'The Overview Effect', or why everyone should go to space

https://vimeo.com/55073825 . http://www.overviewthemovie.com/# 

Awesome video with a very profound message regarding humanity's responsibility on 'Spaceship Earth'. I couldn't help but be reminded of my inspiration for this blog, Melville's oyster peering at the sun through a layer of water, when I saw the pictures/videos of the thin atmospheric layer required for all life on the planet. It gave me new perspective that not only can we visualize and comprehend the implications of that layer of life, but our capability - and desire - to step outside the habitable zone leads us to better understand - and empathize with - our dynamic and fragile home. Looking at things from another point of view is crucial for understanding, and mankind's access to the depths of the universe makes learning a timeless, infinite endeavor.

"Let not the vastness of this universe paralyze us into a constellation"

Speaking of healthcare revolution...these guys can inspire!

Sekou Andrews & Steve Connell at TEDMED 2011

The stem cell road trip

Stem cell research is like a road trip. 

http://warwickcasculture.wordpress.com/2012/11/29/road-trip/

Just as roads and highways provide accessible routes for cars, publications and experimental technologies provide foundations for the progression of research hypotheses to meaningful scientific conclusions. For example, the production of induced pluripotent stem cells (iPSCs) from mice by Yamanaka in 2006 led to the development of iPSCs from human cells, paving the way for potential regenerative therapies and patient-specific 'disease-in-a-dish' modeling. 

Speed limits serve to warn and protect drivers, while research guidelines and regulations prevent false publications, ensuring sound, ethical research proposals and methodology. “The scientific method takes time and technology is not 100% fool proof” reminds Jen McCormick, Ph.D. bioethicist at the Mayo Clinic. “It’s important to understand the basic biology and how things work” regarding iPSCs and human embryonic stem cells and avoid “pushing direct to clinical use too quickly”. Policy dictates measures of safety and efficacy, which are paramount for successful clinical trials. As we venture further along the stem cell road, protocol must ensure smooth implementation in the medical setting. 

Ultimately, drivers determine the destinations and length of their trips as scientists do the direction and time course for their research projects. The more drivers in more vehicles, the more distance covered; the more researchers in diverse fields of science, the greater the potential to advance stem cell research on multiple fronts. “Scientists have an obligation not just educating, but also engaging in discussions” with the public, remarks Dr. McCormick. 

Buckle up and enjoy the ride! 

Individualizing medicine - a drastic change in the medical landscape

'I Ain't the Same' by the Alabama Shakes should be the new theme song for the revolution beginning in medicine. Personalized or Individualized medicine holds the promise of improving the efficiency and outcomes of healthcare. As technology improves, so too does our ability to collect detailed information about our bodies and lifestyles. The interpretation of all this data - especially genetic info - has slowed its implementation into the clinic, but gene sequencing is faster, cheaper, and more accurate than ever before, leading to its introduction into doctor's arsenals.

A good example of this is the recently announced collaboration between the Mayo Clinic and Silicon Valley Biosystems (SV Bio). Genetic data is too vast and complex for any one physician, and requires computer-assisted analysis to provide relevant results. This makes third party data interpretation crucial for doctors to use the genome-based testing tool to better understand a patient's disease(s) and ultimately lead to more efficient treatment(s) with increased efficacy and decreased cost. This brings up a whole other slew of issues such as patient-privacy, which is where oversight and policy come in. Hopefully politics can avert common partisanship and instead promote the development of this society-benefiting technology.

Genome-based testing is just one example of the innovations ushering in the era of individualized medicine, an era with the potential to prevent diseases before they occur and to tailor therapies optimized for each patient's unique circumstance. Stay tuned for more exciting developments.

Stem cells - good news, bad news

King and Lionheart by Of Monsters and Men. Their entire album 'Me Head Is an Animal' is terrific.

Stem cells have the potential to be used for regenerative therapies, to model and study disease and treatments, and to increase our understanding of the molecular regulators of cellular processes. But, stem cells also have a dark side. Pluripotent stem cells have the ability to form any cell and tissue type in the body, including tumors. In fact, so called "cancer stem cells" may be the progenitors to malignant disease and are highly resistant to chemotherapeutic agents, resulting in metastasis or relapse in patients.

There is a weekly research lecture series at the Mayo Clinic in Arizona called "The Science of Medicine" in which either a Mayo or guest researcher presents their data and findings. The last presentation was by Dr. Max Wicha from the University of Michigan, talking about his findings related to breast cancer stem cells and the need to target those cells to truly 'cure' cancer. He made a very interesting point about current cancer therapy, one in which I think everyone should be aware of. The effectiveness of current cancer therapy (at least for solid tumors such as breast cancer) is measured by the shrinkage of the tumor mass, and doesn't take into consideration destruction of the cancer stem cells. It may even be the case that the cell death caused by chemotherapy actually propagates the survival and expansion of the cancer stem cells. It is a fascinating and fairly recent advance in cancer biology, and one in which research will surely benefit the treatment of all types of cancer in the near future.

