:04,092 --> 00:36:05,439 You can specify the types of edit 568 00:36:05,508 --> 00:36:06,647 that you're looking to do. 569 00:36:06,716 --> 00:36:07,993 You swipe your credit card, 570 00:36:08,096 --> 00:36:09,028 and a few days later, 571 00:36:09,097 --> 00:36:10,616 a couple of tubes of all the materials 572 00:36:10,685 --> 00:36:12,100 that you need show up at your door. 573 00:36:12,170 --> 00:36:13,964 Obviously, we like to validate 574 00:36:14,033 --> 00:36:18,797 the, the researchers' authenticity and credibility 575 00:36:18,866 --> 00:36:21,075 with regard to their institution. 576 00:36:21,144 --> 00:36:22,456 Meaning you're not just shipping it off? 577 00:36:22,490 --> 00:36:24,182 Correct, we don't ship to just anyone. 578 00:36:24,285 --> 00:36:26,287 That's correct. 579 00:36:32,120 --> 00:36:35,538 The analogy I like is automobiles. 580 00:36:35,641 --> 00:36:38,334 There were cars before there were Model Ts, 581 00:36:38,368 --> 00:36:40,267 but they were expensive and they broke down all the time. 582 00:36:42,648 --> 00:36:45,203 Ford comes out with the Model T, and, suddenly, 583 00:36:45,306 --> 00:36:46,997 it's cheap and it's reliable. 584 00:36:47,066 --> 00:36:52,486 Pretty soon, everybody's got a car. 585 00:37:37,220 --> 00:37:41,914 CRISPR gives us the chance to make precise, targeted changes 586 00:37:41,983 --> 00:37:46,988 in the DNA of any living organism. 587 00:37:47,057 --> 00:37:48,404 It's a power to change the biosphere. 588 00:37:48,473 --> 00:37:52,373 That's what makes CRISPR revolutionary. 589 00:38:35,105 --> 00:38:37,073 Can you just sort of describe 590 00:38:37,142 --> 00:38:39,317 where we are right now? 591 00:38:40,939 --> 00:38:43,148 Oh, here? Yeah, yeah, yeah. 592 00:38:43,251 --> 00:38:45,840 Oh, so here is the, um... 593 00:38:45,909 --> 00:38:47,601 eGenesis garage. 594 00:38:47,670 --> 00:38:50,638 This is our lab space. 595 00:38:50,707 --> 00:38:54,262 It's literally the basement. 596 00:38:54,332 --> 00:38:56,955 I feel it's a humble start for us 597 00:38:57,024 --> 00:39:00,993 where we embark on a very exciting journey. 598 00:39:07,690 --> 00:39:09,968 The field is called xenotransplantation, 599 00:39:10,037 --> 00:39:13,661 transplantation of an organ from one species to the next. 600 00:39:13,730 --> 00:39:17,182 These things have actually been tried a lot, 601 00:39:17,285 --> 00:39:19,046 and some of them are pretty weird. 602 00:39:19,149 --> 00:39:21,497 Like, people were, were, you know, 603 00:39:21,566 --> 00:39:23,809 in the early 1800s, that kind of stuff, 604 00:39:23,844 --> 00:39:25,846 they were trying to transplant monkey testes 605 00:39:25,915 --> 00:39:30,057 into men to make them more virile. 606 00:39:30,160 --> 00:39:31,369 So, so, you know, conceptually, 607 00:39:31,472 --> 00:39:33,509 people have been trying this for a long time, 608 00:39:33,578 --> 00:39:37,444 but scientifically, this field is probably about 20 years old. 609 00:39:39,998 --> 00:39:42,345 Whether we like to believe or not, 610 00:39:42,414 --> 00:39:44,865 we are very similar to the pig. 611 00:39:44,934 --> 00:39:46,522 This pig, this pig, this pig, 612 00:39:46,591 --> 00:39:49,145 all the organs in these pigs have been modified 613 00:39:49,179 --> 00:39:51,147 very, very slightly. 614 00:39:51,216 --> 00:39:53,252 They tried it 20 years ago. 615 00:39:53,356 --> 00:39:55,393 Novartis had had a billion-dollar investment in it, 616 00:39:55,496 --> 00:39:58,257 sort of gracefully, uh, retreated. 617 00:40:00,950 --> 00:40:04,091 They, they just didn't have the technology. 618 00:40:04,194 --> 00:40:06,473 Without the CRISPRs... can't do it. 619 00:40:09,683 --> 00:40:12,548 Luhan Yang and her team, 620 00:40:12,617 --> 00:40:15,067 they started as a ragtag team of scientists 621 00:40:15,171 --> 00:40:16,759 in my academic lab, 622 00:40:16,862 --> 00:40:18,519 and then they went to a ragtag team 623 00:40:18,554 --> 00:40:22,074 in the basement of, of a startup incubator. 624 00:40:23,421 --> 00:40:26,078 Nice to meet you... hey. 625 00:40:26,182 --> 00:40:28,115 Happy Halloween. 626 00:40:28,218 --> 00:40:29,841 You know, I dressed up today, you know? 627 00:40:31,912 --> 00:40:33,534 Can you see anything? 628 00:40:33,569 --> 00:40:35,571 Kind of... something, not everything. 629 00:40:36,744 --> 00:40:40,058 So this is Yinan, Yinan is quite creative. 630 00:40:40,092 --> 00:40:42,819 Probably more creative than me. 631 00:40:42,888 --> 00:40:44,407 When I first heard the story, 632 00:40:44,476 --> 00:40:46,271 I thought, it is sci-fi, you know? 633 00:40:46,340 --> 00:40:48,549 We're going to, we're going to make a pig 634 00:40:48,618 --> 00:40:49,964 that doesn't speak human language, 635 00:40:50,068 --> 00:40:52,795 but because they can donate organs 636 00:40:52,898 --> 00:40:55,729 for the, for the patient and save the world from, 637 00:40:55,798 --> 00:40:57,006 like, organ shortage. 638 00:40:57,075 --> 00:40:58,973 I mean, it really takes a lot. 639 00:41:04,565 --> 00:41:07,257 As you can imagine, if you put the organ 640 00:41:07,326 --> 00:41:10,882 from the pig into the human, there's a rejection. 641 00:41:13,091 --> 00:41:16,819 We can really exercise the power of CRISPR 642 00:41:16,922 --> 00:41:19,787 to engineer immunocompatibility by knocking out genes 643 00:41:19,856 --> 00:41:21,168 and knocking in genes. 644 00:41:27,415 --> 00:41:29,141 If you compare the pig genome 645 00:41:29,210 --> 00:41:32,869 to an encyclopedia of this thick, 646 00:41:32,938 --> 00:41:36,804 so what CRISPR does is, it can find, like, a specific, 647 00:41:36,873 --> 00:41:39,635 a specific word in the encyclopedia 648 00:41:39,704 --> 00:41:41,015 and delete that word. 649 00:41:43,604 --> 00:41:46,124 But instead of, like, deleting a few words, 650 00:41:46,193 --> 00:41:50,300 we have to change paragraphs after paragraph. 651 00:41:50,369 --> 00:41:52,510 Right now, the conventional practice 652 00:41:52,613 --> 00:41:54,373 is doing one or two genes. 653 00:41:54,442 --> 00:41:57,480 And the record before us is five. 654 00:42:00,379 --> 00:42:03,797 We did 62 genes in single step. 655 00:42:04,901 --> 00:42:07,317 We have a revolution going on 656 00:42:07,386 --> 00:42:09,009 that we've never had a revolution like. 657 00:42:09,078 --> 00:42:11,529 The closest we've come is, is maybe the internet 658 00:42:11,632 --> 00:42:13,358 and computer revolution. 659 00:42:13,461 --> 00:42:16,464 And that took us kind of unaware. 660 00:42:16,534 --> 00:42:19,398 We do a lot of iteration of the pig production. 661 00:42:19,502 --> 00:42:21,400 How are the pigs coming along? 662 00:42:21,469 --> 00:42:23,817 They are coming. 663 00:42:23,886 --> 00:42:26,095 So, uh... 664 00:42:26,164 --> 00:42:29,408 We are expecting some pigs in, in a few weeks. 665 00:42:30,996 --> 00:42:35,553 We're so excited, we even named the pig. 666 00:42:35,656 --> 00:42:37,762 The first one is Laika. 667 00:42:37,831 --> 00:42:42,249 It's the name of the Soviet dog 668 00:42:42,318 --> 00:42:43,906 which orbit the Earth first. 669 00:42:49,083 --> 00:42:52,431 We want to symbolize it as an animal 670 00:42:52,535 --> 00:42:55,503 which can lead us to a new era of science. 671 00:44:28,113 --> 00:44:29,770 This is Aldous Huxley, 672 00:44:29,839 --> 00:44:32,946 a man haunted by a vision of hell on Earth. 673 00:44:33,015 --> 00:44:37,536 Mr. Huxley 27 years ago wrote "Brave New World." 674 00:44:37,640 --> 00:44:41,126 Today, Mr. Huxley says that his fictional world of horror 675 00:44:41,195 --> 00:44:46,131 is probably just around the corner for all of us. 676 00:44:53,242 --> 00:44:55,071 I first read "Brave New World" 677 00:44:55,140 --> 00:44:59,282 in a literature class in high school, 678 00:44:59,351 --> 00:45:01,043 and, yeah, it was startling, 679 00:45:01,146 --> 00:45:02,700 and, yeah, it was provocative. 680 00:45:02,803 --> 00:45:03,804 Um... 681 00:45:03,873 --> 00:45:06,496 But I reread it recently, 682 00:45:06,531 --> 00:45:11,570 and I was startled by how a book written in 1932 683 00:45:11,639 --> 00:45:16,092 could have the foresight to predict 684 00:45:16,161 --> 00:45:18,508 in vitro fertilization. 685 00:45:26,102 --> 00:45:28,242 Now, of course, it went beyond it. 686 00:45:28,311 --> 00:45:30,589 It told a story where 687 00:45:30,658 --> 00:45:32,764 human beings were literally manufactured 688 00:45:32,833 --> 00:45:34,801 to play specific roles in society. 689 00:45:38,839 --> 00:45:42,843 It was so sobering to me because 690 00:45:42,912 --> 00:45:46,744 CRISPR makes that original worry 691 00:45:46,847 --> 00:45:51,818 about engineering human heredity actually feasible. 692 00:46:01,068 --> 00:46:03,208 We mustn't be caught by surprise 693 00:46:03,243 --> 00:46:04,934 by our own advancing technology. 