WEBVTT - Listener Questions #10

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<v Speaker 1>How do prions infect healthy proteins? Someone please ask about

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<v Speaker 1>Aunt Lion Queen's.

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<v Speaker 2>What does a concert sound like near a black hole?

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<v Speaker 2>Can medical maggots help make a wound hole?

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<v Speaker 1>Biology, physics, archaeology, forestry. We like medicine, so thank you chemistry.

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<v Speaker 2>Do you have questions about particles or cats? We'll find

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<v Speaker 2>answers to all of that.

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<v Speaker 1>Whatever questions keep you up at night. Daniel and Kelly's

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<v Speaker 1>answer will make it right.

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<v Speaker 2>Welcome to another Listener Questions episode on Daniel and Kelly's

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<v Speaker 2>Extraordinary Universe. Him Daniel, I'm a particle physicist with a

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<v Speaker 2>growing interest in biology, and I love here feedback from

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<v Speaker 2>listeners about the new podcast format.

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<v Speaker 1>Hello, I'm Kelly Wiener Smith. I study space and parasites.

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<v Speaker 1>I also love hearing from the listeners, and I'm excited

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<v Speaker 1>about the kind of creepy crawley stuff we're talking about today.

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<v Speaker 2>I am too. There's so much about our natural world

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<v Speaker 2>which is amazing. Even if we don't understand quantum gravity

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<v Speaker 2>and how all the particle bits come together to make

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<v Speaker 2>this bizarre world, it's still totally worth studying. With so

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<v Speaker 2>many incredible, gooey mysteries and the.

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<v Speaker 1>Non gooey mysteries are good too. I'm also becoming a

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<v Speaker 1>budding physics enthusiast. You gave me the other day a

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<v Speaker 1>pod in physics, and I'll take it.

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<v Speaker 2>Yeah. It turns out people can be interested in physics

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<v Speaker 2>and in biology and and all sorts of crazy things

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<v Speaker 2>about our extraordinary universe. And I just wanted to read

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<v Speaker 2>a snippet from a listener who wrote to me and

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<v Speaker 2>encourage anybody out there to write to us questions at

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<v Speaker 2>Daniel and Kelly dot org. Send us your questions, send

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<v Speaker 2>us your feedback, send us your ideas, send us your

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<v Speaker 2>hopes and dreams, send us your love letters from fifth grade, whatever,

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<v Speaker 2>and we'd love hearing from you. Particular listener has a

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<v Speaker 2>long history with me and wrote that he originally quote

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<v Speaker 2>had the idea that I wouldn't be as interested in

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<v Speaker 2>a podcast that wasn't focused entirely on physics. How wrong

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<v Speaker 2>I was. I have found myself fascinated by the biology episodes,

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<v Speaker 2>especially the recent episodes on insulin and gender, and I

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<v Speaker 2>have to feel like I'm going along for the ride. Also,

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<v Speaker 2>like I didn't know how fascinating biology was, and so

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<v Speaker 2>I'm really grateful to get to explore all these topics.

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<v Speaker 1>And I'm so grateful for everyone who's given the biology

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<v Speaker 1>a chance, everyone who sort of came for the physics

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<v Speaker 1>but is staying for the biology and hopefully is enjoying

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<v Speaker 1>it as well. And the listener mentioned the insulin episode.

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<v Speaker 1>We are super lucky to have Katrina Whitson coming for

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<v Speaker 1>a little guest appearance on the show again today. But yes,

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<v Speaker 1>I read that email too, and it absolutely made my month.

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<v Speaker 1>I love when we get emails like that.

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<v Speaker 2>Me too. And also, you can't mention Katrino without referring

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<v Speaker 2>to all of her accolades. I know if you're aware

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<v Speaker 2>she's the Whites And Endowed Chair at the Whites And Institute.

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<v Speaker 1>Oh my gosh, wow incredible. I have been dying to

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<v Speaker 1>get an adjunct position at the Whites And Research Institute.

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<v Speaker 2>The review process is really strict. Yeah, a bunch of

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<v Speaker 2>snobs over there.

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<v Speaker 1>I've met Katrina. I'm not sure about that. She seems

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<v Speaker 1>very nice.

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<v Speaker 2>No, of course, we'd love to have you anyway. Today

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<v Speaker 2>we are talking about your questions about this extraordinary universe,

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<v Speaker 2>physics questions, black hole questions, weird protein questions. We'd love

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<v Speaker 2>to answer your question on the podcast. Please do right

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<v Speaker 2>to us questions at Danielankelly dot org. Again, if you

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<v Speaker 2>write to dot com, you'll be sending your message to

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<v Speaker 2>a very lovely couple who just got married, but that's

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<v Speaker 2>not us.

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<v Speaker 1>Congratulations Daniel and Kelly. We wish you a beautiful forever together.

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<v Speaker 2>And Daniel and Kelly dot com. If you guys have questions,

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<v Speaker 2>send them to us. We'd love to have you guys

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<v Speaker 2>on the podcast.

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<v Speaker 1>Hey, Daniels and Kelly's.

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<v Speaker 3>Well.

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<v Speaker 1>Our first question today is an amazing question by Niall

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<v Speaker 1>about pry on or pre on. I don't know I'm

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<v Speaker 1>going to say it, however, you know it comes out

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<v Speaker 1>of my mouth at the time, but let's go ahead

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<v Speaker 1>and hear the question.

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<v Speaker 3>Hi, Kelly and Daniel, my name is Nile, and I

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<v Speaker 3>have a question regarding preons and preon diseases. I understand

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<v Speaker 3>that preons are misfolded proteins that are capable of causing

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<v Speaker 3>significant damage to our nervous systems if we are exposed

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<v Speaker 3>to them. However, I am particularly interested in understanding why

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<v Speaker 3>preon diseases are infectious slash contagious. Specifically, I'm wondering what

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<v Speaker 3>causes our normal properly folded proteins to adopt the misfolded

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<v Speaker 3>preon structure when exposed to them, rather than just defaulting

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<v Speaker 3>to their correct structure. I would greatly appreciate any insight

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<v Speaker 3>you can provide on this topic. Thank you so much,

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<v Speaker 3>And I love the show.

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<v Speaker 1>This is a fantastic question that I did not know

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<v Speaker 1>the answer to, and you'll see that by the end,

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<v Speaker 1>I spent five hours slamming my head against the lit

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<v Speaker 1>and eventually we called in someone smarter than either of us,

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<v Speaker 1>and that's where Katrina comes in. But let's back up

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<v Speaker 1>a little bit, all right, So how do diseases usually

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<v Speaker 1>replicate and transmit? So, if you have a bacterial infection,

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<v Speaker 1>like you've got a cold, the bacteria get into your

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<v Speaker 1>body and then those bacteria start making more and more

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<v Speaker 1>of themselves and they, you know, spread throughout your body.

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<v Speaker 2>That's kind of creepy, right, You're being like colonized by

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<v Speaker 2>some malevolent force.

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<v Speaker 1>It is pretty creepy. Yeah. And then if you get parasites,

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<v Speaker 1>like you know, the parasites that I love to talk

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<v Speaker 1>about so much, something like tapeworms or nematodes, what usually

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<v Speaker 1>happens there is every single infection you get is because

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<v Speaker 1>you have accidentally, for example, consumed an egg that was

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<v Speaker 1>in the environment. And so the way you get more

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<v Speaker 1>of those infections is you accidentally encounter and consume more

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<v Speaker 1>of those eggs. For viral infections, the way you get

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<v Speaker 1>more of those is that the virus injects some of

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<v Speaker 1>its genetic material.

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<v Speaker 2>So gross, so gross.

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<v Speaker 1>Yes, yeah, I know I hate viruses and bacteria, but

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<v Speaker 1>none of them are as bad as ticks. Ticks are

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<v Speaker 1>the worst. Yes, So they inject genetic material into your

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<v Speaker 1>own cells, hijack your cell's machinery, and your cell essentially

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<v Speaker 1>makes more viruses for the virus.

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<v Speaker 2>All of these things have nucleic material, right, this DNA

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<v Speaker 2>or RNA or something, and all these things. People argue

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<v Speaker 2>about whether viruses are alive or not, but like they

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<v Speaker 2>have this code inside of them. That's what they all

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<v Speaker 2>have in common.

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<v Speaker 1>Right, Yeah, that's right. And so when the first person

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<v Speaker 1>suggested that what's happening with what ended up being called

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<v Speaker 1>prion diseases is that it's actually a protein that is

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<v Speaker 1>essentially replicating, not by sort of copying itself using genetic

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<v Speaker 1>material like you would expect, but is essentially touching other

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<v Speaker 1>proteins and making those other proteins infectious. That was a

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<v Speaker 1>bit controversial for a while because that's not how we

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<v Speaker 1>usually see infections transmitting in any of the ways that

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<v Speaker 1>we sort of understand this.

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<v Speaker 2>Are you underplaying it a little bit, a bit controvert, Like,

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<v Speaker 2>wasn't that sort of laughed out of the room for

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<v Speaker 2>a while, People are like, that's impossible.

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<v Speaker 1>Yes, yes, no, we were all very skeptical. It took

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<v Speaker 1>a while for that to be widely accepted.

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<v Speaker 2>And for those of us who are not biologists or biochemist,

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<v Speaker 2>remind us what you mean when you say protein. You're

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<v Speaker 2>using in a technical sense, not like chicken breasts or

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<v Speaker 2>tofu on top of your salad. When your server asks

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<v Speaker 2>if you'd like to add protein? You mean something about

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<v Speaker 2>the chemical structure, right.

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<v Speaker 1>Yeah, so I mean chicken breast is made of proteins.

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<v Speaker 1>So your genetic code contains the information that your body

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<v Speaker 1>needs to make proteins. And proteins are strings of amino acids,

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<v Speaker 1>and they essentially make up all of your body, and

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<v Speaker 1>they help your chemical reactions happen, and they are ubiquitous, and.

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<v Speaker 2>They're incredible little molecular machines. Right, they do stuff. They

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<v Speaker 2>come from the DNA and then they fold into these shapes.

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<v Speaker 2>They're like little robots, right, They're amazing. The engineering here

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<v Speaker 2>is just.

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<v Speaker 1>Astounding, delicious in your salad and fantastic in your body.

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<v Speaker 1>So the listener to know about prions. So these are

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<v Speaker 1>protinaceous infectious particles, is the fancy way of sort of

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<v Speaker 1>saying it. And there's a couple different ways that proteins

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<v Speaker 1>can transmit disease. So one of them is that they're

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<v Speaker 1>sort of infectious in the way you might usually think

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<v Speaker 1>of infectious material. So, for example, if you eat meat

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<v Speaker 1>that has the mad cow prion in it, and you

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<v Speaker 1>consume that meat, that prion can then move around your

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<v Speaker 1>body and cause your proteins to become abnormal. So that's

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<v Speaker 1>infectious in a way that we sort of are used

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<v Speaker 1>to thinking about infectious material.

