WEBVTT - Cancer and Evolution with Kat Arney

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<v Speaker 1>Welcome to Stuff to Blow Your Mind production of My

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<v Speaker 1>Heart Radio. Hey are you welcome to Stuff to Blow

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<v Speaker 1>Your Mind? My name is Robert Lamb and I'm Joe McCormick.

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<v Speaker 1>And today we're bringing you another interview that I conducted

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<v Speaker 1>last week while Robert was taking a break from work.

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<v Speaker 1>That's right. Once a year, I like to bury myself

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<v Speaker 1>in some sacred imported soil and allow my my body

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<v Speaker 1>to break down and then reconstitute itself so that I

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<v Speaker 1>can rise once more and be up to the challenges

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<v Speaker 1>of podcasting in this day and age. Today we are

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<v Speaker 1>going to be sharing the conversation that I had with

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<v Speaker 1>the British geneticist and science communicator cat Arnie talking about

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<v Speaker 1>her upcoming book, Rebel Cell Cancer Evolution in the New

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<v Speaker 1>Science of Life's Oldest Betrayal. So a little bit of

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<v Speaker 1>biographical information. Cat Arnie hosts the Genetta Unzipped podcast and

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<v Speaker 1>she holds a PhD in developmental genetics from Cambridge University.

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<v Speaker 1>She was a key part of the science communications team

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<v Speaker 1>at Cancer Research UK from two thousand four to co

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<v Speaker 1>founding the charity's award winning science blog and acting as

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<v Speaker 1>a principal media spokesperson She's also the author of Hurting

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<v Speaker 1>Hemmingway's Cats, Understanding How Our Genes Work and How to

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<v Speaker 1>Code a Human and she's written for Wired, The Daily Mail, Nature, Mosaic,

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<v Speaker 1>News Scientist and more, and has presented many BBC radio programs.

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<v Speaker 1>You can find Cat Arnie on Twitter at at cat

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<v Speaker 1>Underscore Arnie A r in E Y and UH. I

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<v Speaker 1>should note that the book is coming out at different

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<v Speaker 1>times in the UK in the US, so Rebel Cell

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<v Speaker 1>can be found in the UK starting on August six,

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<v Speaker 1>and then in the US I believe it's coming out

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<v Speaker 1>on September twenty nine, but you can go ahead and

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<v Speaker 1>preorder it online. All right, Well, I'm I'm in a

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<v Speaker 1>rare position here because I am just like the listeners

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<v Speaker 1>out there. I have not heard this interview yet myself,

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<v Speaker 1>so I am excited, uh to to to listen in

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<v Speaker 1>as she sheds light on this, uh, this fascinating topic.

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<v Speaker 1>Cat Arnie, thanks so much for joining us today on

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<v Speaker 1>the podcast. Thank you for having me. It's an absolute pleasure.

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<v Speaker 1>It's a pleasure to have someone on the show who

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<v Speaker 1>has not only written a great book, but you're 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 Genetic sun

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<v Speaker 1>Zipped podcast. I did have to say that through this

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<v Speaker 1>time we've we've deliberately made it a COVID free zone,

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<v Speaker 1>so it is currently a COVID free genetics podcast. So

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<v Speaker 1>that's been that's been a nice thing to do during

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<v Speaker 1>during this time. I gotta say I was listening to

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<v Speaker 1>one of your episodes of the Genetics sun Zip podcast,

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<v Speaker 1>the one about mount Sly and Pauline Gross, which I

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<v Speaker 1>thought was fantastic. Of course it connects to the book

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<v Speaker 1>that we're gonna be talking about today. So, uh, personal

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<v Speaker 1>endorsement from me of your podcast. Don't really like it,

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<v Speaker 1>thank you. Yeah, it's really fun. We we alternate. We

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<v Speaker 1>do sort of interviews with scientists who are working now

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<v Speaker 1>in genetics. But I also really like to go back

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<v Speaker 1>through those stories and and dig out, particularly the untold

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<v Speaker 1>women who were often they're doing the work, doing lots

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<v Speaker 1>and lots of stuff, incredibly detailed observations and breeding experiments,

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<v Speaker 1>and then basically didn't really get the credit for it

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<v Speaker 1>because until the middle of the twentieth century or later,

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<v Speaker 1>women weren't really respected as a scientist, so it's it's

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<v Speaker 1>just a wonderful exploration you come up with all these

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<v Speaker 1>incredible people, although, of course, in the early twentieth century

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<v Speaker 1>lots of them do turn out to be eugenicists, but

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<v Speaker 1>that's different. Podcast. Yeah, so I think maybe a good

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<v Speaker 1>place to start when talking about cancer. Of course, your

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<v Speaker 1>book is about cancer, and specifically a lot about the

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<v Speaker 1>genetics of cancer. I wanted to maybe start off by

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<v Speaker 1>talking about this strange kind of gut feeling or almost

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<v Speaker 1>superstition that somehow, unlike other diseases, cancer is a modern synthetic,

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<v Speaker 1>some kind of perversion in some way against nature, and

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<v Speaker 1>that it sometimes comes with this odd edge of moralism,

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<v Speaker 1>that cancer is not just unfortunate, but it's somehow decadent

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<v Speaker 1>in an indicator of something wrong with our age. Parts

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<v Speaker 1>of your book indicate to me that you've come up

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<v Speaker 1>against this kind of thinking a lot as well. What

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<v Speaker 1>do you think this sort of thinking signifies. I think

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<v Speaker 1>it's absolutely fascinating. Cancer is not a new disease, and

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<v Speaker 1>that really became abundantly clear to me. So, just as

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<v Speaker 1>a little bit of background, I spent twelve years working

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<v Speaker 1>at Cancer Research UK, the UK's biggest cancer charity, answering

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<v Speaker 1>lots of questions from the public, and all the time

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<v Speaker 1>this question comes up. It's like, why me, isn't it

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<v Speaker 1>just a modern disease? Oh, it's all this stuff in

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<v Speaker 1>the air, Oh it's stress. What what is it? And

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<v Speaker 1>you start to look into what cancer really is, and

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<v Speaker 1>it's it's ancient. It's hardwired into our biology because it's

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<v Speaker 1>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 of animal life on

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<v Speaker 1>this planet. But at the same time, when people start

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<v Speaker 1>to become aware of cancer as a disease, they start

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<v Speaker 1>to ask questions about, well, where did this come from?

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<v Speaker 1>Why has it affected me? You start to get the

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<v Speaker 1>Greek doctors, people like Hippocrates, who were writing about cancers

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<v Speaker 1>in their patients and saying, well, what what has caused it?

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<v Speaker 1>It must be the gods, it must be the humors.

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<v Speaker 1>Something is out of whack in here, and then you

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<v Speaker 1>start to get the slightly more religious thing of well

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<v Speaker 1>it is it's sins visited on us, it is something

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<v Speaker 1>to do with immorality, modern living. And then you bring

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<v Speaker 1>up to today this we don't necessarily have such a

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<v Speaker 1>strong religious view of it, but certainly the idea of

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<v Speaker 1>almost wellness as a religion. You've done something toxic to

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<v Speaker 1>yourself and that's why you you now have cancer, and

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<v Speaker 1>you look back at the history of cancer as a

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<v Speaker 1>biological phenomenon, and that's simply not true. You know. It's

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<v Speaker 1>it's basically like the dark side of life rather than

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<v Speaker 1>anything that we have particularly brought on ourselves in our

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<v Speaker 1>modern life. Yeah, that's one of the things I really

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<v Speaker 1>loved about your book was the way you how you

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<v Speaker 1>show cancer to be so fundamentally integrated with with with

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<v Speaker 1>life itself or I guess, multi cellular life. Um. And

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<v Speaker 1>so so maybe we should focus on on a couple

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<v Speaker 1>of these ideas in particular, one of them, I guess,

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<v Speaker 1>is the idea of modernity, right, the idea that that

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<v Speaker 1>cancer is something that was very rare until recently. You

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<v Speaker 1>make an argument against and people have argued this, but

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<v Speaker 1>you make an argument against this in the book, and

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<v Speaker 1>you cite some both some reasoning about why a lot

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<v Speaker 1>of cancers wouldn't necessarily show up in the kinds of

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<v Speaker 1>remains we can examine, and then pointing out examples that

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<v Speaker 1>we do find in fact, in the human record and

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<v Speaker 1>physical remains of human society and prehistory. Yeah, it's the

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<v Speaker 1>classic thing in biology that you find what you're looking for,

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<v Speaker 1>and people have not been looking for signs of cancer

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<v Speaker 1>in ancient remains. And the thing about cancer is that

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<v Speaker 1>that when you're thinking about ancient remains that we find,

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<v Speaker 1>mostly you're talking about bones, and particularly when you get

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<v Speaker 1>very ancient, you're talking about fossilized bones. And not every

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<v Speaker 1>cancer leaves its trace in the bones. So when you're

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<v Speaker 1>thinking about cancers that affect the soft tissue, you may

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<v Speaker 1>never see the traces of a cancer that killed someone. Also,

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<v Speaker 1>you know, ancient remains don't turn up in beautifully age

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<v Speaker 1>matched structured populations, so you can say, oh, this is

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<v Speaker 1>exactly the population that was alive at the time, this

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<v Speaker 1>is exactly the number of cancers in this population. I

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<v Speaker 1>think some people have argued that the fact that cancers

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<v Speaker 1>are rare in ancient humans is an argument that cancer

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<v Speaker 1>was very very rare. But I slightly feel the other

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<v Speaker 1>way around. I feel like the fact that the more

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<v Speaker 1>people start looking for cancers in human and animal remains

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<v Speaker 1>from from way way back, the more cancers they start

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<v Speaker 1>to find suggest that it was more common. We will

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<v Speaker 1>never know how how common it was, because you can't

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<v Speaker 1>do you know, a lovely epidemiological study on the sort

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<v Speaker 1>of stuff that you can get out of the ground.

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<v Speaker 1>You get what you get and you get on with it, basically.

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<v Speaker 1>But I do think that cancer is not an exclusively

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<v Speaker 1>modern disease. I will say, certainly it is more common

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<v Speaker 1>as we live longer. So another of the things I

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<v Speaker 1>go into later in the book is the idea that

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<v Speaker 1>there's almost a sort of a shooting up point. After

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<v Speaker 1>you have got to a certain age, your risk of

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<v Speaker 1>cancer does significantly go up. So if you think about

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<v Speaker 1>ancient populations when there were many, many, many more things

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<v Speaker 1>that we're going to kill you, your chances of getting

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<v Speaker 1>to an age where you could dive cancer before something

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<v Speaker 1>else got you worse smaller. So it's not surprising we

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<v Speaker 1>find fewer ancient remains with cancer. But when you think

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<v Speaker 1>about some children have been found with types of cancer

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<v Speaker 1>that are very very rare in populations, and the fact

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<v Speaker 1>that we have found them at all suggests that this

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<v Speaker 1>is a disease that has always been with us, and

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<v Speaker 1>it's not exclusively a confection of modernity. It's it's basically,

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<v Speaker 1>you know, it is with us and always has been.

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<v Speaker 1>And what about the part of the misconception that views

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<v Speaker 1>cancer is something that is uniquely kind of human and

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<v Speaker 1>maybe associated with uh, with the synthetic products of human

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<v Speaker 1>industry and all that. Like, this ties into the idea

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<v Speaker 1>that sharks don't get cancer, right, that there's a widespread

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<v Speaker 1>belief that that, for some reason, animals that don't engage,

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<v Speaker 1>you know, don't live in cities and drive cars and

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<v Speaker 1>eat processed food and stuff won't get cancer. But they do. Yeah,

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<v Speaker 1>And this really my mind. I can see over on

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<v Speaker 1>my bookshelf. I'm so tempted to go and grab it.

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<v Speaker 1>But there's a book where someone has gone through all

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<v Speaker 1>the different species that have been known to have cancer

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<v Speaker 1>in In some cases it's many examples, in some it's

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<v Speaker 1>just a few. But it's pages and pages and pages.

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<v Speaker 1>It's everything from like odd wolves to zebras, and almost

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<v Speaker 1>every branch of the animal kingdom develops cancer. There are

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<v Speaker 1>a couple of really weird exceptions. So one is comb jellies.

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<v Speaker 1>Comb jellyfish don't seem to get cancer, never been detected.

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<v Speaker 1>And also sponges really weirdly resistant to sponges. There's this

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<v Speaker 1>guy in in Arizona, guy called Carlo Malei, who is

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<v Speaker 1>zapping sponges with enormous amounts of radiation like that would

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<v Speaker 1>kill a human, and they're just fine. They just shrug

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<v Speaker 1>it off. So there are some species that are cancer resistant,

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<v Speaker 1>but pretty much everything else to a greater or lesser

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<v Speaker 1>extent is and humans aren't even the most susceptible species.

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<v Speaker 1>There are some that are much more susceptible to cancer

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<v Speaker 1>than humans are. So this idea that it's it's just

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<v Speaker 1>a modern disease, it's just a human disease, it just

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<v Speaker 1>doesn't stack up. You know. Yes, there are things that

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<v Speaker 1>we do in our modern lives that increase the risk

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<v Speaker 1>of cancer, and our lovely living to a nice old

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<v Speaker 1>age is a major risk factor. You know, Thank god

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<v Speaker 1>we don't all die in childbirth and of infectious diseases

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<v Speaker 1>before our tenth birthday. But you know, we are we

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<v Speaker 1>are not, you know, unique and wonderful when it comes

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<v Speaker 1>to cancer again, it's it is just part of life.

