WEBVTT - From the Vault: Cancer and Evolution with Kat Arney

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<v Speaker 1>Hey, welcome to Stuff to Blow Your Mind. My name

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<v Speaker 1>is Robert Lamb and I'm Joe McCormick. And today we're

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<v Speaker 1>going into the vault for an older episode of the show.

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<v Speaker 1>This one originally published on July and this is an

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<v Speaker 1>interview I did with Cat Arnie, the author of a

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<v Speaker 1>book about cancer and evolution, last summer. This was an

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<v Speaker 1>interesting interview, so we hope you enjoy it. Welcome to

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<v Speaker 1>Stuff to Blow Your Mind, production of My Heart Radio.

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<v Speaker 1>Hey are you welcome to Stuff to Blow Your Mind.

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<v Speaker 1>My name is Robert Lamb and I'm Joe McCormick, and

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<v Speaker 1>today we're bringing you another interview that I conducted last

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<v Speaker 1>week while Robert was taking a break from work. That's right.

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<v Speaker 1>Once a year, I like to bury myself in some

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<v Speaker 1>sacred imported soil and allow my my body to break

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<v Speaker 1>down and the reconstitute itself so that I can rise

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<v Speaker 1>once more and be up to the challenges of podcasting

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<v Speaker 1>in this day and age. Today we are going to

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<v Speaker 1>be sharing the conversation that I had with the British

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<v Speaker 1>geneticist and science communicator Cat Arnie talking about her upcoming book,

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<v Speaker 1>Rebel Cell Cancer Evolution in the New Science of life's

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<v Speaker 1>oldest betrayal, so a little bit of biographical information. Cat

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<v Speaker 1>Arnie hosts the Genetics Unzipped podcast and she holds a

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<v Speaker 1>PhD in developmental genetics from Cambridge University. She was a

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<v Speaker 1>key part of the science communications team at Cancer Research

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<v Speaker 1>UK from two thousand four to co founding the charity's

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<v Speaker 1>award winning science blog and acting as a principal media spokesperson.

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<v Speaker 1>She's also the author of Hurting Hemmingway's Cats, Understanding How

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<v Speaker 1>Our Genes Work and How to Code a Human and

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<v Speaker 1>she's written for Wired, The Daily Mail, Nature Mosaic, New

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<v Speaker 1>Scientist and more, and presented many BBC radio programs. You

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<v Speaker 1>can find Cat Arnie on Twitter at at cat Underscore

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<v Speaker 1>Arnie a r in e Y and I should note

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<v Speaker 1>that the book is coming out at different times in

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<v Speaker 1>the UK in the US, so Rebel Cell can be

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<v Speaker 1>found in the UK starting on August six, and then

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<v Speaker 1>in the US. I believe it's coming out on September

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<v Speaker 1>twenty nine, but you can go ahead and preorder it online.

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<v Speaker 1>All right, Well, I'm I am in a rare position

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<v Speaker 1>here because I am just like the listeners out there.

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<v Speaker 1>I have not heard this interview yet myself. So I

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<v Speaker 1>am excited, uh to to to listen in as she

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<v Speaker 1>sheds light on this, uh, this fascinating topic. Cat Arnie,

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<v Speaker 1>thanks so much for joining us today on the podcast.

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<v Speaker 1>Thank you for having me. It's an absolute pleasure. It's

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<v Speaker 1>a pleasure to have someone on the show who has

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<v Speaker 1>not only written a great book, but you are actually

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<v Speaker 1>a podcaster yourself. So you're so you're used to this

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<v Speaker 1>whole game talking into the mic with alone by yourself

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<v Speaker 1>in a room. Yeah. I've been making the Jannetix Unzipped podcast.

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<v Speaker 1>I do have to say that through this time, we've

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<v Speaker 1>we've deliberately made it a COVID free zone, so it

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<v Speaker 1>is currently a COVID free genetics podcast. So that's been

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<v Speaker 1>that's been a nice thing to do during during this time,

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<v Speaker 1>I got to say I was listening to one of

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<v Speaker 1>your episodes of the gene Lex un Zip podcast, the

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<v Speaker 1>one about Maud Sly and Pauline Grows, which I thought

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<v Speaker 1>was fantastic. Of course it connects to the book that

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<v Speaker 1>we're going to be talking about today. So personal endorsement

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<v Speaker 1>from me of your podcast. Don't really like it? Thank you. Yeah,

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<v Speaker 1>it's really fun. We we alternate. We do sort of

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<v Speaker 1>interviews with scientists who are working now in genetics. But

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<v Speaker 1>I also really like to go back through those stories

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<v Speaker 1>and dig out, particularly the untold women who were often

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<v Speaker 1>they're doing the work, doing lots and lots of stuff,

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<v Speaker 1>incredibly detailed observations and breeding experiments, and then basically didn't

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<v Speaker 1>really get the credit for it, because until the middle

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<v Speaker 1>of the twentieth century or later, women weren't really respected

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<v Speaker 1>as a scientist. So it's it's just a wonderful expliration

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<v Speaker 1>you come up with all these incredible people, although of

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<v Speaker 1>in the early century lots them do turn out to

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<v Speaker 1>be eugenicists, but different podcast I think, yeah, So I

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<v Speaker 1>think maybe a good place to start when talking about cancer.

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<v Speaker 1>Of course, your book is about cancer, and specifically a

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<v Speaker 1>lot about the genetics of cancer. I wanted to maybe

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<v Speaker 1>start off by talking about this strange kind of gut

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<v Speaker 1>feeling or almost superstition that somehow, unlike other diseases, cancer

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<v Speaker 1>is a modern synthetic, uh, some kind of perversion in

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<v Speaker 1>some way against nature, and that it sometimes comes with

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<v Speaker 1>this odd edge of moralism, that cancer is not just unfortunate,

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<v Speaker 1>but it's somehow decadent and an indicator of something wrong

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<v Speaker 1>with our age. Parts of your book indicate to me

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<v Speaker 1>that you've come up against this kind of thinking a

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<v Speaker 1>lot as well. What do you think this sort of

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<v Speaker 1>thinking signifies. I think it's absolutely fascinating. Cancer is not

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<v Speaker 1>a new disease, and that really became abundant clear to me. So,

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<v Speaker 1>just as a little bit of background, I spent twelve

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<v Speaker 1>years working at Cancer Research UK, the UK's biggest cancer charity,

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<v Speaker 1>answering lots of questions from the public, and all the

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<v Speaker 1>time this question comes up. It's like, why me, isn't

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<v Speaker 1>it just a modern disease, Oh, it's all this stuff

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<v Speaker 1>in the air, or it's stress. What what is it?

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<v Speaker 1>And you start to look into what cancer really is,

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<v Speaker 1>and it's it's ancient. It's hardwired into our biology because

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<v Speaker 1>it's just cells doing what they're going to do. Cells multiplying,

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<v Speaker 1>cells jostling for space, cells competing with the cells around them,

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<v Speaker 1>obeying the processes of evolution. And so when you really

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<v Speaker 1>start to look, it's not surprising that you find cancer

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<v Speaker 1>going all the way back through human history, all the

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<v Speaker 1>way back through the history of animal life on this planet.

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<v Speaker 1>But at the same time, when people start to become

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<v Speaker 1>aware of cancer as a disease. They start to ask

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<v Speaker 1>questions about, well, where did this come from? Why has

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<v Speaker 1>it affected me? You start to get the Greek as

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<v Speaker 1>people like Hippocrates who were writing about cancers in their

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<v Speaker 1>patients and saying, well, what has caused it? It must

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<v Speaker 1>be the gods, It must be the humors. Something is

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<v Speaker 1>out of whack in here. And then you start to

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<v Speaker 1>get the slightly more religious thing of well it is

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<v Speaker 1>it's fins visited on us. It is something to do

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<v Speaker 1>with immorality, modern living. And then you bring up to

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<v Speaker 1>today this we don't necessarily have such a strong religious

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<v Speaker 1>view of it, but certainly the idea of almost wellness

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<v Speaker 1>as a religion. You've done something toxic to yourself and

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<v Speaker 1>that's why you you now have cancer, and you look

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<v Speaker 1>back at the history of cancer as a biological phenomenon,

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<v Speaker 1>and that's simply not true. You know. It's it's basically

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<v Speaker 1>like the dark side of life, rather than anything that

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<v Speaker 1>we have particularly brought on ourselves in our modern life. Yeah,

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<v Speaker 1>that's one of the things I really loved about your

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<v Speaker 1>book was the way you how you show cancer to

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<v Speaker 1>be so fundamentally integrated with with with life itself or

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<v Speaker 1>I guess, multi cellular life life um. And so so

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<v Speaker 1>maybe we should focus on on a couple of these

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<v Speaker 1>ideas in particular. One of them, I guess, is the

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<v Speaker 1>idea of modernity, right, the idea that that cancer is

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<v Speaker 1>something that was very rare until recently. You make an

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<v Speaker 1>argument against and people have argued this, but you make

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<v Speaker 1>an argument against this in the book, and you cite

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<v Speaker 1>some both some reasoning about why a lot of cancers

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<v Speaker 1>wouldn't necessarily show up in the kinds of remains we

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<v Speaker 1>can examine, and then pointing out examples that we do

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<v Speaker 1>find in fact in the human record and physical remains

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<v Speaker 1>of human society and prehistory. Yeah, it's the classic thing

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<v Speaker 1>in biology that you find what you're looking for, and

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<v Speaker 1>people have not been looking for signs of cancer in

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<v Speaker 1>ancient remains. And the thing about cancer is that that

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<v Speaker 1>when you're thinking about ancient remains that we find mostly

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<v Speaker 1>you're talking about bones, and particularly when you get very ancient,

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<v Speaker 1>you're talking about fossilized bones. And not every cancer leaves

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<v Speaker 1>its trace in the bones. So when you're thinking about

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<v Speaker 1>cancers that affect the soft tissue, you may never see

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<v Speaker 1>the traces of a cancer that killed someone. Also, you know,

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<v Speaker 1>ancient remains don't turn up in beautifully aged, matched structured populations,

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<v Speaker 1>so you can say, oh, this is exactly the population

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<v Speaker 1>that was alive at the time. This is exactly the

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<v Speaker 1>number of cancers in this population. I think some people

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<v Speaker 1>have argued that the fact that cancers are rare in

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<v Speaker 1>ancient humans is an argument that cancer was very, very rare.

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<v Speaker 1>But I slightly feel the other way around. I feel

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<v Speaker 1>like the fact that the more people start looking for

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<v Speaker 1>cancers in human and animal remains from from way way back,

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<v Speaker 1>the more cancers they start to find suggest that it

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<v Speaker 1>was more common. We will never know how how common

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<v Speaker 1>it was, because you can't do, you know, a lovely

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<v Speaker 1>epidemiological study on the sort of stuff that you can

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<v Speaker 1>get out of the ground. You get what you get

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<v Speaker 1>and you get on with it, basically. But I do

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<v Speaker 1>think that cancer is not an exclusively modern disease. I

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<v Speaker 1>will say, certainly it is more common as we live longer.

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<v Speaker 1>So another of the things I go into you later

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<v Speaker 1>in the book is the idea that there's almost a

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<v Speaker 1>sort of a shooting up point. After you have got

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<v Speaker 1>to a certain age, your risk of cancer does significantly

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<v Speaker 1>go up. So if you think about ancient populations when

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<v Speaker 1>there were many, many, many more things that we're going

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<v Speaker 1>to kill you, your chances of getting to an age

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<v Speaker 1>where you could dive cancer before something else got you

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<v Speaker 1>were smaller. So it's not surprising we find fewer ancient

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<v Speaker 1>remains with cancer. But when you think about some children

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<v Speaker 1>have been found with types of cancer that are very

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<v Speaker 1>very rare in populations, and the fact that we have

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<v Speaker 1>found them at all suggests that this is a disease

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<v Speaker 1>that has always been with us, and it's not exclusively

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<v Speaker 1>a confection of modernity. It's it's basically, you know, it

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<v Speaker 1>is with us and always has been. And what about

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<v Speaker 1>the part of the misconception that views cancer is something

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<v Speaker 1>that is uniquely kind of human and maybe associated with uh,

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<v Speaker 1>with the synthetic products of human industry and all that. Like,

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<v Speaker 1>this ties into the idea that sharks don't get cancer, right,

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<v Speaker 1>that there's a widespread belief that for some reason, animals

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<v Speaker 1>that don't engage, you know, don't live in cities and

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<v Speaker 1>drive cars and eat processed food and stuff, won't get cancer.

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<v Speaker 1>But they do. Yeah, this really blew my mind. I

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<v Speaker 1>can see over on my bookshelf. I'm so tempted to

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<v Speaker 1>go and grab it. But there's a book where someone

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<v Speaker 1>has gone through all the different species that have been

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<v Speaker 1>known to have cancer in In some cases it's many examples,

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<v Speaker 1>in some it's just a few, but it's pages and

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<v Speaker 1>pages and pages. Is everything from like odd wolves to zebras,

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<v Speaker 1>and almost every branch of the animal kingdom develops cancer.

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<v Speaker 1>There are a couple of really weird exceptions. So one

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<v Speaker 1>is comb jellies. Comb jellyfish don't seem to get cancer,

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<v Speaker 1>never been detected. And also sponges really weirdly resistant to sponges.

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<v Speaker 1>There's this guy in in Arizona, guy called Carlo Malei,

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<v Speaker 1>who is zapping sponges with enormous amounts of radiation like

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<v Speaker 1>that would kill a human, and they're just fine. They

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<v Speaker 1>just shrug it off. So there are some species that

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<v Speaker 1>are cancer resistant, but pretty much everything else, to a

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<v Speaker 1>greater or lesser extent is and humans aren't even the

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<v Speaker 1>most susceptible species. There are some that are much more

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<v Speaker 1>susceptible to cancer than humans are. So this idea that

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<v Speaker 1>it's it's just a modern disease, it's just a human disease.