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<v Speaker 2>And just to make sure I'm following, when you say

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<v Speaker 2>prion is a protinaceous infectious particle, it's still just a protein.

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<v Speaker 2>Is just like a weird protein in a particular shape, right,

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<v Speaker 2>It's not like it's turned into a particle the way

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<v Speaker 2>we talk about it.

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<v Speaker 1>Oh yeah, no, forget the physics, man, forget the physics.

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<v Speaker 1>We're in bio world.

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<v Speaker 2>Right now, I'm listening to biologists talk about particles, but

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<v Speaker 2>it has nothing to do with particles. That's great.

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<v Speaker 1>I don't know whether particles in biology are more confusing

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<v Speaker 1>than particles in physics, but either we're gonna buddle through.

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<v Speaker 2>All right. So you can get these in your body

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<v Speaker 2>and they can turn some of your proteins into preon's.

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<v Speaker 2>What's another way that you can get one of these

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<v Speaker 2>horrible diseases.

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<v Speaker 1>Another way you can get one of these horrible diseases, unfortunately,

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<v Speaker 1>is if you end up with a mutation in your

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<v Speaker 1>own genes, and then your genetic code now produces a

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<v Speaker 1>protein that folds in a way it's not supposed to fold.

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<v Speaker 1>And usually when you get this heritable gene that has

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<v Speaker 1>this bad mutation, you don't start making these weird proteins

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<v Speaker 1>until you're a little bit older, like sixties or more.

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<v Speaker 1>Funny story, I was talking to a neighbor the other

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<v Speaker 1>day who said something to the effect of, oh, well,

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<v Speaker 1>when I'm talking to young people, they're not so interested

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<v Speaker 1>in this, And I was like, oh, I'm interested. And

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<v Speaker 1>then I realized that he didn't mean me exactly. He

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<v Speaker 1>could tell I was interested because I was one of

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<v Speaker 1>the old people, and he was talking about other people. Anyway.

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<v Speaker 2>Did I ever tell you about the time I was

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<v Speaker 2>accidentally c seed on an email where they were looking

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<v Speaker 2>for a young ish professor to take on some roll

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<v Speaker 2>and somebody said whites and is he youngish anymore? I'm

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<v Speaker 2>not sure?

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<v Speaker 1>And I was like, oh, nice. Oh I thought I

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<v Speaker 1>just had a little gray in my hair. And someone

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<v Speaker 1>told me I was rocking the salt and pepper look,

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<v Speaker 1>which was very nice. But that was the first time

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<v Speaker 1>I realized that I had transitioned to salt and pepper. Anyway,

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<v Speaker 1>you and I are aging, but hopefully we don't have

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<v Speaker 1>this mutation.

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<v Speaker 2>All right, So this mutation just means that you produce

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<v Speaker 2>a protein through the normal mechanism of like DNA RNA protein,

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<v Speaker 2>But it's one of these bad proteins. Yes, you said

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<v Speaker 2>that it doesn't fold the way it's supposed to. Is

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<v Speaker 2>it that it doesn't fold the way the DNA tells

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<v Speaker 2>it to, or that it folds in a way that's damaging.

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<v Speaker 1>It folds in a way that's damaging if you have

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<v Speaker 1>this mutation. Mutations often result in changes in an amino

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<v Speaker 1>acid in the sequence that makes up a protein, and

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<v Speaker 1>when you have a change in that amino acid, it

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<v Speaker 1>can change the shape of the protein. So the protein

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<v Speaker 1>might be doing what the genetic code told it to do,

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<v Speaker 1>but now it's folding up in a configuration that's bad

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<v Speaker 1>for you and can go and cause other proteins to

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<v Speaker 1>do it too.

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<v Speaker 2>All right, So you can either get through from outside

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<v Speaker 2>the body or you can just have your genetic code

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<v Speaker 2>do these terrible things. Is that it or is there

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<v Speaker 2>another thing we have to worry about.

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<v Speaker 1>The third way is what they call spontaneous. So you've

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<v Speaker 1>got proteins, and actually, something that I learned while doing

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<v Speaker 1>this research is that sometimes your proteins will change shape

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<v Speaker 1>and then go back to their normal shape. Wow, while

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<v Speaker 1>they're in your body, and it doesn't seem efficient, just

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<v Speaker 1>like be consistent, man, But so I guess sometimes they

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<v Speaker 1>will sort of get out of their configuration and when

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<v Speaker 1>they go back into their configuration, they don't go back correctly,

0:11:29.559 --> 0:11:32.959
<v Speaker 1>and so now they've got this bad shape. And once

0:11:33.000 --> 0:11:37.040
<v Speaker 1>you've got either the heritable or the spontaneous version of

0:11:37.080 --> 0:11:40.800
<v Speaker 1>these prions, they start to act infectious. So they go

0:11:40.880 --> 0:11:44.280
<v Speaker 1>around and they make other prions abnormally shaped as well.

0:11:44.800 --> 0:11:48.240
<v Speaker 2>Weird. That's incredible that one protein can turn another protein bad.

0:11:48.679 --> 0:11:50.319
<v Speaker 2>It's like the bad influence protein.

0:11:50.720 --> 0:11:54.000
<v Speaker 1>This spontaneous prion thing. This is like stay up at

0:11:54.080 --> 0:11:57.360
<v Speaker 1>night worrying about what all your proteins are doing. I'm

0:11:57.360 --> 0:11:59.520
<v Speaker 1>not worrying about my kids anymore. I'm worried about whether

0:11:59.600 --> 0:12:02.559
<v Speaker 1>or not my proteins are behaving. But I'm sure it's fine.

0:12:02.640 --> 0:12:05.720
<v Speaker 2>This is a whole fascinating area though. Protein folding. We

0:12:05.800 --> 0:12:08.520
<v Speaker 2>describe it as if it's like DNA RNA protein, but

0:12:08.559 --> 0:12:09.559
<v Speaker 2>it's very complicated.

0:12:09.600 --> 0:12:09.720
<v Speaker 4>Right.

0:12:09.760 --> 0:12:12.400
<v Speaker 2>You build this sequence of amino acids and when they fold,

0:12:12.440 --> 0:12:15.640
<v Speaker 2>they're like settling into a lower energy state. They're like

0:12:15.679 --> 0:12:18.679
<v Speaker 2>relaxing into it. And it's really hard to know what

0:12:18.720 --> 0:12:20.600
<v Speaker 2>that state is. You can look at the DNA code.

0:12:20.760 --> 0:12:24.280
<v Speaker 2>It's not easy to predict the configurations of proteins that

0:12:24.320 --> 0:12:26.559
<v Speaker 2>come out of that sequence. There was a huge result

0:12:26.600 --> 0:12:29.520
<v Speaker 2>recently alpha fold where people were able to predict these

0:12:29.559 --> 0:12:32.920
<v Speaker 2>things very well using AI. Really an incredible breakthrough. People

0:12:32.920 --> 0:12:34.160
<v Speaker 2>have been working on that for decades.

0:12:34.360 --> 0:12:38.120
<v Speaker 1>Yeah, that is fantastic. Let's go into one real example.

0:12:38.760 --> 0:12:45.160
<v Speaker 1>Fritz Feld Jacob disease. So sorry about my pronunciation, apologize

0:12:45.160 --> 0:12:45.760
<v Speaker 1>ahead of time.

0:12:46.280 --> 0:12:48.040
<v Speaker 2>I'm not even going to correct you because I enjoy

0:12:48.080 --> 0:12:49.640
<v Speaker 2>listening to your mispronunciations.

0:12:49.760 --> 0:12:51.800
<v Speaker 1>Okay, do you know how to pronounce it correctly?

0:12:52.440 --> 0:12:54.720
<v Speaker 2>I'm pretty sure it's quartz failed yakup disease, but I

0:12:54.800 --> 0:12:55.640
<v Speaker 2>like the way you said it.

0:12:55.760 --> 0:12:57.480
<v Speaker 1>Oh okay, well thanks, I appreciate that.

0:12:57.360 --> 0:12:59.280
<v Speaker 2>Especially like the way you like tiptoe through it in

0:12:59.320 --> 0:13:00.280
<v Speaker 2>a terrified.

0:13:02.040 --> 0:13:03.520
<v Speaker 1>But from now on, it's CJD.

0:13:03.960 --> 0:13:04.320
<v Speaker 2>Okay.

0:13:04.720 --> 0:13:07.520
<v Speaker 1>So for CJD, what happens is that in older people

0:13:07.640 --> 0:13:11.080
<v Speaker 1>sometimes you sporadically get a protein that folds up incorrectly.

0:13:11.120 --> 0:13:13.559
<v Speaker 1>Now you've got this abnormal form. And I read a

0:13:13.559 --> 0:13:16.960
<v Speaker 1>bunch of papers that suggested that as various vertebrates age,

0:13:17.160 --> 0:13:20.840
<v Speaker 1>our proteins are sort of more likely to fold the

0:13:20.880 --> 0:13:23.120
<v Speaker 1>wrong way because aging is a real pain in the

0:13:23.160 --> 0:13:25.600
<v Speaker 1>rear end. And then in ten to fifteen percent of

0:13:25.640 --> 0:13:28.120
<v Speaker 1>the cases, this has to do with a genetic mutation

0:13:28.240 --> 0:13:32.560
<v Speaker 1>that's giving the protein essentially bad instructions, and every once

0:13:32.600 --> 0:13:34.600
<v Speaker 1>in a while, in a rare case, you can get

0:13:34.600 --> 0:13:37.520
<v Speaker 1>it transmitted. So, for example, if you get a cornea

0:13:37.559 --> 0:13:41.840
<v Speaker 1>transplant from somebody who has CJD, then you can get CJD.

0:13:41.920 --> 0:13:43.800
<v Speaker 1>So it's important to screen for this kind of stuff,

0:13:44.040 --> 0:13:46.120
<v Speaker 1>and so unfortunately, once you get it, we don't have

0:13:46.120 --> 0:13:50.480
<v Speaker 1>any treatment, and usually the symptoms get worse quite quickly

0:13:50.520 --> 0:13:54.040
<v Speaker 1>by the time the symptoms are identifiable, and according to

0:13:54.080 --> 0:13:57.079
<v Speaker 1>the CDC website, it causes a person's brain to break

0:13:57.120 --> 0:13:59.600
<v Speaker 1>down or stop working normally, which I'm sure we can

0:13:59.640 --> 0:14:01.640
<v Speaker 1>all is not a way we would like our brains

0:14:01.679 --> 0:14:02.320
<v Speaker 1>to be described.

0:14:02.440 --> 0:14:04.120
<v Speaker 2>No, I do not want my brain to turn into

0:14:04.120 --> 0:14:04.720
<v Speaker 2>a smoothie.