694 00:46:05,038 --> 00:46:07,212 This has happened again and again in history, 695 00:46:07,281 --> 00:46:08,869 where technology has advanced 696 00:46:08,938 --> 00:46:11,458 and this changes social conditions, 697 00:46:11,561 --> 00:46:13,874 and suddenly, people have found themselves 698 00:46:13,909 --> 00:46:15,980 in a situation which they didn't foresee 699 00:46:16,049 --> 00:46:17,809 and doing all sorts of things they didn't really want to do. 700 00:46:21,226 --> 00:46:23,470 There is no question in my mind that 701 00:46:23,539 --> 00:46:25,265 as this field advances, 702 00:46:25,334 --> 00:46:27,405 people will be able to 703 00:46:27,474 --> 00:46:31,409 order a change in their genetic makeup 704 00:46:31,478 --> 00:46:33,721 to create an outcome of interest to them: 705 00:46:33,791 --> 00:46:37,415 in their metabolism, in their appearance; 706 00:46:37,484 --> 00:46:41,143 in principle, potentially, in who they are as people, 707 00:46:41,246 --> 00:46:44,767 personality changes. 708 00:46:44,836 --> 00:46:46,355 And, again, we have to be delicate 709 00:46:46,424 --> 00:46:48,253 to not cross into science fiction territory. 710 00:46:48,322 --> 00:46:53,845 We know that we could engineer a single gene, myostatin, 711 00:46:53,914 --> 00:46:55,951 in a way that could potentially 712 00:46:56,020 --> 00:46:57,607 make us all more muscular, 713 00:46:57,676 --> 00:47:01,094 but should we make that universally available? 714 00:47:01,163 --> 00:47:02,509 They discovered that there are people 715 00:47:02,612 --> 00:47:04,994 who can go by on four hours of sleep. 716 00:47:05,098 --> 00:47:06,927 What would I give for that mutation? 717 00:47:06,996 --> 00:47:08,998 One gene, one change, 718 00:47:09,102 --> 00:47:12,174 four hours of sleep, no problem. 719 00:47:12,277 --> 00:47:17,386 So... should this be, I don't know, 720 00:47:17,455 --> 00:47:19,353 a job requirement for air traffic controllers? 721 00:47:21,631 --> 00:47:25,118 Do I want the world to go there? 722 00:47:30,399 --> 00:47:31,952 There are people who feel no pain. 723 00:47:32,021 --> 00:47:35,300 This was discovered by studying 724 00:47:35,369 --> 00:47:38,200 a 14-year-old boy in Pakistan 725 00:47:38,303 --> 00:47:40,133 who felt no pain, and guess what he did? 726 00:47:40,167 --> 00:47:41,893 He performed street theater. 727 00:47:41,962 --> 00:47:46,139 He died before his 14th birthday. 728 00:47:46,208 --> 00:47:48,003 He jumped, for money, off a house roof. 729 00:47:48,072 --> 00:47:50,315 He knew it would be painless. 730 00:47:50,384 --> 00:47:51,730 The study of his DNA revealed 731 00:47:51,799 --> 00:47:53,871 he has a mutation in one gene. 732 00:47:53,974 --> 00:47:57,875 It makes a protein that transmits the pain signal 733 00:47:57,944 --> 00:48:01,085 from the periphery... your finger, or your skin... 734 00:48:01,154 --> 00:48:02,983 through the spine to your brain. 735 00:48:03,052 --> 00:48:04,847 You get rid of that gene, 736 00:48:04,882 --> 00:48:07,815 you cannot transmit the signal, you feel no pain. 737 00:48:07,885 --> 00:48:09,231 Why? 738 00:48:09,334 --> 00:48:10,922 Well, I'll give you a legitimate reason. 739 00:48:10,991 --> 00:48:13,718 Pain due to cancer is terrible, 740 00:48:13,821 --> 00:48:15,513 especially if it's terminal cancer 741 00:48:15,547 --> 00:48:16,997 and we know a person has months to live. 742 00:48:17,066 --> 00:48:19,034 Why not get rid of that gene? 743 00:48:19,103 --> 00:48:22,002 And I'm sure this will be... I am sure this will be. 744 00:48:22,037 --> 00:48:25,074 We will have gene editing of that gene 745 00:48:25,178 --> 00:48:27,732 to treat cancer pain. 746 00:48:27,835 --> 00:48:30,597 Now... 747 00:48:30,700 --> 00:48:33,186 Do I want a scenario where there are parts of the world 748 00:48:33,220 --> 00:48:37,431 where special forces soldiers are made immune to torture? 749 00:48:43,368 --> 00:48:46,268 I don't think my job is that different 750 00:48:46,371 --> 00:48:50,065 than what scientists do. 751 00:48:50,134 --> 00:48:51,204 There's a lot of kind of hunting around, 752 00:48:51,273 --> 00:48:53,309 hunting and pecking, you know, 753 00:48:53,378 --> 00:48:57,727 looking under things, turning over stones. 754 00:48:57,796 --> 00:48:59,212 And then eventually, you know, 755 00:48:59,246 --> 00:49:00,627 you kind of get on the scent of something, 756 00:49:00,730 --> 00:49:02,698 and then that's when the fun starts. 757 00:49:05,597 --> 00:49:07,565 Before science gets published, 758 00:49:07,634 --> 00:49:10,568 it circulates among scientists. 759 00:49:10,602 --> 00:49:12,294 The papers go out for review. 760 00:49:12,397 --> 00:49:13,812 Someone passes it to somebody else. 761 00:49:13,881 --> 00:49:15,228 Like, they have a certain circulation, 762 00:49:15,297 --> 00:49:18,231 and so I'd gotten onto the trail of these papers 763 00:49:18,300 --> 00:49:20,440 coming out of China. 764 00:49:20,509 --> 00:49:23,719 This was the first case where someone had said about, 765 00:49:23,788 --> 00:49:25,583 you know, "I'm gonna use CRISPR, 766 00:49:25,652 --> 00:49:27,309 and I'm gonna modify a human embryo." 767 00:49:30,622 --> 00:49:32,935 They had knocked out CCR5. 768 00:49:34,799 --> 00:49:36,766 This is a receptor that, if you don't have it, 769 00:49:36,835 --> 00:49:39,597 you can't get infected with H.I.V. 770 00:49:39,666 --> 00:49:41,806 But think about what they were proposing. 771 00:49:41,875 --> 00:49:43,118 They said, "We're gonna make someone who's immune to H.I.V." 772 00:49:47,985 --> 00:49:49,365 Once I started digging into it, 773 00:49:49,434 --> 00:49:50,953 I found more examples of people 774 00:49:51,022 --> 00:49:55,682 that were thinking along these lines. 775 00:49:55,785 --> 00:49:57,787 John Zhang runs the third- or fourth-biggest 776 00:49:57,856 --> 00:49:59,789 fertility clinic in the country, 777 00:49:59,858 --> 00:50:05,278 and then he started a company called Darwin Life. 778 00:50:05,347 --> 00:50:07,314 He said that he was enthusiastic about 779 00:50:07,383 --> 00:50:09,144 the whole idea of designer babies. 780 00:50:09,213 --> 00:50:10,697 He basically said that, 781 00:50:10,800 --> 00:50:12,768 "Of course, that's the whole point." 782 00:50:14,356 --> 00:50:16,220 There was a company called OvaScience 783 00:50:16,289 --> 00:50:18,222 that I discovered a tape recording 784 00:50:18,291 --> 00:50:20,914 that they had put on their own website of a investor meeting. 785 00:50:20,983 --> 00:50:23,192 We will be able to correct mutations 786 00:50:23,296 --> 00:50:26,023 before we generate your child. 787 00:50:26,126 --> 00:50:27,472 It may not be 50 years, actually. 788 00:50:27,541 --> 00:50:29,819 It may only be ten, the way things are going. 789 00:50:35,549 --> 00:50:38,414 I ended up having several dreams 790 00:50:38,483 --> 00:50:40,313 that were very intense for me at the time, 791 00:50:40,382 --> 00:50:43,488 where I walked into a room and a colleague said, 792 00:50:43,523 --> 00:50:45,076 "I want to introduce you to someone, 793 00:50:45,145 --> 00:50:46,871 "and I want you to tell them... They want to... 794 00:50:46,974 --> 00:50:48,700 They want to know about CRISPR." 795 00:50:48,769 --> 00:50:52,152 And I walked into this room, and, and it was... 796 00:50:52,187 --> 00:50:53,843 There was a silhouette of a chair 797 00:50:53,912 --> 00:50:55,880 with someone sitting with their back to me, 798 00:50:55,949 --> 00:50:59,435 and as they turned around, I realized with horror 799 00:50:59,504 --> 00:51:02,680 that it was Adolf Hitler, you know? 800 00:51:02,714 --> 00:51:04,992 And he leaned over, and he said... 801 00:51:06,787 --> 00:51:10,653 "So tell me all about how Cas9 works." 802 00:51:15,520 --> 00:51:16,832 I remember waking up from that dream 803 00:51:16,866 --> 00:51:20,215 and I was shaking. 804 00:51:20,284 --> 00:51:22,320 And I thought, "Oh, my gosh, I mean, what have I done?" 805 00:51:28,050 --> 00:51:29,707 Five-and-a-half years ago, 806 00:51:29,776 --> 00:51:31,709 it was recognized that we could take 807 00:51:31,778 --> 00:51:34,367 the CRISPR system out of bacteria 808 00:51:34,436 --> 00:51:36,438 and move it first into a test tube 809 00:51:36,541 --> 00:51:38,095 and then into mammalian cells, 810 00:51:38,198 --> 00:51:40,545 and use it as a tool for genome editing. 811 00:51:40,614 --> 00:51:45,481 The Cas9 protein is gonna make the cut in the DNA. 812 00:51:45,550 --> 00:51:48,760 We are correcting the sickle mutation 813 00:51:48,864 --> 00:51:51,418 in blood cells. 814 00:51:51,487 --> 00:51:53,317 So if it's a woman, 815 00:51:53,386 --> 00:51:54,973 their eggs are not corrected. 816 00:51:55,077 --> 00:51:57,286 If it's a man, the sperm is not corrected. 817 00:51:57,355 --> 00:52:00,462 That change will not get passed along to future generations. 