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<v Speaker 1>It just doesn't stack up. You know. Yes, there are

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<v Speaker 1>things that we do in our modern lives that increase

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<v Speaker 1>the risk of cancer, and our lovely living to a

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<v Speaker 1>nice old age is a major risk factor. You know.

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<v Speaker 1>Thank god we don't all die in childbirth and of

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<v Speaker 1>infectious diseases before our tenth birthday. But you know, we

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<v Speaker 1>are we are not, you know, unique and wonderful when

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<v Speaker 1>it comes to cancer again, it's it is just part

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<v Speaker 1>of life. There are some other interesting observations you mentioned

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<v Speaker 1>in your book about what might create a specific propensity

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<v Speaker 1>for cancer in certain species versus others. One that I

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<v Speaker 1>recall is that you mentioned that it's cancer seems to

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<v Speaker 1>be more prevalent in species that have been through a

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<v Speaker 1>genetic bottleneck at some point in the relatively recent past.

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<v Speaker 1>So like, if their breeding population was reduced to a

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<v Speaker 1>pretty small number at some point, they tend to be

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<v Speaker 1>more susceptible to cancer. Is that correct? Yes, so that

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<v Speaker 1>does seem to be the case, which suggests that there

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<v Speaker 1>are genetic factors at work, because if you shrink a

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<v Speaker 1>population down to a very small what's called an effective

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<v Speaker 1>breeding size, you've got quite a small population that's all

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<v Speaker 1>breeding with each other. You do start to get a

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<v Speaker 1>pile up of mutations being passed from generation to generation,

0:12:49.000 --> 0:12:52.800
<v Speaker 1>which might be increasing the risk of cancer. One of

0:12:52.800 --> 0:12:55.600
<v Speaker 1>my favorite species in this case is the Syrian hamster,

0:12:56.200 --> 0:12:59.480
<v Speaker 1>which all the Syrian hamsters pretty much that in pets

0:12:59.520 --> 0:13:01.839
<v Speaker 1>and and abs all over the world, are descended from

0:13:01.840 --> 0:13:04.800
<v Speaker 1>one litter of hamsters, and they are incredibly cancer prone

0:13:04.960 --> 0:13:09.240
<v Speaker 1>because they're just massively in bread um. But yeah, every

0:13:09.240 --> 0:13:13.520
<v Speaker 1>every species, some more than others and some much less

0:13:13.559 --> 0:13:18.080
<v Speaker 1>than others. So elephants very surprisingly, you'd think when you

0:13:18.080 --> 0:13:21.720
<v Speaker 1>think about it logically, animals that are very very big,

0:13:22.440 --> 0:13:25.200
<v Speaker 1>they have lots of cells, they live for a very

0:13:25.280 --> 0:13:28.520
<v Speaker 1>very long time, you would think that elephants should be

0:13:28.600 --> 0:13:31.079
<v Speaker 1>riddled with cancer by the time they die, but they

0:13:31.120 --> 0:13:34.720
<v Speaker 1>are not. They are amazingly resistant and really long lived

0:13:34.760 --> 0:13:38.160
<v Speaker 1>animals like bowhead whales, even some of the really long

0:13:38.160 --> 0:13:41.760
<v Speaker 1>lived bats, brand bats that live for forty years, very

0:13:41.800 --> 0:13:47.520
<v Speaker 1>resistant to cancer. So they have evolved mechanisms that enable

0:13:47.600 --> 0:13:51.520
<v Speaker 1>them to live these very long, luxury lifestyles and be

0:13:51.640 --> 0:13:54.960
<v Speaker 1>resistant to cancer. Whereas you have very small rodents, things

0:13:55.000 --> 0:13:58.400
<v Speaker 1>that live fast and die young, why bother you know

0:13:58.400 --> 0:13:59.800
<v Speaker 1>you're going to be around for a couple of breeding

0:13:59.800 --> 0:14:03.560
<v Speaker 1>sea reasons and then near out and humans are kind

0:14:03.559 --> 0:14:06.480
<v Speaker 1>of in the middle. You know, we live for many decades,

0:14:06.960 --> 0:14:10.000
<v Speaker 1>we reach our childbearing years in between our sort of

0:14:10.040 --> 0:14:13.160
<v Speaker 1>twenties to forties, hang around for a bit after, and

0:14:13.200 --> 0:14:15.360
<v Speaker 1>then the risk of cancer does start to go up.

0:14:16.000 --> 0:14:19.280
<v Speaker 1>So you know, this is when you put humans in

0:14:19.320 --> 0:14:22.479
<v Speaker 1>the context of all of life, you start to understand

0:14:22.880 --> 0:14:27.640
<v Speaker 1>how our evolution as a species is intrinsically tied to

0:14:27.760 --> 0:14:31.000
<v Speaker 1>our as a species risk of cancer. But you do

0:14:31.120 --> 0:14:34.040
<v Speaker 1>have to separate that from personal risk of cancer as well,

0:14:34.080 --> 0:14:35.600
<v Speaker 1>and that's a that's kind of a bit hard to

0:14:35.640 --> 0:14:40.400
<v Speaker 1>get your head around, so talking about evolutionary risks versus

0:14:40.680 --> 0:14:44.800
<v Speaker 1>personal risks. So one of the most interesting ideas in

0:14:44.840 --> 0:14:48.400
<v Speaker 1>your book that that you keep returning to is a

0:14:48.480 --> 0:14:52.360
<v Speaker 1>framework for thinking about multicellular life through the analogy of

0:14:52.400 --> 0:14:57.800
<v Speaker 1>a society, that a multicellular organism is a society of cells.

0:14:57.920 --> 0:15:00.280
<v Speaker 1>Could you explain this way of thinking in and some

0:15:00.360 --> 0:15:04.640
<v Speaker 1>of the implications that extend from it. Yeah, this really

0:15:05.240 --> 0:15:09.440
<v Speaker 1>really blew my mind when I started to understand this. So,

0:15:10.160 --> 0:15:13.680
<v Speaker 1>this idea of cells as a society, it goes about

0:15:13.800 --> 0:15:16.120
<v Speaker 1>quite a few decades. A lot of things I discovered

0:15:16.120 --> 0:15:19.119
<v Speaker 1>while I was researching the book are quite old ideas

0:15:19.160 --> 0:15:21.640
<v Speaker 1>that have got you know, subsumed or left behind in

0:15:21.680 --> 0:15:24.760
<v Speaker 1>this this rush to just understand cancer as a purely

0:15:24.840 --> 0:15:30.400
<v Speaker 1>genetic disease. But the idea is that cells and organisms

0:15:30.680 --> 0:15:34.600
<v Speaker 1>and individuals in a species, they live in societies, and

0:15:34.640 --> 0:15:38.080
<v Speaker 1>there are rules of societies at every single level. You know,

0:15:38.160 --> 0:15:40.600
<v Speaker 1>things like do the job you're meant to do, don't

0:15:40.680 --> 0:15:44.480
<v Speaker 1>take more than you need, clean up after yourself, all

0:15:44.520 --> 0:15:46.840
<v Speaker 1>these kind of things. There are rules to societies that

0:15:46.880 --> 0:15:51.160
<v Speaker 1>make societies work productively. And you start to look around

0:15:51.560 --> 0:15:54.600
<v Speaker 1>at groups of cells that are in tissues and in

0:15:54.760 --> 0:15:58.720
<v Speaker 1>organs in your body. You look at societies like ants

0:15:58.720 --> 0:16:03.640
<v Speaker 1>and bees. You look at colonies, you look at troops

0:16:03.840 --> 0:16:07.000
<v Speaker 1>of chimps and herds of deer, and you look at

0:16:07.080 --> 0:16:10.280
<v Speaker 1>human societies and they all work in the same way.

0:16:11.320 --> 0:16:14.360
<v Speaker 1>And this particularly an idea that I was influenced by.

0:16:14.520 --> 0:16:18.040
<v Speaker 1>There's a researcher in Arizona called Athena Actipis, and she

0:16:18.160 --> 0:16:22.680
<v Speaker 1>works a lot on social cooperation and cheating, and the

0:16:22.800 --> 0:16:28.440
<v Speaker 1>idea that cancer cells basically cheat in society. They are cheaters,

0:16:29.000 --> 0:16:32.240
<v Speaker 1>They take more than they need, they produce waste, They

0:16:32.280 --> 0:16:35.640
<v Speaker 1>proliferate out of control, they don't die when they're meant to.

0:16:35.720 --> 0:16:39.640
<v Speaker 1>They are not good cells. Now, if every cell in

0:16:39.680 --> 0:16:42.000
<v Speaker 1>your society was doing that, it would just be you know,

0:16:42.320 --> 0:16:45.160
<v Speaker 1>mad Max style dystopia. Nothing would work, Your body would

0:16:45.160 --> 0:16:50.000
<v Speaker 1>not function. But you can get away with being a

0:16:50.080 --> 0:16:54.800
<v Speaker 1>cancer cell and cheating and keeping going and keeping going

0:16:55.520 --> 0:16:59.400
<v Speaker 1>because to a certain extent, cheaters do prosper. And it's

0:16:59.400 --> 0:17:01.920
<v Speaker 1>the same in many animal societies. So one of the

0:17:02.000 --> 0:17:06.480
<v Speaker 1>lovely examples that I found was these cape honey bees.

0:17:07.280 --> 0:17:11.000
<v Speaker 1>So this just wonderful examples. So cape honey bees, they

0:17:11.080 --> 0:17:13.760
<v Speaker 1>have a classic honeybee population structure. You have the queen,

0:17:14.040 --> 0:17:16.240
<v Speaker 1>and you have all the workers, the female workers, but

0:17:16.240 --> 0:17:18.200
<v Speaker 1>the queen is the only one who gets to reproduce,

0:17:18.720 --> 0:17:20.359
<v Speaker 1>and so all the workers are busy doing all the

0:17:20.400 --> 0:17:23.919
<v Speaker 1>work in the hive, and the queen's just cleaning around

0:17:23.960 --> 0:17:27.800
<v Speaker 1>basically like ah ha um, and you know, popping off

0:17:27.800 --> 0:17:30.159
<v Speaker 1>to reproduce when she feels like it. But there is

0:17:30.200 --> 0:17:35.240
<v Speaker 1>a genetic change, single genetic change that means that these

0:17:35.280 --> 0:17:39.600
<v Speaker 1>worker bees can become queens and they start to just

0:17:39.640 --> 0:17:43.639
<v Speaker 1>sit around, you know, cleaning it up, and eventually the

0:17:43.720 --> 0:17:48.119
<v Speaker 1>hive starts to collapse under the weight of all these cheaters,

0:17:48.880 --> 0:17:51.440
<v Speaker 1>and it's just a single genetic change that enables them

0:17:51.440 --> 0:17:54.520
<v Speaker 1>to do this. And actually some of these queens will

0:17:54.560 --> 0:17:56.800
<v Speaker 1>go off to other hives and start to infect them

0:17:56.840 --> 0:17:59.840
<v Speaker 1>and turn them into cheaters as well, and it's almost

0:17:59.840 --> 0:18:04.000
<v Speaker 1>like a bee cancer, I suppose, because ultimately it leads

0:18:04.040 --> 0:18:06.919
<v Speaker 1>to the destruction of the hive. And you say, well,

0:18:07.359 --> 0:18:09.840
<v Speaker 1>why would the bees have this, Why would it be

0:18:09.960 --> 0:18:14.040
<v Speaker 1>so fragile that one genetic change can disrupt it like this?

0:18:14.440 --> 0:18:16.720
<v Speaker 1>And it turns out that where the bees live it's very,

0:18:16.800 --> 0:18:19.600
<v Speaker 1>very windy, So there's a risk that if you just

0:18:19.640 --> 0:18:22.200
<v Speaker 1>have one queen and that's all you get, your queen

0:18:22.240 --> 0:18:24.680
<v Speaker 1>could get blown off course and you might lose he

0:18:24.800 --> 0:18:29.119
<v Speaker 1>totally and then your hive would collapse anyway. So the

0:18:29.200 --> 0:18:33.560
<v Speaker 1>ability to flip into queen mode it's really useful for

0:18:33.600 --> 0:18:37.199
<v Speaker 1>the bees for their evolutionary survival, but it comes with

0:18:37.240 --> 0:18:41.520
<v Speaker 1>a risk. And it's the same with cells. So we

0:18:41.600 --> 0:18:44.720
<v Speaker 1>need to be able to make new cells. You need

0:18:44.800 --> 0:18:48.200
<v Speaker 1>to regenerate millions of cells in your body every day,

0:18:48.520 --> 0:18:51.760
<v Speaker 1>millions of cells in your skin, your blood, your bowel.