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<v Speaker 1>There are some other interesting observations you mentioned in your

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<v Speaker 1>book about what might create a specific propensity for cancer

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<v Speaker 1>in certain species versus others. Are One that I recall

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<v Speaker 1>is that you mentioned that it's cancer seems to be

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<v Speaker 1>more prevalent in species that have been through a genetic

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<v Speaker 1>bottleneck at some point in the relatively recent past. So like,

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<v Speaker 1>if their breeding population was reduced to a pretty small

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<v Speaker 1>number at some point, they tend to be more susceptible

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<v Speaker 1>to cancer. Is that correct? Yes, So that does seem

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<v Speaker 1>to be the case, which suggests that there are genetic

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<v Speaker 1>factors at work. Because if you shrink a population down

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<v Speaker 1>to a very small what's called an effective breeding size,

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<v Speaker 1>you've got quite a small population that's all breeding with

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<v Speaker 1>each other. You do start to get a pile up

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<v Speaker 1>of mutations being passed from generation to generation, which might

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<v Speaker 1>be increasing the risk of cancer. One of my favorite

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<v Speaker 1>species in this case is the Syrian hamster, which all

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<v Speaker 1>the Syrian hamsters pretty much that are in pets and

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<v Speaker 1>labs all over the world are descended from one litter

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<v Speaker 1>of hamsters, and they are incredibly cancer prone because they're

0:12:38.520 --> 0:12:43.240
<v Speaker 1>just massively in bread um. But yeah, every every species,

0:12:43.720 --> 0:12:47.079
<v Speaker 1>some more than others and some much less than others.

0:12:47.120 --> 0:12:51.600
<v Speaker 1>So elephants very surprisingly, you'd think when you think about

0:12:51.640 --> 0:12:55.800
<v Speaker 1>it logically, animals that are very very big, they have

0:12:55.920 --> 0:12:58.520
<v Speaker 1>lots of cells that they live for a very very

0:12:58.559 --> 0:13:02.120
<v Speaker 1>long time. You think that elephants should be riddled with

0:13:02.200 --> 0:13:04.559
<v Speaker 1>cancer by the time they die, but they are not.

0:13:04.640 --> 0:13:08.559
<v Speaker 1>They are amazingly resistant and really long lived animals like

0:13:08.679 --> 0:13:11.920
<v Speaker 1>bowhead whales, even some of the really long lived bats,

0:13:12.040 --> 0:13:15.920
<v Speaker 1>brand bats that live for forty years, very resistant to cancer.

0:13:16.840 --> 0:13:21.200
<v Speaker 1>So they have evolved mechanisms that enable them to live

0:13:21.240 --> 0:13:25.679
<v Speaker 1>these very long, luxury lifestyles and be resistant to cancer.

0:13:25.920 --> 0:13:29.000
<v Speaker 1>Whereas you have very small rodents, things that live fast

0:13:29.040 --> 0:13:31.800
<v Speaker 1>and die young. Why bother. You know, you're going to

0:13:31.840 --> 0:13:34.120
<v Speaker 1>be around for a couple of breeding seasons and then

0:13:34.120 --> 0:13:37.199
<v Speaker 1>you're out. And humans are kind of in the middle.

0:13:37.400 --> 0:13:40.720
<v Speaker 1>You know, we live for many decades, we reach our

0:13:40.800 --> 0:13:44.160
<v Speaker 1>child bearing years in between our sort of twenties to forties,

0:13:44.640 --> 0:13:46.880
<v Speaker 1>hang around for a bit after, and then the risk

0:13:46.920 --> 0:13:50.000
<v Speaker 1>of cancer does start to go up. So you know,

0:13:50.120 --> 0:13:53.160
<v Speaker 1>this is when you put humans in the context of

0:13:53.200 --> 0:13:57.240
<v Speaker 1>all of life, you start to understand how our evolution

0:13:57.320 --> 0:14:01.679
<v Speaker 1>as a species is in trance tied to our as

0:14:01.679 --> 0:14:04.400
<v Speaker 1>a species risk of cancer. But you do have to

0:14:04.440 --> 0:14:07.200
<v Speaker 1>separate that from personal risk of cancer as well, and

0:14:07.240 --> 0:14:08.839
<v Speaker 1>that's a that's kind of a bit hard to get

0:14:08.840 --> 0:14:13.480
<v Speaker 1>your head around. So we're talking about evolutionary risks versus

0:14:13.720 --> 0:14:17.880
<v Speaker 1>personal risks. So one of the most interesting ideas in

0:14:17.920 --> 0:14:21.480
<v Speaker 1>your book that that you keep returning to is a

0:14:21.520 --> 0:14:25.440
<v Speaker 1>framework for thinking about multicellular life through the analogy of

0:14:25.480 --> 0:14:30.840
<v Speaker 1>a society, that a multicellular organism is a society of cells.

0:14:31.000 --> 0:14:33.480
<v Speaker 1>Could you explain this way of thinking in some of

0:14:33.480 --> 0:14:38.640
<v Speaker 1>the implications that extend from it. Yeah, this really really

0:14:38.680 --> 0:14:42.480
<v Speaker 1>blew my mind when I started to understand this. So,

0:14:43.200 --> 0:14:46.720
<v Speaker 1>this idea of cells as a society, it goes about

0:14:46.880 --> 0:14:48.720
<v Speaker 1>quite a few decades. A lot of the things I

0:14:48.760 --> 0:14:51.560
<v Speaker 1>discovered while I was researching the book are quite old

0:14:51.640 --> 0:14:54.280
<v Speaker 1>ideas that have got, you know it, subsumed or left

0:14:54.280 --> 0:14:57.360
<v Speaker 1>behind in this this rush to just understand cancer as

0:14:57.400 --> 0:15:01.240
<v Speaker 1>a purely genetic disease. But the idea is that that

0:15:01.400 --> 0:15:06.320
<v Speaker 1>cells and organisms and individuals in a species, they live

0:15:06.680 --> 0:15:09.920
<v Speaker 1>in societies, and there are rules of societies at every

0:15:09.960 --> 0:15:12.680
<v Speaker 1>single level. You know things like do the job you're

0:15:12.680 --> 0:15:15.240
<v Speaker 1>meant to do, don't take more than you need, clean

0:15:15.320 --> 0:15:18.680
<v Speaker 1>up after yourself, all these kinds of things. There are

0:15:18.760 --> 0:15:23.160
<v Speaker 1>rules to societies that make societies work productively. And you

0:15:23.200 --> 0:15:26.880
<v Speaker 1>start to look around at groups of cells that are

0:15:26.920 --> 0:15:29.640
<v Speaker 1>in tissues and in organs in your body. You look

0:15:29.720 --> 0:15:34.880
<v Speaker 1>at societies like ants and bees. You look at colonies,

0:15:34.960 --> 0:15:39.480
<v Speaker 1>you look at troops of chimps and herds of deer,

0:15:39.560 --> 0:15:42.440
<v Speaker 1>and you look at human societies and they all work

0:15:42.520 --> 0:15:46.440
<v Speaker 1>in the same way. And this particularly an idea that

0:15:46.480 --> 0:15:49.240
<v Speaker 1>I was influenced by. There's a researcher in Arizona called

0:15:49.240 --> 0:15:53.880
<v Speaker 1>Athena Actipis, and she works a lot on social cooperation

0:15:54.040 --> 0:15:59.480
<v Speaker 1>and cheating and the idea that cancer cells basically cheat

0:15:59.760 --> 0:16:03.480
<v Speaker 1>in society. They are cheaters. They take more than they need,

0:16:03.760 --> 0:16:07.520
<v Speaker 1>they produce waste, they proliferate out of control, they don't

0:16:07.640 --> 0:16:11.680
<v Speaker 1>die when they're meant to. They are not good cells. Now,

0:16:11.800 --> 0:16:14.360
<v Speaker 1>if every cell in your society was doing that, it

0:16:14.360 --> 0:16:17.080
<v Speaker 1>would just be, you know, mad max style dystopia. Nothing

0:16:17.120 --> 0:16:20.640
<v Speaker 1>would work, your body would not function. But you can

0:16:20.680 --> 0:16:25.920
<v Speaker 1>get away with being a cancer cell and cheating and

0:16:26.200 --> 0:16:30.200
<v Speaker 1>keeping going and keeping going because to a certain extent,

0:16:30.320 --> 0:16:34.360
<v Speaker 1>cheaters do prosper, and it's the same in many animal societies.

0:16:34.360 --> 0:16:37.280
<v Speaker 1>So one of the lovely examples that I found was

0:16:38.120 --> 0:16:41.960
<v Speaker 1>these cape honey bees. So this just wonderful example. So

0:16:42.000 --> 0:16:46.280
<v Speaker 1>cape honeybees, they have a classic honeybee population structure. You

0:16:46.320 --> 0:16:48.280
<v Speaker 1>have the queen, and you have all the workers, the

0:16:48.360 --> 0:16:50.360
<v Speaker 1>female workers, but the queen is the only one who

0:16:50.360 --> 0:16:52.960
<v Speaker 1>gets to reproduce, and so all the workers are busy

0:16:53.040 --> 0:16:55.320
<v Speaker 1>doing all the work in the hive, and the queen's

0:16:55.400 --> 0:17:00.240
<v Speaker 1>just cleaning around basically like a um and you know,

0:17:00.360 --> 0:17:02.840
<v Speaker 1>popping off to reproduce when she feels like it. But

0:17:02.920 --> 0:17:06.800
<v Speaker 1>there is a genetic change, single genetic change that means

0:17:06.880 --> 0:17:12.440
<v Speaker 1>that these worker bees can become queens and they start

0:17:12.480 --> 0:17:15.720
<v Speaker 1>to just sit around, you know, queening it up, and

0:17:15.880 --> 0:17:19.800
<v Speaker 1>eventually the hive starts to collapse under the weight of

0:17:19.840 --> 0:17:23.760
<v Speaker 1>all these cheaters. And it's just a single genetic change

0:17:23.760 --> 0:17:26.560
<v Speaker 1>that enables them to do this. And actually some of

0:17:26.560 --> 0:17:29.080
<v Speaker 1>these queens will go off to other hives and start

0:17:29.080 --> 0:17:31.639
<v Speaker 1>to infect them and turn them into cheaters as well.

0:17:32.280 --> 0:17:36.200
<v Speaker 1>And it's almost like a bee cancer, I suppose, because

0:17:36.240 --> 0:17:39.119
<v Speaker 1>ultimately it leads to the destruction of the hive, and

0:17:39.240 --> 0:17:42.120
<v Speaker 1>you say, well, why would the bees have this, Why

0:17:42.400 --> 0:17:46.000
<v Speaker 1>would it be so fragile that one genetic change can

0:17:46.119 --> 0:17:48.480
<v Speaker 1>disrupt it like this? And it turns out that where

0:17:48.480 --> 0:17:51.679
<v Speaker 1>the bees live it's very, very windy. So there's a

0:17:51.760 --> 0:17:53.840
<v Speaker 1>risk that if you just have one queen and that's

0:17:53.880 --> 0:17:56.639
<v Speaker 1>all you get, your queen could get blown off course

0:17:57.000 --> 0:17:59.040
<v Speaker 1>and you might lose her totally, and then your hive

0:17:59.119 --> 0:18:04.440
<v Speaker 1>would collapse anyway. So the ability to flip into queen

0:18:04.520 --> 0:18:09.160
<v Speaker 1>mode it's really useful for the bees for their evolutionary survival,

0:18:09.440 --> 0:18:12.520
<v Speaker 1>but it comes with a risk. And it's the same

0:18:12.560 --> 0:18:15.960
<v Speaker 1>with cells. So we need to be able to make

0:18:16.119 --> 0:18:20.040
<v Speaker 1>new cells. You need to regenerate millions of cells in

0:18:20.080 --> 0:18:23.000
<v Speaker 1>your body every day, millions of cells in your skin,

0:18:23.400 --> 0:18:26.000
<v Speaker 1>your blood, your bowel. You need to be able to

0:18:26.040 --> 0:18:28.480
<v Speaker 1>heal yourself if you're wounded. You need to be able

0:18:28.520 --> 0:18:33.520
<v Speaker 1>to grow from one cell into an adult human. Cells

0:18:33.640 --> 0:18:37.160
<v Speaker 1>need to reproduce, they need to do stuff. Flip side

0:18:37.160 --> 0:18:39.760
<v Speaker 1>of that is that they can sometimes go out of

0:18:39.800 --> 0:18:43.000
<v Speaker 1>control because it's the same mechanisms that make cells grow

0:18:43.040 --> 0:18:46.320
<v Speaker 1>and multiply in the right way that they kind of

0:18:46.359 --> 0:18:49.880
<v Speaker 1>harness and hijack when they decide to cheat and grow

0:18:49.880 --> 0:18:52.880
<v Speaker 1>out of control in the wrong way. So that's interesting.