818 00:52:00,565 --> 00:52:02,498 So they will be cured, 819 00:52:02,567 --> 00:52:05,432 but their children might get the disease, as well. 820 00:52:05,501 --> 00:52:08,090 Now we need to give the cell another piece of DNA, 821 00:52:08,159 --> 00:52:11,749 except instead of having the T... 822 00:52:11,818 --> 00:52:12,922 It has an A. 823 00:52:12,991 --> 00:52:14,890 So why not just do it 824 00:52:14,959 --> 00:52:17,272 so that the diseased gene 825 00:52:17,341 --> 00:52:19,239 never gets passed along to future generations? 826 00:52:19,308 --> 00:52:21,586 And there are some people out there who think 827 00:52:21,655 --> 00:52:23,657 that's all we should do. 828 00:52:23,761 --> 00:52:26,764 But we may be creating things 829 00:52:26,833 --> 00:52:28,800 that we can't put back into the bottle. 830 00:52:31,700 --> 00:52:34,841 When we engineer gene changes into my blood 831 00:52:34,910 --> 00:52:37,913 or into my skin, 832 00:52:37,982 --> 00:52:40,778 those gene changes die with me, 833 00:52:40,847 --> 00:52:44,506 but the germ cells... sperm and eggs, 834 00:52:44,609 --> 00:52:49,614 embryos... those cells are very different. 835 00:52:49,649 --> 00:52:52,617 They're part of what we call "the germ line." 836 00:52:52,686 --> 00:52:56,449 If we engineer gene changes into my sperm, 837 00:52:56,518 --> 00:52:59,003 they're passed to my son. 838 00:52:59,072 --> 00:53:02,696 They're passed to his son and forever. 839 00:53:08,115 --> 00:53:09,462 My colleagues and I wrote 840 00:53:09,531 --> 00:53:14,812 a fairly strongly worded piece in "Nature" 841 00:53:14,881 --> 00:53:16,641 with the fairly unequivocal title, 842 00:53:16,710 --> 00:53:18,540 "Do Not Edit the Human Germ Line." 843 00:53:21,094 --> 00:53:24,408 We proposed that there be an unconditional moratorium: 844 00:53:24,477 --> 00:53:27,549 Don't edit human embryos, 845 00:53:27,652 --> 00:53:29,482 don't use edited sperm and eggs to make human embryos... 846 00:53:29,516 --> 00:53:30,690 just nothing. 847 00:53:33,244 --> 00:53:34,832 We must understand that 848 00:53:34,901 --> 00:53:39,181 when we authorize research on human embryo editing, 849 00:53:39,250 --> 00:53:40,355 we are enabling, ultimately, 850 00:53:40,424 --> 00:53:42,736 human embryo editing for human enhancement. 851 00:53:42,805 --> 00:53:44,013 That's what we're doing. 852 00:53:44,082 --> 00:53:46,050 We're putting the recipe out into the world. 853 00:53:46,153 --> 00:53:48,190 The debate that's being had 854 00:53:48,225 --> 00:53:50,606 is whether society should go in this direction. 855 00:53:50,675 --> 00:53:54,092 Should you be allowed to make 856 00:53:54,161 --> 00:53:55,404 a genetic change into the next generation 857 00:53:55,508 --> 00:53:58,994 that'll then go on to other generations? 858 00:53:59,063 --> 00:54:00,858 The gene pool, 859 00:54:00,927 --> 00:54:03,136 like nature itself, is kind of a common good. 860 00:54:03,205 --> 00:54:05,587 I used to have a T-shirt, and it had a little... 861 00:54:05,690 --> 00:54:09,211 A guy that was kind of a DNA spiral, right? 862 00:54:09,280 --> 00:54:11,109 But he was the lifeguard and he's blowing a whistle, 863 00:54:11,213 --> 00:54:13,698 and he says, "Hey, you, get out of the gene pool!" 864 00:54:13,767 --> 00:54:17,633 I loved that shirt. 865 00:54:17,702 --> 00:54:19,911 Baby shopping. 866 00:54:19,980 --> 00:54:24,709 Imagine being able to program the I.Q. of a baby. 867 00:54:26,297 --> 00:54:28,713 Will we be sitting at computer terminals like this one 868 00:54:28,748 --> 00:54:30,991 punching up the traits we would like in our children, 869 00:54:31,060 --> 00:54:36,169 like the shape of their faces or the color of their eyes? 870 00:54:36,238 --> 00:54:38,102 Well, you know, the fear that everybody 871 00:54:38,171 --> 00:54:40,691 focuses on most is this whole, this designer baby business. 872 00:54:43,245 --> 00:54:45,730 We're turning reproduction into production. 873 00:54:45,799 --> 00:54:47,939 We're turning children into consumer products. 874 00:54:48,008 --> 00:54:51,460 Every time there's a new technology, 875 00:54:51,564 --> 00:54:53,635 we hear the same concerns. 876 00:54:53,738 --> 00:54:55,430 If there's a market for cloning, 877 00:54:55,499 --> 00:54:57,121 there is no force on Earth 878 00:54:57,224 --> 00:54:59,261 that will keep buyer and seller apart. 879 00:55:02,091 --> 00:55:04,439 Perhaps Saddam Hussein would like to give birth to himself. 880 00:55:07,959 --> 00:55:09,892 With CRISPR, 881 00:55:09,927 --> 00:55:12,516 even reputable magazines 882 00:55:12,585 --> 00:55:14,414 could not resist the temptation. 883 00:55:14,483 --> 00:55:17,348 A little thing that says, 884 00:55:17,417 --> 00:55:19,108 "High I.Q." 885 00:55:19,177 --> 00:55:21,490 As if we know what intelligence is, 886 00:55:21,594 --> 00:55:23,941 let alone how to measure it, let alone how to design it. 887 00:55:24,010 --> 00:55:25,770 Why do we keep ignoring the fact 888 00:55:25,839 --> 00:55:27,151 that we've seen the same argument 889 00:55:27,254 --> 00:55:29,843 every decade for the last five decades? 890 00:55:29,912 --> 00:55:32,294 And these nightmares, 891 00:55:32,363 --> 00:55:34,779 they haven't come to pass. 892 00:55:40,509 --> 00:55:43,961 We are capable of really evil things, 893 00:55:44,030 --> 00:55:48,310 but we don't need technology to commit evil acts. 894 00:55:48,379 --> 00:55:52,487 If the goal is genocide, if the goal is eugenics, 895 00:55:52,556 --> 00:55:54,696 if the goal is discrimination, 896 00:55:54,799 --> 00:55:57,699 there will be another way to do it and it will be found. 897 00:55:57,802 --> 00:56:00,633 I kind of divide the world into the bio-optimists 898 00:56:00,702 --> 00:56:02,013 and the bio-pessimists. 899 00:56:04,913 --> 00:56:08,157 Space: the final frontier. 900 00:56:08,192 --> 00:56:11,816 I grew up with the original "Star Trek," 901 00:56:11,885 --> 00:56:13,162 and have been a devoted follower 902 00:56:13,231 --> 00:56:15,820 of all of the "Star Treks" since then. 903 00:56:15,855 --> 00:56:19,479 I've read pretty much every "Star Trek" novel. 904 00:56:19,548 --> 00:56:20,480 Don't get me started. 905 00:56:20,549 --> 00:56:24,381 It is a vision of progress 906 00:56:24,450 --> 00:56:27,970 and the potential of science to make life better. 907 00:56:28,005 --> 00:56:29,524 There are other people 908 00:56:29,593 --> 00:56:32,043 who have read the cautionary tales. 909 00:56:32,112 --> 00:56:35,461 A blade runner's job is to hunt down replicants, 910 00:56:35,530 --> 00:56:39,292 manufactured humans you can't tell from the real thing. 911 00:56:39,361 --> 00:56:41,777 But I don't think the technologies 912 00:56:41,846 --> 00:56:44,193 are inherently good or evil. 913 00:56:44,262 --> 00:56:46,782 The technologies are tools, they are power. 914 00:56:46,851 --> 00:56:50,303 What you do with the power determines if the result 915 00:56:50,372 --> 00:56:53,962 is something that we applaud or something that we deplore. 916 00:56:54,031 --> 00:56:57,552 But it's not the tool that determines the end point. 917 00:56:57,621 --> 00:57:00,037 It's the user. 918 00:57:00,106 --> 00:57:03,696 Now here are 23 representing mother's chromosomes, 919 00:57:03,765 --> 00:57:06,733 23 for father's. 920 00:57:06,802 --> 00:57:11,082 Now, we put them together. 921 00:57:12,774 --> 00:57:16,467 Our way of determining 922 00:57:16,536 --> 00:57:19,194 the inheritance of the next generation 923 00:57:19,263 --> 00:57:21,679 is a lottery. 924 00:57:24,544 --> 00:57:26,615 And it's a perfectly good argument to say, 925 00:57:26,719 --> 00:57:29,135 "I would rather determine it 926 00:57:29,204 --> 00:57:32,759 than take a lottery." 927 00:57:32,828 --> 00:57:34,727 Well, I think the right way to say it is that 928 00:57:34,796 --> 00:57:36,832 sex is for recreation 929 00:57:36,901 --> 00:57:39,594 and science is for procreation. 930 00:57:41,319 --> 00:57:43,632 50 years from now, people may say, like, 931 00:57:43,736 --> 00:57:45,289 "I can't believe those barbaric people 932 00:57:45,392 --> 00:57:46,911 "in the early 21st century, 933 00:57:46,946 --> 00:57:49,396 "they were having kids this crazy, old-fashioned way. 934 00:57:49,431 --> 00:57:50,674 "They were just, like, rolling the dice 935 00:57:50,743 --> 00:57:51,744 with their kids' lives." 936 00:57:56,334 --> 00:57:59,579 We've gone through in vitro fertilization. 937 00:57:59,614 --> 00:58:02,789 We've harvested the eggs. 938 00:58:02,858 --> 00:58:08,968 It's not uncommon to produce multiple viable embryos. 939 00:58:09,037 --> 00:58:11,280 Which one do you choose? 940 00:58:13,697 --> 00:58:16,182 One possibility is, "Yeah, just, we'll just roll the dice. 941 00:58:16,285 --> 00:58:17,148 We'll just... I'll just point at one." 942 00:58:20,980 --> 00:58:22,878 Another option would be 943 00:58:22,947 --> 00:58:25,467 I run some fancy genetic tests. 