0:18:52.040 --> 0:18:54.520
<v Speaker 1>You need to be able to heal yourself. If you're wounded,

0:18:54.720 --> 0:18:57.200
<v Speaker 1>you need to be able to grow from one cell

0:18:57.640 --> 0:19:01.920
<v Speaker 1>into an adult human. Cells need to reproduce, they need

0:19:01.960 --> 0:19:05.640
<v Speaker 1>to do stuff. Flip side of that is that they

0:19:05.640 --> 0:19:08.080
<v Speaker 1>can sometimes go out of control because it's the same

0:19:08.119 --> 0:19:11.360
<v Speaker 1>mechanisms that make cells grow and multiply in the right

0:19:11.400 --> 0:19:15.320
<v Speaker 1>way that they kind of harness and hijack when they

0:19:15.320 --> 0:19:18.159
<v Speaker 1>decide to cheat and grow out of control in the

0:19:18.160 --> 0:19:21.320
<v Speaker 1>wrong way. So that's interesting. You're sort of showing how

0:19:21.760 --> 0:19:25.000
<v Speaker 1>cancer is one side of an evolutionary balance where on

0:19:25.000 --> 0:19:28.080
<v Speaker 1>one hand, you've got you know, as your ability to

0:19:28.160 --> 0:19:31.520
<v Speaker 1>do something good goes up, the risks associated with those

0:19:31.560 --> 0:19:34.280
<v Speaker 1>same genes that code for that also go up. So

0:19:34.440 --> 0:19:36.719
<v Speaker 1>we know on one side what the downside is. We

0:19:36.720 --> 0:19:40.360
<v Speaker 1>can see tumors and cancer. And you're saying that the

0:19:40.359 --> 0:19:45.480
<v Speaker 1>the the goods that make those risks worthwhile are basically

0:19:45.480 --> 0:19:48.399
<v Speaker 1>being able to proliferate quickly in in cell growth. And

0:19:48.480 --> 0:19:50.440
<v Speaker 1>this would have to do not just with growth in youth,

0:19:50.480 --> 0:19:53.399
<v Speaker 1>but in healing and things like that. Yeah, exactly, And

0:19:53.440 --> 0:19:56.639
<v Speaker 1>you see this. This starts to explain the differences across

0:19:56.680 --> 0:20:00.520
<v Speaker 1>species because if you if you cut a mouse, mice

0:20:00.600 --> 0:20:05.600
<v Speaker 1>heal amazingly fast. Their cells just basically knit themselves back together.

0:20:05.680 --> 0:20:09.919
<v Speaker 1>It's it's absolutely incredible. Um. One of the stories that

0:20:09.960 --> 0:20:12.119
<v Speaker 1>I discovered when I was talking to a researcher in

0:20:12.160 --> 0:20:14.320
<v Speaker 1>Santa Barbara who's trying to work with the animals in

0:20:14.320 --> 0:20:17.720
<v Speaker 1>the zoo to understand their cancer risks. She's she went

0:20:17.760 --> 0:20:19.120
<v Speaker 1>to the zoo and said, can I get a little

0:20:19.119 --> 0:20:21.639
<v Speaker 1>bit of skin from your giant tortoise? And they were like,

0:20:21.720 --> 0:20:25.440
<v Speaker 1>hell no, we cut a tortoise. It takes a year

0:20:25.480 --> 0:20:29.680
<v Speaker 1>to heal, and tortoises live for a very long time.

0:20:29.760 --> 0:20:33.639
<v Speaker 1>They're incredibly cancer resistant, but they the flip side of

0:20:33.640 --> 0:20:37.200
<v Speaker 1>that is that they don't heal very easily. So humans

0:20:37.240 --> 0:20:39.640
<v Speaker 1>again somewhere in the middle. We don't heal as fast

0:20:39.680 --> 0:20:43.600
<v Speaker 1>as mice. We live much longer than mice. So there's

0:20:43.760 --> 0:20:46.159
<v Speaker 1>there's all of this stuff is a trade off about

0:20:46.160 --> 0:20:49.640
<v Speaker 1>the evolutionary journey that your species has taken. And one

0:20:49.640 --> 0:20:51.320
<v Speaker 1>of the things that I sort of took this to

0:20:51.359 --> 0:20:56.040
<v Speaker 1>its logical conclusion, and I was like, if there's aliens,

0:20:56.720 --> 0:21:01.240
<v Speaker 1>aliens would get cancer. There's very unlikely that they would

0:21:01.280 --> 0:21:05.800
<v Speaker 1>not if they obey the general rules of evolution, And

0:21:06.000 --> 0:21:09.600
<v Speaker 1>this idea that, like cells, organisms living in a society

0:21:09.720 --> 0:21:13.000
<v Speaker 1>behave according to the rules of that we know make

0:21:13.040 --> 0:21:16.000
<v Speaker 1>a good society. I don't think there's any reason why

0:21:16.040 --> 0:21:19.600
<v Speaker 1>aliens wouldn't get cancer. She's like, that's a bit of

0:21:19.640 --> 0:21:21.680
<v Speaker 1>a that was a bit of a sort of late

0:21:21.760 --> 0:21:27.480
<v Speaker 1>night thought. I think, because all that's necessary is that

0:21:27.720 --> 0:21:31.320
<v Speaker 1>they exist by cell division, right, I mean that's pretty

0:21:31.359 --> 0:21:33.639
<v Speaker 1>much it. Yeah, yeah, exactly if you have cells and

0:21:33.640 --> 0:21:36.399
<v Speaker 1>your cells are doing cell division, and also if you

0:21:36.520 --> 0:21:40.400
<v Speaker 1>have evolution by natural selection, which is basically the engine

0:21:40.880 --> 0:21:44.719
<v Speaker 1>that drives cells to to proliferate and be selected for

0:21:44.800 --> 0:21:47.760
<v Speaker 1>and to keep going, and species to keep proliferating and

0:21:47.840 --> 0:21:52.439
<v Speaker 1>keeping going, then yeah, you probably could get cancer. And

0:21:52.480 --> 0:21:56.080
<v Speaker 1>that's what we generally see across the entire animal kingdom. Well,

0:21:56.320 --> 0:21:58.800
<v Speaker 1>thinking about aliens getting cancer makes me think of another

0:21:58.880 --> 0:22:01.439
<v Speaker 1>interesting part of your book, would was about difficulties in

0:22:01.520 --> 0:22:06.440
<v Speaker 1>classifying what appears to be some form of uncontrolled cell

0:22:06.520 --> 0:22:10.879
<v Speaker 1>growth in animals, or even not animals, other organisms that

0:22:10.920 --> 0:22:13.200
<v Speaker 1>are very different from us. So can you look at

0:22:13.280 --> 0:22:15.760
<v Speaker 1>what's going on in a clam and say that it

0:22:15.840 --> 0:22:19.520
<v Speaker 1>has cancer? Yeah? Probably, But what about a mushroom or

0:22:19.560 --> 0:22:24.480
<v Speaker 1>in an algae or something yeah, this was This was interesting. So,

0:22:24.880 --> 0:22:28.399
<v Speaker 1>you know, what is cancer and when is cancer is

0:22:28.440 --> 0:22:32.400
<v Speaker 1>an interesting question. And when you get to more organized animals,

0:22:32.400 --> 0:22:36.879
<v Speaker 1>and particularly mammals, we define invasive cancers as cancers that

0:22:36.960 --> 0:22:39.600
<v Speaker 1>kind of break through the sort of molecular I guess

0:22:39.600 --> 0:22:42.199
<v Speaker 1>you'd call it like saran wrap that's around your organs

0:22:42.240 --> 0:22:45.160
<v Speaker 1>and your tissues. They break through this membrane, and that's

0:22:45.160 --> 0:22:49.120
<v Speaker 1>what we call invasive cancer. But really, you know, the

0:22:49.119 --> 0:22:52.400
<v Speaker 1>phenomenon of cells growing out of control is all over

0:22:52.440 --> 0:22:54.120
<v Speaker 1>the place. You can see it in plants when they

0:22:54.119 --> 0:22:57.040
<v Speaker 1>get gals. You can see it in in fungi. You

0:22:57.080 --> 0:22:58.919
<v Speaker 1>can see it in all sorts of things. And what

0:22:59.000 --> 0:23:03.719
<v Speaker 1>are the interesting quest ens is you know something like endometriosis,

0:23:03.760 --> 0:23:06.640
<v Speaker 1>which is a condition where you get rogue tissue within

0:23:06.680 --> 0:23:09.400
<v Speaker 1>the body and it's sort of it grows and its

0:23:09.400 --> 0:23:12.359
<v Speaker 1>spreads and it bleeds and it's very very painful. It's like,

0:23:12.600 --> 0:23:17.120
<v Speaker 1>but that's not cancer, it's not invasive. But actually, when

0:23:17.119 --> 0:23:18.880
<v Speaker 1>you look at that kind of tissue, it has lots

0:23:18.920 --> 0:23:21.200
<v Speaker 1>and lots of the kind of mutations and changes we'd

0:23:21.200 --> 0:23:25.239
<v Speaker 1>expect to find in cancer. But that's not cancer, and

0:23:25.280 --> 0:23:30.280
<v Speaker 1>that's in humans. So this this idea that mutations, it's

0:23:30.359 --> 0:23:34.200
<v Speaker 1>not just what makes cancer. Uncontrolled cell growth is not

0:23:34.280 --> 0:23:39.920
<v Speaker 1>just what makes cancer. It's it's sort of this this invasive, aggressive,

0:23:40.000 --> 0:23:45.880
<v Speaker 1>evolving characteristic that really is what we can classify as

0:23:46.400 --> 0:23:49.320
<v Speaker 1>as cancer. All Right, we're going to take a quick break,

0:23:49.320 --> 0:23:55.640
<v Speaker 1>but we'll be right back. And we're back. So maybe

0:23:55.640 --> 0:23:58.600
<v Speaker 1>we should shift to talking about the history of our

0:23:58.680 --> 0:24:02.440
<v Speaker 1>understanding of the approximate causes or maybe better to say,

0:24:02.440 --> 0:24:05.440
<v Speaker 1>the risk factors for cancer where it comes from, whether

0:24:05.520 --> 0:24:09.560
<v Speaker 1>that's there's an hereditary component and an environmental component. Uh,

0:24:09.640 --> 0:24:11.840
<v Speaker 1>there's a part in the book where you mentioned this

0:24:11.920 --> 0:24:15.479
<v Speaker 1>thing that was called the Daily Mail Oncology Ontology blog,

0:24:15.800 --> 0:24:19.080
<v Speaker 1>which I really appreciated because so the idea was this

0:24:19.160 --> 0:24:21.760
<v Speaker 1>was an attempted list of all the things that either

0:24:21.880 --> 0:24:25.399
<v Speaker 1>cause or cure cancer, according to the Daily Mail. And

0:24:25.480 --> 0:24:27.399
<v Speaker 1>that made me say, I've got to admit something. I

0:24:27.800 --> 0:24:30.320
<v Speaker 1>read a lot of science and medical news from my work,

0:24:30.440 --> 0:24:33.560
<v Speaker 1>and I have all but completely turned off my recognition

0:24:33.600 --> 0:24:37.320
<v Speaker 1>system for articles about, you know, new supposed causes or

0:24:37.400 --> 0:24:41.119
<v Speaker 1>cures for cancer, because this was already like a cliche

0:24:41.240 --> 0:24:43.600
<v Speaker 1>to the point of being a hack joke for comedians

0:24:43.600 --> 0:24:47.320
<v Speaker 1>in the nineteen nineties. Is there something we should learn

0:24:47.400 --> 0:24:50.240
<v Speaker 1>from this, like the way that we get this conditioned

0:24:50.359 --> 0:24:54.479
<v Speaker 1>kind of numb reaction to these types of news stories. Yeah,

0:24:54.720 --> 0:24:56.640
<v Speaker 1>that's we used to get a lot of that when

0:24:56.640 --> 0:24:58.760
<v Speaker 1>I was at cancer a set k. You know, I

0:24:58.760 --> 0:25:02.840
<v Speaker 1>think the stupid this one was that water gives you cancer,

0:25:03.640 --> 0:25:06.399
<v Speaker 1>and also that turning on turning on the light at

0:25:06.560 --> 0:25:09.879
<v Speaker 1>night to go to the bathroom gives you cancer. So

0:25:10.600 --> 0:25:13.880
<v Speaker 1>you know this, this is really really frustrating. So there's

0:25:13.960 --> 0:25:16.200
<v Speaker 1>kind of a couple of there's a couple of things

0:25:16.200 --> 0:25:19.480
<v Speaker 1>to dissect because it's also comes down to like what

0:25:19.480 --> 0:25:24.080
<v Speaker 1>what is actually the nature of cancer? And the way

0:25:24.119 --> 0:25:25.960
<v Speaker 1>that cancer has been thought about for a very long

0:25:26.000 --> 0:25:28.639
<v Speaker 1>time is according to what scientists like to call the

0:25:28.640 --> 0:25:32.200
<v Speaker 1>somatic mutation theory of cancer. So this is this idea

0:25:32.240 --> 0:25:35.720
<v Speaker 1>that cells pick up changes in their DNA and their

0:25:35.720 --> 0:25:38.280
<v Speaker 1>genome that the instructions that they used to do what

0:25:38.320 --> 0:25:41.760
<v Speaker 1>they do. They pick up these changes, these mutations, and

0:25:41.880 --> 0:25:44.280
<v Speaker 1>that enables them to do more bad things. And then

0:25:44.280 --> 0:25:45.960
<v Speaker 1>they pick up more and they do more bad things.

0:25:46.440 --> 0:25:50.760
<v Speaker 1>So it's this gradual accumulation of nasty mutations turns nice,

0:25:50.800 --> 0:25:55.360
<v Speaker 1>well behaved cells into aggressive cancer cells. And we can

0:25:55.520 --> 0:26:00.959
<v Speaker 1>start to see some of the characteristic fingerprints that different

0:26:01.040 --> 0:26:04.280
<v Speaker 1>agents leave in the genome. So we can see, for example,

0:26:04.640 --> 0:26:07.560
<v Speaker 1>cigarette smoke or ultra violet light from the sun, we

0:26:07.640 --> 0:26:11.960
<v Speaker 1>can see those characteristic fingerprints of damage in the genome.