0:18:52.920 --> 0:18:56.080
<v Speaker 1>You're sort of showing how cancer is one side of

0:18:56.080 --> 0:18:59.480
<v Speaker 1>an evolutionary balance where on one hand, you've got you know,

0:19:00.000 --> 0:19:03.040
<v Speaker 1>as your ability to do something good goes up, the

0:19:03.200 --> 0:19:05.879
<v Speaker 1>risks associated with those same genes that code for that

0:19:06.000 --> 0:19:08.600
<v Speaker 1>also go up. So we know on one side what

0:19:08.720 --> 0:19:12.200
<v Speaker 1>the downside is. We can see tumors in cancer, and

0:19:12.280 --> 0:19:16.040
<v Speaker 1>you're saying that the the the goods that make those

0:19:16.160 --> 0:19:20.480
<v Speaker 1>risks worthwhile are basically being able to proliferate quickly in

0:19:20.840 --> 0:19:22.560
<v Speaker 1>cell growth. And this would have to do not just

0:19:22.600 --> 0:19:26.320
<v Speaker 1>with growth in youth, but in healing and things like that. Yeah, exactly,

0:19:26.359 --> 0:19:28.919
<v Speaker 1>And you see this. This starts to explain the differences

0:19:29.320 --> 0:19:33.000
<v Speaker 1>across species because if you if you cut a mouse,

0:19:33.280 --> 0:19:38.160
<v Speaker 1>mice heal amazingly fast. Their cells just basically knit themselves

0:19:38.160 --> 0:19:42.439
<v Speaker 1>back together. It's it's absolutely incredible. Um. One of the

0:19:42.480 --> 0:19:44.600
<v Speaker 1>stories that I discovered when I was talking to a

0:19:44.640 --> 0:19:46.879
<v Speaker 1>researcher in Santa Barbara who's trying to work with the

0:19:46.880 --> 0:19:50.440
<v Speaker 1>animals in the zoo to understand their cancer risks. She's

0:19:50.480 --> 0:19:51.840
<v Speaker 1>she went to the zoo and said, can I get

0:19:51.840 --> 0:19:54.280
<v Speaker 1>a little bit of skin from your giant tortoise, and

0:19:54.280 --> 0:19:57.560
<v Speaker 1>they were like, hell, no, cut a tortoise. It takes

0:19:57.600 --> 0:20:02.240
<v Speaker 1>a year to heal, and tortoises live for a very

0:20:02.280 --> 0:20:06.000
<v Speaker 1>long time. They are incredibly cancer resistance, but they the

0:20:06.040 --> 0:20:09.600
<v Speaker 1>flip side of that is that they don't heal very easily.

0:20:09.720 --> 0:20:12.280
<v Speaker 1>So humans again somewhere in the middle. We don't heal

0:20:12.320 --> 0:20:15.000
<v Speaker 1>as fast as mice. We live much longer than mice.

0:20:15.800 --> 0:20:18.680
<v Speaker 1>So there's there's all of this stuff is a trade

0:20:18.720 --> 0:20:22.000
<v Speaker 1>off about the evolutionary journey that your species has taken.

0:20:22.440 --> 0:20:24.200
<v Speaker 1>And one of the things that I sort of took

0:20:24.200 --> 0:20:27.920
<v Speaker 1>this to its logical conclusion, and I was like, if

0:20:27.960 --> 0:20:33.679
<v Speaker 1>there's aliens, aliens would get cancer, that there's very unlikely

0:20:33.800 --> 0:20:36.880
<v Speaker 1>that they would not if they obey the general rules

0:20:37.000 --> 0:20:41.960
<v Speaker 1>of evolution, and this idea that like cells, organisms living

0:20:42.000 --> 0:20:45.560
<v Speaker 1>in a society behave according to the rules of that

0:20:45.600 --> 0:20:48.400
<v Speaker 1>we know make a good society. I don't think there's

0:20:48.400 --> 0:20:52.320
<v Speaker 1>any reason why aliens wouldn't get cancer. She's like, that's

0:20:52.359 --> 0:20:54.280
<v Speaker 1>a bit of a that was a bit of a

0:20:54.320 --> 0:20:59.360
<v Speaker 1>sort of late night thought. I think, because all that's

0:20:59.400 --> 0:21:03.360
<v Speaker 1>necessary is that they exist by cell division, right, I mean,

0:21:03.359 --> 0:21:06.240
<v Speaker 1>that's pretty much it. Yeah, yeah, exactly, if you have

0:21:06.280 --> 0:21:08.960
<v Speaker 1>cells and your cells are doing cell division, and also

0:21:09.119 --> 0:21:12.760
<v Speaker 1>if you have evolution by natural selection, which is basically

0:21:12.840 --> 0:21:17.119
<v Speaker 1>the engine that drives cells to to proliferate and be

0:21:17.160 --> 0:21:20.040
<v Speaker 1>selected for and to keep going, and species to keep

0:21:20.119 --> 0:21:24.560
<v Speaker 1>proliferating and keeping going, then yeah, you probably could get cancer.

0:21:25.440 --> 0:21:29.200
<v Speaker 1>And that's what we generally see across the entire animal kingdom. Well,

0:21:29.400 --> 0:21:31.920
<v Speaker 1>thinking about aliens getting cancer makes me think of another

0:21:31.960 --> 0:21:34.520
<v Speaker 1>interesting part of your book, which was about difficulties in

0:21:34.600 --> 0:21:39.520
<v Speaker 1>classifying what appears to be some form of uncontrolled cell

0:21:39.560 --> 0:21:43.920
<v Speaker 1>growth in animals or even not animals, other organisms that

0:21:43.960 --> 0:21:46.240
<v Speaker 1>are very different from us. So can you look at

0:21:46.320 --> 0:21:48.800
<v Speaker 1>what's going on in a clam and say that it

0:21:48.880 --> 0:21:52.600
<v Speaker 1>has cancer? Yeah? Probably, But what about a mushroom or

0:21:52.640 --> 0:21:56.719
<v Speaker 1>in an algae or something? Yeah, this was this was interesting.

0:21:57.240 --> 0:22:00.760
<v Speaker 1>So you know, what is cancer and n is cancer?

0:22:01.400 --> 0:22:04.240
<v Speaker 1>Is an interesting question. And when you get to more

0:22:04.400 --> 0:22:08.960
<v Speaker 1>organized animals and particularly mammals, we define invasive cancers as

0:22:09.480 --> 0:22:11.879
<v Speaker 1>cancers that kind of break through the sort of molecular

0:22:12.400 --> 0:22:14.640
<v Speaker 1>I guess you'd call it like saran wrap that's around

0:22:14.640 --> 0:22:17.600
<v Speaker 1>your organs and your tissues. They break through this membrane,

0:22:17.920 --> 0:22:21.480
<v Speaker 1>and that's what we call invasive cancer. But really, you know,

0:22:22.000 --> 0:22:25.240
<v Speaker 1>the phenomenon of cells growing out of control is all

0:22:25.280 --> 0:22:27.040
<v Speaker 1>over the place. You can see it in plants when

0:22:27.040 --> 0:22:29.800
<v Speaker 1>they get ghouls, you can see it in in fungi.

0:22:30.040 --> 0:22:31.879
<v Speaker 1>You can see it in all sorts of things. And

0:22:31.920 --> 0:22:36.800
<v Speaker 1>what are the interesting questions is you know something like endometriosis,

0:22:36.800 --> 0:22:39.680
<v Speaker 1>which is a condition where you get rogue tissue within

0:22:39.720 --> 0:22:42.480
<v Speaker 1>the body and it's sort of it grows and its

0:22:42.480 --> 0:22:45.399
<v Speaker 1>spreads and it bleeds and it's very very painful. It's like,

0:22:45.640 --> 0:22:50.160
<v Speaker 1>but that's not cancer, it's not invasive. But actually, when

0:22:50.200 --> 0:22:52.000
<v Speaker 1>you look at that kind of tissue, it has lots

0:22:52.000 --> 0:22:54.240
<v Speaker 1>and lots of the kind of mutations and changes we'd

0:22:54.280 --> 0:22:58.280
<v Speaker 1>expect to find in cancer. But that's not cancer, and

0:22:58.320 --> 0:23:03.360
<v Speaker 1>that's in humans. So this this idea that mutations it's

0:23:03.440 --> 0:23:07.240
<v Speaker 1>not just what makes cancer. Uncontrolled cell growth is not

0:23:07.359 --> 0:23:13.000
<v Speaker 1>just what makes cancer. It's it's sort of this this invasive, aggressive,

0:23:13.080 --> 0:23:18.960
<v Speaker 1>evolving characteristic that really is what we can classify as

0:23:19.480 --> 0:23:22.359
<v Speaker 1>as cancer. All Right, we're gonna take a quick break,

0:23:22.400 --> 0:23:28.680
<v Speaker 1>but we'll be right back, and we're back. So maybe

0:23:28.720 --> 0:23:31.680
<v Speaker 1>we should shift to talking about the history of our

0:23:31.760 --> 0:23:35.520
<v Speaker 1>understanding of the proximate causes or maybe better to say,

0:23:35.520 --> 0:23:38.520
<v Speaker 1>the risk factors for cancer where it comes from, whether

0:23:38.600 --> 0:23:42.920
<v Speaker 1>that's there's a hereditary component and an environmental component. There's

0:23:42.920 --> 0:23:45.160
<v Speaker 1>a part in the book where you mentioned this thing

0:23:45.200 --> 0:23:49.120
<v Speaker 1>that was called the Daily Mail Oncology Ontology blog, which

0:23:49.160 --> 0:23:52.280
<v Speaker 1>I've really appreciated because so the idea was this was

0:23:52.320 --> 0:23:55.240
<v Speaker 1>an attempted list of all the things that either cause

0:23:55.440 --> 0:23:58.600
<v Speaker 1>or cure cancer, according to the Daily Mail, And that

0:23:58.680 --> 0:24:01.080
<v Speaker 1>made me say, I've got to it's something I read

0:24:01.119 --> 0:24:03.399
<v Speaker 1>a lot of science and medical news from my work,

0:24:03.520 --> 0:24:06.640
<v Speaker 1>and I have all but completely turned off my recognition

0:24:06.680 --> 0:24:10.399
<v Speaker 1>system for articles about, you know, new supposed causes or

0:24:10.440 --> 0:24:14.200
<v Speaker 1>cures for cancer, because this was already like a cliche

0:24:14.320 --> 0:24:16.680
<v Speaker 1>to the point of being a hack joke for comedians

0:24:16.680 --> 0:24:20.400
<v Speaker 1>in the nineteen nineties. Is there something we should learn

0:24:20.480 --> 0:24:23.320
<v Speaker 1>from this, like the way that we get this conditioned

0:24:23.440 --> 0:24:27.480
<v Speaker 1>kind of num reaction to these types of news stories. Yeah,

0:24:27.800 --> 0:24:29.639
<v Speaker 1>that's we used to get a lot of that when

0:24:29.680 --> 0:24:32.040
<v Speaker 1>I was at Cancer Research k. You know, I think

0:24:32.080 --> 0:24:35.920
<v Speaker 1>that the stupidest one was that water gives you cancer,

0:24:36.720 --> 0:24:39.520
<v Speaker 1>and also that turning on turning on the light at

0:24:39.600 --> 0:24:42.960
<v Speaker 1>night to go to the bathroom, gives you cancer. So

0:24:43.640 --> 0:24:46.679
<v Speaker 1>you know, this is this is really really frustrating. So

0:24:46.760 --> 0:24:49.040
<v Speaker 1>there's kind of a couple of there's a couple of

0:24:49.040 --> 0:24:51.760
<v Speaker 1>things to dissect because it's also comes down to like

0:24:51.920 --> 0:24:56.919
<v Speaker 1>what what is actually the nature of cancer? And the

0:24:56.960 --> 0:24:58.840
<v Speaker 1>way that cancer has been thought about for a very

0:24:58.840 --> 0:25:01.560
<v Speaker 1>long time is according to what scientists like to call

0:25:01.600 --> 0:25:04.840
<v Speaker 1>the somatic mutation theory of cancer. So this is this

0:25:04.920 --> 0:25:08.560
<v Speaker 1>idea that cells pick up changes in their DNA in

0:25:08.600 --> 0:25:11.199
<v Speaker 1>their genome that the instructions that they use to do

0:25:11.240 --> 0:25:14.679
<v Speaker 1>what they do, they pick up these changes, these mutations,

0:25:14.720 --> 0:25:17.199
<v Speaker 1>and that enables them to do more bad things. And

0:25:17.200 --> 0:25:19.040
<v Speaker 1>then they pick up more and they do more bad things.

0:25:19.520 --> 0:25:23.840
<v Speaker 1>So it's this gradual accumulation of nasty mutations terms nice

0:25:23.880 --> 0:25:28.440
<v Speaker 1>well behaved cells into aggressive cancer cells. And we can

0:25:28.600 --> 0:25:34.040
<v Speaker 1>start to see some of the characteristic fingerprints that different

0:25:34.080 --> 0:25:37.360
<v Speaker 1>agents leave in the genome. So we can see, for example,

0:25:37.680 --> 0:25:40.639
<v Speaker 1>cigarette smoke or ultra violet light from the sun, we

0:25:40.680 --> 0:25:45.040
<v Speaker 1>can see those characteristic fingerprints of damage in the genome.

0:25:46.160 --> 0:25:50.119
<v Speaker 1>What that doesn't necessarily tell us because when you start

0:25:50.119 --> 0:25:52.840
<v Speaker 1>looking closely at a cancer or even in fact at

0:25:53.000 --> 0:25:57.320
<v Speaker 1>normal tissue, you start to see these changes and mutations everywhere.

0:25:58.240 --> 0:26:01.399
<v Speaker 1>So this kind of simplistic model that it's a hit

0:26:01.480 --> 0:26:03.440
<v Speaker 1>in this gena hit in this gena hit in this street,

0:26:03.440 --> 0:26:04.600
<v Speaker 1>and a hit in the street in a bang there,

0:26:04.600 --> 0:26:09.359
<v Speaker 1>you've got a cancer cell is nonsense. Because loads of

0:26:09.400 --> 0:26:13.320
<v Speaker 1>healthy cells such a peppered with mutations and loads of

0:26:13.359 --> 0:26:16.800
<v Speaker 1>things do damage our DNA. And that's kind of like

0:26:17.440 --> 0:26:21.199
<v Speaker 1>it's mostly fine. So it's a bit more of a

0:26:21.240 --> 0:26:25.840
<v Speaker 1>sophisticated understanding of yes, there are things that damage DNA.