944 00:58:28,574 --> 00:58:33,682 Pre-implantation genetic diagnosis is the process 945 00:58:33,786 --> 00:58:38,169 of doing genetic tests on an embryo. 946 00:58:38,238 --> 00:58:39,619 When I talk to most people about it, 947 00:58:39,654 --> 00:58:41,310 they think it's science fiction, 948 00:58:41,379 --> 00:58:43,761 but it was first used clinically in 1990. 949 00:58:46,730 --> 00:58:48,663 With today's technology, you've been limited 950 00:58:48,732 --> 00:58:51,666 to looking at only a handful of traits. 951 00:58:51,735 --> 00:58:54,427 But soon, genome sequencing 952 00:58:54,496 --> 00:58:57,706 will become cheap enough, easy enough, and accurate enough 953 00:58:57,810 --> 00:58:59,363 that you'll be able to learn everything 954 00:58:59,466 --> 00:59:00,778 genetics can tell you. 955 00:59:05,749 --> 00:59:09,580 In the future, let's imagine that CRISPR 956 00:59:09,649 --> 00:59:12,997 gets really, really good. 957 00:59:13,066 --> 00:59:16,483 Maybe you don't need to produce lots of embryos. 958 00:59:16,553 --> 00:59:17,933 Maybe you just produce one, 959 00:59:18,002 --> 00:59:19,694 but you can make whatever edits you want to it. 960 00:59:23,421 --> 00:59:25,044 So the carrier screening 961 00:59:25,113 --> 00:59:26,493 that I was talking about earlier 962 00:59:26,563 --> 00:59:28,875 tends to focus on disorders 963 00:59:28,944 --> 00:59:31,188 that show up early. 964 00:59:31,222 --> 00:59:33,362 Everyone wants to have a healthy, perfect baby. 965 00:59:33,431 --> 00:59:37,090 I think that's a universal truth. 966 00:59:37,194 --> 00:59:38,609 You know, "How can I make sure 967 00:59:38,678 --> 00:59:40,231 "that my child will be healthy? 968 00:59:40,300 --> 00:59:42,751 "How can I make sure that, you know, 969 00:59:42,855 --> 00:59:44,511 "they're gonna have some of these positive traits, 970 00:59:44,581 --> 00:59:45,582 "that they're gonna do well, 971 00:59:45,685 --> 00:59:46,755 they're gonna learn well, and...?" 972 00:59:46,859 --> 00:59:49,482 Looking at this family history, certainly, I... 973 00:59:49,551 --> 00:59:52,589 The opinion is that information is good, and almost everyone 974 00:59:52,692 --> 00:59:54,970 that talks to me wants more information, 975 00:59:55,039 --> 00:59:56,385 and even wants more... like, we'll give them 976 00:59:56,454 --> 00:59:58,284 a whole bunch of information, and they even want more. 977 00:59:58,387 --> 01:00:00,597 - I - know my grandmother also... 978 01:00:00,666 --> 01:00:02,875 I actually first heard about genetic counseling 979 01:00:02,909 --> 01:00:04,221 from my mother. 980 01:00:04,290 --> 01:00:08,639 Hemophilia A is the condition that runs in my family. 981 01:00:08,708 --> 01:00:12,263 It's a genetic bleeding disorder. 982 01:00:12,332 --> 01:00:14,231 There is a gene on the X chromosome. 983 01:00:14,300 --> 01:00:16,578 It encodes for a protein called factor VIII. 984 01:00:16,647 --> 01:00:20,306 When factor VIII isn't working, 985 01:00:20,409 --> 01:00:24,724 you can have a bleed that will lead to death. 986 01:00:24,793 --> 01:00:28,141 If I decide to have children naturally, 987 01:00:28,245 --> 01:00:30,350 without reproductive technology, 988 01:00:30,419 --> 01:00:33,284 I am putting that child at 25% risk 989 01:00:33,353 --> 01:00:35,528 to have a really severe disorder. 990 01:00:35,597 --> 01:00:40,637 That responsibility feels like it's on me. 991 01:00:40,706 --> 01:00:43,881 It takes it from the universe's decision to my decision. 992 01:00:47,367 --> 01:00:50,267 Today, I'm unusual, because I know that 993 01:00:50,301 --> 01:00:52,269 I'm a carrier of a genetic condition, 994 01:00:52,338 --> 01:00:54,685 but soon, everyone will know 995 01:00:54,754 --> 01:00:57,446 genetic information about themselves. 996 01:01:00,760 --> 01:01:03,314 What about the cost of it? 997 01:01:03,383 --> 01:01:06,007 In the short term, there's a disturbing possibility 998 01:01:06,110 --> 01:01:07,698 that people with means 999 01:01:07,767 --> 01:01:11,460 will be availing themselves of this technology, 1000 01:01:11,495 --> 01:01:13,083 and people who don't have those means will not. 1001 01:01:14,601 --> 01:01:16,224 So I kind of hope for a future 1002 01:01:16,293 --> 01:01:20,159 where government makes it free for everybody. 1003 01:01:20,228 --> 01:01:21,781 You would have a generally healthier population, 1004 01:01:21,816 --> 01:01:24,957 maybe longer-lived population on average, 1005 01:01:25,026 --> 01:01:28,754 maybe slightly smarter population on average. 1006 01:01:31,239 --> 01:01:34,276 So if you have a smaller fraction of your population 1007 01:01:34,311 --> 01:01:36,244 with Down syndrome, 1008 01:01:36,313 --> 01:01:38,142 the average intelligence is a little bit higher, 1009 01:01:38,211 --> 01:01:39,661 and, you know, 1010 01:01:39,696 --> 01:01:41,663 society might run a little bit more efficiently 1011 01:01:41,732 --> 01:01:43,009 if people are a little bit smarter. 1012 01:01:48,497 --> 01:01:50,741 What is the bearing of the laws of heredity 1013 01:01:50,810 --> 01:01:52,812 upon human affairs? 1014 01:01:52,881 --> 01:01:56,505 Eugenics provides the answer, so far as this is known. 1015 01:01:56,574 --> 01:01:59,681 Eugenics seeks to apply the known laws of heredity 1016 01:01:59,750 --> 01:02:02,339 so as to prevent the degeneration of the race 1017 01:02:02,408 --> 01:02:04,513 and improve its inborn qualities. 1018 01:02:04,582 --> 01:02:06,343 Well, the concept of eugenics, if you, 1019 01:02:06,412 --> 01:02:07,689 if you go way back, 1020 01:02:07,758 --> 01:02:09,691 it really just means good genes. 1021 01:02:09,760 --> 01:02:14,006 The idea is that the human race could improve itself. 1022 01:02:40,032 --> 01:02:43,207 It was, of course, hijacked, 1023 01:02:43,276 --> 01:02:44,622 and when people today talk about eugenics, 1024 01:02:44,726 --> 01:02:47,764 they think specifically of the Nazis, of Nazi Germany, 1025 01:02:47,867 --> 01:02:50,042 of compulsory sterilization, where, by force, 1026 01:02:50,076 --> 01:02:52,320 people were compelled to be sterilized or killed 1027 01:02:52,389 --> 01:02:54,494 because the state didn't like their genes. 1028 01:02:54,563 --> 01:02:57,083 There was shock last month over the revelation 1029 01:02:57,152 --> 01:03:00,535 that the State of Virginia sterilized thousands of persons 1030 01:03:00,604 --> 01:03:03,227 between 1922 and '72 1031 01:03:03,296 --> 01:03:06,403 in a program aimed at ridding the state of so-called misfits. 1032 01:03:06,472 --> 01:03:08,129 What we're talking about here, 1033 01:03:08,232 --> 01:03:11,408 where we're being paid to do these genetic tests 1034 01:03:11,442 --> 01:03:13,582 by loving parents who want to have a healthy child, 1035 01:03:13,651 --> 01:03:17,241 to equate that with Nazism is, 1036 01:03:17,310 --> 01:03:21,004 I think, just not, not just stupid, but actually insane. 1037 01:03:21,073 --> 01:03:22,660 I've taken the liberty of eradicating 1038 01:03:22,729 --> 01:03:24,283 any potentially prejudicial conditions: 1039 01:03:24,352 --> 01:03:27,079 alcoholism and addictive susceptibility, 1040 01:03:27,113 --> 01:03:28,805 propensity for violence, obesity, et cetera. 1041 01:03:28,908 --> 01:03:32,256 We didn't want... I, I mean, diseases, yes, 1042 01:03:32,291 --> 01:03:34,258 but, uh... Right, we were just wondering 1043 01:03:34,293 --> 01:03:37,434 if, if it's good to just leave a few things to, to chance. 1044 01:03:37,503 --> 01:03:40,161 You want to give your child the best possible start. 1045 01:03:40,264 --> 01:03:44,303 Now, keep in mind, this child is still you, 1046 01:03:44,372 --> 01:03:47,202 simply the best of you. 1047 01:03:53,105 --> 01:03:55,210 My greatest fear in life, honestly, 1048 01:03:55,279 --> 01:03:57,316 I, my two greatest fears, going back to me 1049 01:03:57,385 --> 01:03:59,456 wanting to be a mom at the age of five, 1050 01:03:59,490 --> 01:04:00,595 my first-greatest fear is that 1051 01:04:00,664 --> 01:04:02,114 I wouldn't be able to have a child, 1052 01:04:02,148 --> 01:04:03,563 and my second-greatest fear 1053 01:04:03,632 --> 01:04:05,565 is that something would be wrong with my child. 1054 01:04:05,634 --> 01:04:08,948 Okay, good job, not too much water. 1055 01:04:08,983 --> 01:04:10,985 Oh, careful, sweetie. 1056 01:04:11,054 --> 01:04:13,194 With Ruthie, I started seeing that 1057 01:04:13,297 --> 01:04:14,195 she kind of wasn't tracking. 1058 01:04:17,715 --> 01:04:20,857 When I would feed her, her eyes would slide back and forth. 