All of us know someone who has been touched by cancer and I think this is an important point to be shared and brought up to your oncologist if the dreaded C-word enters your life. Have them get in touch with Dr. Wicha or another cancer stem cell pioneer, it could be the difference between life and death.

Dr. Max Wicha explaining the concept of cancer stem cells and implications for successful therapies

Your personalized 'disease-in-a-dish'

Metric - Artificial Nocturne

The body is full of human cells which contains the genetic code (DNA) of that particular individual. Not every gene is expressed (RNA) and/or translated (protein) in every cell, which is the ultimate determinant of the functioning (phenotype) of a particular cell. Bioengineering techniques are nearing a point where scientists can efficiently, and safely, reprogram differentiated cells back into an undifferentiated state called induced pluripotent stem cells (iPSCs). 

Using knowledge gained from studying the transcriptomes (RNA) and proteomes (protein) of specific cells, as well as research on the particular signalling factors and microenvironment conditions necessary for proper functioning of tissue-specific cells, it is possible to use iPSCs to re-establish patient-specific diseases in a dish to study the efficacy of different treatments. As Nina Tandon mentions in her excellent TED talk, this 'disease-in-a-dish' technology has the potential to improve patient outcomes and cheapen care costs, and also provides a valuable resource for modeling and studying diseases which may (and likely do) have different pathologies in different people. 

0.000000000000001 seconds is really fast

A little (or a lot) of tap dancing percussion from Tilly and the Wall in Bad Education.

What do drugs and renewable energy have in common? 

Answer: a growing field of science called femtochemistry. As Philip Hunter details in his article 'Caught in the act' (EMBO reports (2013) 14, 36 - 38), understanding the details of chemical reactions - like those catalyzed by enzymes (potential drug targets) and photosynthetic proteins (solar energy) - requires measuring changes in nanometers (one billionth of a meter, which is ~3 feet for you Americans) on a timescale of one quadrillionth (one thousand billionth) of a second by highly caffeinated scientists using lasers and x-rays.

Ramesh Raskar: Femtophotography - Imaging at a trillion frames per second

That is incomprehensibly fast (hence the caffeine)  but is the level of detail necessary to determine the molecular changes that occur as a protein, or protein complex, efficiently modifies it's substrate. Enzymes allow reactions that would take hours or even years to proceed on their own, to happen in seconds or minutes, controlling most processes of living cells. Diseases can be caused by dysfunctions in human enzymes, or by bacteria/parasites with their own unique enzymes required for survival and infectiousness, making femtochemistry paramount for designing and optimizing drug candidates to target said enzymes.

Another awesome, and potentially world-changing application of this branch of chemistry is to understand the mechanisms of spl

itting water into oxygen and electrons (step 1 of photosynthesis) thus enabling the up-scaling and of this process to provide renewable energy from simply water and sunlight.

This is just the tip of the femto-iceberg, and it may seem like a snail's pace for industry to apply the science being discovered, but just remember that change is happening a billion times faster than the blink of an eye.

The Cure Lies Within

So, I've decided that in addition to bringing some pretty cool science and technology developments to your attention I'm also going to share another one of my passions, good music. Hopefully you can enjoy the melodies and lyrics as you learn something new at the same time.

Today's track is from the album Heist by Seattle-native Macklemore and Ryan Lewis. I like to call his musical style hipster-hop, but regardless of what it's called it will definitely get your head bopping.

I am a big believer that regenerative medicine will play a significant role in the future of healthcare. While surgery and pharmaceuticals are frequently prescribed for many of today's ailments, ongoing research has shown the propensity for the body to heal itself given the right chemical signals and environmental cues. Current therapies include injecting cells optimized to fight cancer or rejuvenate damaged tissue, or prescribing drugs to reduce inflammation and relieve pain, but what if the body's ability to do these things could be tapped into instead?

Endogenous opiod systems
Neurology August 21, 2012 vol. 79 no. 8 807-814

Research based out of the University of Michigan showed that electrically stimulating particular regions of the brain could induce the release of an endogenous (produced in the body naturally) painkiller substance. Instead of giving morphine or other opiates, this therapy directly activates the same targets in the brain and provides a cheaper (no prescription costs), fewer side effects (no addiction), and more natural treatment for those suffering from chronic pain.

My hope is that one day we will be able to utilize this same concept of 'endogenous medicine' to manipulate and control the stem cells already present in our bodies to reverse tissue and organ degeneration caused by disease and aging.

Thanks kurzweilai.net for bringing this story to my attention.