0:26:26.800 --> 0:26:29.040
<v Speaker 1>A lot of them we know about, some of them

0:26:29.080 --> 0:26:32.040
<v Speaker 1>we don't know about yet. Researchers are trying to figure out,

0:26:32.080 --> 0:26:34.040
<v Speaker 1>you know, how do we match up these signatures of

0:26:34.080 --> 0:26:38.480
<v Speaker 1>damage to things that are in the environment alas Mostly

0:26:38.600 --> 0:26:41.199
<v Speaker 1>the most single, most damaging thing you can do for

0:26:41.240 --> 0:26:45.920
<v Speaker 1>your DNA is a breathe oxygen. Literally, just being alive.

0:26:46.240 --> 0:26:50.160
<v Speaker 1>The processes of life in your cells damage your DNA unfortunately.

0:26:51.119 --> 0:26:55.479
<v Speaker 1>But then if all your cells are to some extent,

0:26:55.560 --> 0:26:58.879
<v Speaker 1>you know, more or less messed up. Everyone's got a

0:26:58.880 --> 0:27:02.199
<v Speaker 1>few mutations here and there, some more than others. What

0:27:02.480 --> 0:27:05.840
<v Speaker 1>is it then that tips the cell into becoming a

0:27:05.880 --> 0:27:09.680
<v Speaker 1>cancer cell? If everyone's a bit weird, what makes that

0:27:09.960 --> 0:27:14.800
<v Speaker 1>cheating cell kind of slip the bonds of good society

0:27:14.960 --> 0:27:18.760
<v Speaker 1>and really start going for it. And that really is

0:27:18.760 --> 0:27:23.720
<v Speaker 1>is an evolutionary question that cell has involved the capacity

0:27:23.760 --> 0:27:26.840
<v Speaker 1>to do that, and so I think it's it's far

0:27:26.920 --> 0:27:30.399
<v Speaker 1>too simplistic to say, oh, well, you know your cancer

0:27:30.560 --> 0:27:33.199
<v Speaker 1>was absolutely caused by smoking, that was it. It's like, well,

0:27:33.400 --> 0:27:36.480
<v Speaker 1>that was a risk factor and it certainly didn't help,

0:27:37.040 --> 0:27:40.360
<v Speaker 1>but there were many other things. And also many people

0:27:40.400 --> 0:27:43.160
<v Speaker 1>who do smoke don't get cancer. So it's like we've

0:27:43.200 --> 0:27:47.560
<v Speaker 1>got to be more sophisticated in understanding what makes normal

0:27:47.600 --> 0:27:50.840
<v Speaker 1>cells become damaged and what makes kind of sad cells

0:27:50.960 --> 0:27:54.360
<v Speaker 1>become really bad cells. Yeah, this is an important point

0:27:54.400 --> 0:27:58.320
<v Speaker 1>about thinking about risk factors instead of causes. And I

0:27:58.359 --> 0:28:01.280
<v Speaker 1>know that that's it's in fure creating to people especially.

0:28:01.320 --> 0:28:03.080
<v Speaker 1>I think if you don't have a lot of like

0:28:04.119 --> 0:28:08.040
<v Speaker 1>training in a statistics oriented field, that it just doesn't

0:28:08.080 --> 0:28:11.080
<v Speaker 1>feel very comfortable to think about, especially something that's a

0:28:11.119 --> 0:28:14.240
<v Speaker 1>really important life and death issue like cancer in terms

0:28:14.280 --> 0:28:17.040
<v Speaker 1>of probabilities. You want to know like what it was

0:28:17.200 --> 0:28:20.040
<v Speaker 1>or what what did it? Yeah, exactly. I think the

0:28:20.080 --> 0:28:22.760
<v Speaker 1>best analogy that I really came up with is and

0:28:22.800 --> 0:28:26.240
<v Speaker 1>this is spoilers now if anyone's seen Agatha Christie's murder

0:28:26.240 --> 0:28:29.800
<v Speaker 1>on the Orient Express where and I am this is

0:28:29.840 --> 0:28:32.120
<v Speaker 1>a massive spoiler, but come on, the books like really

0:28:32.160 --> 0:28:34.440
<v Speaker 1>old you should have read about now see the movie

0:28:34.440 --> 0:28:38.400
<v Speaker 1>with Albert Finning too. It's great, but it's a murder,

0:28:38.440 --> 0:28:42.680
<v Speaker 1>but all the people involved they all have a stab,

0:28:43.160 --> 0:28:48.200
<v Speaker 1>so you never know who actually was the murderer. So

0:28:48.480 --> 0:28:51.080
<v Speaker 1>it's it's kind of like this. So you know, we

0:28:51.160 --> 0:28:52.880
<v Speaker 1>have lots and lots of genes that we know are

0:28:52.920 --> 0:28:55.360
<v Speaker 1>implicated in cancer. There are lots of things that can

0:28:55.400 --> 0:28:58.800
<v Speaker 1>damage our DNA. There are lots of things that can

0:28:58.880 --> 0:29:02.320
<v Speaker 1>like impre of the environment of our tissues or not.

0:29:02.560 --> 0:29:05.560
<v Speaker 1>We know that things like you know, keeping keeping well

0:29:05.600 --> 0:29:07.920
<v Speaker 1>and healthy and doing all the boring healthy living stuff

0:29:08.240 --> 0:29:12.240
<v Speaker 1>that helps to keep your your body healthy makes yourselves

0:29:12.280 --> 0:29:15.880
<v Speaker 1>more likely to fall into line. But saying exactly like

0:29:16.160 --> 0:29:18.640
<v Speaker 1>it was that thing, you know it was, it was

0:29:18.720 --> 0:29:24.120
<v Speaker 1>that sunny holiday in Marbea in that damage that skin

0:29:24.160 --> 0:29:27.040
<v Speaker 1>cell that gave you cancer. As I know that's that's

0:29:27.080 --> 0:29:29.760
<v Speaker 1>simply not possible. So trying to say oh it's this,

0:29:29.920 --> 0:29:32.480
<v Speaker 1>oh it's that, do this, don't do that, I think

0:29:32.600 --> 0:29:35.920
<v Speaker 1>is not terribly helpful, because at some point we've just

0:29:36.000 --> 0:29:38.680
<v Speaker 1>got to get on and live and try and negotiate

0:29:38.720 --> 0:29:41.719
<v Speaker 1>the risks that we're happy with taking. Right though, at

0:29:41.720 --> 0:29:43.880
<v Speaker 1>the same time, you do point out how there are

0:29:44.040 --> 0:29:47.920
<v Speaker 1>certain factors that increase your likelihood so far above the

0:29:47.960 --> 0:29:50.960
<v Speaker 1>baseline that maybe at that point it even though you

0:29:50.960 --> 0:29:53.479
<v Speaker 1>still can't quite say it's a cause, it's something closer

0:29:53.520 --> 0:29:55.960
<v Speaker 1>to a cause. What I think one common example given

0:29:56.000 --> 0:29:58.800
<v Speaker 1>would be tobacco. Remember you mentioned another example in the

0:29:58.800 --> 0:30:03.680
<v Speaker 1>book about just chronic exposure dermal exposure to soot in

0:30:04.160 --> 0:30:08.600
<v Speaker 1>chimney sweeps. I believe it was. Yeah, this was the

0:30:08.680 --> 0:30:13.880
<v Speaker 1>first example of someone actually showing that something, a substance

0:30:13.920 --> 0:30:17.400
<v Speaker 1>in the environment could increase the risk of cancer. And

0:30:17.440 --> 0:30:21.040
<v Speaker 1>this is an English surgeon called Percival Pot who had

0:30:21.600 --> 0:30:25.400
<v Speaker 1>a purely professional interest in the scrotums of young boys,

0:30:25.880 --> 0:30:30.479
<v Speaker 1>purely professional because he was interested in chimney sweeps in London.

0:30:30.960 --> 0:30:33.840
<v Speaker 1>Now this was in the seventeen hundreds and chimney sweeps

0:30:33.880 --> 0:30:37.880
<v Speaker 1>were basically sent naked up the chimneys by gangmasters to

0:30:37.920 --> 0:30:39.880
<v Speaker 1>clean the chimneys. So they were exposed to a lot

0:30:40.000 --> 0:30:43.480
<v Speaker 1>of soot and they noticed that they started to get

0:30:43.520 --> 0:30:46.320
<v Speaker 1>these cancers in their genitals and they were called soot warps,

0:30:46.680 --> 0:30:50.560
<v Speaker 1>and these were very very very nasty cancers, really horrible

0:30:50.640 --> 0:30:54.680
<v Speaker 1>kind of stuff. And Pot realized that it was the

0:30:54.720 --> 0:30:57.560
<v Speaker 1>soot that these boys were being exposed to that was

0:30:57.600 --> 0:30:59.840
<v Speaker 1>causing these cancers. And he said, right, you know, we

0:31:00.040 --> 0:31:03.280
<v Speaker 1>gotta get nice in Germany that all the chimney sweeps

0:31:03.280 --> 0:31:06.240
<v Speaker 1>had these nice kind of tight fitting uniforms so they

0:31:06.240 --> 0:31:08.800
<v Speaker 1>weren't being directly exposed on their skin. And he was like, right,

0:31:08.840 --> 0:31:10.720
<v Speaker 1>we've got to get those in. I got to protect

0:31:10.760 --> 0:31:14.640
<v Speaker 1>these boys, stop sending them naked up your chimneys. Um Alas,

0:31:15.440 --> 0:31:18.640
<v Speaker 1>it took over a hundred years for people to actually

0:31:18.720 --> 0:31:21.640
<v Speaker 1>change in Britain because the gang masters were like, no,

0:31:21.760 --> 0:31:24.600
<v Speaker 1>those those uniforms are too expensive. They'll make our sweeps

0:31:24.600 --> 0:31:27.160
<v Speaker 1>too expensive. You know, they're they're cheap. We don't really care.

0:31:27.840 --> 0:31:31.720
<v Speaker 1>So that was really tragic that they managed to link

0:31:31.840 --> 0:31:35.480
<v Speaker 1>this cause to these very horrible cancers. And there was

0:31:35.520 --> 0:31:37.600
<v Speaker 1>something that everyone knew could be done that was helping

0:31:37.640 --> 0:31:41.520
<v Speaker 1>in other countries. And nope, nope, it didn't happen for

0:31:41.560 --> 0:31:45.080
<v Speaker 1>a very long time. Um but yes, that Percival part

0:31:45.240 --> 0:31:48.840
<v Speaker 1>is kind of the father of this idea of external

0:31:49.240 --> 0:31:53.520
<v Speaker 1>sources of of carcinogenic chemicals, I think, but I think

0:31:53.560 --> 0:31:57.320
<v Speaker 1>it has stuck in the imagination that like it's all external,

0:31:57.360 --> 0:32:00.360
<v Speaker 1>it's all from from something you've done, or something you've got,

0:32:00.440 --> 0:32:04.040
<v Speaker 1>or something you've touched or eaten or being exposed to. Well,

0:32:04.120 --> 0:32:06.640
<v Speaker 1>to go to the other side. So there's a part

0:32:06.640 --> 0:32:08.719
<v Speaker 1>of your book where you explored I think we actually

0:32:08.760 --> 0:32:11.760
<v Speaker 1>mentioned this earlier about your podcast episode about Maud Sly

0:32:11.960 --> 0:32:15.600
<v Speaker 1>and Pauline gross and in the role for example of

0:32:15.640 --> 0:32:19.680
<v Speaker 1>the research of maud Sly in establishing that there is

0:32:19.720 --> 0:32:22.960
<v Speaker 1>a hereditary component to cancer that I think at the

0:32:23.000 --> 0:32:25.640
<v Speaker 1>time you say that, you know, the primary argument was

0:32:25.720 --> 0:32:29.720
<v Speaker 1>about two different major theories of external causes, whether cancer

0:32:29.840 --> 0:32:34.959
<v Speaker 1>was caused primarily by inflammation or by infectious agents and parasites.

0:32:35.080 --> 0:32:38.120
<v Speaker 1>Is that correct? Yea. So at the beginning of the

0:32:38.160 --> 0:32:41.120
<v Speaker 1>twentieth century, the early twentieth century, there was this idea

0:32:41.160 --> 0:32:45.280
<v Speaker 1>that cancer was either all caused by external things like

0:32:45.440 --> 0:32:50.000
<v Speaker 1>certain things in the environment, or it was viruses. Mostly.

0:32:50.080 --> 0:32:53.440
<v Speaker 1>There were a couple of good examples in animals where

0:32:53.480 --> 0:32:56.320
<v Speaker 1>you could take viruses, exposed the animals to them and

0:32:56.360 --> 0:32:59.600
<v Speaker 1>they would develop certain types of cancer. So the first

0:32:59.600 --> 0:33:02.200
<v Speaker 1>one were as a guy called Peyton Rouse who discovered

0:33:02.400 --> 0:33:05.200
<v Speaker 1>a virus that caused cancer and chickens. So by the

0:33:05.280 --> 0:33:08.280
<v Speaker 1>sixties everyone was just obsessed with the idea that it

0:33:08.360 --> 0:33:12.440
<v Speaker 1>was viruses. And now, you know, we really understand that

0:33:13.040 --> 0:33:16.560
<v Speaker 1>there are families that are affected by multiple cases of cancer,

0:33:16.600 --> 0:33:20.440
<v Speaker 1>that cancer can be to some extent influenced by the

0:33:20.520 --> 0:33:24.400
<v Speaker 1>genes we inherit. But really this was almost a completely separate,

0:33:24.400 --> 0:33:28.200
<v Speaker 1>parallel strand running up through the first half of the

0:33:28.200 --> 0:33:32.000
<v Speaker 1>twentieth century, and it was work in mice in families.