1059 01:04:20,960 --> 01:04:25,171 Hi... 1060 01:04:25,240 --> 01:04:26,793 And then one day, I went to my friend's house, 1061 01:04:26,863 --> 01:04:29,141 and her baby looked me right in the eyes. 1062 01:04:29,175 --> 01:04:30,142 And I came home to Ethan and I said, 1063 01:04:30,176 --> 01:04:31,108 "There's something wrong." 1064 01:04:32,661 --> 01:04:36,044 We did genetic testing. 1065 01:04:36,148 --> 01:04:39,806 She inherited one mutated copy of this OCA2 gene from me 1066 01:04:39,876 --> 01:04:43,362 and one from Palmer. 1067 01:04:43,431 --> 01:04:45,674 I don't think I even really understood 1068 01:04:45,743 --> 01:04:46,883 that people with albinism 1069 01:04:46,986 --> 01:04:48,712 had such impairment of their vision. 1070 01:04:48,781 --> 01:04:51,715 It's kind of like wrapping Saran Wrap over your eyes 1071 01:04:51,818 --> 01:04:53,027 with Vaseline. 1072 01:04:53,096 --> 01:04:55,029 Very, very hard for her to see. 1073 01:04:55,098 --> 01:04:57,031 Hi. 1074 01:04:57,100 --> 01:04:58,860 Now I just, like, wanted to protect her. 1075 01:04:58,929 --> 01:05:00,689 Like, this isn't true, this isn't happening. 1076 01:05:00,758 --> 01:05:03,244 It was horrible... 1077 01:05:03,313 --> 01:05:04,728 It was bad. 1078 01:05:07,110 --> 01:05:13,012 One, two, three, four. 1079 01:05:13,081 --> 01:05:14,738 Okay, Ruthie, Ruthie! 1080 01:05:14,841 --> 01:05:17,706 Whoa! 1081 01:05:17,775 --> 01:05:20,847 Hi. 1082 01:05:22,780 --> 01:05:26,508 She was really easy and happy. 1083 01:05:27,958 --> 01:05:29,442 Whoo! 1084 01:05:29,546 --> 01:05:32,549 And early on, I think we wondered if she was 1085 01:05:32,618 --> 01:05:34,792 sort of, I don't know, 1086 01:05:34,896 --> 01:05:37,140 protected by the fact that she couldn't see a lot. 1087 01:05:37,209 --> 01:05:39,625 Look, I have a flashlight! 1088 01:05:39,728 --> 01:05:41,938 That the world wasn't as noisy to her. 1089 01:05:42,041 --> 01:05:44,078 Blue! Light it, light it! 1090 01:05:44,147 --> 01:05:45,803 She was smart and talkative. 1091 01:05:45,872 --> 01:05:47,253 Come here, Yoda. 1092 01:05:47,322 --> 01:05:50,084 Super-curious. 1093 01:05:56,573 --> 01:05:57,608 You don't know what you don't know. 1094 01:05:57,712 --> 01:05:58,920 You don't know that, 1095 01:05:58,989 --> 01:06:00,749 even though it's going to be different 1096 01:06:00,818 --> 01:06:03,752 than what you thought, you don't know, you know, 1097 01:06:03,787 --> 01:06:06,376 maybe how much better that's going to be. 1098 01:06:25,843 --> 01:06:27,984 I want to be a professional basketball player, 1099 01:06:28,087 --> 01:06:31,608 but I don't think that's gonna happen. 1100 01:06:33,092 --> 01:06:35,163 Can I hold him? 1101 01:06:36,544 --> 01:06:39,650 "Mission is simply one..." 1102 01:06:39,719 --> 01:06:41,169 Well, I mean, I've known about CRISPR 1103 01:06:41,273 --> 01:06:42,791 from the perspective of being a doctor 1104 01:06:42,860 --> 01:06:45,932 probably since the first publications 1105 01:06:45,967 --> 01:06:47,934 in whatever it was, 2012. 1106 01:06:47,969 --> 01:06:50,523 Oh, they've come to teach the Natives... 1107 01:06:50,627 --> 01:06:52,180 It really didn't intersect 1108 01:06:52,284 --> 01:06:53,975 with our own world, with Ruthie, 1109 01:06:54,044 --> 01:06:56,943 until probably about a year and a half ago, 1110 01:06:57,013 --> 01:06:59,429 when I read something on Twitter. 1111 01:07:05,987 --> 01:07:09,473 A scientist who I respect a lot said he thought that 1112 01:07:09,542 --> 01:07:12,545 in one or two generations, that all children would be born 1113 01:07:12,649 --> 01:07:17,619 with all of these genetic abnormalities edited out. 1114 01:07:20,415 --> 01:07:22,314 I know people who have children 1115 01:07:22,348 --> 01:07:26,421 who have really debilitating diseases 1116 01:07:26,490 --> 01:07:28,044 that make their children suffer, 1117 01:07:28,147 --> 01:07:29,700 make their families suffer a lot, 1118 01:07:29,804 --> 01:07:32,048 so I totally understand 1119 01:07:32,151 --> 01:07:36,431 the desire to change that. 1120 01:07:36,500 --> 01:07:38,226 But the rest of it scares me to death. 1121 01:07:43,335 --> 01:07:45,509 I don't know where you draw the line 1122 01:07:45,544 --> 01:07:47,442 between not having albinism 1123 01:07:47,511 --> 01:07:49,548 and deciding your kid needs to be an extra foot taller 1124 01:07:49,617 --> 01:07:52,861 so they can be a good oarsman and go to Yale. 1125 01:07:52,930 --> 01:07:55,278 You know, where... where is that line? 1126 01:07:55,347 --> 01:07:57,935 Who's going to draw that? 1127 01:07:58,039 --> 01:08:01,215 We're maybe a society who is afraid of things 1128 01:08:01,284 --> 01:08:03,700 that are different or afraid of people who are different, 1129 01:08:03,769 --> 01:08:06,254 afraid of people who have needs. 1130 01:08:06,358 --> 01:08:09,361 I worry that when we're 1131 01:08:09,430 --> 01:08:14,814 manipulating future generations, 1132 01:08:14,883 --> 01:08:19,785 those opinions are going to be passed on. 1133 01:08:19,888 --> 01:08:21,752 You know, we as a society may think 1134 01:08:21,821 --> 01:08:25,342 that doing better on the S.A.Ts. is better than doing worse. 1135 01:08:27,896 --> 01:08:29,657 Being taller, 1136 01:08:29,726 --> 01:08:33,868 being handsomer, being more creative, 1137 01:08:33,902 --> 01:08:35,766 being more courageous, 1138 01:08:35,835 --> 01:08:39,736 those are traits that we would want to potentially select for. 1139 01:08:41,496 --> 01:08:42,739 Should we go there? 1140 01:08:42,773 --> 01:08:45,742 Is there an inevitability to going there? 1141 01:08:47,916 --> 01:08:50,954 You know, sometimes, I'm invited to give a talk on, 1142 01:08:51,057 --> 01:08:52,852 like, kind of futuristic science things, 1143 01:08:52,921 --> 01:08:58,168 and I've had tall, blonde trophy wives come up to me 1144 01:08:58,237 --> 01:09:01,067 after the talk and say, "Wow, that was incredible. 1145 01:09:01,102 --> 01:09:02,621 "That was an incredibly interesting talk, 1146 01:09:02,690 --> 01:09:04,623 "but don't you think there's a problem with all this? 1147 01:09:04,692 --> 01:09:06,452 "Won't every parent just select their kids 1148 01:09:06,521 --> 01:09:08,661 to be tall and blonde?" 1149 01:09:08,765 --> 01:09:11,423 The geeks all come up to me and say, "Isn't this dangerous, 1150 01:09:11,492 --> 01:09:12,941 "'cause all the parents are gonna select 1151 01:09:13,010 --> 01:09:14,771 for the smartest kid they can possibly get?" 1152 01:09:14,840 --> 01:09:16,359 'Cause that's what the geeks think is cool. 1153 01:09:16,428 --> 01:09:18,602 You know, probably if you were talking to some NFL coaches, 1154 01:09:18,637 --> 01:09:20,294 they'd say, "Oh, what, everyone's gonna, 1155 01:09:20,363 --> 01:09:22,434 "everyone's gonna select their kid to be 6'5" 1156 01:09:22,503 --> 01:09:24,470 and run a 4.240," you know? 1157 01:09:24,539 --> 01:09:28,198 So, um, there will be a wide range 1158 01:09:28,267 --> 01:09:29,613 of what people think 1159 01:09:29,648 --> 01:09:32,789 is the right thing to select for or engineer for. 1160 01:09:32,823 --> 01:09:34,825 And, actually, there's nothing wrong with that, right? 1161 01:09:34,929 --> 01:09:38,829 Let a million flowers bloom. 1162 01:09:41,694 --> 01:09:43,662 On this estate 30 miles north of San Diego 1163 01:09:43,731 --> 01:09:46,561 is housed a sperm bank said to be made up exclusively 1164 01:09:46,630 --> 01:09:49,461 of donations by Nobel Prize-winning scientists. 1165 01:09:49,530 --> 01:09:51,532 The bank's founder will consider for fertilization 1166 01:09:51,635 --> 01:09:53,741 only women of high intelligence. 1167 01:09:53,810 --> 01:09:56,606 You don't know about the Nobel sperm bank? 1168 01:09:58,159 --> 01:09:59,643 Businessman inventor Robert Graham 1169 01:09:59,678 --> 01:10:01,404 adds liquid nitrogen once a week 1170 01:10:01,473 --> 01:10:03,578 to a lead-shielded sperm repository 1171 01:10:03,647 --> 01:10:05,994 in an underground concrete bunker in his backyard. 1172 01:10:06,063 --> 01:10:08,169 The more good genes in the human gene pool, 1173 01:10:08,238 --> 01:10:11,552 the more good individuals will come out of it. 1174 01:10:11,655 --> 01:10:14,831 We aren't even thinking in terms of a super race. 1175 01:10:14,900 --> 01:10:16,833 The so-called genius sperm bank, 1176 01:10:16,902 --> 01:10:20,561 a sperm bank to provide women, for free, 1177 01:10:20,664 --> 01:10:23,702 with donor semen from men that they viewed as geniuses. 1178 01:10:23,771 --> 01:10:27,361 We utilize sources such as this: 1179 01:10:27,430 --> 01:10:29,190 "Who's Who of Emerging Leaders." 1180 01:10:29,259 --> 01:10:31,572 Very few women actually went ahead 1181 01:10:31,675 --> 01:10:33,850 and took advantage of this offer 1182 01:10:33,884 --> 01:10:37,129 to be given superior sperm for free. 1183 01:10:37,198 --> 01:10:40,512 I did a tour of sperm banks for the U.S. Congress. 