0:26:13.080 --> 0:26:17.040
<v Speaker 1>What that doesn't necessarily tell us because when you start

0:26:17.080 --> 0:26:19.760
<v Speaker 1>looking closely at a cancer or even in fact at

0:26:19.920 --> 0:26:24.240
<v Speaker 1>normal tissue, you start to see these changes and mutations everywhere.

0:26:25.160 --> 0:26:28.360
<v Speaker 1>So this kind of simplistic model that it's a hit

0:26:28.440 --> 0:26:29.720
<v Speaker 1>in this green and a hit in this green, and

0:26:29.720 --> 0:26:30.800
<v Speaker 1>a hit in the stree and a hit in the

0:26:30.840 --> 0:26:32.480
<v Speaker 1>street in a bang, that you've got a cancer cell

0:26:33.840 --> 0:26:38.000
<v Speaker 1>is nonsense because loads of healthy cells such as peppered

0:26:38.000 --> 0:26:42.119
<v Speaker 1>with mutations and loads of things do damage our DNA,

0:26:42.720 --> 0:26:47.480
<v Speaker 1>and that's kind of like it's mostly fine. So it's

0:26:47.480 --> 0:26:50.360
<v Speaker 1>a bit more of a sophisticated understanding of yes, there

0:26:50.400 --> 0:26:54.639
<v Speaker 1>are things that damage DNA. A lot of them we

0:26:54.720 --> 0:26:57.000
<v Speaker 1>know about, some of them we don't know about yet.

0:26:57.400 --> 0:26:59.639
<v Speaker 1>Researchers are trying to figure out, you know, how do

0:26:59.680 --> 0:27:02.359
<v Speaker 1>we match chuck these signatures of damage to things that

0:27:02.400 --> 0:27:06.840
<v Speaker 1>are in the environment alas mostly the most single, most

0:27:06.920 --> 0:27:10.120
<v Speaker 1>damaging thing you can do for your DNA is breathe oxygen,

0:27:11.520 --> 0:27:14.920
<v Speaker 1>literally just being alive. The processes of life in your

0:27:14.920 --> 0:27:20.240
<v Speaker 1>cells damage your DNA unfortunately. But then if all your

0:27:20.280 --> 0:27:23.560
<v Speaker 1>cells are to some extent, you know, more or less

0:27:24.040 --> 0:27:27.160
<v Speaker 1>messed up. Everyone's got a few mutations here and there,

0:27:27.320 --> 0:27:31.040
<v Speaker 1>some more than others. What is it then that tips

0:27:31.040 --> 0:27:34.480
<v Speaker 1>a cell into becoming a cancer cell? If everyone's a

0:27:34.560 --> 0:27:39.080
<v Speaker 1>bit weird, what makes that cheating cell kind of slip

0:27:39.200 --> 0:27:43.760
<v Speaker 1>the bonds of good society and really start going for it?

0:27:44.520 --> 0:27:48.639
<v Speaker 1>And that really is is an evolutionary question that cell

0:27:48.680 --> 0:27:52.960
<v Speaker 1>has involved the capacity to do that, And so I

0:27:52.960 --> 0:27:55.800
<v Speaker 1>think it's it's far too simplistic to say, oh, well,

0:27:55.880 --> 0:27:58.960
<v Speaker 1>you know your cancer was absolutely caused by smoking, that

0:27:59.119 --> 0:28:01.679
<v Speaker 1>was it. It's like, well, that was a risk factor

0:28:02.080 --> 0:28:05.920
<v Speaker 1>and it certainly didn't help, but there were many other things.

0:28:06.040 --> 0:28:09.000
<v Speaker 1>And also many people who do smoke don't get cancer.

0:28:09.520 --> 0:28:12.199
<v Speaker 1>So it's like we've got to be more sophisticated in

0:28:12.359 --> 0:28:16.600
<v Speaker 1>understanding what makes normal cells become damaged and what makes

0:28:16.680 --> 0:28:20.399
<v Speaker 1>kind of sad cells become really bad cells. Yeah, this

0:28:20.480 --> 0:28:24.479
<v Speaker 1>is an important point about thinking about risk factors instead

0:28:24.520 --> 0:28:27.359
<v Speaker 1>of causes. And I know that that's it's infuriating to

0:28:27.400 --> 0:28:29.680
<v Speaker 1>people especially. I think if you don't have a lot

0:28:29.720 --> 0:28:34.399
<v Speaker 1>of like training in a statistics oriented field, that it

0:28:34.520 --> 0:28:37.760
<v Speaker 1>just doesn't feel very comfortable to think about, especially something

0:28:37.800 --> 0:28:40.200
<v Speaker 1>that's a really important life and death issue like cancer

0:28:40.600 --> 0:28:43.400
<v Speaker 1>in terms of probabilities. You want to know like what

0:28:43.480 --> 0:28:46.640
<v Speaker 1>it was or what what did it? Yeah, exactly. I

0:28:46.680 --> 0:28:49.200
<v Speaker 1>think the best analogy that I really came up with is,

0:28:49.600 --> 0:28:52.840
<v Speaker 1>and this is spoilers. Now, if anyone's seen Agatha Christie's

0:28:52.880 --> 0:28:56.600
<v Speaker 1>murder on the Orient Express where and I am this

0:28:56.680 --> 0:28:58.520
<v Speaker 1>is a massive spoiler, but come on the books, like

0:28:58.840 --> 0:29:01.440
<v Speaker 1>really older should have read. Now see the movie with

0:29:01.480 --> 0:29:06.680
<v Speaker 1>Albert Finn's great But it's a murder, but all the

0:29:06.760 --> 0:29:10.720
<v Speaker 1>people involved they all have a stab, so you never

0:29:10.840 --> 0:29:16.080
<v Speaker 1>know who actually was the murderer. So it's it's kind

0:29:16.080 --> 0:29:18.560
<v Speaker 1>of like this. So you know, we have lots and

0:29:18.640 --> 0:29:20.920
<v Speaker 1>lots of genes that we know are implicated in cancer.

0:29:21.200 --> 0:29:23.200
<v Speaker 1>There are lots of things that can damage our DNA.

0:29:23.800 --> 0:29:27.560
<v Speaker 1>There are lots of things that can like improve the

0:29:27.720 --> 0:29:30.240
<v Speaker 1>environment of our tissues or not. We know that things

0:29:30.280 --> 0:29:33.360
<v Speaker 1>like you know, keeping keeping well and healthy and doing

0:29:33.360 --> 0:29:36.000
<v Speaker 1>all the boring healthy living stuff that helps to keep

0:29:36.080 --> 0:29:39.840
<v Speaker 1>your your body healthy, makes your cells more likely to

0:29:39.880 --> 0:29:43.960
<v Speaker 1>fall into line. But saying exactly like it was that thing,

0:29:44.240 --> 0:29:47.280
<v Speaker 1>you know it was, it was that sunny holiday in

0:29:47.320 --> 0:29:52.240
<v Speaker 1>marbea in that damage that skin cell that gave you cancer,

0:29:52.320 --> 0:29:55.120
<v Speaker 1>as I you know, that's that's simply not possible. So

0:29:55.240 --> 0:29:57.800
<v Speaker 1>trying to say oh, it's this, Oh it's that, do this,

0:29:57.920 --> 0:30:01.080
<v Speaker 1>don't do that, I think is it is not terribly

0:30:01.120 --> 0:30:03.920
<v Speaker 1>helpful because at some point we've just got to get

0:30:03.960 --> 0:30:06.160
<v Speaker 1>on and live and try and negotiate the risks that

0:30:06.200 --> 0:30:09.400
<v Speaker 1>we're happy with taking. Right at the same time, you

0:30:09.400 --> 0:30:12.920
<v Speaker 1>do point out how there are certain factors that increase

0:30:13.000 --> 0:30:16.360
<v Speaker 1>your likelihood so far above the baseline that maybe at

0:30:16.400 --> 0:30:18.760
<v Speaker 1>that point it even though you still can't quite say

0:30:18.800 --> 0:30:21.120
<v Speaker 1>it's a cause, it's something closer to a cause. And

0:30:21.240 --> 0:30:23.720
<v Speaker 1>one I think one common example given would be tobacco.

0:30:24.160 --> 0:30:27.240
<v Speaker 1>Remember you mentioned another example in the book about uh,

0:30:27.440 --> 0:30:31.920
<v Speaker 1>just chronic exposure dermal exposure to soot in chimney sweeps.

0:30:31.920 --> 0:30:36.680
<v Speaker 1>I believe it was. Yeah, this was the first example

0:30:37.040 --> 0:30:41.040
<v Speaker 1>of someone actually showing that something a substance in the

0:30:41.200 --> 0:30:44.640
<v Speaker 1>environment could increase the risk of cancer. And this is

0:30:44.720 --> 0:30:49.719
<v Speaker 1>an English surgeon called Percival Pot who had a purely professional,

0:30:49.800 --> 0:30:54.200
<v Speaker 1>interest in the scrutums of young boys, purely professional, because

0:30:54.200 --> 0:30:58.280
<v Speaker 1>he was interested in chimney sweeps in London. Now this

0:30:58.440 --> 0:31:02.160
<v Speaker 1>was in there, and chimney sweeps were basically sent naked

0:31:02.720 --> 0:31:05.600
<v Speaker 1>up the chimneys by gang masters to clean the chimneys.

0:31:05.600 --> 0:31:08.400
<v Speaker 1>So they were exposed to a lot of soot, and

0:31:08.720 --> 0:31:11.240
<v Speaker 1>they noticed that they started to get these cancers in

0:31:11.280 --> 0:31:13.960
<v Speaker 1>their genitals, and they were called soot warps, and these

0:31:13.960 --> 0:31:18.200
<v Speaker 1>were very very very nasty cancers, really horrible kind of stuff.

0:31:18.920 --> 0:31:22.880
<v Speaker 1>And Pot realized that it was the soot that these

0:31:22.880 --> 0:31:25.560
<v Speaker 1>boys were being exposed to that was causing these cancers.

0:31:25.640 --> 0:31:27.800
<v Speaker 1>And he said, right, you know, we've got to get

0:31:27.920 --> 0:31:30.440
<v Speaker 1>nice in Germany that all the chimney sweeps have these

0:31:30.520 --> 0:31:33.760
<v Speaker 1>nice kind of tight fitting uniforms so they weren't being

0:31:33.800 --> 0:31:35.719
<v Speaker 1>directly exposed on their skin. And he was like, right,

0:31:35.760 --> 0:31:38.160
<v Speaker 1>we've got to get those in. Got to protect these boys,

0:31:38.160 --> 0:31:42.440
<v Speaker 1>stop sending them naked up the chimneys. M Alas it

0:31:42.520 --> 0:31:45.960
<v Speaker 1>took over a hundred years for people to actually change

0:31:46.000 --> 0:31:48.960
<v Speaker 1>in Britain because the gang masters were like, no, those

0:31:49.240 --> 0:31:52.160
<v Speaker 1>those uniforms are too expensive. It'll make our sweeps too expensive,

0:31:52.280 --> 0:31:55.000
<v Speaker 1>you know, they're they're cheap, we don't really care. So

0:31:55.280 --> 0:31:58.920
<v Speaker 1>that was really tragic that they managed to link this

0:31:59.040 --> 0:32:02.720
<v Speaker 1>cause to these very horrible cancers, and there was something

0:32:02.720 --> 0:32:04.680
<v Speaker 1>that everyone knew could be done that was helping in

0:32:04.680 --> 0:32:08.560
<v Speaker 1>other countries and nope, nope, it didn't happen for a

0:32:08.680 --> 0:32:12.200
<v Speaker 1>very long time. Um. But yes, that Percival part is

0:32:12.280 --> 0:32:16.680
<v Speaker 1>kind of the father of this idea of external sources

0:32:16.720 --> 0:32:20.800
<v Speaker 1>of carcinogenic chemicals, I think, but I think it has

0:32:20.840 --> 0:32:24.440
<v Speaker 1>stuck in the imagination that like it's all external, it's

0:32:24.440 --> 0:32:27.280
<v Speaker 1>all from from something you've done, or something you've got,

0:32:27.400 --> 0:32:30.280
<v Speaker 1>or something you've touched or eaten or been exposed to.

0:32:30.720 --> 0:32:33.360
<v Speaker 1>Well to go to the other side. So there's a

0:32:33.400 --> 0:32:35.240
<v Speaker 1>part of your book where you explored I think we

0:32:35.280 --> 0:32:38.400
<v Speaker 1>actually mentioned this earlier about your podcast episode about Maud

0:32:38.480 --> 0:32:42.480
<v Speaker 1>Sly and Pauline gross and in the role, for example

0:32:42.480 --> 0:32:46.400
<v Speaker 1>of the research of maud Sly in establishing that there

0:32:46.520 --> 0:32:49.760
<v Speaker 1>is a hereditary component to cancer that I think at

0:32:49.800 --> 0:32:52.520
<v Speaker 1>the time you say that, you know, the primary argument

0:32:52.560 --> 0:32:56.200
<v Speaker 1>was about two different major theories of external causes, whether

0:32:56.320 --> 0:33:01.200
<v Speaker 1>cancer was caused primarily by inflammation or by infectious agents

0:33:01.200 --> 0:33:04.720
<v Speaker 1>and parasites. Is that correct. Yeah, So at the beginning

0:33:04.800 --> 0:33:07.560
<v Speaker 1>of the twentieth century, the early twentieth century, there was

0:33:07.600 --> 0:33:11.760
<v Speaker 1>this idea that cancer was either all caused by external

0:33:11.800 --> 0:33:16.440
<v Speaker 1>things like certain things in the environment, or it was viruses.