0:33:32.760 --> 0:33:34.760
<v Speaker 1>In the podcast, we talk about the story of Maud

0:33:34.840 --> 0:33:37.280
<v Speaker 1>Sly who bred all these mice together to show cancer

0:33:37.280 --> 0:33:40.200
<v Speaker 1>could be inherited. And then the story of Pauline Gross,

0:33:40.240 --> 0:33:43.680
<v Speaker 1>who was a seamstress who meant a scientist and she said,

0:33:43.720 --> 0:33:46.840
<v Speaker 1>you know, I'm going to die young, and he mapped

0:33:46.880 --> 0:33:49.440
<v Speaker 1>out all her family because so many members of her

0:33:49.480 --> 0:33:53.360
<v Speaker 1>family were affected by the same types of cancer. And

0:33:53.520 --> 0:33:56.880
<v Speaker 1>it took, you know, decades until they pinned down the

0:33:56.920 --> 0:34:00.960
<v Speaker 1>particular gene fault that was responsible. But yeah, they're all

0:34:01.000 --> 0:34:04.480
<v Speaker 1>these lines were like running a completely separate to each

0:34:04.480 --> 0:34:08.719
<v Speaker 1>other until it all started to coalesce together in this

0:34:08.840 --> 0:34:12.560
<v Speaker 1>understanding that you know, there are things that damage our genes.

0:34:12.800 --> 0:34:15.920
<v Speaker 1>There are genes in our cells that make ourselves replicate

0:34:16.360 --> 0:34:19.000
<v Speaker 1>that that stop ourselves from dying. This is good normally,

0:34:19.360 --> 0:34:22.000
<v Speaker 1>but they can go wrong. They can be mutated, they

0:34:22.000 --> 0:34:26.040
<v Speaker 1>can be changed, We can inherit versions that affect their function.

0:34:26.719 --> 0:34:30.040
<v Speaker 1>And it all sort of started to coalesce into this

0:34:30.200 --> 0:34:33.640
<v Speaker 1>very sensible idea of of how cancer starts. But I

0:34:33.640 --> 0:34:37.000
<v Speaker 1>think it just became very very focused on the genes

0:34:37.040 --> 0:34:40.319
<v Speaker 1>and the cells, just yes, single genes, shopping lists of

0:34:40.360 --> 0:34:44.240
<v Speaker 1>genes and changes, and forgot to look at this broader

0:34:44.280 --> 0:34:48.120
<v Speaker 1>picture of the environment in which cells are, the society

0:34:48.160 --> 0:34:51.239
<v Speaker 1>in which they're living, how they can interact with each

0:34:51.239 --> 0:34:56.319
<v Speaker 1>other cheap, overcome expand push against each other. This more.

0:34:57.080 --> 0:34:58.880
<v Speaker 1>I hate to use the word holistic because it sounds

0:34:58.920 --> 0:35:02.040
<v Speaker 1>really kind of hippie dip it, but you know, it's

0:35:02.160 --> 0:35:05.560
<v Speaker 1>it's part of our bodies. It's not an external alien thing.

0:35:06.400 --> 0:35:08.560
<v Speaker 1>These cells obey the rules of our bodies to to

0:35:08.640 --> 0:35:11.240
<v Speaker 1>a certain extent, they cheat the rules to another extent,

0:35:11.880 --> 0:35:14.840
<v Speaker 1>but it's all kind of part of one piece. And

0:35:14.920 --> 0:35:19.400
<v Speaker 1>we've just focused on on genes and molecules for the

0:35:19.400 --> 0:35:22.239
<v Speaker 1>past couple of decades, I think far, far too much.

0:35:22.920 --> 0:35:24.520
<v Speaker 1>All Right, we're going to take a quick break. We'll

0:35:24.560 --> 0:35:30.279
<v Speaker 1>be right back with more than than all right, we're back.

0:35:30.960 --> 0:35:33.919
<v Speaker 1>So you mentioned in the book that you believe that

0:35:33.960 --> 0:35:37.280
<v Speaker 1>the future of our resistance against cancer and medical treatments

0:35:37.280 --> 0:35:41.320
<v Speaker 1>of cancer are going to rely on quote shifting towards

0:35:41.400 --> 0:35:45.200
<v Speaker 1>a new way of evolutionary and ecological thinking about cancer.

0:35:45.600 --> 0:35:48.560
<v Speaker 1>So I assume there you're connecting to the ideas you

0:35:48.600 --> 0:35:50.920
<v Speaker 1>were just articulating. But could you expand on what you

0:35:50.920 --> 0:35:53.719
<v Speaker 1>mean by that. Yeah, So, as all the sort of

0:35:53.840 --> 0:35:58.439
<v Speaker 1>strands of cancer research over the past that one years

0:35:58.480 --> 0:36:01.360
<v Speaker 1>started to coalesce on this eye dear that that cancer

0:36:01.400 --> 0:36:04.839
<v Speaker 1>starts when cells pick up certain genetic mutations and they

0:36:04.880 --> 0:36:07.920
<v Speaker 1>go out of control. And then we started to get

0:36:07.960 --> 0:36:10.080
<v Speaker 1>to this idea that then, well, the way you treat

0:36:10.120 --> 0:36:13.319
<v Speaker 1>them is you find the molecules the genes that are

0:36:13.360 --> 0:36:15.759
<v Speaker 1>making them go out of control, and you target them

0:36:15.800 --> 0:36:17.520
<v Speaker 1>with drugs. And that's going to be the way we're

0:36:17.560 --> 0:36:21.719
<v Speaker 1>going to cure cancer. And there's been so much, so

0:36:21.800 --> 0:36:27.040
<v Speaker 1>much effort, money, research, time, patients, lives in clinical trials

0:36:27.480 --> 0:36:32.040
<v Speaker 1>have gone into testing these very molecularly targeted drugs, and

0:36:33.080 --> 0:36:36.040
<v Speaker 1>you know, some in some cases there have been incredible

0:36:36.040 --> 0:36:39.400
<v Speaker 1>success stories. So, for example, a drug called gliveck for

0:36:39.480 --> 0:36:43.759
<v Speaker 1>treating a certain type of leukemia is incredibly successful. It

0:36:43.880 --> 0:36:47.920
<v Speaker 1>targets a very specific genetic fault in the cancer cells,

0:36:47.960 --> 0:36:51.400
<v Speaker 1>and it is it was game changing, and it continues

0:36:51.480 --> 0:36:54.840
<v Speaker 1>to be game changing. But lots and lots of the

0:36:54.880 --> 0:36:59.080
<v Speaker 1>other drugs that have been developed along these lines, they

0:36:59.080 --> 0:37:03.319
<v Speaker 1>have not transformed survival in the way that we would

0:37:03.360 --> 0:37:06.960
<v Speaker 1>hope they've They've eked out, you know, in some cases months,

0:37:07.000 --> 0:37:10.719
<v Speaker 1>in some cases, you know, a few years. In one case,

0:37:10.800 --> 0:37:14.480
<v Speaker 1>I saw a paper that said nine days increase in

0:37:14.560 --> 0:37:19.279
<v Speaker 1>survival with this particular incredibly expensive targeted drug. And you're like,

0:37:20.160 --> 0:37:23.799
<v Speaker 1>these are not cures. The these are these are the

0:37:23.840 --> 0:37:27.360
<v Speaker 1>magic bullets that we were promised, and they are not cures.

0:37:27.400 --> 0:37:30.600
<v Speaker 1>And in virtually all these cases, the cancer comes back.

0:37:31.239 --> 0:37:34.960
<v Speaker 1>And why does it come back? Because of Charles Flipping Darwin.

0:37:35.120 --> 0:37:38.480
<v Speaker 1>You know, it's it's evolution. You hit something, you get

0:37:38.600 --> 0:37:41.440
<v Speaker 1>rid of most of the cells that are sensitive, and

0:37:41.480 --> 0:37:44.120
<v Speaker 1>you've still got a core of resistance because you've got

0:37:44.160 --> 0:37:49.080
<v Speaker 1>so much genetic diversity in that population. Of cancer cells,

0:37:49.120 --> 0:37:52.399
<v Speaker 1>and so they start growing again, and this time they're

0:37:52.440 --> 0:37:55.240
<v Speaker 1>resistant to the drug. So maybe you try another drug,

0:37:55.600 --> 0:37:59.000
<v Speaker 1>same thing happens. You get rid of the sensitive cells,

0:37:59.000 --> 0:38:01.759
<v Speaker 1>you've still got a core war of resistance, and they

0:38:01.800 --> 0:38:06.080
<v Speaker 1>grow back, and eventually you run out of options, and

0:38:07.000 --> 0:38:10.799
<v Speaker 1>there's time now to think about cancer in a much

0:38:10.840 --> 0:38:15.800
<v Speaker 1>more evolutionary and ecological way, as you say, thinking about, well,

0:38:15.840 --> 0:38:18.600
<v Speaker 1>if we know that this process of evolution is at work,

0:38:19.120 --> 0:38:20.880
<v Speaker 1>that if you get rid of the sensitive cells, the

0:38:20.920 --> 0:38:23.719
<v Speaker 1>resistant ones come back, Like, well, why don't we try

0:38:23.800 --> 0:38:26.600
<v Speaker 1>and approach this in a different way. Why don't we

0:38:26.760 --> 0:38:29.000
<v Speaker 1>try not to knock them all out? Why don't we

0:38:29.040 --> 0:38:32.879
<v Speaker 1>try and balance these populations, keep them suppressed, keep them

0:38:32.920 --> 0:38:35.600
<v Speaker 1>under control, much in the way that say a farmer

0:38:35.640 --> 0:38:38.799
<v Speaker 1>would try and control the pests in his crop, rather

0:38:38.840 --> 0:38:41.560
<v Speaker 1>than completely trying to nuke them all from orbit or

0:38:41.600 --> 0:38:46.200
<v Speaker 1>eradicate every single last grasshopper. You know, and understanding the

0:38:46.239 --> 0:38:50.400
<v Speaker 1>ecology the tissue biology, so you know, are you actually

0:38:50.440 --> 0:38:54.120
<v Speaker 1>causing more damage two tissues by treating with drugs or

0:38:54.200 --> 0:38:57.440
<v Speaker 1>radiotherapy or surgery. How can we minimize that so that

0:38:57.520 --> 0:39:00.799
<v Speaker 1>it doesn't encourage cells to to cheat even more In

0:39:00.800 --> 0:39:05.680
<v Speaker 1>a damaged environment. So it's this this idea is starting

0:39:05.719 --> 0:39:09.040
<v Speaker 1>to come through, But I think I think it does

0:39:09.120 --> 0:39:13.879
<v Speaker 1>take a bit of a subtle and sophisticated understanding of

0:39:13.960 --> 0:39:19.440
<v Speaker 1>cancer as an evolutionary process within the tissue environment of

0:39:19.520 --> 0:39:23.479
<v Speaker 1>the body, rather than just like, these are some rogue

0:39:23.480 --> 0:39:25.240
<v Speaker 1>cells that have gone wrong and they're growing out of control,

0:39:25.239 --> 0:39:26.640
<v Speaker 1>and we just need to hit them with enough magic

0:39:26.640 --> 0:39:29.239
<v Speaker 1>bullets and they'll go away. You know, the classic cure

0:39:29.280 --> 0:39:33.359
<v Speaker 1>for cancer that that we've almost been sold. It's I

0:39:33.400 --> 0:39:37.560
<v Speaker 1>don't think it's it should look like that, um because

0:39:37.719 --> 0:39:41.080
<v Speaker 1>we've tried that and it's not really working. So I

0:39:41.080 --> 0:39:44.360
<v Speaker 1>think we need to try a different approach. This way

0:39:44.400 --> 0:39:47.400
<v Speaker 1>of talking about tumors is reminding me of something you

0:39:47.440 --> 0:39:49.400
<v Speaker 1>mentioned earlier in the book actually, which I thought was

0:39:49.480 --> 0:39:52.840
<v Speaker 1>really interesting image that stuck with me. The idea of

0:39:52.880 --> 0:39:56.600
<v Speaker 1>a hypothetical hyper tumor. I'd never considered this before, but

0:39:56.640 --> 0:40:00.279
<v Speaker 1>the idea that a tumor can get a tumor. Yeah.

0:40:00.320 --> 0:40:04.600
<v Speaker 1>So again, it's the thing that really jumped out at

0:40:04.600 --> 0:40:09.520
<v Speaker 1>me researching this book is that cancer is a microcosm

0:40:09.560 --> 0:40:13.560
<v Speaker 1>of evolution. It's it's a crucible of evolution, a dumpster

0:40:13.600 --> 0:40:16.120
<v Speaker 1>fire of evolution is probably the best way of putting it.