1184 01:10:40,581 --> 01:10:43,204 I think I'm the only person who's ever gone 1185 01:10:43,273 --> 01:10:45,379 on a congressionally financed tour of California sperm banks. 1186 01:10:45,448 --> 01:10:49,279 Despite the fact that the donors are described 1187 01:10:49,348 --> 01:10:54,111 taller, skinnier, you know, better-looking or not, 1188 01:10:54,215 --> 01:10:56,631 people tended to pick somebody who looked like their partner, 1189 01:10:56,700 --> 01:10:58,254 no matter how imperfect, 1190 01:10:58,323 --> 01:11:01,843 because the emotional importance of the connection 1191 01:11:01,878 --> 01:11:04,018 outweighed any notion of 1192 01:11:04,087 --> 01:11:06,192 improvability or perfectibility. 1193 01:11:06,262 --> 01:11:11,232 If I were trying to have a child and my partner 1194 01:11:11,301 --> 01:11:13,407 was light-skinned, short, with eczema, 1195 01:11:13,476 --> 01:11:15,443 I would have had a child with a guy 1196 01:11:15,547 --> 01:11:18,066 who was light-skinned, short, and prone to eczema. 1197 01:11:18,135 --> 01:11:21,035 But what if you could take that guy's sperm 1198 01:11:21,104 --> 01:11:22,968 and edit those specific things out? 1199 01:11:23,037 --> 01:11:24,314 Could I change his sperm 1200 01:11:24,383 --> 01:11:27,041 so it's still him, but a better him? 1201 01:11:27,110 --> 01:11:30,009 Exactly, yeah. Right? 1202 01:11:30,078 --> 01:11:33,737 Maybe, but every change does come with risks 1203 01:11:33,806 --> 01:11:36,809 that you'll make changes you didn't intend, 1204 01:11:36,913 --> 01:11:40,088 so I think it'd be a long, long time 1205 01:11:40,123 --> 01:11:42,746 before you would take that risk for anything 1206 01:11:42,781 --> 01:11:46,336 other than something that was pretty significant. 1207 01:11:46,405 --> 01:11:48,269 But I might want to take advantage 1208 01:11:48,338 --> 01:11:50,823 of editing something out that would give my kid 1209 01:11:50,927 --> 01:11:53,412 a very strong chance of developing a severe cancer, 1210 01:11:53,481 --> 01:11:57,174 even if it's 40 years in the future. 1211 01:11:57,243 --> 01:11:59,349 Yeah. 1212 01:11:59,418 --> 01:12:02,559 So maybe that will happen. 1213 01:12:05,528 --> 01:12:07,806 This committee's gonna be looking at both somatic 1214 01:12:07,875 --> 01:12:11,257 and germ line applications of gene editing. 1215 01:12:11,292 --> 01:12:13,018 The committee that I co-chaired 1216 01:12:13,121 --> 01:12:15,261 for the National Academy of Sciences, 1217 01:12:15,296 --> 01:12:16,953 we were asked to look deeply 1218 01:12:17,022 --> 01:12:19,093 at whether or not there was something 1219 01:12:19,162 --> 01:12:20,784 intrinsically unethical 1220 01:12:20,853 --> 01:12:25,479 about manipulating genes in a way that makes them heritable. 1221 01:12:25,548 --> 01:12:28,344 Significant degree of uncertainty... 1222 01:12:28,447 --> 01:12:30,138 This should be the goal of society, 1223 01:12:30,207 --> 01:12:32,313 to promote a better life for all 1224 01:12:32,348 --> 01:12:35,281 and to ensure that everybody can live a life 1225 01:12:35,351 --> 01:12:37,456 in dignity and freedom. 1226 01:12:37,525 --> 01:12:41,391 Can this be achieved by germ line gene editing? 1227 01:12:41,460 --> 01:12:43,738 My view is no. 1228 01:12:43,807 --> 01:12:46,810 The American Medical Association, 1229 01:12:46,879 --> 01:12:48,985 a bunch of European countries, you know, 1230 01:12:49,054 --> 01:12:50,296 any number of organizations all had positions, 1231 01:12:50,366 --> 01:12:52,575 like, meddling in the germ line would be wrong. 1232 01:12:52,644 --> 01:12:55,992 It would be unethical. 1233 01:12:56,061 --> 01:12:57,752 But they all said those things 1234 01:12:57,821 --> 01:13:00,168 at a time when it couldn't be done, so it was easy to say. 1235 01:13:00,237 --> 01:13:02,343 It was a gimme, right? 1236 01:13:02,378 --> 01:13:05,415 And then as soon as it comes that you can do it, 1237 01:13:05,484 --> 01:13:07,279 then the positions change. 1238 01:13:07,348 --> 01:13:11,248 Huntington's lurks in our DNA like a time bomb. 1239 01:13:11,352 --> 01:13:13,837 It would really eliminate a scourge in the world, 1240 01:13:13,872 --> 01:13:15,114 so I would say go for it. 1241 01:13:15,183 --> 01:13:17,841 At the big National Academy meeting, 1242 01:13:17,876 --> 01:13:20,672 there was not a good representation of patients, 1243 01:13:20,741 --> 01:13:24,330 but the few who did speak were definitely in favor. 1244 01:13:24,400 --> 01:13:26,367 I say, yes, it is worth pursuing 1245 01:13:26,436 --> 01:13:27,851 in a safe and rational manner. 1246 01:13:27,920 --> 01:13:28,852 Definitely, let's go. 1247 01:13:28,921 --> 01:13:30,854 Anything that will stop 1248 01:13:30,889 --> 01:13:33,063 my child from suffering, 1249 01:13:33,167 --> 01:13:35,687 I'm for. 1250 01:13:35,756 --> 01:13:36,860 You know, draw this ethical line wherever you want, 1251 01:13:36,929 --> 01:13:38,621 but don't draw it in front of my disease. 1252 01:13:38,690 --> 01:13:41,624 He was six days old. 1253 01:13:41,693 --> 01:13:43,211 I remember one woman told a story about a child 1254 01:13:43,280 --> 01:13:46,318 that she had and died of an inheritable disease. 1255 01:13:46,387 --> 01:13:49,425 He had seizures every day. 1256 01:13:49,528 --> 01:13:52,704 We donated his body for research. 1257 01:13:52,738 --> 01:13:53,912 If we have... 1258 01:13:53,981 --> 01:13:57,778 The skills and the knowledge 1259 01:13:57,881 --> 01:14:00,677 to fix these diseases, then freaking do it. 1260 01:14:04,992 --> 01:14:07,477 The statement of task demanded that we 1261 01:14:07,546 --> 01:14:10,756 try to follow the evidence and follow the logic, 1262 01:14:10,825 --> 01:14:12,758 not that we follow the politics. 1263 01:14:12,827 --> 01:14:18,177 We said, "We conclude it is not intrinsically evil." 1264 01:14:18,246 --> 01:14:20,421 It is what we called ethically defensible, 1265 01:14:20,490 --> 01:14:24,425 but we understood that this was now a break from the past 1266 01:14:24,494 --> 01:14:28,049 in the thinking on this topic, yes. 1267 01:14:28,084 --> 01:14:30,362 In Genesis chapter one, 1268 01:14:30,431 --> 01:14:32,916 we discovered the concept of the Imago Dei, 1269 01:14:32,985 --> 01:14:37,507 being in the image and likeness of God. 1270 01:14:38,577 --> 01:14:40,614 What does that mean for this science 1271 01:14:40,683 --> 01:14:42,305 where we have the capacity 1272 01:14:42,374 --> 01:14:47,483 to edit in some things, perhaps, that we think are important? 1273 01:14:47,586 --> 01:14:49,105 Are we playing God? 1274 01:15:14,958 --> 01:15:17,409 The balance of nature is built of a series 1275 01:15:17,478 --> 01:15:20,619 of interrelationships between living things 1276 01:15:20,688 --> 01:15:24,278 and between living things and their environment. 1277 01:15:33,701 --> 01:15:36,324 Now, to these people, apparently, 1278 01:15:36,393 --> 01:15:39,362 the balance of nature was something that was 1279 01:15:39,431 --> 01:15:42,779 repealed as soon as man came on the scene. 1280 01:15:56,344 --> 01:15:59,244 This is Laika, this is Nova, 1281 01:15:59,313 --> 01:16:02,523 and this is Joy. 1282 01:16:02,558 --> 01:16:06,320 Our pig is the most advanced genome-modified animal 1283 01:16:06,354 --> 01:16:07,977 running on the Earth. 1284 01:16:10,117 --> 01:16:12,222 The babies that came out of that 1285 01:16:12,291 --> 01:16:15,501 are now adults, and the adults are having their own babies, 1286 01:16:15,536 --> 01:16:18,401 so it seems like making that many edits 1287 01:16:18,504 --> 01:16:21,335 is completely compatible 1288 01:16:21,369 --> 01:16:23,613 with a happy, healthy pig. 1289 01:16:29,274 --> 01:16:31,448 I tell people to be visually underwhelmed 1290 01:16:31,517 --> 01:16:34,313 by my lab. 1291 01:16:34,382 --> 01:16:35,694 It's just a bunch of small rooms 1292 01:16:35,763 --> 01:16:38,352 with usually very few people in them. 1293 01:16:41,044 --> 01:16:44,323 But in terms of what I see, 1294 01:16:44,392 --> 01:16:47,533 it's very exciting. 1295 01:16:52,435 --> 01:16:54,886 I've never really felt the "mad scientist" 1296 01:16:54,920 --> 01:16:57,889 was realistic for anybody that I knew, 1297 01:16:57,958 --> 01:17:01,582 including myself. 1298 01:17:01,617 --> 01:17:04,136 My lab has been accused of taking science fiction 1299 01:17:04,240 --> 01:17:05,241 and turning it into science fact. 1300 01:17:05,275 --> 01:17:07,899 I consider that very high praise. 1301 01:17:07,933 --> 01:17:13,421 But turning science fiction into science fact is not mad. 1302 01:17:13,490 --> 01:17:15,665 It actually can be quite useful. 1303 01:17:18,357 --> 01:17:21,567 "Aging reversal" is the term that I prefer. 1304 01:17:21,637 --> 01:17:23,431 You know, I'm 63 years old. 1305 01:17:23,466 --> 01:17:27,539 I feel like I just barely got trained to do my job last year, 1306 01:17:27,608 --> 01:17:29,575 and so now you're gonna pull the plug and recycle me. 1307 01:17:29,645 --> 01:17:32,751 That doesn't make sense. 