0:14:04.800 --> 0:14:08.840
<v Speaker 1>No, no me either. I think most people initially started

0:14:08.840 --> 0:14:12.240
<v Speaker 1>hearing about prions when they learned about bovine sponge of

0:14:12.320 --> 0:14:18.520
<v Speaker 1>worn and cephalopathy BS bad cow disease, and this showed

0:14:18.600 --> 0:14:20.440
<v Speaker 1>up in cows. Turns out cows were getting it from

0:14:20.480 --> 0:14:24.120
<v Speaker 1>one another because we were feeding cows cow parts. And yeah,

0:14:24.240 --> 0:14:24.800
<v Speaker 1>bad idea.

0:14:24.920 --> 0:14:26.840
<v Speaker 2>Cannible cows annible cows, right.

0:14:26.720 --> 0:14:28.680
<v Speaker 1>And you might remember from when we were feeding pigs

0:14:28.720 --> 0:14:31.720
<v Speaker 1>pig parts that that was bad for the transmission of

0:14:31.880 --> 0:14:33.800
<v Speaker 1>trick and ella. So in general, it seems like it's

0:14:33.800 --> 0:14:36.320
<v Speaker 1>a bad idea to feed animals animal parts, although I

0:14:36.400 --> 0:14:40.520
<v Speaker 1>do feed my chickens chickens sometimes. Oh I know, maybe

0:14:40.560 --> 0:14:41.400
<v Speaker 1>I'm asking for it.

0:14:41.720 --> 0:14:44.960
<v Speaker 2>That's horrible. Yeah, there's something really creepy about that. I

0:14:44.960 --> 0:14:47.520
<v Speaker 2>don't know why I like chickens eating pork whatever, chickens

0:14:47.520 --> 0:14:49.080
<v Speaker 2>eating chickensoh.

0:14:49.200 --> 0:14:52.040
<v Speaker 1>They don't seem to mind. They love the nuggies. They

0:14:52.080 --> 0:14:54.120
<v Speaker 1>love the chicken nuggies. All right?

0:14:55.280 --> 0:14:56.920
<v Speaker 2>What kind of sauces do they like to like? The

0:14:57.080 --> 0:14:58.960
<v Speaker 2>dip it? Are they into the barbecue?

0:14:59.520 --> 0:15:01.320
<v Speaker 1>No, they don't. We have the dexterity for that. I

0:15:01.360 --> 0:15:03.600
<v Speaker 1>don't know. If you've seen chicken claws, they're not real good.

0:15:03.640 --> 0:15:05.000
<v Speaker 1>They can scratch and that's about it.

0:15:05.160 --> 0:15:07.560
<v Speaker 2>All right. So we know that getting these preons is bad.

0:15:07.640 --> 0:15:10.640
<v Speaker 2>You get these terrible diseases and they spread from body

0:15:10.680 --> 0:15:13.680
<v Speaker 2>to body, and even if you eat like meat that's

0:15:13.720 --> 0:15:16.240
<v Speaker 2>been cooked. We're used to like cooking something to kill it.

0:15:16.640 --> 0:15:19.360
<v Speaker 2>But if you cook a preon, is it then better?

0:15:19.560 --> 0:15:21.640
<v Speaker 2>Is it like denatured or can you still get it

0:15:21.680 --> 0:15:22.800
<v Speaker 2>from cooked meat? You know?

0:15:22.840 --> 0:15:24.600
<v Speaker 1>As far as I can tell. One of the things

0:15:24.600 --> 0:15:27.600
<v Speaker 1>about these preons that is incredible is that they're really

0:15:27.720 --> 0:15:31.240
<v Speaker 1>resistant to things like cooking, and so you can cook

0:15:31.280 --> 0:15:34.720
<v Speaker 1>your burger and if it had bs, there's still some

0:15:34.880 --> 0:15:35.880
<v Speaker 1>chance that you could get it.

0:15:36.000 --> 0:15:37.960
<v Speaker 2>I heard that even if you irradiate these things, like

0:15:38.080 --> 0:15:41.400
<v Speaker 2>zap them with radiation, they're super dup or robust, which

0:15:41.440 --> 0:15:43.440
<v Speaker 2>is one reason that they're able to spread from one

0:15:43.480 --> 0:15:46.360
<v Speaker 2>to the other. And so it's like really hard to

0:15:46.440 --> 0:15:49.200
<v Speaker 2>kill a preon. Like when they do brain surgery in hospitals,

0:15:49.200 --> 0:15:52.240
<v Speaker 2>they just throw away everything that touched the brain because

0:15:52.280 --> 0:15:54.080
<v Speaker 2>it might have a preon in it, and you do

0:15:54.160 --> 0:15:55.520
<v Speaker 2>not want that stuff to spread.

0:15:55.760 --> 0:15:59.080
<v Speaker 1>We are so stink and lucky that preon diseases are

0:15:59.080 --> 0:16:02.680
<v Speaker 1>not more common. Thank your lucky stars everybody.

0:16:02.880 --> 0:16:05.000
<v Speaker 2>So then let's get to the heart of the listener's question,

0:16:05.120 --> 0:16:07.840
<v Speaker 2>right he's asking about the fundamental mechanism, like how does

0:16:07.880 --> 0:16:10.480
<v Speaker 2>this happen? You were talking about one preon turning ou

0:16:10.520 --> 0:16:13.360
<v Speaker 2>a normal protein into another preon. Do we know how

0:16:13.360 --> 0:16:13.960
<v Speaker 2>that happens?

0:16:14.200 --> 0:16:17.640
<v Speaker 1>If by we you mean Katrina, the answer is yes.

0:16:17.840 --> 0:16:20.800
<v Speaker 1>Let me quickly summarize the three problems that you need

0:16:20.840 --> 0:16:24.800
<v Speaker 1>to understand to understand prions. So, one, an abnormal protein

0:16:24.880 --> 0:16:26.600
<v Speaker 1>is made. This is pretty much what we've been talking about,

0:16:26.640 --> 0:16:29.320
<v Speaker 1>the various ways that you start getting these abnormal proteins.

0:16:29.800 --> 0:16:34.000
<v Speaker 1>Problem too, is that the prion starts causing more prion

0:16:34.040 --> 0:16:36.360
<v Speaker 1>proteins to be made, so it interacts with the healthy

0:16:36.360 --> 0:16:39.400
<v Speaker 1>proteins in the area and starts turning them into bad proteins.

0:16:39.720 --> 0:16:43.640
<v Speaker 1>And then problem three is that these proteins start clumping together,

0:16:43.800 --> 0:16:46.560
<v Speaker 1>and it's these clumps that start causing problems. So the

0:16:46.640 --> 0:16:49.680
<v Speaker 1>brain has trouble clearing these clumps out. So the listener

0:16:49.720 --> 0:16:52.800
<v Speaker 1>wanted to know the details for problem too. How does

0:16:53.000 --> 0:16:57.880
<v Speaker 1>one prion cause another protein to start misfolding and becoming

0:16:57.920 --> 0:17:01.120
<v Speaker 1>another one of these sort of infectious prions. And I

0:17:01.200 --> 0:17:03.640
<v Speaker 1>was so annoyed because I found so many papers, and

0:17:03.800 --> 0:17:06.600
<v Speaker 1>every paper was like, Okay, here's how we're gonna illustrate

0:17:06.600 --> 0:17:09.280
<v Speaker 1>how it works. And they were like, the normal protein

0:17:09.400 --> 0:17:12.120
<v Speaker 1>is a circle and the abnormal protein is a square,

0:17:12.600 --> 0:17:15.040
<v Speaker 1>and the circle becomes a square, and then the square

0:17:15.119 --> 0:17:17.359
<v Speaker 1>interacts with other circles and turns them into squares. And

0:17:17.400 --> 0:17:19.920
<v Speaker 1>I was like, that doesn't really explain what's happening.

0:17:20.359 --> 0:17:21.240
<v Speaker 2>That's just a cartoon.

0:17:21.359 --> 0:17:23.960
<v Speaker 1>It's just a cartoon. How does the circle turn the

0:17:24.000 --> 0:17:27.920
<v Speaker 1>squares in? Anyway? Eventually I threw my hands up and

0:17:27.960 --> 0:17:31.600
<v Speaker 1>we were so happy that we know a biochemist. And

0:17:31.680 --> 0:17:36.080
<v Speaker 1>so Daniel, go ahead and introduce your amazing wife.

0:17:36.240 --> 0:17:39.920
<v Speaker 2>That's right, Katrina actually has a PhD in biochemistry protein

0:17:40.080 --> 0:17:42.639
<v Speaker 2>folding DNA all this kind of interaction. She did her

0:17:42.720 --> 0:17:45.719
<v Speaker 2>PhD on like how proteins cut DNA and interact with it.

0:17:45.920 --> 0:17:48.080
<v Speaker 2>So she like has her head around all of this stuff.

0:17:48.280 --> 0:17:50.479
<v Speaker 2>So I asked her, Hey, can you explain to us

0:17:50.520 --> 0:17:53.879
<v Speaker 2>how this actually happens? How two proteins come together and

0:17:53.960 --> 0:17:56.439
<v Speaker 2>both end up bad? Like why don't they both end

0:17:56.480 --> 0:17:59.280
<v Speaker 2>up good? You know, all these arguments are like template this,

0:17:59.359 --> 0:18:02.240
<v Speaker 2>template that, Like why did they both end up bad?

0:18:02.560 --> 0:18:04.359
<v Speaker 2>So I asked her on the cash last night, and

0:18:04.440 --> 0:18:07.399
<v Speaker 2>here's what she had to say. Hey, Katrina, so how

0:18:07.400 --> 0:18:10.320
<v Speaker 2>does a prion turn another protein into a preon?

0:18:10.600 --> 0:18:14.159
<v Speaker 5>So proteins are just these chains of amino acids, and

0:18:14.320 --> 0:18:18.439
<v Speaker 5>each block has different likeness for water, like some of

0:18:18.480 --> 0:18:21.080
<v Speaker 5>them like to be near water, some of them hate water.

0:18:22.160 --> 0:18:25.520
<v Speaker 5>The balance of those things forces the protein into a

0:18:25.520 --> 0:18:30.760
<v Speaker 5>certain shape, so each protein makes a really unique shape. However,

0:18:31.160 --> 0:18:35.359
<v Speaker 5>some proteins have more than one stable state, so they

0:18:35.440 --> 0:18:39.600
<v Speaker 5>might be happy in a slightly different shape. And what

0:18:39.680 --> 0:18:44.400
<v Speaker 5>preons do is they force the protein into an alternative shape.

0:18:44.520 --> 0:18:46.280
<v Speaker 2>I think that's the bit we want to dig into.