0:40:16.320 --> 0:40:20.480
<v Speaker 1>Cancer is a dumpster fire of evolution. Then you go, um,

0:40:20.520 --> 0:40:25.080
<v Speaker 1>but yeah, everything every innovation of life that you see

0:40:25.239 --> 0:40:31.720
<v Speaker 1>on Earth, cancer can evolve because you have a very large,

0:40:31.760 --> 0:40:35.719
<v Speaker 1>genetically diverse population of cells that have got lots of

0:40:35.760 --> 0:40:39.480
<v Speaker 1>opportunity to try stuff out. So you know, it's not

0:40:39.520 --> 0:40:43.120
<v Speaker 1>surprising that even within a horrible cheating atmosphere of a

0:40:43.200 --> 0:40:47.080
<v Speaker 1>cancer you might get some really really badass cells that

0:40:47.200 --> 0:40:52.680
<v Speaker 1>will start proliferating even more and actually suppress the original

0:40:52.719 --> 0:40:56.760
<v Speaker 1>tumor by just out competing them in a Darwinian sense.

0:40:57.360 --> 0:41:01.719
<v Speaker 1>And then there's some really wild things, um that I discovered.

0:41:01.760 --> 0:41:07.920
<v Speaker 1>So the most crazy innovation is that a guy is

0:41:08.040 --> 0:41:11.400
<v Speaker 1>a guy called Kenneth Pienta in Baltimore has discovered that

0:41:11.440 --> 0:41:15.200
<v Speaker 1>cancer cells have invented how to have sex. This this

0:41:15.440 --> 0:41:19.520
<v Speaker 1>really blew my mind because the implications are massive. Here.

0:41:20.440 --> 0:41:23.120
<v Speaker 1>We have this idea that cancer cells they just they

0:41:23.160 --> 0:41:26.560
<v Speaker 1>reproduce basically by splitting into that's fine. You know, you

0:41:26.560 --> 0:41:28.480
<v Speaker 1>have one cancer cell, it becomes two, it becomes for

0:41:29.000 --> 0:41:31.560
<v Speaker 1>all of that kind of thing. There's no transfer of

0:41:31.600 --> 0:41:36.360
<v Speaker 1>information between cells and after that. But he's discovered with

0:41:36.400 --> 0:41:42.440
<v Speaker 1>these prostate cancer cells that they fuse together and become

0:41:42.520 --> 0:41:46.320
<v Speaker 1>resistant to treatments, and then they start kind of budding

0:41:46.360 --> 0:41:50.040
<v Speaker 1>off little cells that are resistant to treatment. And you're like,

0:41:50.840 --> 0:41:54.759
<v Speaker 1>what you know that looks like sex, I mean, for

0:41:54.800 --> 0:41:56.880
<v Speaker 1>a very poor value of sex, but that you know,

0:41:56.920 --> 0:41:59.880
<v Speaker 1>that's the biological process of Sex's two cells fusing to

0:42:00.000 --> 0:42:06.280
<v Speaker 1>other and and creating more. And you're like, whoa, because

0:42:06.480 --> 0:42:10.799
<v Speaker 1>that's a way of genetically combining forces. And again, it's

0:42:10.840 --> 0:42:15.360
<v Speaker 1>an evolutionary innovation. Sex has evolved on this planet multiple times.

0:42:15.800 --> 0:42:19.200
<v Speaker 1>You know, it's not unheard of. And if you have

0:42:19.360 --> 0:42:22.319
<v Speaker 1>enough rolls of that dice, as might happen in in

0:42:22.360 --> 0:42:26.120
<v Speaker 1>a cancer you know, weird, weird, weird, our stuff is

0:42:26.160 --> 0:42:30.760
<v Speaker 1>going to happen in there. Um. It's just it really

0:42:30.880 --> 0:42:35.440
<v Speaker 1>is mind blowing every innovation of life. Cancer cells, you know,

0:42:35.719 --> 0:42:39.680
<v Speaker 1>at some point somewhere might have a go at. And

0:42:39.760 --> 0:42:42.799
<v Speaker 1>so when I realized this, when I realized that, you know,

0:42:43.320 --> 0:42:45.359
<v Speaker 1>cells can have sex, cells can do all these kind

0:42:45.400 --> 0:42:48.560
<v Speaker 1>of crazy evolutionary things. They can smash their chromosomes out,

0:42:48.600 --> 0:42:51.360
<v Speaker 1>they can glue themselves back together. It's all kind of crazy.

0:42:51.840 --> 0:42:57.799
<v Speaker 1>And then I started learning about the thing that was

0:42:57.880 --> 0:43:03.200
<v Speaker 1>just really incredible. So, right, imagine there's a disaster movie happening. Right,

0:43:03.239 --> 0:43:06.560
<v Speaker 1>you know what happens in a disaster movie. Everything's going wrong.

0:43:06.840 --> 0:43:08.719
<v Speaker 1>You've got the guy and you've got the girl, and

0:43:09.280 --> 0:43:12.440
<v Speaker 1>what do you do when your world's ending, right, you

0:43:12.480 --> 0:43:15.759
<v Speaker 1>have sex basically, So that's like a last ditch attempt

0:43:16.080 --> 0:43:18.359
<v Speaker 1>for cancer cells to try and come up with some

0:43:18.440 --> 0:43:21.399
<v Speaker 1>kind of evolutionary innovations that are going to get them

0:43:21.400 --> 0:43:24.840
<v Speaker 1>out of trouble. But then there's one more thing that

0:43:24.960 --> 0:43:28.440
<v Speaker 1>happens at the end of a disaster movie, right, you

0:43:28.560 --> 0:43:33.280
<v Speaker 1>leave the planet. Sure, yeah, and like and cancer cells

0:43:33.320 --> 0:43:38.520
<v Speaker 1>do this, and this is absolutely incredible. So so so

0:43:38.560 --> 0:43:41.120
<v Speaker 1>this is where we get to infectious cancer, the idea

0:43:41.200 --> 0:43:45.040
<v Speaker 1>that it could actually be contagious. Yeah, so this is

0:43:45.600 --> 0:43:48.719
<v Speaker 1>this is kind of spooky and scary because it's a

0:43:48.840 --> 0:43:52.760
<v Speaker 1>very medieval idea that cancer is contagious, that you catch

0:43:52.760 --> 0:43:55.400
<v Speaker 1>it from someone. And I will say that in certainly

0:43:55.400 --> 0:43:58.719
<v Speaker 1>in humans, there's no contagious cancers that we know of.

0:43:59.280 --> 0:44:03.440
<v Speaker 1>But the first example was the Tasmanian Devils. So this

0:44:03.560 --> 0:44:06.879
<v Speaker 1>was back in the nineties nineties. The Tasmanian Devils, they're

0:44:06.880 --> 0:44:10.000
<v Speaker 1>all in Tasmania. Southern Australia. They're very cute animals, but

0:44:10.080 --> 0:44:14.279
<v Speaker 1>like they're evil. They they're very you know, they're they're

0:44:14.360 --> 0:44:18.040
<v Speaker 1>placid more or less around humans, but they absolutely hate

0:44:18.080 --> 0:44:21.040
<v Speaker 1>each other. So when you get two Tasmanian devils together,

0:44:21.440 --> 0:44:24.520
<v Speaker 1>they're just like, really, go for it now, biting each

0:44:24.560 --> 0:44:30.400
<v Speaker 1>other's faces. And researchers started to notice that these animals

0:44:30.400 --> 0:44:33.799
<v Speaker 1>were getting big tumors in their faces and in some

0:44:33.840 --> 0:44:36.960
<v Speaker 1>cases it was killing them, and that they're already endangered

0:44:37.000 --> 0:44:41.160
<v Speaker 1>as it is, and this cancer started sweeping through the

0:44:41.200 --> 0:44:44.000
<v Speaker 1>populations and I was like, oh no, what we're going

0:44:44.040 --> 0:44:47.680
<v Speaker 1>to do. And a woman in Australia, she was working

0:44:47.719 --> 0:44:50.200
<v Speaker 1>for the for the government in a hospital. She she

0:44:50.360 --> 0:44:53.279
<v Speaker 1>was looking at cancer samples from humans and looking at

0:44:53.280 --> 0:44:56.040
<v Speaker 1>the chromosomes. It was a way back then of identifying

0:44:56.080 --> 0:44:58.440
<v Speaker 1>the kind of cancer you might have. And so she

0:44:58.480 --> 0:45:03.600
<v Speaker 1>started looking at these Tasmania devil cancer samples. Now, the

0:45:03.600 --> 0:45:06.360
<v Speaker 1>thing about human cancers is every human cancer is a

0:45:06.400 --> 0:45:10.239
<v Speaker 1>one off. It's a unique evolutionary event. It starts in you,

0:45:10.680 --> 0:45:13.040
<v Speaker 1>it grows in new it evolves in you, and it

0:45:13.040 --> 0:45:16.000
<v Speaker 1>it dies in you one way or the other. When

0:45:16.040 --> 0:45:20.960
<v Speaker 1>she was looking at these devil cancers, like they're all

0:45:21.040 --> 0:45:27.360
<v Speaker 1>the same from every animal. The chromosomes were absolutely the same,

0:45:28.000 --> 0:45:32.799
<v Speaker 1>and it's like that does not happen. That is that

0:45:33.120 --> 0:45:37.320
<v Speaker 1>she was like, this is a contagious cancer and U

0:45:37.480 --> 0:45:39.600
<v Speaker 1>and eventually they kind of pinned it down and it said, yes,

0:45:39.960 --> 0:45:43.960
<v Speaker 1>it was cancer cells transmitting from one devil to another

0:45:44.040 --> 0:45:47.400
<v Speaker 1>through that mechanism of biting and fighting and scratching. So

0:45:47.600 --> 0:45:50.080
<v Speaker 1>it's a you need with a contagious cancer. You need

0:45:50.080 --> 0:45:52.680
<v Speaker 1>to have a mechanism of transfer to get the cells

0:45:52.719 --> 0:45:56.640
<v Speaker 1>from one organism to the other. So with the devils,

0:45:56.719 --> 0:45:59.520
<v Speaker 1>it was it was biting and fighting. Um. And then

0:46:00.160 --> 0:46:04.000
<v Speaker 1>there was another cancer, contagious cancer. Which are we allowed

0:46:04.000 --> 0:46:07.120
<v Speaker 1>to talk about dog genitals? Oh? Yeah, I just I

0:46:07.160 --> 0:46:11.440
<v Speaker 1>just did. Um. Yeah. So there's a dog genital cancer

0:46:12.440 --> 0:46:19.160
<v Speaker 1>called canine venereal tumor as CTBT and so yeah, it's

0:46:19.239 --> 0:46:22.360
<v Speaker 1>again when when dogs have sex, it's not pretty, but

0:46:22.400 --> 0:46:26.280
<v Speaker 1>they get kind of tied together in the the gentleman

0:46:26.280 --> 0:46:30.719
<v Speaker 1>and lady department and that can cause some injury. So

0:46:30.760 --> 0:46:33.480
<v Speaker 1>again you have a mechanism for cancer cells to transfer

0:46:34.000 --> 0:46:37.719
<v Speaker 1>from one dog to the other. And this cancer it

0:46:37.760 --> 0:46:41.320
<v Speaker 1>transmits through populations. And there's a woman called Elizabeth Murchison

0:46:41.480 --> 0:46:45.120
<v Speaker 1>who's in Cambridge University. She started studying the devils and

0:46:45.160 --> 0:46:47.759
<v Speaker 1>then she started studying these dogs and they discovered that

0:46:47.800 --> 0:46:51.160
<v Speaker 1>these cancer cells in the dogs have been around for

0:46:51.600 --> 0:46:56.360
<v Speaker 1>thousands of years. The first dog with that cancer lived

0:46:56.480 --> 0:47:00.239
<v Speaker 1>and died thousands of years ago, and it's gone all

0:47:00.239 --> 0:47:03.880
<v Speaker 1>over the world. And that's like, it's like the oldest

0:47:04.600 --> 0:47:07.160
<v Speaker 1>I don't know, it's like the oldest mammal. I suppose.

0:47:07.760 --> 0:47:11.520
<v Speaker 1>It's just incredible. Um this they've worked out what kind

0:47:11.560 --> 0:47:13.359
<v Speaker 1>of dog it was. It was, you know, a little

0:47:13.400 --> 0:47:16.560
<v Speaker 1>kind of dog with like pointiers and a sandy coat,

0:47:16.719 --> 0:47:21.240
<v Speaker 1>and it's amazing. So when you're saying it's the oldest mammal,

0:47:21.320 --> 0:47:23.360
<v Speaker 1>in a way, you're saying that the tumor is, in

0:47:23.400 --> 0:47:25.960
<v Speaker 1>a sense a part of that original dog. It is

0:47:26.000 --> 0:47:30.000
<v Speaker 1>that dog. It is that dog's body exactly. The tumor

0:47:30.040 --> 0:47:32.680
<v Speaker 1>arose in the dog. It's got the genome of the

0:47:32.719 --> 0:47:36.719
<v Speaker 1>original dog. Like seriously messed up, I mean, and these

0:47:36.760 --> 0:47:40.839
<v Speaker 1>cancers are now evolving independently in different dog populations all

0:47:40.840 --> 0:47:44.000
<v Speaker 1>over the world. But yeah, it's it's an incredibly long

0:47:44.040 --> 0:47:47.799
<v Speaker 1>lived organism. I suppose. So that that was one devil

0:47:47.880 --> 0:47:51.560
<v Speaker 1>cancer which was relatively recent a dog cancer, and then

0:47:51.560 --> 0:47:55.480
<v Speaker 1>they found a new second devil tumor that had arisen

0:47:55.520 --> 0:47:58.600
<v Speaker 1>even more recently. So that's very unlucky for the devil's

0:47:58.680 --> 0:48:01.400
<v Speaker 1>and they think it's because again they're an inbred population.