0:33:16.600 --> 0:33:19.760
<v Speaker 1>Mostly there were a couple of good examples in animals

0:33:20.160 --> 0:33:23.200
<v Speaker 1>where you could take viruses exposed the animals to them

0:33:23.200 --> 0:33:25.920
<v Speaker 1>and they would develop certain types of cancer. So the

0:33:26.280 --> 0:33:29.120
<v Speaker 1>first one was a guy called Peyton Rouse who discovered

0:33:29.360 --> 0:33:32.160
<v Speaker 1>a virus that caused cancer and chickens. So by the

0:33:32.240 --> 0:33:35.240
<v Speaker 1>sixties everyone was just obsessed with the idea that it

0:33:35.280 --> 0:33:39.360
<v Speaker 1>was viruses. And now you know, we really understand that

0:33:40.000 --> 0:33:43.480
<v Speaker 1>there are families that are affected by multiple cases of cancer,

0:33:43.520 --> 0:33:47.360
<v Speaker 1>that cancer can be to some extent influenced by the

0:33:47.440 --> 0:33:50.280
<v Speaker 1>genes we inherit. But really this was a wast a

0:33:50.320 --> 0:33:54.360
<v Speaker 1>completely separate, parallel strand running up through the first half

0:33:54.920 --> 0:33:57.920
<v Speaker 1>of the twentieth century, and it was work in mice

0:33:58.120 --> 0:34:01.400
<v Speaker 1>in families. In the podcast, we talk about the story

0:34:01.400 --> 0:34:03.600
<v Speaker 1>of mord Sly who bred all these mice together to

0:34:03.640 --> 0:34:06.360
<v Speaker 1>show cancer could be inherited, and then the story of

0:34:06.360 --> 0:34:08.520
<v Speaker 1>Pauline and Gross, who was a seam stress who meant

0:34:08.760 --> 0:34:11.880
<v Speaker 1>a scientist, and she said, you know I'm going to

0:34:11.960 --> 0:34:15.160
<v Speaker 1>die young, and he mapped out all her family because

0:34:15.360 --> 0:34:18.200
<v Speaker 1>so many members of her family were affected by the

0:34:18.239 --> 0:34:22.200
<v Speaker 1>same types of cancer. And it took, you know, decades

0:34:22.719 --> 0:34:26.080
<v Speaker 1>until they pinned down the particular gene fault that was responsible.

0:34:26.800 --> 0:34:29.800
<v Speaker 1>But yeah, they're all these lines were like running a

0:34:29.920 --> 0:34:33.840
<v Speaker 1>completely separate to each other until it all started to

0:34:33.920 --> 0:34:38.120
<v Speaker 1>coalesce together in this understanding that you know, there are

0:34:38.160 --> 0:34:41.160
<v Speaker 1>things that damage our genes. There are genes in ourselves

0:34:41.239 --> 0:34:44.839
<v Speaker 1>that make ourselves replicate that that stop ourselves from dying.

0:34:44.920 --> 0:34:47.839
<v Speaker 1>This is good normally, but they can go wrong. They

0:34:47.840 --> 0:34:50.920
<v Speaker 1>can be mutated, they can be changed, we can inherit

0:34:51.040 --> 0:34:54.560
<v Speaker 1>versions that affect their function. And it all sort of

0:34:54.600 --> 0:34:58.640
<v Speaker 1>started to coalesce into this very sensible idea of of

0:34:58.680 --> 0:35:01.959
<v Speaker 1>how cancer starts. But I think it just became very

0:35:02.120 --> 0:35:05.680
<v Speaker 1>very focused on the genes and the cells just yes,

0:35:05.800 --> 0:35:09.960
<v Speaker 1>single genes, shopping lists of genes and changes, and forgot

0:35:10.000 --> 0:35:13.400
<v Speaker 1>to look at this broader picture of the environment in

0:35:13.400 --> 0:35:16.560
<v Speaker 1>which cells are, the society in which they're living, how

0:35:16.600 --> 0:35:21.160
<v Speaker 1>they can interact with each other, cheat, overcome expand push

0:35:21.200 --> 0:35:24.640
<v Speaker 1>against each other. This more. I hate to use the

0:35:24.680 --> 0:35:27.680
<v Speaker 1>word holistic because it sounds really kind of hippy dippy,

0:35:27.719 --> 0:35:30.480
<v Speaker 1>but you know, it's it's part of our bodies. It's

0:35:30.480 --> 0:35:34.520
<v Speaker 1>not an external alien thing. These cells obey the rules

0:35:34.520 --> 0:35:36.919
<v Speaker 1>of our bodies to to a certain extent, they cheat

0:35:36.960 --> 0:35:40.160
<v Speaker 1>the rules to another extent, but it's all kind of

0:35:40.239 --> 0:35:44.000
<v Speaker 1>part of one piece. And we've just focused on on

0:35:44.200 --> 0:35:48.319
<v Speaker 1>genes and molecules for the past couple of decades. I think, far,

0:35:48.480 --> 0:35:50.759
<v Speaker 1>far too much. All right, we're going to take a

0:35:50.840 --> 0:35:54.319
<v Speaker 1>quick break, but will be right back with more than

0:35:56.400 --> 0:35:59.000
<v Speaker 1>all right, we're back. So you mentioned in the book

0:35:59.080 --> 0:36:02.960
<v Speaker 1>that you believe that the future of our resistance against

0:36:02.960 --> 0:36:05.840
<v Speaker 1>cancer and medical treatments of cancer are going to rely

0:36:06.040 --> 0:36:10.080
<v Speaker 1>on quote shifting towards a new way of evolutionary and

0:36:10.200 --> 0:36:14.880
<v Speaker 1>ecological thinking about cancer. So I assume there you're connecting

0:36:14.880 --> 0:36:16.840
<v Speaker 1>to the ideas you were just articulating. But could you

0:36:16.880 --> 0:36:20.040
<v Speaker 1>expand on what you mean by that. Yeah, So, as

0:36:20.080 --> 0:36:24.000
<v Speaker 1>all the sort of strands of cancer research over the

0:36:24.000 --> 0:36:26.680
<v Speaker 1>past that of one years started to coalesce on this

0:36:26.800 --> 0:36:30.080
<v Speaker 1>idea that that cancer starts when cells pick up certain

0:36:30.080 --> 0:36:34.040
<v Speaker 1>genetic mutations and they go out of control. And then

0:36:34.080 --> 0:36:36.279
<v Speaker 1>we started to get to this idea that then well,

0:36:36.320 --> 0:36:39.560
<v Speaker 1>the way you treat them if you find the molecules

0:36:39.600 --> 0:36:41.560
<v Speaker 1>the genes that are making them go out of control,

0:36:41.880 --> 0:36:43.880
<v Speaker 1>and you target them with drugs, and that's going to

0:36:43.960 --> 0:36:46.560
<v Speaker 1>be the way we're going to cure cancer. And there's

0:36:46.600 --> 0:36:52.840
<v Speaker 1>been so much, so much effort, money, research, time, patients, lives,

0:36:52.840 --> 0:36:56.919
<v Speaker 1>in clinical trials have gone into testing these very molecularly

0:36:57.000 --> 0:37:01.640
<v Speaker 1>targeted drugs, and you know, some in some cases there

0:37:01.640 --> 0:37:05.080
<v Speaker 1>have been incredible success stories. So for example, a drug

0:37:05.120 --> 0:37:08.960
<v Speaker 1>called gliveck for treating a certain type of leukemia is

0:37:09.000 --> 0:37:13.480
<v Speaker 1>incredibly successful. It targets a very specific genetic fault in

0:37:13.520 --> 0:37:17.360
<v Speaker 1>the cancer cells, and it is it was game changing

0:37:17.440 --> 0:37:21.239
<v Speaker 1>and it continues to be game changing. But lots and

0:37:21.320 --> 0:37:24.160
<v Speaker 1>lots of the other drugs that have been developed along

0:37:24.200 --> 0:37:29.640
<v Speaker 1>these lines, they have not transformed survival in the way

0:37:29.680 --> 0:37:32.239
<v Speaker 1>that we would hope they've They've eked out, you know,

0:37:32.280 --> 0:37:35.560
<v Speaker 1>in some cases months, in some cases, you know, a

0:37:35.560 --> 0:37:39.160
<v Speaker 1>few years. In one case, I saw a paper that

0:37:39.200 --> 0:37:43.759
<v Speaker 1>said nine days increase in survival with this particular incredibly

0:37:43.760 --> 0:37:48.760
<v Speaker 1>expensive targeted drug. And you're like, these are not cures.

0:37:49.400 --> 0:37:51.759
<v Speaker 1>These these are these are the magic bullets that we

0:37:51.760 --> 0:37:55.080
<v Speaker 1>were promised, and they are not cures. And in virtually

0:37:55.120 --> 0:37:58.680
<v Speaker 1>all these cases, the campcer comes back. And why does

0:37:58.719 --> 0:38:02.279
<v Speaker 1>it come back because of Charles flipping Darwin? You know,

0:38:02.400 --> 0:38:05.759
<v Speaker 1>it's it's evolution. You hit something, you get rid of

0:38:05.880 --> 0:38:08.879
<v Speaker 1>most of the cells that are sensitive, and you've still

0:38:08.920 --> 0:38:11.600
<v Speaker 1>got a core of resistance because you've got so much

0:38:11.719 --> 0:38:16.400
<v Speaker 1>genetic diversity in that population of cancer cells. And so

0:38:16.520 --> 0:38:19.920
<v Speaker 1>they start growing again, and this time they're resistant to

0:38:19.960 --> 0:38:23.400
<v Speaker 1>the drug. So maybe you try another drug, same thing happens.

0:38:23.680 --> 0:38:26.640
<v Speaker 1>You get rid of the sensitive cells, you've still got

0:38:26.640 --> 0:38:30.400
<v Speaker 1>a core of resistance, and they grow back, and eventually

0:38:30.520 --> 0:38:35.080
<v Speaker 1>you run out of options. And there's time now to

0:38:35.200 --> 0:38:40.440
<v Speaker 1>think about cancer in a much more evolutionary and ecological way,

0:38:40.480 --> 0:38:43.640
<v Speaker 1>as you say, thinking about well, if we know that

0:38:43.680 --> 0:38:46.520
<v Speaker 1>this process of evolution is at work, that if you

0:38:46.520 --> 0:38:49.359
<v Speaker 1>get rid of the sensitive cells, the resistant ones come back, Like, well,

0:38:49.360 --> 0:38:52.600
<v Speaker 1>why don't we try and approach this in a different way.

0:38:53.000 --> 0:38:55.480
<v Speaker 1>Why don't we try not to knock them all out?

0:38:55.520 --> 0:38:59.320
<v Speaker 1>Why don't we try and balance these populations, keep them suppressed,

0:38:59.440 --> 0:39:02.000
<v Speaker 1>keep them under control, much in the way that say

0:39:02.000 --> 0:39:05.280
<v Speaker 1>a farmer would try and control the pests in his crop,

0:39:05.520 --> 0:39:08.360
<v Speaker 1>rather than completely trying to nuke them all from orbit

0:39:08.440 --> 0:39:12.719
<v Speaker 1>or eradicate every single last grasshopper, you know, and understanding

0:39:13.040 --> 0:39:17.000
<v Speaker 1>the ecology the tissue biology, So you know, are you

0:39:17.040 --> 0:39:20.960
<v Speaker 1>actually causing more damage to tissues by treating with drugs

0:39:21.040 --> 0:39:24.239
<v Speaker 1>or radiotherapy or surgery. How can we minimize that so

0:39:24.280 --> 0:39:27.359
<v Speaker 1>that it doesn't encourage cells to to cheat even more

0:39:27.640 --> 0:39:32.160
<v Speaker 1>in a damaged environment. So it's this this idea is

0:39:32.160 --> 0:39:35.759
<v Speaker 1>starting to come through, But I think I think it

0:39:35.840 --> 0:39:39.480
<v Speaker 1>does take a bit of a subtle and sophisticated understanding

0:39:40.600 --> 0:39:46.239
<v Speaker 1>of cancer as an evolutionary process within the tissue environment

0:39:46.320 --> 0:39:49.520
<v Speaker 1>of the body, rather than just like these are some

0:39:50.160 --> 0:39:51.799
<v Speaker 1>rogue cells that have gone wrong and they're growing out

0:39:51.800 --> 0:39:53.040
<v Speaker 1>of control, and we just need to hit them with

0:39:53.160 --> 0:39:55.400
<v Speaker 1>enough magic bullets and they'll go away. You know, the

0:39:55.440 --> 0:40:00.200
<v Speaker 1>classic cure for cancer that we've almost been sold it's

0:40:00.239 --> 0:40:04.040
<v Speaker 1>I don't think it's it should look like that, um

0:40:04.080 --> 0:40:07.880
<v Speaker 1>because we tried that and it's not really working. So

0:40:07.920 --> 0:40:10.320
<v Speaker 1>I think we need to try a different approach. This

0:40:10.480 --> 0:40:14.239
<v Speaker 1>way of talking about tumors is reminding me of something

0:40:14.239 --> 0:40:16.200
<v Speaker 1>you mentioned earlier in the book actually, which I thought

0:40:16.280 --> 0:40:19.719
<v Speaker 1>was really interesting image that stuck with me. The idea

0:40:19.760 --> 0:40:23.400
<v Speaker 1>of a hypothetical hyper tumor. I'd never considered this before,

0:40:23.440 --> 0:40:27.080
<v Speaker 1>but the idea that a tumor can get a tumor. Yeah.

0:40:27.239 --> 0:40:31.520
<v Speaker 1>So again, it's the thing that really jumped out at

0:40:31.520 --> 0:40:36.440
<v Speaker 1>me researching this book is that cancer is a microcosm

0:40:36.480 --> 0:40:40.480
<v Speaker 1>of evolution. It's it's a crucible of evolution. A dumpster

0:40:40.560 --> 0:40:43.040
<v Speaker 1>fire of evolution is probably the best way of putting it.