1308 01:17:36,375 --> 01:17:38,101 We need to be cautious in that, you know, 1309 01:17:38,170 --> 01:17:40,966 there's a, there's this whole population problem, 1310 01:17:41,035 --> 01:17:44,004 so we can do that if we have a place to put all those people. 1311 01:17:50,355 --> 01:17:52,978 Almost everything we do, 1312 01:17:53,047 --> 01:17:55,774 people just think, "This is goofy, 1313 01:17:55,809 --> 01:17:59,605 this is not feasible, it's science fiction." 1314 01:18:01,538 --> 01:18:04,058 But I think, originally, 1315 01:18:04,127 --> 01:18:05,957 people thought that sequencing human genomes 1316 01:18:06,026 --> 01:18:08,511 inexpensively was a pipe dream. 1317 01:18:12,584 --> 01:18:15,621 I can't not ask you about mammoths 1318 01:18:15,656 --> 01:18:17,485 because there's a bunch of them behind you. 1319 01:18:17,520 --> 01:18:19,556 Yeah, that should be up at the top of the list of things 1320 01:18:19,625 --> 01:18:23,699 that seem, uh, quixotic or misguided. 1321 01:18:26,460 --> 01:18:28,807 So in the Mammoth Project, 1322 01:18:28,876 --> 01:18:31,499 we read the ancient DNA, 1323 01:18:31,534 --> 01:18:34,986 decide which genes we're going to resurrect, 1324 01:18:35,055 --> 01:18:40,854 put those into the Asian elephant's cells, 1325 01:18:40,923 --> 01:18:42,372 and then we're developing technology 1326 01:18:42,441 --> 01:18:45,168 that is not yet working to make, 1327 01:18:45,237 --> 01:18:46,514 take those embryos all the way to term. 1328 01:18:46,549 --> 01:18:49,103 Then we scale that up to make a herd of these things, 1329 01:18:49,172 --> 01:18:52,797 maybe 80,000 of them, to repopulate the tundra. 1330 01:18:55,282 --> 01:18:57,008 Don't you see the danger, 1331 01:18:57,042 --> 01:19:00,011 John, inherent in what you're doing here? 1332 01:19:00,080 --> 01:19:01,667 Genetic power is the most awesome force 1333 01:19:01,702 --> 01:19:03,255 the planet's ever seen, but you wield it 1334 01:19:03,359 --> 01:19:04,843 like a kid that's found his dad's gun. 1335 01:19:04,912 --> 01:19:07,743 I don't think you're giving us our due credit. 1336 01:19:07,846 --> 01:19:09,952 Our scientists have done things 1337 01:19:10,021 --> 01:19:11,125 which nobody's ever done before. 1338 01:19:11,194 --> 01:19:12,402 Yeah, yeah, but your scientists 1339 01:19:12,471 --> 01:19:14,059 were so preoccupied with whether or not they could, 1340 01:19:14,128 --> 01:19:15,716 they didn't stop to think if they should. 1341 01:19:15,785 --> 01:19:17,442 Well, 1342 01:19:17,545 --> 01:19:20,514 I often try to avoid talking about "Jurassic Park," 1343 01:19:20,548 --> 01:19:22,965 but I'll, I'll give you this. 1344 01:19:23,034 --> 01:19:25,899 You know, "Jurassic Park" was about hubris. 1345 01:19:25,968 --> 01:19:27,555 What species is this? 1346 01:19:27,624 --> 01:19:31,559 Uh, it's a velociraptor. 1347 01:19:31,594 --> 01:19:34,390 It's just the opposite 1348 01:19:34,459 --> 01:19:36,772 of what scientists like George Church 1349 01:19:36,875 --> 01:19:39,222 and others that we work with are thinking about. 1350 01:19:39,291 --> 01:19:42,570 When people say, "Aren't you playing God?" 1351 01:19:42,639 --> 01:19:44,780 My real reaction is, 1352 01:19:44,883 --> 01:19:48,266 nobody is playing in this field. 1353 01:19:48,335 --> 01:19:50,233 Nobody is toying with it 1354 01:19:50,268 --> 01:19:52,926 just to see if it can happen. 1355 01:19:55,721 --> 01:19:57,516 You know, in order to even fathom 1356 01:19:57,585 --> 01:19:59,760 bringing back an extinct species, 1357 01:19:59,829 --> 01:20:04,592 there's no end of engineering that has to happen, 1358 01:20:04,661 --> 01:20:07,285 and it is all novel, important, new science 1359 01:20:07,354 --> 01:20:10,357 that can be used to protect any species, 1360 01:20:10,426 --> 01:20:14,050 endangered as well as extinct. 1361 01:20:20,125 --> 01:20:21,609 Once you realize the magnitude 1362 01:20:21,678 --> 01:20:24,681 of humans' impact on the environment, 1363 01:20:24,750 --> 01:20:27,270 you know, it's hard for me to say 1364 01:20:27,339 --> 01:20:29,894 that we can't try to correct it. 1365 01:20:37,487 --> 01:20:40,490 We can't have our head in the sand. 1366 01:20:40,594 --> 01:20:42,216 We have a responsibility 1367 01:20:42,285 --> 01:20:44,184 to use our human ingenuity 1368 01:20:44,287 --> 01:20:47,635 and our human skills and our wherewithal. 1369 01:20:47,704 --> 01:20:50,638 Sometimes it's leaving nature alone, 1370 01:20:50,707 --> 01:20:53,124 and sometimes it might be intervening. 1371 01:20:57,059 --> 01:20:58,888 So the gene we've edited 1372 01:20:58,957 --> 01:21:01,028 controls how the pores 1373 01:21:01,132 --> 01:21:03,962 on the underside of the leaves open and close. 1374 01:21:04,031 --> 01:21:06,792 In the non-edited plant, the stomata or pores 1375 01:21:06,862 --> 01:21:09,968 will stay open during the hot, dry conditions. 1376 01:21:10,003 --> 01:21:13,972 Water is lost, and then these leaves lose water. 1377 01:21:14,041 --> 01:21:16,078 They wilt, and they roll. 1378 01:21:16,147 --> 01:21:19,253 In the edited plant, those stomata pores 1379 01:21:19,322 --> 01:21:21,497 close sooner under dry conditions 1380 01:21:21,531 --> 01:21:24,120 and the water is retained inside the plant. 1381 01:21:34,751 --> 01:21:38,686 We have been messing with nature 1382 01:21:38,755 --> 01:21:40,826 ever since we came out of the trees. 1383 01:21:43,588 --> 01:21:47,488 Most of the lifeforms we eat are things we've made. 1384 01:21:50,008 --> 01:21:52,355 Corn used to be a grass. 1385 01:21:52,424 --> 01:21:53,529 Tomatoes used to be 1386 01:21:53,563 --> 01:21:56,394 tiny little berries that were bitter. 1387 01:21:56,463 --> 01:21:57,843 Geneticists changed that. 1388 01:21:57,913 --> 01:21:59,500 Now, we didn't call them geneticists. 1389 01:21:59,535 --> 01:22:00,916 We called them farmers. 1390 01:22:18,312 --> 01:22:21,557 Do you think among these people there was anyone 1391 01:22:21,591 --> 01:22:24,836 that would be fair to call a scientist? 1392 01:22:24,905 --> 01:22:28,046 Well, that's a really interesting question. 1393 01:22:28,081 --> 01:22:30,255 I think there's lots of different types 1394 01:22:30,324 --> 01:22:31,705 of science that were involved. 1395 01:22:31,774 --> 01:22:33,776 The first people who invented pottery 1396 01:22:33,879 --> 01:22:39,230 were really chemists, in a way, um... 1397 01:22:39,299 --> 01:22:44,614 And certainly the people who were inventing agriculture 1398 01:22:44,683 --> 01:22:47,617 and control, controlling plants and animals, 1399 01:22:47,686 --> 01:22:51,242 they were biologists, you know, botanists and biologists, 1400 01:22:51,311 --> 01:22:52,208 in our sense. 1401 01:22:59,491 --> 01:23:02,494 You know, you can see people trying things out. 1402 01:23:02,563 --> 01:23:03,771 What is the best way 1403 01:23:03,840 --> 01:23:07,016 to grind grain, and how do you make bread? 1404 01:23:07,085 --> 01:23:09,915 You know, that was invented here. 1405 01:23:09,985 --> 01:23:12,539 To work that out... 1406 01:23:12,608 --> 01:23:14,575 Is really not, is not straightforward. 1407 01:23:17,958 --> 01:23:20,616 In this period of time, something more modern-like 1408 01:23:20,685 --> 01:23:22,273 in terms of our relationship with nature 1409 01:23:22,342 --> 01:23:24,965 was beginning to emerge. 1410 01:23:32,662 --> 01:23:34,457 As far as we understand it, 1411 01:23:34,492 --> 01:23:36,804 hunter-gatherers had a relationship 1412 01:23:36,873 --> 01:23:41,568 of equality with nature and had to look after nature, 1413 01:23:41,637 --> 01:23:43,328 and if you hunted an animal, 1414 01:23:43,397 --> 01:23:45,675 you would have to give a gift to nature 1415 01:23:45,744 --> 01:23:48,230 to thank it for the animal that you'd been given. 1416 01:23:48,299 --> 01:23:51,405 And then as people started 1417 01:23:51,474 --> 01:23:53,304 domesticating plants and animals, 1418 01:23:53,373 --> 01:23:55,306 they started having a new relationship, 1419 01:23:55,375 --> 01:23:56,824 where they were dominating 1420 01:23:56,859 --> 01:23:59,068 and controlling the natural world... 1421 01:24:01,381 --> 01:24:05,316 That made it something that you could transform. 1422 01:24:24,852 --> 01:24:26,785 We definitely see 1423 01:24:26,854 --> 01:24:29,202 great advantages in genetic engineering, 1424 01:24:29,236 --> 01:24:35,725 as agriculture, you know, was a great, a great advance. 1425 01:24:35,794 --> 01:24:37,520 Certainly, it's the building block 1426 01:24:37,555 --> 01:24:40,696 of civilization as we understand it. 1427 01:24:40,765 --> 01:24:43,664 But it definitely comes with its negatives. 