0:48:02.040 --> 0:48:05.960
<v Speaker 1>So with this this fight e bity mechanism of transfer,

0:48:06.040 --> 0:48:08.960
<v Speaker 1>so you've got quite a high probability that this might happen.

0:48:09.600 --> 0:48:13.680
<v Speaker 1>And then there's all these weird shellfish that have cancer

0:48:14.239 --> 0:48:17.840
<v Speaker 1>and seem to transfer it between each other by shedding

0:48:18.040 --> 0:48:24.600
<v Speaker 1>cancer cells into the sea, which is just disgusting. Um

0:48:24.840 --> 0:48:28.160
<v Speaker 1>has made me rethink my idea of swimming. But there's

0:48:28.200 --> 0:48:32.520
<v Speaker 1>some really incredible examples of transmissible cancers in nature. And

0:48:32.560 --> 0:48:34.920
<v Speaker 1>again I think the more we look, the more we're

0:48:34.960 --> 0:48:36.840
<v Speaker 1>going to find. You know, each one of these papers

0:48:36.880 --> 0:48:39.480
<v Speaker 1>just gets published and less and less impressive turn or

0:48:39.760 --> 0:48:42.759
<v Speaker 1>is more and more more and more turn up. But

0:48:42.840 --> 0:48:46.080
<v Speaker 1>there are some examples in humans, and I talk about

0:48:46.120 --> 0:48:49.319
<v Speaker 1>a couple in the book. So there's one which is

0:48:50.360 --> 0:48:55.000
<v Speaker 1>they're absolutely horrendous. Is a guy called Chester Southam who

0:48:55.040 --> 0:48:57.600
<v Speaker 1>was in New York, I think in the fifties, and

0:48:57.680 --> 0:49:02.520
<v Speaker 1>he was doing experiments on prisoners, mostly black prisoners in

0:49:02.560 --> 0:49:07.360
<v Speaker 1>the US people in care homes can existing cancer patients.

0:49:07.360 --> 0:49:11.000
<v Speaker 1>People are very desperate and not consenting to these experiments properly.

0:49:11.040 --> 0:49:14.319
<v Speaker 1>And he was putting cancer cells into them and in

0:49:14.360 --> 0:49:18.040
<v Speaker 1>some cases they did developed humors. Mostly they didn't, which

0:49:18.080 --> 0:49:20.919
<v Speaker 1>shows the human immune system will fight these cells off,

0:49:21.560 --> 0:49:25.040
<v Speaker 1>but some of them did. And also there's a very

0:49:25.080 --> 0:49:30.440
<v Speaker 1>sad story of a woman who developed melanoma. And at

0:49:30.480 --> 0:49:32.279
<v Speaker 1>the time, this is around about this the sixties. I

0:49:32.320 --> 0:49:36.200
<v Speaker 1>think it was an idea that you could transplant some

0:49:36.320 --> 0:49:41.120
<v Speaker 1>cancer cells into someone to get an immune reaction going uh,

0:49:41.800 --> 0:49:44.480
<v Speaker 1>and then give that kind of blood back to the

0:49:44.520 --> 0:49:46.440
<v Speaker 1>patient and it would help to treat their cancer. It's

0:49:46.440 --> 0:49:50.400
<v Speaker 1>sort of an early idea immunotherapy, so basically getting someone's

0:49:50.440 --> 0:49:54.080
<v Speaker 1>donor immune system to generate some antibodies to neutralize the

0:49:54.120 --> 0:49:57.759
<v Speaker 1>cancer when you donated them. And so this woman's mother said,

0:49:57.800 --> 0:50:01.160
<v Speaker 1>all right, I'll do this. You transplant me with a

0:50:01.160 --> 0:50:05.120
<v Speaker 1>bit of my daughter's cancer. I'll generate the antibodies, and

0:50:05.160 --> 0:50:07.239
<v Speaker 1>then you can take my blood and give it to her.

0:50:08.000 --> 0:50:12.879
<v Speaker 1>And unfortunately, the daughter actually passed away very quickly, and

0:50:13.239 --> 0:50:16.359
<v Speaker 1>a few weeks later it was discovered that the mother

0:50:16.560 --> 0:50:19.160
<v Speaker 1>actually did have the cancer growing in her, and and

0:50:19.200 --> 0:50:22.120
<v Speaker 1>then shortly after that the mother passed away from the

0:50:22.160 --> 0:50:26.000
<v Speaker 1>cancer that had killed her daughter. And you're like, it's

0:50:26.120 --> 0:50:30.920
<v Speaker 1>rare and probably because they were related. You overcome the

0:50:31.440 --> 0:50:36.680
<v Speaker 1>problems of immune rejection, but you're like, ohhs, well, it

0:50:36.680 --> 0:50:42.319
<v Speaker 1>could happen. Ah. And then there's the most absolutely disgusting one,

0:50:43.239 --> 0:50:52.160
<v Speaker 1>which is this is really sad and awful but also gross. Um. So,

0:50:52.160 --> 0:50:54.840
<v Speaker 1>there was a man who walks into an HIV clinic

0:50:55.239 --> 0:51:00.520
<v Speaker 1>in Colombia complaining of feeling very unwell and so HIV

0:51:00.760 --> 0:51:03.640
<v Speaker 1>for a long time, so his immune system was very suppressed.

0:51:03.640 --> 0:51:06.960
<v Speaker 1>He hadn't been taking his medication, and he was feeling

0:51:07.040 --> 0:51:09.239
<v Speaker 1>very unwell. And they looked in his body and they

0:51:09.239 --> 0:51:15.880
<v Speaker 1>found all these little nodules in his body and and

0:51:15.920 --> 0:51:18.480
<v Speaker 1>they were like, well, these don't look like human cells.

0:51:19.280 --> 0:51:21.279
<v Speaker 1>This is very weird. And they were well, maybe it's

0:51:21.560 --> 0:51:24.520
<v Speaker 1>a parasite or something. And they gave him some some treatment,

0:51:24.560 --> 0:51:26.600
<v Speaker 1>and he went away and and he came back in

0:51:26.640 --> 0:51:28.359
<v Speaker 1>his life, it's still no better, and there's more and

0:51:28.400 --> 0:51:31.680
<v Speaker 1>more of these weird things. And they looked more closely,

0:51:31.680 --> 0:51:36.560
<v Speaker 1>they got them analyzed, and it was he'd been infected

0:51:36.560 --> 0:51:41.120
<v Speaker 1>by tapeworm. But the tape worm had a cancer and

0:51:41.200 --> 0:51:46.320
<v Speaker 1>the cancer had infected the man, and you're like, whoa,

0:51:47.200 --> 0:51:52.239
<v Speaker 1>that is a just the stuff of nightmares. Um, be

0:51:52.680 --> 0:51:55.239
<v Speaker 1>highlights how powerful the human immune system is at the

0:51:55.239 --> 0:51:58.160
<v Speaker 1>best of times. And see is like, oh my god.

0:51:59.440 --> 0:52:03.080
<v Speaker 1>You know, also tape worms can get cancer, so it

0:52:03.120 --> 0:52:05.879
<v Speaker 1>sort of highlights a lot of the principles at work here.

0:52:06.120 --> 0:52:09.200
<v Speaker 1>And very sad for that man, but unfortunately he couldn't

0:52:09.239 --> 0:52:13.359
<v Speaker 1>be treated in the time. Um but it's like, this

0:52:13.480 --> 0:52:19.600
<v Speaker 1>is an incredible biological phenomenon really, that we were only

0:52:19.640 --> 0:52:22.719
<v Speaker 1>just starting to understand. Yeah, I mean, these are all

0:52:23.440 --> 0:52:26.759
<v Speaker 1>just unbelievable examples and and go in the column of

0:52:27.520 --> 0:52:29.680
<v Speaker 1>you know, the case you make that we should shift

0:52:29.719 --> 0:52:33.040
<v Speaker 1>towards that thinking of cancer in an evolutionary and ecological

0:52:33.040 --> 0:52:36.879
<v Speaker 1>way instead of a purely molecular way. So if that's

0:52:36.920 --> 0:52:40.719
<v Speaker 1>the dark side, what about thinking about cancer in an

0:52:40.760 --> 0:52:44.319
<v Speaker 1>evolutionary and ecological way gives you hope? Do you see

0:52:44.480 --> 0:52:48.360
<v Speaker 1>lines of research extending from that framework that give you

0:52:48.400 --> 0:52:51.799
<v Speaker 1>hope for the future and of cancer treatment and and

0:52:51.880 --> 0:52:55.399
<v Speaker 1>the fight against cancer? Yeah, so you know, you can

0:52:55.440 --> 0:52:58.080
<v Speaker 1>get very sort of nihilistic about this, and I oh yeah,

0:52:58.120 --> 0:53:02.239
<v Speaker 1>resistance always emerges. Evolution is so powerful. But then I

0:53:02.280 --> 0:53:05.920
<v Speaker 1>look at the kind of researchers that are really getting

0:53:05.960 --> 0:53:09.280
<v Speaker 1>to grips with evolutionary therapy, and it's a growing bunch.

0:53:09.760 --> 0:53:12.280
<v Speaker 1>It's all started, particularly, I think, from the Mopic Cancer

0:53:12.320 --> 0:53:16.160
<v Speaker 1>Center in Tampa and Florida and a man called Bob

0:53:16.200 --> 0:53:19.080
<v Speaker 1>Gattenby and his team there, and they are just really

0:53:19.120 --> 0:53:24.560
<v Speaker 1>incredible people. So, I mean, I'm a biologist, I am biased,

0:53:24.640 --> 0:53:28.760
<v Speaker 1>I will say against mathematicians and physicists. But it turns

0:53:28.800 --> 0:53:31.880
<v Speaker 1>out the secret the secret weapon in the war on

0:53:32.000 --> 0:53:35.839
<v Speaker 1>cancer is maths. So there you go. So he's brought

0:53:35.920 --> 0:53:40.560
<v Speaker 1>together all these mathematicians and biologists and they're actually doing

0:53:41.120 --> 0:53:46.280
<v Speaker 1>evolutionary modeling on cancer populations, trying to understand the rise

0:53:46.320 --> 0:53:50.320
<v Speaker 1>of the fall of resistant and sensitive cells, trying to go, Okay,

0:53:50.440 --> 0:53:53.680
<v Speaker 1>if if resistance is going to emerge when you treat,

0:53:54.360 --> 0:53:57.480
<v Speaker 1>can we predict how that's going to happen? How do

0:53:57.560 --> 0:54:02.520
<v Speaker 1>we kind of let cell populations balance them cells out

0:54:02.600 --> 0:54:06.399
<v Speaker 1>and stay in control rather than just you know, nuke

0:54:06.440 --> 0:54:09.240
<v Speaker 1>it from orbit, which is kind of the conventional idea

0:54:09.239 --> 0:54:13.719
<v Speaker 1>about cancer therapy. And so they've they've done a most

0:54:13.719 --> 0:54:17.680
<v Speaker 1>successful clinical trial so far is in prostate cancer. And

0:54:17.719 --> 0:54:20.800
<v Speaker 1>it's it's an absolutely fascinating trial of an approach that

0:54:20.840 --> 0:54:24.319
<v Speaker 1>they call adaptive therapy. And the way it works is

0:54:24.600 --> 0:54:28.279
<v Speaker 1>you assume that within any cancer at any size, there

0:54:28.320 --> 0:54:31.279
<v Speaker 1>are going to be sensitive cells to the drug and

0:54:31.280 --> 0:54:33.440
<v Speaker 1>there's going to be resistant cells to the drug. And

0:54:33.480 --> 0:54:37.120
<v Speaker 1>it's a drug called abbiratarone that they use, and so

0:54:37.200 --> 0:54:41.640
<v Speaker 1>what you do is you you also have to have

0:54:41.680 --> 0:54:45.000
<v Speaker 1>a marker that will tell you how much tumor is

0:54:45.040 --> 0:54:48.680
<v Speaker 1>in anyone's body at any given time. And for prostate cancer,

0:54:48.719 --> 0:54:50.600
<v Speaker 1>we have quite a good marker. It's called p s A.

0:54:50.719 --> 0:54:52.840
<v Speaker 1>So you can look at someone's p s A level

0:54:52.920 --> 0:54:56.440
<v Speaker 1>in their bloodstream and say, okay, that's a proxy for

0:54:56.480 --> 0:54:59.520
<v Speaker 1>how much cancer is in their body. And so they

0:54:59.560 --> 0:55:04.160
<v Speaker 1>start eating this these men with prostate cancer advanced prostate cancer,

0:55:04.239 --> 0:55:08.040
<v Speaker 1>so they're there. Probably their their life expectancy is about

0:55:08.080 --> 0:55:10.359
<v Speaker 1>eighteen months on this drug before it starts to get

0:55:10.360 --> 0:55:14.080
<v Speaker 1>really gnarly for them. And and they treat them with

0:55:14.080 --> 0:55:17.160
<v Speaker 1>this drug and it starts to work and their tumors

0:55:17.200 --> 0:55:20.880
<v Speaker 1>start to shrink, and then the difficult bit is you

0:55:20.960 --> 0:55:24.000
<v Speaker 1>wait till it's shrunk to half the size it was

0:55:25.560 --> 0:55:31.120
<v Speaker 1>and then you stop treating and you wait. So the

0:55:31.200 --> 0:55:34.000
<v Speaker 1>idea is you've knocked down all the sensitive cells, or

0:55:34.040 --> 0:55:36.000
<v Speaker 1>as many of them as you. You feel the urge too,

0:55:36.280 --> 0:55:38.960
<v Speaker 1>and there's still some sensitive cells there which are keeping

0:55:38.960 --> 0:55:42.960
<v Speaker 1>the resistant cells in check. And then you wait and

0:55:43.040 --> 0:55:46.080
<v Speaker 1>you wait for them to grow back. But because being

0:55:46.160 --> 0:55:48.960
<v Speaker 1>resistant to the drug is kind of it's it's it's

0:55:48.960 --> 0:55:50.719
<v Speaker 1>not very good for you, these cells are less fit,

0:55:50.760 --> 0:55:52.880
<v Speaker 1>they struggled to grow as much. So it's the sensitive

0:55:52.920 --> 0:55:56.120
<v Speaker 1>cells that grow back as so you treat them again.