0:18:46.440 --> 0:18:49.439
<v Speaker 2>When two proteins come near each other, why does the

0:18:49.480 --> 0:18:52.440
<v Speaker 2>preon force the good one into a preon shape rather

0:18:52.480 --> 0:18:55.560
<v Speaker 2>than the good one, forcing the preon into a good shape,

0:18:55.600 --> 0:18:56.840
<v Speaker 2>why does the preon win?

0:18:57.080 --> 0:18:59.280
<v Speaker 5>And that shape is usually one that's a little hard

0:18:59.280 --> 0:19:01.560
<v Speaker 5>to get itself out of, so they get stuck in

0:19:01.600 --> 0:19:07.200
<v Speaker 5>that direction. So basically, if a protein forms the preon shape,

0:19:07.200 --> 0:19:09.679
<v Speaker 5>which it usually does at a lower rate than the

0:19:10.000 --> 0:19:13.639
<v Speaker 5>healthy correct shape, but if that happens, then when another

0:19:13.680 --> 0:19:18.480
<v Speaker 5>healthy protein gets near it, it gets peer pressured essentially

0:19:18.600 --> 0:19:23.680
<v Speaker 5>into forming that alternative but like disastrous and like disease

0:19:23.800 --> 0:19:29.920
<v Speaker 5>forming alternative shape. This happens for certain sequences of proteins,

0:19:30.520 --> 0:19:36.320
<v Speaker 5>and they often have repeat zones in them that are

0:19:36.440 --> 0:19:40.359
<v Speaker 5>like making it easier for them to collapse into this

0:19:40.480 --> 0:19:43.800
<v Speaker 5>unhealthy state. And so I can think of a couple

0:19:43.920 --> 0:19:46.800
<v Speaker 5>cases of proteins that misfold where it's driven by having

0:19:46.840 --> 0:19:50.280
<v Speaker 5>these like repeat zones. So that would mean that when

0:19:50.760 --> 0:19:55.119
<v Speaker 5>the healthy protein touches the preon protein, imagine a lego

0:19:55.240 --> 0:19:58.440
<v Speaker 5>clicking into a lego, it like clicks it together and

0:19:58.480 --> 0:20:02.399
<v Speaker 5>forces it into this unhealth the alternative but stable state.

0:20:03.000 --> 0:20:05.480
<v Speaker 5>All of the proteins are not like one hundred percent

0:20:05.480 --> 0:20:07.879
<v Speaker 5>folded all the time. They're kind of like wiggling around

0:20:07.920 --> 0:20:10.000
<v Speaker 5>a bit, and it makes it so they can kind

0:20:10.000 --> 0:20:12.520
<v Speaker 5>of like explore which shape they're going to sit at,

0:20:13.320 --> 0:20:16.919
<v Speaker 5>and the preon shape is harder to get out of.

0:20:17.240 --> 0:20:19.920
<v Speaker 5>Once you get collapsed into that preon state, you're like

0:20:19.960 --> 0:20:20.919
<v Speaker 5>a goopy mess.

0:20:20.960 --> 0:20:23.359
<v Speaker 2>So the two come together, but the good protein is

0:20:23.359 --> 0:20:26.280
<v Speaker 2>still flexible about its actual shape, while the preon is

0:20:26.320 --> 0:20:30.480
<v Speaker 2>stuck into this deep local minimum. It's very stable configuration.

0:20:30.040 --> 0:20:32.919
<v Speaker 5>Yes exactly, And so if you get stuck in that

0:20:32.960 --> 0:20:36.200
<v Speaker 5>deep local minimum, it's harder to get back out of it,

0:20:36.520 --> 0:20:40.840
<v Speaker 5>and if another protein gets nearby, it gets tempted into

0:20:40.880 --> 0:20:44.720
<v Speaker 5>that goopy minimum. And molecularly, what I mean is that

0:20:45.720 --> 0:20:48.840
<v Speaker 5>a region of the misfolded of the bad shape that

0:20:48.880 --> 0:20:53.800
<v Speaker 5>the preon is forming will have mirrored sites, like it'll

0:20:53.800 --> 0:20:58.640
<v Speaker 5>have interactions with the other healthy protein that will force

0:20:58.680 --> 0:21:02.479
<v Speaker 5>it into that shape, and then it stays there because

0:21:02.520 --> 0:21:04.760
<v Speaker 5>it's a local minimum that's hard to get out of.

0:21:05.040 --> 0:21:08.560
<v Speaker 2>I see. So it's true that when the two proteins

0:21:08.600 --> 0:21:11.080
<v Speaker 2>sort of try to fit together, they're more likely to

0:21:11.200 --> 0:21:14.000
<v Speaker 2>end up similar. But the bad one, the preon one,

0:21:14.080 --> 0:21:16.800
<v Speaker 2>is harder to pull out of than the normal one

0:21:17.119 --> 0:21:19.240
<v Speaker 2>is to pull into the bad state, and so they

0:21:19.240 --> 0:21:20.639
<v Speaker 2>both end up in the bad state.

0:21:21.200 --> 0:21:22.240
<v Speaker 5>That's my understanding.

0:21:23.119 --> 0:21:25.320
<v Speaker 2>So my takeaway from this is that it relates to

0:21:25.320 --> 0:21:28.080
<v Speaker 2>the conversation we were having earlier about how proteins fold. But

0:21:28.080 --> 0:21:30.320
<v Speaker 2>it's not easy to predict, like how a protein is

0:21:30.320 --> 0:21:32.040
<v Speaker 2>going to fold, and it turns out sometimes they can

0:21:32.040 --> 0:21:35.119
<v Speaker 2>fold in multiple different ways. And the preons are special

0:21:35.200 --> 0:21:38.159
<v Speaker 2>and weird because they're like a very strong fold, like

0:21:38.200 --> 0:21:40.080
<v Speaker 2>it's hard to get them back out of that. For

0:21:40.119 --> 0:21:42.440
<v Speaker 2>people who like to think about optimization and minimum it's

0:21:42.480 --> 0:21:45.119
<v Speaker 2>like a very deep local minima. They're stuck in it

0:21:45.320 --> 0:21:47.359
<v Speaker 2>and it's extraordinarily hard to get them out, which is

0:21:47.400 --> 0:21:51.040
<v Speaker 2>why cooking or radiation will not bust these guys. And

0:21:51.080 --> 0:21:53.879
<v Speaker 2>if you have a preon meets a non preon, then

0:21:53.880 --> 0:21:56.280
<v Speaker 2>it's much more likely they both end up as preons

0:21:56.400 --> 0:21:58.280
<v Speaker 2>because it's harder to get the preon out of the

0:21:58.320 --> 0:22:01.120
<v Speaker 2>preon configuration than it is to the normal protein out

0:22:01.119 --> 0:22:02.480
<v Speaker 2>of its normal configuration.

0:22:02.800 --> 0:22:04.760
<v Speaker 1>Yeah, and to build on that a little, often, when

0:22:04.760 --> 0:22:07.399
<v Speaker 1>your body ends up with a protein that's shaped the

0:22:07.440 --> 0:22:10.240
<v Speaker 1>wrong way, you send in what are called proteases, and

0:22:10.280 --> 0:22:13.000
<v Speaker 1>they essentially break the protein into pieces that are easier

0:22:13.000 --> 0:22:15.480
<v Speaker 1>to clean up and remove from the body. But these

0:22:15.520 --> 0:22:19.679
<v Speaker 1>proteases can't get into these clumps or into these abnormally

0:22:19.720 --> 0:22:23.159
<v Speaker 1>folded proteins, and so rather than getting cleared out, they

0:22:23.480 --> 0:22:25.600
<v Speaker 1>remain and they start clumping and they cause problems.

0:22:26.040 --> 0:22:30.280
<v Speaker 2>Amazing. Biology is incredible. What boggles my mind is all

0:22:30.320 --> 0:22:32.439
<v Speaker 2>this stuff is happening all the time, and it mostly

0:22:32.480 --> 0:22:34.800
<v Speaker 2>just works. I go about my day, I drink coffee,

0:22:34.800 --> 0:22:38.200
<v Speaker 2>I think about particles, and inside all these little proteins

0:22:38.240 --> 0:22:40.879
<v Speaker 2>and these molecular machines are doing their thing. Thank you,

0:22:41.000 --> 0:22:42.240
<v Speaker 2>little biology particles.

0:22:42.480 --> 0:22:45.440
<v Speaker 1>When you work great, We thank you. But understanding how

0:22:45.480 --> 0:22:48.879
<v Speaker 1>proteins get abnormal and start clumping up is important, we

0:22:48.920 --> 0:22:52.480
<v Speaker 1>think for understanding neurodegenerative diseases because sort of similar things

0:22:52.480 --> 0:22:57.159
<v Speaker 1>happen where proteins start accumulating and clumping and causing problems.

0:22:57.280 --> 0:23:00.320
<v Speaker 1>So you've got amyloid beta in TAO for Alzheimer's disease,

0:23:00.920 --> 0:23:05.920
<v Speaker 1>alphas and nucleon for Parkinson's disease, and huntington for Huntington's disease.

0:23:06.240 --> 0:23:09.040
<v Speaker 1>So sort of understanding what's happening here is a very

0:23:09.119 --> 0:23:10.560
<v Speaker 1>active research field.

0:23:10.640 --> 0:23:12.760
<v Speaker 2>All right, well, thank you for sending this question. In

0:23:12.880 --> 0:23:15.040
<v Speaker 2>NIL it turns out to be a perfect union of

0:23:15.080 --> 0:23:17.800
<v Speaker 2>our interests because not only is it biology and does

0:23:17.840 --> 0:23:20.200
<v Speaker 2>it have the word particle involvement it. We also had

0:23:20.200 --> 0:23:22.240
<v Speaker 2>to bring in Katrina sob.

0:23:21.880 --> 0:23:26.280
<v Speaker 1>Bum and the whole whitesn Research Institute with the adjunct

0:23:26.280 --> 0:23:27.280
<v Speaker 1>faculty included.

0:23:28.080 --> 0:23:30.720
<v Speaker 2>That's right, Well, let's hear from Nile if we answered

0:23:30.720 --> 0:23:32.560
<v Speaker 2>his question or just confused him further.

0:23:34.240 --> 0:23:37.560
<v Speaker 3>Hi, Kelly and Daniel, thank you for this response. You

0:23:37.680 --> 0:23:41.760
<v Speaker 3>definitely answered my question. I think the most surprising revelation

0:23:41.880 --> 0:23:45.000
<v Speaker 3>for me is that the reason prions are infectious has

0:23:45.040 --> 0:23:48.320
<v Speaker 3>more to do with chemistry and the molecular structure of

0:23:48.320 --> 0:23:53.160
<v Speaker 3>proteins rather than some other sort of active biological process.

0:23:54.359 --> 0:23:58.840
<v Speaker 3>It was a really interesting discussion and super enlightening, although

0:23:58.960 --> 0:24:01.440
<v Speaker 3>I do have to agree with Kelly that now knowing

0:24:01.520 --> 0:24:05.560
<v Speaker 3>there's such a thing as spontaneous prem formation, this will

0:24:05.600 --> 0:24:07.760
<v Speaker 3>keep me up at night. Thank you again.