0:40:43.239 --> 0:40:47.400
<v Speaker 1>Cancer is a dumpster fire of evolution, Thank you, um.

0:40:47.440 --> 0:40:52.040
<v Speaker 1>But yeah, everything, every innovation of life that you see

0:40:52.160 --> 0:40:58.640
<v Speaker 1>on Earth, cancer can evolve because you have a very large,

0:40:58.680 --> 0:41:02.600
<v Speaker 1>genetically diverse, popular lation of cells that have got lots

0:41:02.600 --> 0:41:06.279
<v Speaker 1>of opportunity to try stuff out. So you know, it's

0:41:06.320 --> 0:41:09.960
<v Speaker 1>not surprising that even within a horrible cheating atmosphere of

0:41:10.000 --> 0:41:13.920
<v Speaker 1>a cancer you might get some really really badass cells

0:41:13.960 --> 0:41:19.000
<v Speaker 1>that will start proliferating even more and actually suppress the

0:41:19.080 --> 0:41:23.680
<v Speaker 1>original tumor by just out competing them in a Darwinian sense.

0:41:24.280 --> 0:41:28.640
<v Speaker 1>And then there's some really wild things that I discovered.

0:41:28.680 --> 0:41:34.960
<v Speaker 1>So the most crazy innovation is that a guy is

0:41:35.000 --> 0:41:38.319
<v Speaker 1>a guy called Kenneth Pienta in Baltimore has discovered that

0:41:38.360 --> 0:41:42.120
<v Speaker 1>cancer cells have invented how to have sex. This this

0:41:42.360 --> 0:41:46.479
<v Speaker 1>really blew my mind. Because the implications are massive. Here.

0:41:47.360 --> 0:41:50.040
<v Speaker 1>We have this idea that cancer cells they just they

0:41:50.080 --> 0:41:53.480
<v Speaker 1>reproduced basically by splitting into that's fine, you know you

0:41:53.480 --> 0:41:55.400
<v Speaker 1>have one cancer cell, it becomes two, it becomes for

0:41:55.920 --> 0:41:58.480
<v Speaker 1>all of that kind of thing. There's no transfer of

0:41:58.560 --> 0:42:03.279
<v Speaker 1>information between cells and after that. But he's discovered with

0:42:03.320 --> 0:42:09.400
<v Speaker 1>these prostate cancer cells that they fuse together and become

0:42:09.440 --> 0:42:13.280
<v Speaker 1>resistant to treatments. And then they start kind of budding

0:42:13.280 --> 0:42:16.960
<v Speaker 1>off little cells that are resistant to treatment. And you're like,

0:42:17.800 --> 0:42:21.680
<v Speaker 1>what you know that looks like sex, I mean for

0:42:21.719 --> 0:42:23.799
<v Speaker 1>a very poor value of sex, but that you know,

0:42:23.840 --> 0:42:27.120
<v Speaker 1>that's the biological process of Sex's two cells fusing together

0:42:27.840 --> 0:42:33.680
<v Speaker 1>and and creating more. And you're like, whoa, because that's

0:42:33.680 --> 0:42:37.880
<v Speaker 1>a way of genetically combining forces. And again it's an

0:42:37.880 --> 0:42:42.320
<v Speaker 1>evolutionary innovation. Sex has evolved on this planet multiple times.

0:42:42.719 --> 0:42:46.160
<v Speaker 1>You know, it's not unheard of. And if you have

0:42:46.280 --> 0:42:49.239
<v Speaker 1>enough rolls of that dice, as might happen in in

0:42:49.280 --> 0:42:53.080
<v Speaker 1>a cancer you know, weird, weird, weird, our stuff is

0:42:53.080 --> 0:42:57.720
<v Speaker 1>going to happen in there. Um. It's just it really

0:42:57.800 --> 0:43:02.400
<v Speaker 1>is mind blowing. Every innovation of life. Cancer cells, you know,

0:43:02.680 --> 0:43:06.600
<v Speaker 1>at some point somewhere might have a go at. And

0:43:06.680 --> 0:43:09.719
<v Speaker 1>so when I realized this, when I realized that, you know,

0:43:10.239 --> 0:43:12.319
<v Speaker 1>cells can have sex, cells can do all these kind

0:43:12.320 --> 0:43:15.520
<v Speaker 1>of crazy evolutionary things. They can smash their chromosomes out,

0:43:15.520 --> 0:43:17.800
<v Speaker 1>they can glue themselves back together. It's all kind of crazy.

0:43:18.760 --> 0:43:24.719
<v Speaker 1>And then I started learning about the thing that was

0:43:24.800 --> 0:43:30.120
<v Speaker 1>just really incredible. So, right, imagine there's a disaster movie happening. Right,

0:43:30.200 --> 0:43:33.520
<v Speaker 1>you know what happens in a disaster movie. Everything's going wrong.

0:43:33.760 --> 0:43:35.680
<v Speaker 1>You've got the guy and you've got the girl, and

0:43:36.239 --> 0:43:39.360
<v Speaker 1>what do you do when your world's ending, right, You

0:43:39.400 --> 0:43:42.680
<v Speaker 1>have sex basically, So that's like a last ditch attempt

0:43:43.000 --> 0:43:45.279
<v Speaker 1>for cancer cells to try and come up with some

0:43:45.400 --> 0:43:48.319
<v Speaker 1>kind of evolutionary innovations that are going to get them

0:43:48.320 --> 0:43:51.759
<v Speaker 1>out of trouble. But then there's one more thing that

0:43:51.920 --> 0:43:55.360
<v Speaker 1>happens at the end of a disaster movie, right, you

0:43:55.480 --> 0:43:59.960
<v Speaker 1>leave the planet. Sure, yeah, and like and cancer cell

0:44:00.280 --> 0:44:05.560
<v Speaker 1>do this, and this is absolutely incredible. So so this

0:44:05.640 --> 0:44:08.200
<v Speaker 1>is where we get to infectious cancer, the idea that

0:44:08.239 --> 0:44:12.680
<v Speaker 1>it could actually be contagious. Yeah, so this is this

0:44:12.719 --> 0:44:16.080
<v Speaker 1>is kind of spooky and scary because it's a very

0:44:16.120 --> 0:44:19.799
<v Speaker 1>medieval idea that cancer is contagious. That you catch it

0:44:19.840 --> 0:44:23.280
<v Speaker 1>from someone. And I will say that in certainly in humans,

0:44:23.280 --> 0:44:26.480
<v Speaker 1>there's no contagious cancers that we know of. But the

0:44:26.520 --> 0:44:30.799
<v Speaker 1>first example was the Tasmanian Devils. So this was back

0:44:30.840 --> 0:44:34.799
<v Speaker 1>in the nineties nineties. The Tasmanian Devils, they're all in Tasmania,

0:44:34.960 --> 0:44:38.240
<v Speaker 1>Southern Australia. They're very cute animals, but like they're evil.

0:44:39.120 --> 0:44:42.239
<v Speaker 1>They're very you know, they're they're placid more or less

0:44:42.239 --> 0:44:46.239
<v Speaker 1>around humans, but they absolutely hate each other. So when

0:44:46.320 --> 0:44:49.880
<v Speaker 1>you get to Tasmanian devils together, they're just like, really,

0:44:49.920 --> 0:44:54.880
<v Speaker 1>go for it now, biting each other's faces. And researchers

0:44:54.920 --> 0:44:58.719
<v Speaker 1>started to notice that these animals were getting big tumors

0:44:58.719 --> 0:45:02.160
<v Speaker 1>in their faces and in some cases it was killing them,

0:45:02.200 --> 0:45:05.600
<v Speaker 1>and that they're already endangered as it is, and this

0:45:05.719 --> 0:45:09.799
<v Speaker 1>cancer started sweeping through the populations and I was like,

0:45:09.840 --> 0:45:13.239
<v Speaker 1>oh no, what we're going to do. And a woman

0:45:13.280 --> 0:45:15.840
<v Speaker 1>in Australia, she was working for the for the government

0:45:15.880 --> 0:45:18.760
<v Speaker 1>in a hospital. She's she was looking at cancer samples

0:45:18.760 --> 0:45:21.360
<v Speaker 1>from humans and looking at the chromosomes. It was a

0:45:21.360 --> 0:45:23.880
<v Speaker 1>way back then of identifying the kind of cancer you

0:45:23.960 --> 0:45:28.200
<v Speaker 1>might have. And so she started looking at these Tasmania

0:45:28.239 --> 0:45:31.920
<v Speaker 1>devil cancer samples. Now, the thing about human cancers is

0:45:32.000 --> 0:45:35.080
<v Speaker 1>every human cancer is a one off. It's a unique

0:45:35.280 --> 0:45:38.319
<v Speaker 1>evolutionary event. It starts in you, it grows a new

0:45:38.360 --> 0:45:40.680
<v Speaker 1>it evolves in you, and it it dies in you

0:45:40.920 --> 0:45:43.759
<v Speaker 1>one way or the other. When she was looking at

0:45:43.800 --> 0:45:51.320
<v Speaker 1>these devil cancers, like they're all the same from every animal.

0:45:52.040 --> 0:45:55.919
<v Speaker 1>The chromosomes were absolutely the same, and it's like, that

0:45:56.920 --> 0:46:00.480
<v Speaker 1>does not happen. That is that? And she was like,

0:46:01.360 --> 0:46:05.080
<v Speaker 1>this is a contagious cancer and uh. And eventually they

0:46:05.160 --> 0:46:06.960
<v Speaker 1>kind of pinned it down and it said, yes, it

0:46:07.080 --> 0:46:11.200
<v Speaker 1>was cancer cells transmitting from one devil to another through

0:46:11.239 --> 0:46:14.759
<v Speaker 1>that mechanism of biting and fighting and scratching. So it's

0:46:14.800 --> 0:46:17.080
<v Speaker 1>a you need with a contagious cancer. You need to

0:46:17.080 --> 0:46:19.839
<v Speaker 1>have a mechanism of transfer to get the cells from

0:46:19.880 --> 0:46:23.759
<v Speaker 1>one organism to the other. So with the devils, it

0:46:23.800 --> 0:46:27.279
<v Speaker 1>was it was biting and fighting. Um. And then there

0:46:27.320 --> 0:46:31.160
<v Speaker 1>was another cancer, contagious cancer, which were allowed to talk

0:46:31.160 --> 0:46:36.640
<v Speaker 1>about dog genitals. Oh yeah, just I just did so. Yeah,

0:46:36.640 --> 0:46:42.080
<v Speaker 1>so there's a dog genital cancer called canine venereal tumor

0:46:42.600 --> 0:46:47.240
<v Speaker 1>as CTBT and so yeah, it's again when when dogs

0:46:47.239 --> 0:46:50.080
<v Speaker 1>have sex. It's not pretty, but they get kind of

0:46:50.080 --> 0:46:55.080
<v Speaker 1>tied together in the the gentleman and lady department, and

0:46:55.440 --> 0:46:58.360
<v Speaker 1>that can cause some injury. So again you have a

0:46:58.400 --> 0:47:01.359
<v Speaker 1>mechanism for cancer cells to try its fer from one

0:47:01.400 --> 0:47:06.160
<v Speaker 1>dog to the other. And this cancer it transmits through populations.

0:47:06.239 --> 0:47:10.000
<v Speaker 1>And there's a woman called Elizabeth Murchison who's in Cambridge University.

0:47:10.040 --> 0:47:13.160
<v Speaker 1>She started studying the devils and then she started studying

0:47:13.160 --> 0:47:16.680
<v Speaker 1>these dogs and they discovered that these cancer cells in

0:47:16.719 --> 0:47:20.160
<v Speaker 1>the dogs have been around for thousands of years. The

0:47:20.239 --> 0:47:25.120
<v Speaker 1>first dog with that cancer lived and died thousands of

0:47:25.200 --> 0:47:28.640
<v Speaker 1>years ago, and it's gone all over the world. And

0:47:28.719 --> 0:47:32.279
<v Speaker 1>that's like, it's like the oldest I don't know, it's

0:47:32.320 --> 0:47:36.840
<v Speaker 1>like the oldest mammal. I suppose. It's just incredible. Um

0:47:36.880 --> 0:47:39.319
<v Speaker 1>this they've worked out what kind of dog it was.

0:47:39.520 --> 0:47:40.920
<v Speaker 1>It was, you know, a little kind of dog with

0:47:41.000 --> 0:47:45.320
<v Speaker 1>like pointy ears and a sandy coat, and it's amazing.

0:47:46.040 --> 0:47:48.560
<v Speaker 1>So when you're saying it's the oldest mammal, in a way,

0:47:48.600 --> 0:47:50.800
<v Speaker 1>you're saying that the tumor is in a sense of

0:47:50.920 --> 0:47:54.080
<v Speaker 1>part of that original dog. It is that dog. It

0:47:54.200 --> 0:47:57.959
<v Speaker 1>is that dog's body exactly the tumor arose in the dog.

0:47:58.280 --> 0:48:00.760
<v Speaker 1>It's got the genome of the oridge, an old dog,

0:48:00.840 --> 0:48:04.200
<v Speaker 1>like seriously messed up, I mean, and these cancers are

0:48:04.200 --> 0:48:08.440
<v Speaker 1>now evolving independently in different dog populations all over the world.