0:55:56.560 --> 0:55:58.880
<v Speaker 1>And so you ride this kind of roller coaster of

0:55:59.440 --> 0:56:02.640
<v Speaker 1>start the drug, let the tumor shrink, stop the drug,

0:56:03.160 --> 0:56:06.560
<v Speaker 1>let the tumor grow. Start the drug, let the tumor shrink.

0:56:06.840 --> 0:56:08.840
<v Speaker 1>And they have men who have been on this regime

0:56:09.080 --> 0:56:12.719
<v Speaker 1>for four years. I mean gradually in the end the

0:56:12.800 --> 0:56:16.120
<v Speaker 1>tumor does, the cancer does start to evolve because that

0:56:16.200 --> 0:56:19.480
<v Speaker 1>population of resistance cells does start to get bigger, very

0:56:19.520 --> 0:56:22.399
<v Speaker 1>slightly every time. But this is you know, if this

0:56:22.480 --> 0:56:25.080
<v Speaker 1>was a drug and you were saying, I've gone from

0:56:25.200 --> 0:56:28.640
<v Speaker 1>average eighteen months through to four years, you know, if

0:56:28.640 --> 0:56:31.880
<v Speaker 1>this was a drug, the industry would just be throwing

0:56:31.920 --> 0:56:35.279
<v Speaker 1>itself at trying to to get this you know, get

0:56:35.280 --> 0:56:36.920
<v Speaker 1>this to the clinic, get this to work, get this

0:56:37.000 --> 0:56:40.960
<v Speaker 1>to everyone. So that was that was a really powerful

0:56:41.000 --> 0:56:45.839
<v Speaker 1>demonstration of an evolutionary therapy of understanding and accepting you've

0:56:45.880 --> 0:56:48.920
<v Speaker 1>got these cell populations in there and they're kind of

0:56:48.960 --> 0:56:53.480
<v Speaker 1>how to balance them. There are other sort of adaptive strategies,

0:56:53.520 --> 0:56:56.480
<v Speaker 1>evolutionary strategies. There's one called the Suckers gambit, which is

0:56:56.520 --> 0:56:59.400
<v Speaker 1>where you treat cancer cells with a drug that you

0:56:59.440 --> 0:57:03.839
<v Speaker 1>want them to develop evolved resistance too. But you know

0:57:03.960 --> 0:57:06.960
<v Speaker 1>that for them to have evolved resistance, they have to

0:57:07.000 --> 0:57:10.000
<v Speaker 1>have activated certain molecular pathways, they have to have gone

0:57:10.040 --> 0:57:13.640
<v Speaker 1>down an evolutionary route in one direction, and then you

0:57:13.719 --> 0:57:16.240
<v Speaker 1>hit them with another drug that they can't get out of,

0:57:17.120 --> 0:57:18.920
<v Speaker 1>so you're sort of you you get them into a

0:57:18.960 --> 0:57:23.840
<v Speaker 1>blind evolutionary end. It's like a double punch, yeah, exactly.

0:57:23.920 --> 0:57:27.400
<v Speaker 1>You know, there's there's lots of ideas out there about

0:57:27.480 --> 0:57:30.680
<v Speaker 1>using the drugs we have, maybe even using drugs that

0:57:30.720 --> 0:57:34.760
<v Speaker 1>are less you know, less good. I suppose less potent, less,

0:57:35.520 --> 0:57:38.960
<v Speaker 1>less toxic, because you don't want to just nuke everything.

0:57:39.600 --> 0:57:42.160
<v Speaker 1>You want to start thinking about how to balance cells,

0:57:42.200 --> 0:57:46.680
<v Speaker 1>how to control cell populations. But this comes to the

0:57:46.720 --> 0:57:51.080
<v Speaker 1>really difficult thing, which is the psychological element of this,

0:57:51.200 --> 0:57:55.320
<v Speaker 1>because this is not the cure for cancer that we

0:57:55.320 --> 0:57:58.280
<v Speaker 1>were promised. This is not the magic bullet. This is

0:57:58.320 --> 0:58:01.640
<v Speaker 1>not eradicated from your body. There may be some approaches

0:58:01.680 --> 0:58:04.160
<v Speaker 1>where we actually can and you know, the earlier you

0:58:04.160 --> 0:58:07.760
<v Speaker 1>can diagnose cancer if you can treat it with surgery. Um,

0:58:07.880 --> 0:58:11.720
<v Speaker 1>some cancers can be treated really effectively and cured at

0:58:11.760 --> 0:58:15.840
<v Speaker 1>an early stage. But for cancers, once that evolutionary process

0:58:16.000 --> 0:58:19.600
<v Speaker 1>is really kicked off, you have to approach them with

0:58:19.640 --> 0:58:23.920
<v Speaker 1>an evolutionary mindset, and that may mean driving them to

0:58:24.000 --> 0:58:28.160
<v Speaker 1>extinction with the right combination of sort of extinction events

0:58:28.200 --> 0:58:32.800
<v Speaker 1>at the right time. Um. But it's a it's not

0:58:32.880 --> 0:58:36.600
<v Speaker 1>going to be this kind of perfect cure that I

0:58:36.640 --> 0:58:39.440
<v Speaker 1>think people want that we've been led to expect, and

0:58:39.480 --> 0:58:43.360
<v Speaker 1>it certainly won't be one magic bullet drug that like, Yep,

0:58:43.440 --> 0:58:46.000
<v Speaker 1>that's it, that's that's the cure. That's it. We can

0:58:46.000 --> 0:58:49.800
<v Speaker 1>now sell this and give it to everyone because as

0:58:49.800 --> 0:58:53.520
<v Speaker 1>I said, you know, every every individual cancer is a

0:58:53.640 --> 0:58:56.200
<v Speaker 1>is a one off, it's a special snowflake. It's an

0:58:56.200 --> 0:59:00.840
<v Speaker 1>individual evolutionary event. So we need to understand that where

0:59:00.960 --> 0:59:03.920
<v Speaker 1>is it going what's it doing, what are what are

0:59:03.920 --> 0:59:07.440
<v Speaker 1>the contingencies in there? And how can we either drive

0:59:07.480 --> 0:59:11.040
<v Speaker 1>this cancer to extinction or drive it to a place

0:59:11.440 --> 0:59:13.960
<v Speaker 1>where we can control it for the rest of someone's

0:59:14.160 --> 0:59:18.640
<v Speaker 1>natural lifespan. And you know, that's not a cure for cancer,

0:59:18.720 --> 0:59:22.160
<v Speaker 1>but to me, that's you know, I think that's getting there. Yeah,

0:59:22.600 --> 0:59:25.360
<v Speaker 1>I really like that thinking of the body, not like

0:59:25.480 --> 0:59:28.320
<v Speaker 1>as a malfunctioning car with a part that needs to

0:59:28.400 --> 0:59:32.040
<v Speaker 1>be replaced or fixed, but as an environment with natural

0:59:32.040 --> 0:59:35.880
<v Speaker 1>populations within it that in the relationships between them need

0:59:35.960 --> 0:59:39.680
<v Speaker 1>to be managed. Yeah, sort of tending the garden is

0:59:39.720 --> 0:59:42.640
<v Speaker 1>the idea, but you can take the ecological thing further.

0:59:42.680 --> 0:59:45.800
<v Speaker 1>There are different sorts of cancers. You know. Some are lush,

0:59:46.080 --> 0:59:49.720
<v Speaker 1>exotic rainforests that are really going for its summer arid deserts.

0:59:49.720 --> 0:59:53.840
<v Speaker 1>Some are more like, you know, kind of neatly tendered gardens.

0:59:53.840 --> 0:59:57.600
<v Speaker 1>But we've got to understand what each person's cancer is

0:59:58.040 --> 1:00:01.360
<v Speaker 1>really like and how it's behaving, not just a shopping

1:00:01.400 --> 1:00:03.600
<v Speaker 1>list of mutations that you can try and fire magic

1:00:03.640 --> 1:00:09.680
<v Speaker 1>bullets at, but a much more holistic understanding and accepting

1:00:10.000 --> 1:00:13.440
<v Speaker 1>that evolution is going to happen, always has done. That's

1:00:13.440 --> 1:00:15.880
<v Speaker 1>why we're here, that's why the diversity of life is here.

1:00:16.520 --> 1:00:19.560
<v Speaker 1>But if we can harness it and work with it,

1:00:20.040 --> 1:00:22.360
<v Speaker 1>then I really think we can start to make some

1:00:22.400 --> 1:00:26.800
<v Speaker 1>progress in in some of these most difficult advanced cancers. Alright,

1:00:26.840 --> 1:00:28.680
<v Speaker 1>I guess we will wrap it up there. But again,

1:00:28.760 --> 1:00:32.240
<v Speaker 1>the book is Rebel Cell. It's a fantastic reed. We

1:00:32.440 --> 1:00:34.880
<v Speaker 1>we really think you'll like it. And also you can

1:00:34.920 --> 1:00:38.520
<v Speaker 1>check out cats podcast, the Genetics Unzipped podcast. Is there

1:00:38.520 --> 1:00:40.200
<v Speaker 1>anywhere else they should look for your work right now,

1:00:40.280 --> 1:00:47.040
<v Speaker 1>Cat um, my first book, Herding Hemmingway's Cats, is available.

1:00:47.520 --> 1:00:49.400
<v Speaker 1>I've got another book called How to Code a Human

1:00:50.080 --> 1:00:54.040
<v Speaker 1>and you can find me at on Twitter. I'm Cat

1:00:54.120 --> 1:00:58.000
<v Speaker 1>underscore Arnie. Pretty much yeah, every everything is pretty much there.

1:00:59.560 --> 1:01:01.760
<v Speaker 1>All right, Well, that does it. Thanks again to Cat

1:01:01.840 --> 1:01:04.840
<v Speaker 1>Arnie for joining us for this discussion. Again, if you're

1:01:04.840 --> 1:01:06.560
<v Speaker 1>trying to look her up, you can find her on

1:01:06.600 --> 1:01:10.080
<v Speaker 1>Twitter at at k A T Underscore A R N.

1:01:10.240 --> 1:01:13.160
<v Speaker 1>E Y. And if you're looking for her book, Rebel

1:01:13.240 --> 1:01:17.720
<v Speaker 1>Cell Cancer Evolution and the New Science of Life's Oldest Betrayal. Uh.

1:01:17.760 --> 1:01:20.880
<v Speaker 1>The UK version is coming out on August six. The

1:01:20.960 --> 1:01:23.960
<v Speaker 1>US version is coming out on September twenty nine. You

1:01:24.000 --> 1:01:26.640
<v Speaker 1>can pre order now, I believe, If not, keep an

1:01:26.640 --> 1:01:29.200
<v Speaker 1>eye out for it, and you can also look it

1:01:29.280 --> 1:01:33.240
<v Speaker 1>up on her website at Rebel cell book dot com

1:01:33.360 --> 1:01:35.720
<v Speaker 1>or check out her work on the Genetics on Zipped

1:01:35.720 --> 1:01:38.920
<v Speaker 1>podcast at Genetics n zipped dot com. It's just such

1:01:38.920 --> 1:01:41.440
<v Speaker 1>a great book title. I just keep coming back to

1:01:41.480 --> 1:01:43.720
<v Speaker 1>how much I love that book title. It really is

1:01:43.760 --> 1:01:46.160
<v Speaker 1>great and uh and it has some resonance throughout the

1:01:46.160 --> 1:01:49.240
<v Speaker 1>book with some other themes and metaphors she discusses in there,

1:01:49.280 --> 1:01:51.680
<v Speaker 1>such as the Society of Cells. So, Robert, I really

1:01:51.680 --> 1:01:53.400
<v Speaker 1>do recommend you read it if you get a chance.

1:01:53.480 --> 1:01:55.920
<v Speaker 1>I I really enjoyed this one, all right. I'll have

1:01:55.960 --> 1:01:59.640
<v Speaker 1>to look for in September. In the meantime, Yeah, everyone

1:01:59.680 --> 1:02:02.040
<v Speaker 1>out there would like to listen to additional episodes of

1:02:02.080 --> 1:02:04.360
<v Speaker 1>stuff to blow your mind, Well you can find us

1:02:04.480 --> 1:02:08.640
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1:02:08.680 --> 1:02:11.960
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1:02:16.040 --> 1:02:18.000
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1:02:18.480 --> 1:02:21.320
<v Speaker 1>Huge thanks as always to our excellent audio producer Seth

1:02:21.440 --> 1:02:23.880
<v Speaker 1>Nicholas Johnson. If you would like to get in touch

1:02:23.920 --> 1:02:26.000
<v Speaker 1>with us with feedback on this episode or any other,

1:02:26.080 --> 1:02:28.600
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1:02:28.880 --> 1:02:31.560
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