0:24:25.000 --> 0:24:27.520
<v Speaker 2>Okay, we're back and we are answering questions today from

0:24:27.560 --> 0:24:30.400
<v Speaker 2>listeners who think deeply about the nature of space and

0:24:30.520 --> 0:24:33.359
<v Speaker 2>time and whether their brain is infected by the meat

0:24:33.440 --> 0:24:36.679
<v Speaker 2>they eat. So now we have a question from Owen

0:24:36.880 --> 0:24:40.320
<v Speaker 2>and his daughter about concerts near black holes.

0:24:41.320 --> 0:24:46.199
<v Speaker 6>Hi, Daniel and Kelly, I was curious my daughter plays violin,

0:24:46.680 --> 0:24:47.160
<v Speaker 6>and if.

0:24:47.080 --> 0:24:49.879
<v Speaker 3>She were to take a trip to a really deep.

0:24:49.680 --> 0:24:52.239
<v Speaker 6>Gravitational well like close to a black hole or a

0:24:52.240 --> 0:24:56.840
<v Speaker 6>neutron star, and recorded herself playing violin and then brought

0:24:56.880 --> 0:25:01.320
<v Speaker 6>the recording back with the time dilation cause a key change,

0:25:01.400 --> 0:25:03.760
<v Speaker 6>would it make the frequency higher or lower? Or when

0:25:03.840 --> 0:25:05.520
<v Speaker 6>we played it back here on Earth would it be

0:25:05.560 --> 0:25:05.920
<v Speaker 6>the same.

0:25:06.840 --> 0:25:09.960
<v Speaker 1>Wow, that is a fantastic question. All right, let's start

0:25:10.160 --> 0:25:13.080
<v Speaker 1>by talking about what is time dilation?

0:25:14.040 --> 0:25:17.880
<v Speaker 2>Yeah, time dilation one of my favorite topics and very

0:25:17.880 --> 0:25:21.280
<v Speaker 2>confusing aspects of special relativity. And one thing that's really

0:25:21.320 --> 0:25:23.320
<v Speaker 2>important to understand about it is that there are two

0:25:23.520 --> 0:25:26.800
<v Speaker 2>types of time dilation that work differently. It's important to

0:25:26.880 --> 0:25:30.480
<v Speaker 2>keep them separate, especially for this question. One is the

0:25:30.480 --> 0:25:32.119
<v Speaker 2>one we hear about a lot when you're like in

0:25:32.160 --> 0:25:35.359
<v Speaker 2>a rocket ship moving fast. And this is velocity based

0:25:35.359 --> 0:25:37.960
<v Speaker 2>time dilation, which you can summarize very easily just by

0:25:37.960 --> 0:25:41.760
<v Speaker 2>saying moving clocks run slow. So if Kelly has a

0:25:41.760 --> 0:25:44.400
<v Speaker 2>clock in her ship and she's moving very fast relative

0:25:44.440 --> 0:25:47.000
<v Speaker 2>to me, I see her clock moving, so I see

0:25:47.000 --> 0:25:49.960
<v Speaker 2>her clock going slow. Kelly doesn't see her clock moving,

0:25:50.000 --> 0:25:51.960
<v Speaker 2>it's right in front of her. She sees it running

0:25:51.960 --> 0:25:56.040
<v Speaker 2>at the normal time, and that's the right time. I mean,

0:25:56.080 --> 0:25:59.000
<v Speaker 2>it's east coast time, which is whatever I prefer, best

0:25:59.040 --> 0:25:59.640
<v Speaker 2>coast time.

0:25:59.680 --> 0:26:02.199
<v Speaker 1>I think a world runs up East coast time, my friends.

0:26:02.240 --> 0:26:03.359
<v Speaker 1>But all right, moving on.

0:26:03.400 --> 0:26:06.040
<v Speaker 2>That might be true, Yeah, that might be true. High

0:26:06.480 --> 0:26:08.920
<v Speaker 2>But the cool thing about this kind of time dilation

0:26:09.240 --> 0:26:12.119
<v Speaker 2>is that it's symmetrical. Right. I see Kelly's clock is

0:26:12.200 --> 0:26:14.280
<v Speaker 2>running slow because I see her moving quickly, but she

0:26:14.359 --> 0:26:16.960
<v Speaker 2>sees my clock moving, which means she sees my clock

0:26:17.080 --> 0:26:20.359
<v Speaker 2>running slowly. So we both see the other person's clock

0:26:20.440 --> 0:26:24.320
<v Speaker 2>is running slower than ours. So it's symmetric, which is beautiful,

0:26:24.440 --> 0:26:27.000
<v Speaker 2>but it also feels contradictory because you have this instinct

0:26:27.040 --> 0:26:29.359
<v Speaker 2>to say, hold on a second, whose clock is really

0:26:29.480 --> 0:26:33.399
<v Speaker 2>running slower? Right? Because our accounts are discrepant, And the

0:26:33.440 --> 0:26:36.600
<v Speaker 2>answer is there's no single true answer. There is no authority,

0:26:36.600 --> 0:26:38.879
<v Speaker 2>there's no single clock in the universe. Both of our

0:26:38.920 --> 0:26:41.440
<v Speaker 2>accounts are correct, and you can't actually link it together

0:26:41.480 --> 0:26:44.680
<v Speaker 2>into a complete understanding. It's just that everybody sees things

0:26:44.720 --> 0:26:46.359
<v Speaker 2>differently from different perspectives.

0:26:46.800 --> 0:26:49.240
<v Speaker 1>Okay, all right, so now we've got our minds wrapped

0:26:49.240 --> 0:26:52.840
<v Speaker 1>around velocity based time dilation. What is the other kind.

0:26:53.200 --> 0:26:55.199
<v Speaker 2>The other kind is gravity. You don't have to be

0:26:55.200 --> 0:26:57.639
<v Speaker 2>moving fast to have your clock run slow. You just

0:26:57.640 --> 0:27:00.240
<v Speaker 2>have to be near a massive object like the movie

0:27:00.280 --> 0:27:02.760
<v Speaker 2>Interstellar where they land on Miller's planet, which is super

0:27:02.840 --> 0:27:08.040
<v Speaker 2>duper massive. When you're in space that's curved, time runs slower. So,

0:27:08.119 --> 0:27:10.200
<v Speaker 2>for example, if you're standing on the surface of the Earth,

0:27:10.480 --> 0:27:12.840
<v Speaker 2>your clock will run slower than a clock that's in

0:27:13.000 --> 0:27:15.560
<v Speaker 2>orbit or run the Earth, or out in deep space

0:27:15.600 --> 0:27:18.960
<v Speaker 2>where there's less curvature. You're further from masses, so your

0:27:19.000 --> 0:27:20.000
<v Speaker 2>clocks run faster.

0:27:20.160 --> 0:27:22.520
<v Speaker 1>So your clock would run much slower on Jupiter relative

0:27:22.560 --> 0:27:23.320
<v Speaker 1>to Earth.

0:27:23.080 --> 0:27:26.200
<v Speaker 2>Yes, exactly, And it would run much slower on the

0:27:26.200 --> 0:27:28.439
<v Speaker 2>surface of the Sun, and much much slower near the

0:27:28.440 --> 0:27:31.240
<v Speaker 2>event horizon of a black hole. And the amazing thing

0:27:31.240 --> 0:27:34.640
<v Speaker 2>about this one is that it's not symmetric. Everybody can

0:27:34.760 --> 0:27:36.879
<v Speaker 2>agree on it. Like if I'm in orbit with the

0:27:36.920 --> 0:27:38.720
<v Speaker 2>clock and Kelly's on the surface of the Earth or

0:27:38.760 --> 0:27:41.679
<v Speaker 2>the clock, we will both agree that her clock is

0:27:41.720 --> 0:27:44.400
<v Speaker 2>running slower. I see her clock running slower, she sees

0:27:44.440 --> 0:27:47.119
<v Speaker 2>my clock running faster. This is the only time in

0:27:47.160 --> 0:27:50.040
<v Speaker 2>relativity when you can see something speed up. Mostly you're

0:27:50.040 --> 0:27:53.800
<v Speaker 2>just seeing time slow down, But with gravitational time dilation,

0:27:53.960 --> 0:27:56.639
<v Speaker 2>you can see things speeding up. So if you stand

0:27:56.720 --> 0:27:58.879
<v Speaker 2>near the edge of a black hole, for example, you

0:27:58.920 --> 0:28:01.399
<v Speaker 2>see the time in the to the universe go faster,

0:28:01.800 --> 0:28:03.560
<v Speaker 2>and like fast forwards you to the future.

0:28:03.840 --> 0:28:05.720
<v Speaker 1>So if you could live near a black hole, could

0:28:05.760 --> 0:28:08.160
<v Speaker 1>you live forever? Is this what biologists have been looking for?

0:28:09.560 --> 0:28:11.560
<v Speaker 2>Your time would still run normally, right, so you would

0:28:11.560 --> 0:28:14.399
<v Speaker 2>still live eighty years or whatever in your time that

0:28:14.480 --> 0:28:16.919
<v Speaker 2>might last eighty thousand years or eighty million years in

0:28:16.960 --> 0:28:19.800
<v Speaker 2>the outside universe. So it's a way, definitely to fast

0:28:19.800 --> 0:28:22.760
<v Speaker 2>forward to the future, but not to live infinitely long.

0:28:22.920 --> 0:28:24.119
<v Speaker 1>Physics keeps disappointing.

0:28:24.400 --> 0:28:28.119
<v Speaker 2>Sorry on, Okay, So those are the two kinds of

0:28:28.119 --> 0:28:30.399
<v Speaker 2>time dilation that we need to understand to answer Owen's

0:28:30.440 --> 0:28:32.800
<v Speaker 2>question about a daughter with a violin. But this one

0:28:32.840 --> 0:28:37.000
<v Speaker 2>more piece we need, which is red shifting. Right. All

0:28:37.000 --> 0:28:40.280
<v Speaker 2>this changing of time has consequences, like it changes how

0:28:40.360 --> 0:28:43.880
<v Speaker 2>long things seem to be, because it affects when people

0:28:43.920 --> 0:28:45.880
<v Speaker 2>measure the front and the back. And we can dig

0:28:45.920 --> 0:28:49.280
<v Speaker 2>into the details of length contraction another time. But if

0:28:49.320 --> 0:28:52.280
<v Speaker 2>you change the way clocks run, you also change the

0:28:52.400 --> 0:28:56.560
<v Speaker 2>frequency of waves. Right, the wave length of a wave. So,

0:28:56.680 --> 0:28:59.240
<v Speaker 2>for example, if light is admitted to you by an

0:28:59.240 --> 0:29:02.520
<v Speaker 2>object that's moving away really really fast, it lengthens the

0:29:02.560 --> 0:29:06.160
<v Speaker 2>wavelength of that light. It red shifts it. So things

0:29:06.200 --> 0:29:08.480
<v Speaker 2>that are moving away from you get red shifted, things

0:29:08.520 --> 0:29:11.560
<v Speaker 2>that are near black holes get red shifted. One way

0:29:11.600 --> 0:29:13.120
<v Speaker 2>to think about it is that it's just all about

0:29:13.120 --> 0:29:16.200
<v Speaker 2>time dilation. Clocks are slowed down and so the waves

0:29:16.200 --> 0:29:19.800
<v Speaker 2>get slower and redder. If you'll watch a spaceship approach

0:29:19.840 --> 0:29:22.239
<v Speaker 2>a black hole, it's not going to look normal to you.