0:48:08.520 --> 0:48:13.600
<v Speaker 1>But yeah, it's it's an incredibly long lived organism. I suppose,

0:48:13.680 --> 0:48:17.000
<v Speaker 1>so that that was one devil cancer which was relatively

0:48:17.040 --> 0:48:19.400
<v Speaker 1>recent a dog cancer, and then they found a new

0:48:19.600 --> 0:48:24.080
<v Speaker 1>second devil tumor that had arisen even more recently. So

0:48:24.120 --> 0:48:26.200
<v Speaker 1>that's very unlucky for the devils. And they think it's

0:48:26.200 --> 0:48:30.040
<v Speaker 1>because again they're quite an inbred population, so with this

0:48:30.040 --> 0:48:33.759
<v Speaker 1>this fighty bity mechanism of transfer, so you've got quite

0:48:33.840 --> 0:48:38.000
<v Speaker 1>high probability that this might happen. And then there's all

0:48:38.040 --> 0:48:42.520
<v Speaker 1>these weird shellfish that have cancer and seem to transfer

0:48:42.680 --> 0:48:46.480
<v Speaker 1>it between each other by shedding cancer cells into the sea,

0:48:47.400 --> 0:48:52.880
<v Speaker 1>which is just disgusting. Um. It has made me rethink

0:48:53.000 --> 0:48:56.680
<v Speaker 1>my idea of swimming. But there's some really incredible examples

0:48:56.800 --> 0:49:00.160
<v Speaker 1>of transmissible cancers in nature. And again I think the

0:49:00.200 --> 0:49:02.719
<v Speaker 1>more we look, the more we're going to find. You know,

0:49:02.760 --> 0:49:05.000
<v Speaker 1>each one of these papers just gets published and less

0:49:05.040 --> 0:49:08.080
<v Speaker 1>and less impressive journal is more and more, more and

0:49:08.120 --> 0:49:12.200
<v Speaker 1>more turn up. But there are some examples in humans,

0:49:12.200 --> 0:49:14.920
<v Speaker 1>and I talk about a couple in the book. So

0:49:15.000 --> 0:49:19.680
<v Speaker 1>there's one which is they're absolutely horrendous. Is a guy

0:49:19.760 --> 0:49:23.000
<v Speaker 1>called Chester Southam who was in New York, I think

0:49:23.000 --> 0:49:27.360
<v Speaker 1>in the fifties, and he was doing experiments on prisoners,

0:49:28.080 --> 0:49:32.080
<v Speaker 1>mostly black prisoners in the US, people in care homes

0:49:32.719 --> 0:49:35.680
<v Speaker 1>can existing cancer patients. People are very desperate and not

0:49:35.719 --> 0:49:39.480
<v Speaker 1>consenting to these experiments properly, and he was putting cancer

0:49:39.480 --> 0:49:43.760
<v Speaker 1>cells into them and in some cases they did developed humors.

0:49:43.800 --> 0:49:46.600
<v Speaker 1>Mostly they didn't, which shows the human immune system will

0:49:46.719 --> 0:49:50.600
<v Speaker 1>fight these cells off, but some of them did. And

0:49:50.640 --> 0:49:54.360
<v Speaker 1>also there's a very sad story of a woman who

0:49:55.280 --> 0:49:58.399
<v Speaker 1>developed melanoma. And at the time, this is around about

0:49:58.400 --> 0:50:00.759
<v Speaker 1>the sixties, I think it was an idea that you

0:50:00.840 --> 0:50:05.600
<v Speaker 1>could transplant some cancer cells into someone to get an

0:50:05.600 --> 0:50:10.440
<v Speaker 1>immune reaction going uh, and then give that kind of

0:50:10.440 --> 0:50:12.520
<v Speaker 1>blood back to the patient and it would help to

0:50:12.520 --> 0:50:15.680
<v Speaker 1>treat their cancer. It's sort of an early idea immunotherapy,

0:50:16.160 --> 0:50:19.560
<v Speaker 1>so basically getting someone's donor immune system to generate some

0:50:19.600 --> 0:50:23.400
<v Speaker 1>antibodies to neutralize the cancer when you donated them. And

0:50:23.520 --> 0:50:25.879
<v Speaker 1>so this woman's mother said all right, I'll do this.

0:50:26.239 --> 0:50:29.280
<v Speaker 1>You transplant me with a bit of my daughter's cancer,

0:50:30.040 --> 0:50:32.840
<v Speaker 1>I'll generate the antibodies, and then you can take my

0:50:32.840 --> 0:50:36.520
<v Speaker 1>blood and give it to her. And unfortunately, the daughter

0:50:36.800 --> 0:50:41.200
<v Speaker 1>actually passed away very quickly, and a few weeks later

0:50:41.960 --> 0:50:44.600
<v Speaker 1>it was discovered that the mother actually did have the

0:50:44.640 --> 0:50:47.759
<v Speaker 1>cancer growing in her and and then shortly after that,

0:50:47.800 --> 0:50:50.960
<v Speaker 1>the mother passed away from the cancer that had killed

0:50:50.960 --> 0:50:55.040
<v Speaker 1>her daughter. And you're like, it's rare. Um and probably

0:50:55.080 --> 0:50:59.960
<v Speaker 1>because they were related, you overcome the problems of immune rejection,

0:51:00.120 --> 0:51:05.719
<v Speaker 1>but you're like, oh, well, it could happen. Ah. And

0:51:05.760 --> 0:51:12.000
<v Speaker 1>then there's the most absolutely disgusting one, which is this

0:51:12.080 --> 0:51:19.080
<v Speaker 1>is really sad and awful but also gross. Um. So,

0:51:19.080 --> 0:51:21.800
<v Speaker 1>there was a man who walks into an HIV clinic

0:51:22.200 --> 0:51:26.759
<v Speaker 1>in Colombia complaining of feeling very unwell. And so he

0:51:26.840 --> 0:51:29.520
<v Speaker 1>had HIV for a long time, so his immune system

0:51:29.600 --> 0:51:33.319
<v Speaker 1>was very suppressed. He hadn't been taking his medication, and

0:51:33.360 --> 0:51:35.680
<v Speaker 1>he was feeling very unwell. And they looked in his

0:51:35.719 --> 0:51:39.680
<v Speaker 1>body and they found all these little nodules in his

0:51:39.800 --> 0:51:44.080
<v Speaker 1>body and and they were like, well, these don't look

0:51:44.120 --> 0:51:48.040
<v Speaker 1>like human cells. This is very weird, and well, maybe

0:51:48.040 --> 0:51:50.840
<v Speaker 1>it's a parasite or something. And they gave him some

0:51:50.840 --> 0:51:53.239
<v Speaker 1>some treatment, and he went away and and he came

0:51:53.280 --> 0:51:55.000
<v Speaker 1>back and he's like, it's still no better, and there's

0:51:55.040 --> 0:51:58.120
<v Speaker 1>more and more of these weird things. And they looked

0:51:58.120 --> 0:52:02.640
<v Speaker 1>more closely, they got them analyzed, and it was he'd

0:52:02.640 --> 0:52:06.920
<v Speaker 1>been infected by tapeworm, but the tape worm had a

0:52:07.000 --> 0:52:13.240
<v Speaker 1>cancer and the cancer had infected the man. And you're like, whoa,

0:52:14.120 --> 0:52:19.160
<v Speaker 1>that is a just the stuff of nightmares. Um. Be

0:52:19.600 --> 0:52:22.160
<v Speaker 1>highlights how powerful the human immune system is at the

0:52:22.200 --> 0:52:25.080
<v Speaker 1>best of times. And see it's like, oh my god.

0:52:26.360 --> 0:52:29.960
<v Speaker 1>You know, also tape worms can get cancer, so it

0:52:30.040 --> 0:52:32.839
<v Speaker 1>sort of highlights a lot of the principles at work here.

0:52:33.080 --> 0:52:36.160
<v Speaker 1>And very sad for that man, but unfortunately he couldn't

0:52:36.160 --> 0:52:40.319
<v Speaker 1>be treated in the time. Um and it's like, this

0:52:40.400 --> 0:52:46.520
<v Speaker 1>is an incredible biological phenomenon really that we were only

0:52:46.600 --> 0:52:49.719
<v Speaker 1>just starting to understand. Yeah, I mean, these are all

0:52:50.400 --> 0:52:53.680
<v Speaker 1>just unbelievable examples. And and go in the column of

0:52:54.440 --> 0:52:56.640
<v Speaker 1>you know, the case you make that we should shift

0:52:56.680 --> 0:52:59.919
<v Speaker 1>towards that thinking of cancer in an evolutionary and ecological

0:53:00.000 --> 0:53:03.839
<v Speaker 1>way instead of a purely molecular way. So if that's

0:53:03.880 --> 0:53:07.680
<v Speaker 1>the dark side. What about thinking about cancer and an

0:53:07.680 --> 0:53:11.239
<v Speaker 1>evolutionary and ecological way gives you hope? Do you see

0:53:11.440 --> 0:53:15.319
<v Speaker 1>lines of research extending from that framework that give you

0:53:15.320 --> 0:53:18.719
<v Speaker 1>hope for the future and of cancer treatment and and

0:53:18.840 --> 0:53:22.319
<v Speaker 1>the fight against cancer. Yeah, so you know, you can

0:53:22.360 --> 0:53:24.960
<v Speaker 1>get very sort of nihilistic about this, and I, oh, yeah,

0:53:25.080 --> 0:53:29.040
<v Speaker 1>resistance always emerges. Evolution is is so powerful. But then

0:53:29.080 --> 0:53:32.040
<v Speaker 1>I look at the kind of researchers that are really

0:53:32.560 --> 0:53:36.200
<v Speaker 1>getting to grips with evolutionary therapy, and it's a growing bunch.

0:53:36.680 --> 0:53:39.200
<v Speaker 1>It's all started, particularly I think from the Mopic Cancer

0:53:39.280 --> 0:53:43.120
<v Speaker 1>Center in Tampa and Florida and a man called Bob

0:53:43.120 --> 0:53:46.000
<v Speaker 1>Gattenby and his team there, and they are just really

0:53:46.040 --> 0:53:51.480
<v Speaker 1>incredible people. So I mean, I'm a biologist, I am biased,

0:53:51.560 --> 0:53:55.720
<v Speaker 1>I will say against mathematicians and physicists. But it turns

0:53:55.719 --> 0:53:58.840
<v Speaker 1>out the secret the secret weapon in the war on

0:53:58.920 --> 0:54:02.840
<v Speaker 1>cancer is as So there you go. So he's brought

0:54:02.840 --> 0:54:07.480
<v Speaker 1>together all these mathematicians and biologists and they're actually doing

0:54:08.080 --> 0:54:13.200
<v Speaker 1>evolutionary modeling on cancer populations, trying to understand the rise

0:54:13.280 --> 0:54:17.240
<v Speaker 1>and the fall of resistant and sensitive cells, trying to go, okay,

0:54:17.400 --> 0:54:20.640
<v Speaker 1>if if resistance is going to emerge when you treat.

0:54:21.320 --> 0:54:24.400
<v Speaker 1>Can we predict how that's going to happen? How do

0:54:24.520 --> 0:54:29.480
<v Speaker 1>we kind of let cell populations balance them cells out

0:54:29.520 --> 0:54:33.319
<v Speaker 1>and stay in control rather than just you know, nuke

0:54:33.360 --> 0:54:36.120
<v Speaker 1>it from orbit, which is kind of the conventional idea

0:54:36.160 --> 0:54:40.640
<v Speaker 1>about cancer therapy. And so they've they've done a most

0:54:40.640 --> 0:54:44.600
<v Speaker 1>successful clinical trial so far as in prostate cancer and

0:54:44.680 --> 0:54:47.719
<v Speaker 1>it's it's an absolutely fascinating trial of an approach that

0:54:47.760 --> 0:54:51.239
<v Speaker 1>they call adaptive therapy. And the way it works is

0:54:51.560 --> 0:54:55.239
<v Speaker 1>you assume that within any cancer at any size, there

0:54:55.280 --> 0:54:58.200
<v Speaker 1>are going to be sensitive cells to the drug and

0:54:58.239 --> 0:55:00.400
<v Speaker 1>there's going to be resistant cells to the d and

0:55:00.400 --> 0:55:04.080
<v Speaker 1>it's a drug called abiratarone that they use. And so

0:55:04.120 --> 0:55:08.560
<v Speaker 1>what you do is you you also have to have

0:55:08.600 --> 0:55:11.960
<v Speaker 1>a marker that will tell you how much tumor is

0:55:11.960 --> 0:55:15.640
<v Speaker 1>in anyone's body at any given time. And for protect cancer,

0:55:15.640 --> 0:55:17.520
<v Speaker 1>we have quite a good marker. It's called p s A.

0:55:17.680 --> 0:55:19.759
<v Speaker 1>So you can look at someone's p s A level

0:55:19.840 --> 0:55:23.360
<v Speaker 1>in their bloodstream and say, okay, that's a proxy for

0:55:23.400 --> 0:55:26.440
<v Speaker 1>how much cancer is in their body. And so they

0:55:26.480 --> 0:55:31.120
<v Speaker 1>start treating this these men with prostate cancer advanced prostate cancer,

0:55:31.160 --> 0:55:34.640
<v Speaker 1>so they're there probably their their life expectancy is, you know,

0:55:34.680 --> 0:55:37.040
<v Speaker 1>about eighteen months on this drug before it starts to

0:55:37.080 --> 0:55:40.920
<v Speaker 1>get really gnarly for them. And and they treat them

0:55:40.960 --> 0:55:43.759
<v Speaker 1>with this drug and it starts to work and their

0:55:43.760 --> 0:55:47.600
<v Speaker 1>tumors start to shrink. And then the difficult bit is

0:55:47.719 --> 0:55:50.960
<v Speaker 1>you wait till it's shrunk to half the size it was,

0:55:52.520 --> 0:55:58.040
<v Speaker 1>and then you stop treating and you wait. So the

0:55:58.120 --> 0:56:00.920
<v Speaker 1>idea is you've knocked down all the insitive cells, or

0:56:00.960 --> 0:56:02.960
<v Speaker 1>as many of them as you. You feel the urge too,

0:56:03.200 --> 0:56:05.880
<v Speaker 1>and there's still some sensitive cells there which are keeping

0:56:05.920 --> 0:56:09.920
<v Speaker 1>the resistant cells in check. And then you wait and

0:56:09.960 --> 0:56:13.040
<v Speaker 1>you wait for them to grow back. But because being

0:56:13.080 --> 0:56:15.879
<v Speaker 1>resistant to the drug is kind of it's it's it's

0:56:15.880 --> 0:56:17.640
<v Speaker 1>not very good for you, these cells are less fit.