1428 01:24:47,358 --> 01:24:50,499 You could say that the long-term consequences 1429 01:24:50,533 --> 01:24:52,984 were pollution 1430 01:24:53,053 --> 01:24:55,228 and environment degradation and so on and so forth, 1431 01:24:55,297 --> 01:24:57,782 but you would have had to be very far-seeing, 1432 01:24:57,885 --> 01:25:01,130 you know, 9,000 years ago to realize that, 1433 01:25:01,199 --> 01:25:03,684 that that was what was gonna happen. 1434 01:25:09,414 --> 01:25:12,279 These things creep in slowly. 1435 01:25:14,385 --> 01:25:16,973 It's not like everybody was hunting and gathering, 1436 01:25:17,042 --> 01:25:18,389 and then next year, somebody said, 1437 01:25:18,458 --> 01:25:20,253 "Oh, let's farm," right? 1438 01:25:20,322 --> 01:25:22,669 It happened slowly, and so it is disruptive, 1439 01:25:22,738 --> 01:25:24,636 but it creeps up on people. 1440 01:25:24,740 --> 01:25:26,086 You don't realize it's disruptive 1441 01:25:26,155 --> 01:25:27,432 until you look backward. 1442 01:25:27,501 --> 01:25:29,124 Often you don't realize 1443 01:25:29,193 --> 01:25:31,298 that you're in the middle of a revolution until 1444 01:25:31,402 --> 01:25:34,129 after the revolution has occurred. 1445 01:25:34,232 --> 01:25:37,062 Right? So I don't know where we are right now. 1446 01:25:37,132 --> 01:25:39,099 It'll be interesting to see. 1447 01:25:39,168 --> 01:25:42,275 I hope I live long enough to see it. 1448 01:25:42,344 --> 01:25:45,761 Do you think you want to have kids? 1449 01:25:45,830 --> 01:25:48,073 I have too many siblings for that. 1450 01:25:48,143 --> 01:25:50,145 The answer's probably gonna change, 1451 01:25:50,248 --> 01:25:53,355 but for now, probably not, no. 1452 01:25:53,424 --> 01:25:54,459 I'm not crazy. 1453 01:25:54,528 --> 01:25:57,117 They're saying maybe one day with CRISPR, 1454 01:25:57,186 --> 01:25:59,671 they could go in and change 1455 01:25:59,740 --> 01:26:02,847 the gene in the embryo 1456 01:26:02,916 --> 01:26:06,091 so that the kid, when it's born, 1457 01:26:06,161 --> 01:26:08,646 doesn't have sickle cell. 1458 01:26:08,749 --> 01:26:09,819 Hmm. 1459 01:26:15,308 --> 01:26:18,276 I guess that's kind of cool, that they're thinking 1460 01:26:18,311 --> 01:26:20,451 that it can do that in the future, 1461 01:26:20,520 --> 01:26:22,004 but I think that would be 1462 01:26:22,107 --> 01:26:26,008 up to the kid later. 1463 01:26:26,111 --> 01:26:27,492 What do you mean? 1464 01:26:27,561 --> 01:26:31,531 There's a lot of things that I learned having sickle cell 1465 01:26:31,634 --> 01:26:33,326 just because I had it. 1466 01:26:33,395 --> 01:26:36,777 I learned patience with everyone. 1467 01:26:36,846 --> 01:26:39,228 I learned, uh, 1468 01:26:39,297 --> 01:26:41,057 just to be positive. 1469 01:26:41,126 --> 01:26:44,060 So you don't wish that you never had it. 1470 01:26:44,129 --> 01:26:46,097 I don't wish that I never had it, no. 1471 01:26:46,166 --> 01:26:48,824 I don't think I'd be me if I didn't have sickle cell. 1472 01:26:52,759 --> 01:26:55,175 Sickle cell's a really interesting, 1473 01:26:55,244 --> 01:26:57,936 unusual genetic disease. 1474 01:26:58,005 --> 01:27:00,007 If you've got two copies of the sickle gene, 1475 01:27:00,076 --> 01:27:02,147 you're really sick, and without modern medicine, 1476 01:27:02,217 --> 01:27:03,666 you die young. 1477 01:27:03,701 --> 01:27:06,151 If you've got two copies of the normal gene, 1478 01:27:06,186 --> 01:27:08,084 you don't get sickle cell at all. 1479 01:27:08,153 --> 01:27:11,709 It turns out, though, that if you've got 1480 01:27:11,778 --> 01:27:14,677 one sickle gene and one nonsickle gene, 1481 01:27:14,712 --> 01:27:19,924 you make cells that are somewhat sickle? 1482 01:27:19,993 --> 01:27:23,272 You're not sick, 1483 01:27:23,341 --> 01:27:25,205 but the organism that causes malaria 1484 01:27:25,274 --> 01:27:27,794 doesn't like those red blood cells. 1485 01:27:27,863 --> 01:27:30,728 Having a sickle gene is protective against 1486 01:27:30,797 --> 01:27:32,143 getting severe malaria, 1487 01:27:32,212 --> 01:27:35,698 so in the environment where there's lots of malaria, 1488 01:27:35,733 --> 01:27:37,424 it's better to be sickle cell trait 1489 01:27:37,528 --> 01:27:39,046 than not to be sickle cell trait. 1490 01:27:39,115 --> 01:27:42,118 And that's why you see sickle cell anemia 1491 01:27:42,187 --> 01:27:45,087 in sub-Saharan Africa, 1492 01:27:45,156 --> 01:27:47,952 but you also see it in the Mediterranean, 1493 01:27:48,021 --> 01:27:51,231 in Greece and in Sardinia. 1494 01:27:51,266 --> 01:27:54,890 It's because they had mosquitoes and malaria. 1495 01:27:54,959 --> 01:27:56,892 The relationship between 1496 01:27:56,961 --> 01:27:59,412 our genes and our environment 1497 01:27:59,481 --> 01:28:00,413 is incredibly complex. 1498 01:28:00,482 --> 01:28:03,381 "Thanks, little brothers..." 1499 01:28:03,450 --> 01:28:05,038 And we don't understand that. 1500 01:28:14,772 --> 01:28:17,326 I think we have to have humility. 1501 01:28:17,430 --> 01:28:22,918 Nature is one of the greatest inventors of all time. 1502 01:28:22,952 --> 01:28:25,265 What we can do is, is a very, very 1503 01:28:25,334 --> 01:28:28,717 insignificant fraction of what nature has already done. 1504 01:28:32,237 --> 01:28:34,378 Nature invented CRISPR. 1505 01:28:39,866 --> 01:28:43,110 So now we're mixing the cells with the CRISPR. 1506 01:28:43,179 --> 01:28:46,182 That's beautiful. 1507 01:28:46,251 --> 01:28:47,598 Once it's into the cell, 1508 01:28:47,667 --> 01:28:49,772 that starts the editing process. 1509 01:28:49,807 --> 01:28:52,257 We can't see that, we just know it happens. 1510 01:28:54,639 --> 01:28:55,951 I don't know how, 1511 01:28:56,020 --> 01:28:58,091 out of all the genes that you have, 1512 01:28:58,125 --> 01:28:59,851 that it targets the one 1513 01:28:59,920 --> 01:29:01,232 that's doing sickle cell 1514 01:29:01,301 --> 01:29:03,027 and not the thing that's making you grow hair. 1515 01:29:03,096 --> 01:29:05,063 Oh... 1516 01:29:05,132 --> 01:29:07,203 But it does, apparently. 1517 01:29:07,272 --> 01:29:10,759 Like, that's cool. 1518 01:29:25,256 --> 01:29:27,810 You have to appreciate that this is a technology 1519 01:29:27,879 --> 01:29:29,812 that's only about five years old, 1520 01:29:29,881 --> 01:29:33,678 but it's been deployed incredibly rapidly. 1521 01:29:33,747 --> 01:29:36,198 We've never had the ability to change 1522 01:29:36,301 --> 01:29:39,995 the fundamental chemical nature 1523 01:29:40,029 --> 01:29:41,997 of who we are in this way, right? 1524 01:29:42,031 --> 01:29:44,033 And now we do, and what do we do with that? 1525 01:29:44,102 --> 01:29:46,415 It does make us really 1526 01:29:46,484 --> 01:29:48,831 think deeply about what it means to be human. 1527 01:29:48,866 --> 01:29:51,351 What do we value about human society? 1528 01:29:51,420 --> 01:29:52,904 And I know for myself... 1529 01:29:53,008 --> 01:29:55,182 The things that make us most human 1530 01:29:55,251 --> 01:29:57,012 are some of the most genetically complex, 1531 01:29:57,081 --> 01:29:59,324 which is kind of a relief. 1532 01:29:59,359 --> 01:30:02,500 Creativity... 1533 01:30:02,535 --> 01:30:06,021 Emotionality. 1534 01:30:06,090 --> 01:30:08,886 Love. 1535 01:30:08,955 --> 01:30:10,681 Now, I want to be clear: 1536 01:30:10,715 --> 01:30:12,683 they all have a biological basis. 1537 01:30:12,717 --> 01:30:15,755 They are all written in our DNA. 1538 01:30:18,620 --> 01:30:23,279 But we are a very, very, very long way away 1539 01:30:23,348 --> 01:30:28,215 from being able to edit the person. 1540 01:30:28,284 --> 01:30:30,873 Do you think that day will come? 1541 01:30:30,942 --> 01:30:33,531 I do, but I'm hopeful that 1542 01:30:33,566 --> 01:30:35,291 we will mature as a species 1543 01:30:35,395 --> 01:30:37,742 before we get this incredible technology to play with 1544 01:30:37,811 --> 01:30:39,813 for our own detriment. 1545 01:30:39,882 --> 01:30:43,645 I am hopeful for that, yes. 1546 01:30:43,714 --> 01:30:47,545 Is that hope based in fact? 1547 01:30:47,580 --> 01:30:50,306 We'll see. 1548 01:30:50,375 --> 01:30:52,723 How might we like to change our genes? 1549 01:30:52,792 --> 01:30:54,276 Perhaps we would like to alter 1550 01:30:54,379 --> 01:30:57,728 the uneasy balance of our emotions. 1551 01:30:57,762 --> 01:31:00,144 Could we be less warlike, 1552 01:31:00,247 --> 01:31:03,250 more self-confident, more serene? 1553 01:31:03,319 --> 01:31:04,320 Perhaps. 1554 01:31:10,775 --> 01:31:16,401 Ours is, whether we like it or not, 1555 01:31:16,436 --> 01:31:20,509 an age of transition. 1556 01:31:20,578 --> 01:31:22,511 After two billion years, 1557 01:31:22,580 --> 01:31:25,756 this is, in a sense, the end of the beginning. 119467

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