0:29:22.480 --> 0:29:24.360
<v Speaker 2>It's going to get redder and redder and redder, and

0:29:24.360 --> 0:29:25.680
<v Speaker 2>then eventually become invisible.

0:29:26.680 --> 0:29:29.479
<v Speaker 1>We're near a black hole, so we're talking about gravity dilation,

0:29:29.800 --> 0:29:34.160
<v Speaker 1>and we are thinking about waves because sound is a wave,

0:29:35.000 --> 0:29:38.880
<v Speaker 1>and we've just established that waves get spread out near

0:29:38.920 --> 0:29:42.520
<v Speaker 1>a black hole because of the gravity dilation. Okay, I'm

0:29:42.560 --> 0:29:43.240
<v Speaker 1>on the same page.

0:29:43.360 --> 0:29:46.240
<v Speaker 2>Let's get to Owen's question, but there's a few versions here.

0:29:46.720 --> 0:29:49.680
<v Speaker 2>Imagine that Owen is far away from the black hole

0:29:49.880 --> 0:29:51.960
<v Speaker 2>and his daughter is near the black hole, and she's

0:29:52.000 --> 0:29:54.960
<v Speaker 2>playing the violin and he's watching and he's listening. So

0:29:55.000 --> 0:29:57.720
<v Speaker 2>what's going to happen, Well, her time is going to

0:29:57.760 --> 0:29:59.840
<v Speaker 2>be slowed down for him. So he's going to see

0:29:59.840 --> 0:30:03.160
<v Speaker 2>her or moving and thinking and drinking and breathing in

0:30:03.280 --> 0:30:06.080
<v Speaker 2>slow motion, and the light and sound that come from

0:30:06.120 --> 0:30:09.560
<v Speaker 2>her will have longer wavelengths. So he will watch a

0:30:09.640 --> 0:30:11.800
<v Speaker 2>video and he will see her moving in slow motion,

0:30:12.200 --> 0:30:14.719
<v Speaker 2>and all the light will be redder than it normally is.

0:30:15.080 --> 0:30:17.400
<v Speaker 2>If it's really dilated, it'll be invisible. It won't be

0:30:17.440 --> 0:30:20.840
<v Speaker 2>in the visible spectrum anymore, and it'll happen slower, so

0:30:20.880 --> 0:30:23.000
<v Speaker 2>the key will be lower and be like in the

0:30:23.000 --> 0:30:24.680
<v Speaker 2>old days when your tape deck is running out of

0:30:24.720 --> 0:30:27.240
<v Speaker 2>battery and everything zones low.

0:30:28.960 --> 0:30:31.400
<v Speaker 1>You said, key is key the same thing as frequency.

0:30:31.440 --> 0:30:33.560
<v Speaker 1>These music words go past me.

0:30:33.840 --> 0:30:36.000
<v Speaker 2>Ooh, I'm so not an expert in that. But the

0:30:36.040 --> 0:30:38.840
<v Speaker 2>wavelength will get longer and the frequency will go down,

0:30:38.840 --> 0:30:40.320
<v Speaker 2>which I think means a lower key.

0:30:40.840 --> 0:30:43.680
<v Speaker 1>Okay, that's how I imagine whale sound.

0:30:45.440 --> 0:30:48.120
<v Speaker 2>But he's not asking about that scenario. He's asking about

0:30:48.120 --> 0:30:51.000
<v Speaker 2>what happens if a recording is made near the black hole. Right,

0:30:51.360 --> 0:30:54.200
<v Speaker 2>So now let's do another scenario. Let's say Owen is

0:30:54.320 --> 0:30:57.160
<v Speaker 2>next to the black hole, also with his daughter. Right,

0:30:57.320 --> 0:30:59.280
<v Speaker 2>she's next to the black hole. She's playing the violin

0:30:59.480 --> 0:31:01.760
<v Speaker 2>he's there right next to her, what does he see?

0:31:02.120 --> 0:31:05.280
<v Speaker 2>Everything looks normal to him because she experiences it normally

0:31:05.280 --> 0:31:08.440
<v Speaker 2>and he's there with her. So yes, somebody far away

0:31:08.480 --> 0:31:10.920
<v Speaker 2>will see them both in slow motion, but from their perspective,

0:31:10.960 --> 0:31:15.000
<v Speaker 2>everything is happening normally. The outside universe is fast forwarding.

0:31:15.600 --> 0:31:18.080
<v Speaker 2>So if he's there with her, everything seems normal.

0:31:18.440 --> 0:31:20.800
<v Speaker 1>Okay, But what if they're recording it?

0:31:21.480 --> 0:31:24.240
<v Speaker 2>Yeah? Right? I love these versions of the questions. So

0:31:24.320 --> 0:31:27.480
<v Speaker 2>if instead of Owen, you have Owen's video camera and

0:31:27.640 --> 0:31:29.920
<v Speaker 2>it's there with her, and it takes a video of

0:31:29.960 --> 0:31:32.560
<v Speaker 2>what's happening near the black hole, it's going to record

0:31:32.600 --> 0:31:35.560
<v Speaker 2>what Owen would have seen, which is a normally occurring

0:31:35.640 --> 0:31:39.240
<v Speaker 2>violin performance. Right, You then take the video somewhere else.

0:31:39.280 --> 0:31:41.880
<v Speaker 2>The video hasn't changed. You play it back on your

0:31:41.920 --> 0:31:43.960
<v Speaker 2>TV at home. You're going to just play back a

0:31:44.000 --> 0:31:47.040
<v Speaker 2>normal recording, and so everything is going to look normal

0:31:47.080 --> 0:31:49.760
<v Speaker 2>on the video because it was taken near the black hole,

0:31:49.800 --> 0:31:52.320
<v Speaker 2>where everything seems normal to the people near the black hole.

0:31:52.560 --> 0:31:54.560
<v Speaker 1>Now, are you sure that's right? Because that sort of

0:31:54.600 --> 0:31:59.120
<v Speaker 1>matches my intuition, which usually means it's wrong. So because

0:31:59.120 --> 0:32:01.320
<v Speaker 1>I'm really good at this, But all right, I'll go

0:32:01.360 --> 0:32:01.680
<v Speaker 1>with it.

0:32:01.840 --> 0:32:04.880
<v Speaker 2>There are other weirder versions of this question, you know,

0:32:05.040 --> 0:32:08.280
<v Speaker 2>that depend on exactly how the information is encoded. Like

0:32:08.320 --> 0:32:11.320
<v Speaker 2>we're talking about literally sending waves from the black hole

0:32:11.360 --> 0:32:14.600
<v Speaker 2>and interpreting them literally. If instead you have computers and

0:32:14.600 --> 0:32:17.480
<v Speaker 2>they're coming this in binary, then they can avoid the

0:32:17.520 --> 0:32:20.960
<v Speaker 2>time dilation effects. There's some subtle wrinkles there if you've

0:32:20.960 --> 0:32:22.880
<v Speaker 2>word the question differently, But the way he asked it,

0:32:23.120 --> 0:32:25.680
<v Speaker 2>the answer is that the concert would appear normal if

0:32:25.680 --> 0:32:28.080
<v Speaker 2>it was filmed near the performers.

0:32:28.400 --> 0:32:30.960
<v Speaker 1>Okay, well, let's go ahead and see what Owen thinks

0:32:30.960 --> 0:32:33.200
<v Speaker 1>of this answer and if there's any follow up questions.

0:32:33.760 --> 0:32:36.560
<v Speaker 3>Wow, thanks for answering my question. You guys, you know

0:32:36.720 --> 0:32:37.680
<v Speaker 3>I think you nailed it.

0:32:38.120 --> 0:32:38.880
<v Speaker 2>Thank you so much.

0:32:55.840 --> 0:32:58.760
<v Speaker 1>All Right, so we wrapped up a question that was

0:32:58.840 --> 0:33:02.440
<v Speaker 1>beautiful playing music in deep space near a black hole,

0:33:02.880 --> 0:33:05.680
<v Speaker 1>and now we are descending into the depths of biology

0:33:05.720 --> 0:33:10.320
<v Speaker 1>to discuss magots. All right, what does Jonathan want to

0:33:10.360 --> 0:33:12.240
<v Speaker 1>know about maggots?

0:33:13.400 --> 0:33:16.360
<v Speaker 4>Hi, Kelly, I remember reading about medical maggots five or

0:33:16.360 --> 0:33:19.080
<v Speaker 4>ten years ago. As I recall, it was an experimental

0:33:19.120 --> 0:33:21.440
<v Speaker 4>procedure back then, but showed real promise in the fight

0:33:21.480 --> 0:33:24.640
<v Speaker 4>against drug resistant bacteria? Where are we today on this

0:33:25.120 --> 0:33:27.880
<v Speaker 4>Can I stop worrying about superbugs now? Thanks?

0:33:28.640 --> 0:33:31.600
<v Speaker 2>I thought we had already reached maximum grossness on this episode.

0:33:31.640 --> 0:33:33.560
<v Speaker 2>I didn't realize we were just in the foothills of

0:33:33.600 --> 0:33:35.680
<v Speaker 2>grossness and now we're climbing to the peak.

0:33:35.840 --> 0:33:37.479
<v Speaker 1>Oh, Daniel, we have just begun.

0:33:41.160 --> 0:33:43.160
<v Speaker 2>All right, take us there, Kelly. What do we need

0:33:43.200 --> 0:33:45.360
<v Speaker 2>to know about medical maggots?

0:33:45.600 --> 0:33:50.640
<v Speaker 1>All right? So, apparently for centuries, folks have realized that

0:33:50.680 --> 0:33:54.920
<v Speaker 1>if you find maggots in someone's wounds, those people with

0:33:55.000 --> 0:33:58.120
<v Speaker 1>maggots in their wounds tend to have faster healing wounds

0:33:58.160 --> 0:34:00.840
<v Speaker 1>than people who don't have maggots in their wounds. So

0:34:00.960 --> 0:34:03.120
<v Speaker 1>you might be thinking it would be better to not

0:34:03.200 --> 0:34:05.680
<v Speaker 1>have maggots in my wounds, But if you want your

0:34:05.680 --> 0:34:07.840
<v Speaker 1>wound to heal quickly, apparently it would be good to

0:34:07.880 --> 0:34:11.359
<v Speaker 1>have it. And this bit of disgusting wisdom was known

0:34:11.480 --> 0:34:16.279
<v Speaker 1>by Genghis Khan, the Mayans, and other indigenous peoples, according

0:34:16.320 --> 0:34:19.600
<v Speaker 1>to videos I watched on YouTube from reputable sources like

0:34:19.640 --> 0:34:20.160
<v Speaker 1>the BBC.