0:56:17.719 --> 0:56:19.840
<v Speaker 1>They struggled to grow as much. So it's the sensitive

0:56:19.840 --> 0:56:23.040
<v Speaker 1>cells that grow back, and so you treat them again.

0:56:23.480 --> 0:56:25.799
<v Speaker 1>And so you ride this kind of roller coaster of

0:56:26.440 --> 0:56:29.560
<v Speaker 1>start the drug, let the tumor shrink, stop the drug,

0:56:30.080 --> 0:56:33.480
<v Speaker 1>let the tumor grow. Start the drug, let the tumor shrink.

0:56:33.760 --> 0:56:35.760
<v Speaker 1>And they have men who have been on this regime

0:56:36.000 --> 0:56:39.680
<v Speaker 1>for four years, I mean gradually, in the end the

0:56:39.719 --> 0:56:43.080
<v Speaker 1>tumor does the cancer does start to evolve because that

0:56:43.120 --> 0:56:46.439
<v Speaker 1>population of resistant cells does start to get bigger, very

0:56:46.440 --> 0:56:49.319
<v Speaker 1>slightly every time. But this is you know, if this

0:56:49.400 --> 0:56:52.000
<v Speaker 1>was a drug and you were saying, I've gone from

0:56:52.120 --> 0:56:55.560
<v Speaker 1>average eighteen months through to four years, you know, if

0:56:55.600 --> 0:56:58.840
<v Speaker 1>this was a drug, the industry would just be throwing

0:56:58.840 --> 0:57:02.239
<v Speaker 1>itself trying to to get this, you know, get this

0:57:02.360 --> 0:57:04.440
<v Speaker 1>to the clinic, get this to work, get this to everyone.

0:57:05.239 --> 0:57:09.560
<v Speaker 1>So that was that was a really powerful demonstration of

0:57:09.680 --> 0:57:13.279
<v Speaker 1>an evolutionary therapy of understanding and accepting you've got these

0:57:13.280 --> 0:57:16.240
<v Speaker 1>cell populations in there and they're kind of how to

0:57:16.320 --> 0:57:21.520
<v Speaker 1>balance them. There are other sort of adaptive strategies, evolutionary strategies.

0:57:21.520 --> 0:57:23.840
<v Speaker 1>This one called the Suckers gambit, which is where you

0:57:23.880 --> 0:57:26.800
<v Speaker 1>treat cancer cells with a drug that you want them

0:57:26.800 --> 0:57:31.480
<v Speaker 1>to develop evolved resistance too. But you know that for

0:57:31.520 --> 0:57:34.800
<v Speaker 1>them to have evolved resistance, they have to have activated

0:57:34.880 --> 0:57:37.320
<v Speaker 1>certain molecular pathways, they have to have gone down an

0:57:37.360 --> 0:57:40.960
<v Speaker 1>evolutionary route in one direction, and then you hit them

0:57:40.960 --> 0:57:44.200
<v Speaker 1>with another drug that they can't get out of, so

0:57:44.240 --> 0:57:46.240
<v Speaker 1>you're sort of you you get them into a blind

0:57:46.280 --> 0:57:51.040
<v Speaker 1>evolutionary end. It's like a double punch. Yeah, exactly. You know,

0:57:51.080 --> 0:57:54.760
<v Speaker 1>there's there's lots of ideas out there about using the

0:57:54.840 --> 0:57:58.280
<v Speaker 1>drugs we have, maybe even using drugs that are less

0:57:59.160 --> 0:58:03.960
<v Speaker 1>less good I suppose less potent, less, less toxic, because

0:58:03.960 --> 0:58:07.000
<v Speaker 1>you don't want to just nuke everything. You want to

0:58:07.040 --> 0:58:09.960
<v Speaker 1>start thinking about how to balance cells, how to control

0:58:10.040 --> 0:58:14.680
<v Speaker 1>cell populations. But this comes to the really difficult thing,

0:58:14.800 --> 0:58:18.920
<v Speaker 1>which is the psychological element of this, because this is

0:58:18.960 --> 0:58:23.120
<v Speaker 1>not the cure for cancer that we were promised. This

0:58:23.200 --> 0:58:26.320
<v Speaker 1>is not the magic bullet, This is not eradicated from

0:58:26.360 --> 0:58:29.320
<v Speaker 1>your body. There may be some approaches where we actually

0:58:29.360 --> 0:58:32.160
<v Speaker 1>can and you know, the earlier you can diagnose cancer

0:58:32.440 --> 0:58:35.440
<v Speaker 1>if you can treat it with surgery. Um, some cancers

0:58:35.480 --> 0:58:39.720
<v Speaker 1>can be treated really effectively and cured at an early stage.

0:58:40.320 --> 0:58:43.919
<v Speaker 1>But for cancers, once that evolutionary process has really kicked off,

0:58:44.840 --> 0:58:48.760
<v Speaker 1>you have to approach them with an evolutionary mindset, and

0:58:48.840 --> 0:58:52.120
<v Speaker 1>that may mean driving them to extinction with the right

0:58:52.160 --> 0:58:55.960
<v Speaker 1>combination of sort of extinction events at the right time.

0:58:57.200 --> 0:59:00.760
<v Speaker 1>But it's a it's not going to be this kind

0:59:00.800 --> 0:59:04.720
<v Speaker 1>of perfect cure that I think people want, that we've

0:59:04.760 --> 0:59:07.760
<v Speaker 1>been led to expect, and it certainly won't be one

0:59:08.280 --> 0:59:11.919
<v Speaker 1>magic bullet drug that like, Yep, that's it. That's that's

0:59:11.920 --> 0:59:14.120
<v Speaker 1>the cure. That's it. We can now sell this and

0:59:14.120 --> 0:59:17.360
<v Speaker 1>give it to everyone because, as I said, you know,

0:59:17.760 --> 0:59:21.080
<v Speaker 1>every every individual cancer is a is a one off,

0:59:21.120 --> 0:59:25.760
<v Speaker 1>it's a special snowflake. It's an individual evolutionary event. So

0:59:25.920 --> 0:59:29.000
<v Speaker 1>we need to understand that where is it going, what's

0:59:29.040 --> 0:59:32.200
<v Speaker 1>it doing, what are what are the contingencies in there?

0:59:32.840 --> 0:59:35.800
<v Speaker 1>And how can we either drive this cancer to extinction

0:59:36.840 --> 0:59:39.400
<v Speaker 1>or drive it to a place where we can control

0:59:39.480 --> 0:59:43.160
<v Speaker 1>it for the rest of someone's natural lifespan. And you know,

0:59:43.240 --> 0:59:46.439
<v Speaker 1>that's not a cure for cancer, but to me, that's

0:59:46.560 --> 0:59:49.919
<v Speaker 1>you know, I think that's getting there. Yeah, I really

0:59:49.960 --> 0:59:52.720
<v Speaker 1>like that. Thinking of the body not like as a

0:59:52.800 --> 0:59:55.920
<v Speaker 1>malfunctioning car with a part that needs to be replaced

0:59:56.000 --> 0:59:59.919
<v Speaker 1>or fixed, but as an environment with natural populations within

1:00:00.040 --> 1:00:04.320
<v Speaker 1>it that in the relationships between them need to be managed. Yeah,

1:00:04.400 --> 1:00:07.800
<v Speaker 1>sort of tending the garden is the idea, but you

1:00:07.800 --> 1:00:11.080
<v Speaker 1>can take the ecological thing further. There are different sorts

1:00:11.120 --> 1:00:14.440
<v Speaker 1>of cancers, you know. Some are lush, exotic rainforests that

1:00:14.480 --> 1:00:16.720
<v Speaker 1>are really going for it. Some are arid deserts, some

1:00:16.800 --> 1:00:20.720
<v Speaker 1>are more like you know, kind of neatly tendered gardens.

1:00:20.800 --> 1:00:24.520
<v Speaker 1>But we've got to understand what each person's cancer is

1:00:24.960 --> 1:00:28.320
<v Speaker 1>really like and how it's behaving. Not just a shopping

1:00:28.320 --> 1:00:30.560
<v Speaker 1>list of mutations that you can try and fire magic

1:00:30.560 --> 1:00:36.600
<v Speaker 1>bullets at, but a much more holistic understanding and accepting

1:00:36.960 --> 1:00:40.360
<v Speaker 1>that evolution is going to happen, always has done. That's

1:00:40.400 --> 1:00:42.840
<v Speaker 1>why we're here, that's why the diversity of life is here.

1:00:43.440 --> 1:00:46.520
<v Speaker 1>But if we can harness it and work with it,

1:00:46.960 --> 1:00:49.280
<v Speaker 1>then I really think we can start to make some

1:00:49.320 --> 1:00:53.760
<v Speaker 1>progress in in some of these most difficult advanced cancers. Alright,

1:00:53.800 --> 1:00:55.640
<v Speaker 1>I guess we will wrap it up there. But again,

1:00:55.680 --> 1:00:59.360
<v Speaker 1>the book is Rebel Cell. It's a fantastic reed. We

1:00:59.360 --> 1:01:01.800
<v Speaker 1>we really think you'll like it. And also you can

1:01:01.880 --> 1:01:05.440
<v Speaker 1>check out cats podcast, the Genetics Unzipped podcast. Is there

1:01:05.440 --> 1:01:07.160
<v Speaker 1>anywhere else they should look for your work right now,

1:01:07.200 --> 1:01:14.000
<v Speaker 1>Cat um, my first book, Herding Hemmingway's Cats, is available.

1:01:14.440 --> 1:01:16.360
<v Speaker 1>I've got another book called How to Code a Human

1:01:17.000 --> 1:01:20.959
<v Speaker 1>and you can find me at on Twitter. I'm Cat

1:01:21.080 --> 1:01:25.600
<v Speaker 1>Underscore Arnie. Pretty much. Yeah, every everything's pretty much the

1:01:26.480 --> 1:01:28.720
<v Speaker 1>al Right, Well, that does it. Thanks again to Cat

1:01:28.800 --> 1:01:31.760
<v Speaker 1>Arnie for joining us for this discussion. Again, if you're

1:01:31.760 --> 1:01:33.480
<v Speaker 1>trying to look her up. You can find her on

1:01:33.520 --> 1:01:37.160
<v Speaker 1>Twitter at at k A T underscore A r n

1:01:37.160 --> 1:01:40.120
<v Speaker 1>e Y. And if you're looking for her book, Rebel

1:01:40.160 --> 1:01:44.600
<v Speaker 1>Cell Cancer, Evolution and the New Science of Life's Oldest Betrayal. UH.

1:01:44.680 --> 1:01:47.800
<v Speaker 1>The UK version is coming out on August six. The

1:01:47.920 --> 1:01:50.920
<v Speaker 1>US version is coming out on September twenty nine. You

1:01:50.920 --> 1:01:53.560
<v Speaker 1>can pre order now, I believe, if not, keep an

1:01:53.600 --> 1:01:56.160
<v Speaker 1>eye out for it, and you can also look it

1:01:56.240 --> 1:02:00.160
<v Speaker 1>up on her website at Rebel Cell book dot com

1:02:00.280 --> 1:02:02.640
<v Speaker 1>or check out her work on the Genetics on Zipped

1:02:02.680 --> 1:02:05.840
<v Speaker 1>podcast at Genetics on zip dot com. It's just such

1:02:05.880 --> 1:02:08.360
<v Speaker 1>a great book title. I just keep coming back to

1:02:08.400 --> 1:02:10.680
<v Speaker 1>how much I love that book title. It really is

1:02:10.720 --> 1:02:13.080
<v Speaker 1>great and uh, and it has some resonance throughout the

1:02:13.080 --> 1:02:16.160
<v Speaker 1>book with some other themes and metaphors she discusses in there,

1:02:16.240 --> 1:02:18.560
<v Speaker 1>such as the Society of Cells. So, Robert, I really

1:02:18.600 --> 1:02:20.360
<v Speaker 1>do recommend you read it if you get a chance.

1:02:20.400 --> 1:02:22.840
<v Speaker 1>I I really enjoyed this one, all right. I'll have

1:02:22.880 --> 1:02:26.800
<v Speaker 1>to look forward in September. In the meantime, everyone out

1:02:26.800 --> 1:02:29.280
<v Speaker 1>there would like to listen to additional episodes of Stuff

1:02:29.280 --> 1:02:32.160
<v Speaker 1>to Blow your mind, Well, you can find us absolutely

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1:02:43.160 --> 1:02:46.000
<v Speaker 1>of course, just tell people about the show. Huge thanks

1:02:46.000 --> 1:02:49.280
<v Speaker 1>as always to our excellent audio producer Seth Nicholas Johnson.

1:02:49.600 --> 1:02:51.160
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1:02:51.160 --> 1:02:53.560
<v Speaker 1>with feedback on this episode or any other, to suggest

1:02:53.560 --> 1:02:55.560
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1:02:55.800 --> 1:02:58.520
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