0:34:21.239 --> 0:34:22.960
<v Speaker 2>You know, I think that's incredible because I think it's

0:34:23.000 --> 0:34:26.439
<v Speaker 2>often included as like things we did before we really

0:34:26.520 --> 0:34:29.719
<v Speaker 2>understood science, you know, leeches and maggots and drilling holes

0:34:29.719 --> 0:34:31.880
<v Speaker 2>in people's heads and praying to the gods and whatever.

0:34:32.160 --> 0:34:35.520
<v Speaker 2>But actually this is another example of sort of pre

0:34:35.680 --> 0:34:39.800
<v Speaker 2>modern science experimental understanding. Right, you're saying, people like looked

0:34:39.800 --> 0:34:42.520
<v Speaker 2>at the data and they're like, maggots are gross, but

0:34:42.600 --> 0:34:45.200
<v Speaker 2>they do seem to help people. Maybe we should use maggots.

0:34:45.239 --> 0:34:48.320
<v Speaker 2>I mean, isn't that scientific. Isn't that hypothesis forming and

0:34:48.440 --> 0:34:49.920
<v Speaker 2>drawing conclusions from data.

0:34:49.960 --> 0:34:52.080
<v Speaker 1>Well, so my understanding is that for a long time

0:34:52.320 --> 0:34:55.640
<v Speaker 1>folks noticed that there seems to be this association, but

0:34:55.680 --> 0:34:58.080
<v Speaker 1>they might not have had control over, for example, the

0:34:58.160 --> 0:35:01.880
<v Speaker 1>fly life cycle to be ab to purposefully infect people

0:35:01.880 --> 0:35:06.480
<v Speaker 1>with maggots. The first documented instance of someone purposefully placing

0:35:06.560 --> 0:35:10.279
<v Speaker 1>maggots in someone's wound was in the American Civil War.

0:35:10.920 --> 0:35:12.919
<v Speaker 1>And you know, can you imagine being the first person

0:35:12.960 --> 0:35:16.120
<v Speaker 1>where someone's like, no, really, these maggots are gonna do

0:35:16.280 --> 0:35:17.000
<v Speaker 1>you wonders.

0:35:17.400 --> 0:35:19.480
<v Speaker 2>But and this is gonna be great for a biology

0:35:19.520 --> 0:35:21.080
<v Speaker 2>podcast in a couple hundred years.

0:35:20.880 --> 0:35:23.319
<v Speaker 1>Trust us, that's right. It'll all be worth it when

0:35:23.360 --> 0:35:25.359
<v Speaker 1>Kelly and Danie'll get to gross out over there.

0:35:26.239 --> 0:35:28.040
<v Speaker 2>Here's the big payoff, all right, that's right.

0:35:28.480 --> 0:35:31.360
<v Speaker 1>And then an orthopedic surgeon in World War One named

0:35:31.400 --> 0:35:36.440
<v Speaker 1>William Behar started applying maggots to wounds that wouldn't heal

0:35:36.680 --> 0:35:41.200
<v Speaker 1>at Johns Hopkins University for a patient community of children. Wow,

0:35:41.239 --> 0:35:44.640
<v Speaker 1>And from that, medical maggots kind of took off. In

0:35:44.719 --> 0:35:47.640
<v Speaker 1>the nineteen thirties, you get medical maggots that are very

0:35:47.640 --> 0:35:52.520
<v Speaker 1>common in America, Canada, Europe. Hospitals open in sectories so

0:35:52.560 --> 0:35:55.040
<v Speaker 1>that they can have medical maggots on hand whenever you

0:35:55.080 --> 0:35:57.600
<v Speaker 1>need them, and you can order them from a company

0:35:57.680 --> 0:36:00.919
<v Speaker 1>called Surgical Maggots out of Pearl River, New York.

0:36:01.520 --> 0:36:04.839
<v Speaker 2>And so other than looking gross and being gross, what

0:36:04.880 --> 0:36:07.040
<v Speaker 2>are these maggots doing in these wounds?

0:36:07.360 --> 0:36:09.640
<v Speaker 1>So the first thing they're doing that's helpful is what's

0:36:09.680 --> 0:36:13.640
<v Speaker 1>called debridement. So essentially they are removing the dead and

0:36:13.760 --> 0:36:18.360
<v Speaker 1>dying tissue in the wound. So they are secreting and

0:36:18.520 --> 0:36:22.480
<v Speaker 1>excreting stuff that starts breaking down the dead tissue and

0:36:22.520 --> 0:36:24.560
<v Speaker 1>it makes it into sort of like a slurry. And

0:36:24.600 --> 0:36:27.640
<v Speaker 1>then the maggots suck up that slurry.

0:36:27.960 --> 0:36:31.200
<v Speaker 2>Yeah, yam, yum yum yum, yeh yum yum. Yes, I'm

0:36:31.200 --> 0:36:33.000
<v Speaker 2>trying to get into this I'm like, let's go the

0:36:33.040 --> 0:36:36.120
<v Speaker 2>non gross route. Let's just like really marinate in the biology.

0:36:36.440 --> 0:36:39.279
<v Speaker 1>Ganny. You No, I love the attitude and I appreciate

0:36:39.400 --> 0:36:42.360
<v Speaker 1>the energy and the motivation you bring to these discussions.

0:36:42.360 --> 0:36:43.680
<v Speaker 1>You're really trying and I like that.

0:36:43.920 --> 0:36:46.320
<v Speaker 2>Yeah, I'm like, let's get a nice big ice cube.

0:36:46.320 --> 0:36:48.320
<v Speaker 2>We'll have like a you know, a slurry cocktail. This

0:36:48.440 --> 0:36:51.560
<v Speaker 2>sounds fantastic. You can get into anything, So start.

0:36:51.320 --> 0:36:55.360
<v Speaker 1>Having themed drinks for some of these episodes, or themed

0:36:55.400 --> 0:36:59.440
<v Speaker 1>meals like pasta for the parasite episodes. All Right, the

0:36:59.520 --> 0:37:02.319
<v Speaker 1>stuff that if they release that starts breaking down the

0:37:02.360 --> 0:37:05.600
<v Speaker 1>dead tissue tends to leave the living tissue alone. And

0:37:05.640 --> 0:37:07.560
<v Speaker 1>so if you have a wound that's got a combination

0:37:07.719 --> 0:37:09.880
<v Speaker 1>of dead and living tissue and you'd like to remove

0:37:09.920 --> 0:37:12.239
<v Speaker 1>the dead stuff so you can specifically start working with

0:37:12.320 --> 0:37:16.080
<v Speaker 1>helping the living stuff to recover. These are pretty helpful.

0:37:16.120 --> 0:37:19.160
<v Speaker 1>They do it in sort of surgically precise ways, it seem,

0:37:19.480 --> 0:37:22.799
<v Speaker 1>so that's benefit one. Benefit two is that some of

0:37:22.840 --> 0:37:27.560
<v Speaker 1>the stuff that they're excreting and secreting has antimicrobial properties,

0:37:28.040 --> 0:37:30.360
<v Speaker 1>so it's killing some of the bacteria that could be

0:37:30.400 --> 0:37:33.640
<v Speaker 1>infecting the wounds. And while they're slurping that stuff up.

0:37:33.840 --> 0:37:37.920
<v Speaker 1>They're also consuming the bacteria that could be infecting a wound,

0:37:37.960 --> 0:37:41.560
<v Speaker 1>and you have like a thousand yard stare right now.

0:37:41.960 --> 0:37:44.759
<v Speaker 2>I'm just wondering, like why maggots would do this, Like

0:37:44.800 --> 0:37:47.279
<v Speaker 2>I mostly see maggots in garbage or whatever. That they

0:37:47.320 --> 0:37:49.799
<v Speaker 2>didn't evolve in garbage, right, They must have evolved like

0:37:50.160 --> 0:37:54.120
<v Speaker 2>eating feces and rotting carcasses and stuff. Is that why

0:37:54.160 --> 0:37:57.480
<v Speaker 2>they're good at this? Because they evolved basically eating dead

0:37:57.960 --> 0:37:59.360
<v Speaker 2>flesh or near dead flesh.

0:37:59.480 --> 0:38:02.600
<v Speaker 1>So the horror truth is that there's lots of flies

0:38:02.640 --> 0:38:06.400
<v Speaker 1>in this world, and they have lots of different life cycles,

0:38:06.760 --> 0:38:09.520
<v Speaker 1>and so the carrion flies, what happens is that the

0:38:09.560 --> 0:38:13.840
<v Speaker 1>mom comes along and she lays her eggs in dead tissue,

0:38:14.600 --> 0:38:17.319
<v Speaker 1>and those eggs hatch and you get maggots that have

0:38:17.320 --> 0:38:19.560
<v Speaker 1>to go through a couple different life cycles. And those

0:38:19.600 --> 0:38:22.760
<v Speaker 1>maggots are competing with the bacteria who want to break

0:38:22.840 --> 0:38:26.640
<v Speaker 1>down the dead stuff, and in some cases those bacteria

0:38:26.719 --> 0:38:29.000
<v Speaker 1>release toxins that might not be good for the maggots.

0:38:29.440 --> 0:38:31.640
<v Speaker 1>And so being able to consume the bacteria is good

0:38:31.640 --> 0:38:33.840
<v Speaker 1>because you're accidentally going to consume some of them anyway,

0:38:34.200 --> 0:38:36.840
<v Speaker 1>but also killing some of them remove some of the

0:38:36.880 --> 0:38:38.880
<v Speaker 1>competitors in your food.

0:38:39.120 --> 0:38:41.359
<v Speaker 2>So this is exactly what they evolved to do, right

0:38:41.400 --> 0:38:43.640
<v Speaker 2>to I'll compete the bacteria and to eat all the

0:38:43.640 --> 0:38:46.520
<v Speaker 2>dead stuff. Why don't they also eat the living flesh? Like,

0:38:46.600 --> 0:38:48.760
<v Speaker 2>why do they leave that alone? That's awfully convenient.

0:38:49.320 --> 0:38:52.319
<v Speaker 1>I'm going to preface this with I'm spitballing because you

0:38:52.400 --> 0:38:54.560
<v Speaker 1>asked me lots of great questions. I don't necessarily always

0:38:54.560 --> 0:38:57.000
<v Speaker 1>know the answers too, So my first guess is that

0:38:57.360 --> 0:39:01.160
<v Speaker 1>mostly what these guys are doing is the moms are

0:39:01.239 --> 0:39:03.640
<v Speaker 1>laying their eggs on stuff that is like totally dead,

0:39:04.239 --> 0:39:07.880
<v Speaker 1>totally dead, and every once in a while they opportunistically

0:39:08.160 --> 0:39:10.920
<v Speaker 1>find an open wound with some dead skin and they

0:39:11.000 --> 0:39:13.759
<v Speaker 1>lay their eggs in there too, And so they are

0:39:14.080 --> 0:39:17.040
<v Speaker 1>specialists on the dead stuff and are less interested in

0:39:17.080 --> 0:39:20.920
<v Speaker 1>the living stuff. There's also a bit of a trade

0:39:20.920 --> 0:39:24.600
<v Speaker 1>off I think between being able to infect and break

0:39:24.640 --> 0:39:27.520
<v Speaker 1>down living tissue which has like an immune response and

0:39:27.600 --> 0:39:30.680
<v Speaker 1>might try to fight back, versus just going after dead

0:39:30.680 --> 0:39:33.919
<v Speaker 1>tissue which isn't going to fight back. That's my best guess.

0:39:34.200 --> 0:39:35.960
<v Speaker 2>Yeah, all right, so they're lazy. They don't want to

0:39:36.000 --> 0:39:38.000
<v Speaker 2>work hard. They just go for the easy dead stuff,

0:39:38.040 --> 0:39:41.160
<v Speaker 2>and that amazingly works perfectly for our use case.

0:39:41.239 --> 0:39:43.399
<v Speaker 1>Right, yeah, and I mean I hate dipterance. So they

0:39:43.400 --> 0:39:45.960
<v Speaker 1>go through a couple stages in the dead stuff. They

0:39:46.080 --> 0:39:48.520
<v Speaker 1>have a wandering phase where they fall off of the

0:39:48.560 --> 0:39:50.960
<v Speaker 1>dead thing and then bury underground, and that's thought to

0:39:51.280 --> 0:39:54.439
<v Speaker 1>maybe help them avoid drying out or keep them safe

0:39:54.440 --> 0:39:56.560
<v Speaker 1>from predators. So, like you know, crows will go around

0:39:56.600 --> 0:39:59.200
<v Speaker 1>and they'll find dead insects in carcasses and eat them up,

0:39:59.440 --> 0:40:01.720
<v Speaker 1>so they kind of and then they hatch as adults

0:40:01.760 --> 0:40:04.360
<v Speaker 1>and they go off to complete their life cycle. Okay,

0:40:04.360 --> 0:40:07.239
<v Speaker 1>so that's all kind of complicated, So you can imagine

0:40:07.239 --> 0:40:11.879
<v Speaker 1>that growing flies in a lab could be a little complicated,

0:40:12.080 --> 0:40:14.279
<v Speaker 1>especially if you want to make sure that when you

0:40:14.360 --> 0:40:18.759
<v Speaker 1>grow those flies they're grown under sterile conditions. So you

0:40:18.880 --> 0:40:23.319
<v Speaker 1>don't want flies walking around on some dead, infected roadkill

0:40:23.560 --> 0:40:26.399
<v Speaker 1>and then getting added to your wound because that would

0:40:26.400 --> 0:40:29.239
<v Speaker 1>be pretty gross. So while this was popular in the

0:40:29.280 --> 0:40:34.520
<v Speaker 1>nineteen thirties, it was difficult to you know, cheaply provide

0:40:35.239 --> 0:40:39.640
<v Speaker 1>maggots for wound debreadment and to find ways to contain them.

0:40:39.680 --> 0:40:42.920
<v Speaker 1>So you definitely don't want your leg maggots or your

0:40:42.960 --> 0:40:46.040
<v Speaker 1>foot wound maggots to escape. And then now they're like

0:40:46.200 --> 0:40:49.040
<v Speaker 1>free in the hospital and they can like go and

0:40:49.080 --> 0:40:52.160
<v Speaker 1>spread whatever diseases you had on your foot to somebody else.

0:40:52.520 --> 0:40:54.600
<v Speaker 1>And it's also gross to have flies around, so it

0:40:54.640 --> 0:40:57.000
<v Speaker 1>was kind of a pain. It was expensive because.

0:40:56.719 --> 0:40:59.840
<v Speaker 2>The magots literally sprout wings and try to fly around.

0:41:00.000 --> 0:41:02.360
<v Speaker 2>That's what they do. They'd call them flies, right, So that's.

0:41:02.560 --> 0:41:05.680
<v Speaker 1>Yeah, that's right, that's right. They're going through their insect stages.

0:41:05.840 --> 0:41:08.600
<v Speaker 1>They transform it or metamorphose into adults. And yeah, then

0:41:08.640 --> 0:41:10.200
<v Speaker 1>they go when they fly around and they're super gross.

0:41:10.200 --> 0:41:12.040
<v Speaker 2>Does that mean that if you have a wound with

0:41:12.120 --> 0:41:15.400
<v Speaker 2>maggots on it, there's some like container that captures the flies.

0:41:15.480 --> 0:41:17.520
<v Speaker 2>Then you have like dead flies on your wound you

0:41:17.560 --> 0:41:18.680
<v Speaker 2>have to clean off all the time.

0:41:18.920 --> 0:41:23.400
<v Speaker 1>We're going to get there. I was looking on the

0:41:23.440 --> 0:41:27.359
<v Speaker 1>website of companies who grow medical maggots. But I'm almost there.

0:41:27.360 --> 0:41:29.920
<v Speaker 1>I'm almost there, I promise. So in the nineteen forties,

0:41:30.160 --> 0:41:33.520
<v Speaker 1>antibiotics become widespread, and you know, quite frankly, if I

0:41:33.520 --> 0:41:36.200
<v Speaker 1>had the choice between someone sprinkling maggots on my legs

0:41:36.320 --> 0:41:39.799
<v Speaker 1>or giving me you know penicillin medication I can pop

0:41:39.840 --> 0:41:41.480
<v Speaker 1>in my mouth. I'm going to go for the penicillin.

0:41:41.640 --> 0:41:43.239
<v Speaker 2>But is that just because of the size. Like you

0:41:43.239 --> 0:41:45.920
<v Speaker 2>can see maggots and they seem gross because penicilla is

0:41:45.960 --> 0:41:48.960
<v Speaker 2>like a fungus and it's like also growing and attacking

0:41:48.960 --> 0:41:51.200
<v Speaker 2>the bacteria. If the fungus was like bigger, if you

0:41:51.239 --> 0:41:53.400
<v Speaker 2>had like mushrooms growing out of your wound, would that

0:41:53.480 --> 0:41:54.560
<v Speaker 2>be as gross as maggots.

0:41:54.560 --> 0:41:58.800
<v Speaker 1>Well, they're not like spreading fungus like you spread butter

0:41:58.960 --> 0:42:00.680
<v Speaker 1>on a piece of bread, like onto your leg.

0:42:02.640 --> 0:42:05.320
<v Speaker 2>I'm thinking of marmite now, I'm like, mmm yum.

0:42:05.440 --> 0:42:05.720
<v Speaker 5>Yeah.

0:42:06.320 --> 0:42:10.560
<v Speaker 1>Sometimes it's like a pill that you take WHIRLI or

0:42:10.680 --> 0:42:12.720
<v Speaker 1>you know, maybe it could be like a cream or something.

0:42:13.080 --> 0:42:15.200
<v Speaker 1>But you know, the maggots they escape sometimes you can

0:42:15.200 --> 0:42:17.520
<v Speaker 1>feel them moving around, and you know, I get that

0:42:17.560 --> 0:42:18.080
<v Speaker 1>it's gross.

0:42:18.160 --> 0:42:20.600
<v Speaker 2>We should have a whole episode on the biology of grossness,

0:42:20.600 --> 0:42:22.600
<v Speaker 2>like why do we think some things are gross and

0:42:22.840 --> 0:42:26.080
<v Speaker 2>other things? Where does that come from? Anyway back to maggots.

0:42:26.120 --> 0:42:28.400
<v Speaker 1>So that would involve a lot of evolutionary psychology. I

0:42:28.440 --> 0:42:30.480
<v Speaker 1>think I'm totally down for tackling that. But so in

0:42:30.480 --> 0:42:33.640
<v Speaker 1>the nineteen forties, antibiotics come along, that solves a bunch

0:42:33.680 --> 0:42:35.520
<v Speaker 1>of the problems. Maggots fall out of favor because they

0:42:35.520 --> 0:42:37.200
<v Speaker 1>were kind of a pain in the rear. End. In

0:42:37.239 --> 0:42:41.000
<v Speaker 1>the nineteen eighties nineteen nineties, antibiotic resistance starts becoming a

0:42:41.000 --> 0:42:44.920
<v Speaker 1>big problem. People have non healing wounds and it's starting

0:42:44.960 --> 0:42:47.320
<v Speaker 1>to get harder and harder to kill the bacterial infections

0:42:47.320 --> 0:42:49.920
<v Speaker 1>that are in those wounds. So medical maggots come back

0:42:49.920 --> 0:42:52.560
<v Speaker 1>in style, and in two thousand and four, the Food

0:42:52.600 --> 0:42:55.840
<v Speaker 1>and Drug Administration in the United States actually approves maggots

0:42:55.840 --> 0:42:59.439
<v Speaker 1>as a medical device to treat things like diabetic foot

0:42:59.520 --> 0:43:02.640
<v Speaker 1>ulcers that won't heal. And there's also some evidence that

0:43:03.120 --> 0:43:07.600
<v Speaker 1>for some sort of limb issues, maggots can help with

0:43:07.719 --> 0:43:11.960
<v Speaker 1>debridement and help with antimicrobial stuff, and in some cases

0:43:12.000 --> 0:43:13.960
<v Speaker 1>people can keep their limbs because of what a great

0:43:14.000 --> 0:43:14.839
<v Speaker 1>job the maggots did.

0:43:15.000 --> 0:43:16.799
<v Speaker 2>So people are still using maggots today.

0:43:16.920 --> 0:43:18.560
<v Speaker 1>Yeah, no, So maggots are making a comeback.

0:43:18.680 --> 0:43:19.120
<v Speaker 2>Amazing.

0:43:19.400 --> 0:43:23.520
<v Speaker 1>They're not incredibly widely used, and based on the surveys

0:43:23.520 --> 0:43:26.120
<v Speaker 1>that I read, that is mostly from what everybody calls

0:43:26.160 --> 0:43:30.279
<v Speaker 1>the quote yuck factor end quote, And I totally get that.

0:43:30.440 --> 0:43:34.520
<v Speaker 1>Apparently like, sometimes you can feel them moving around a little,

0:43:34.600 --> 0:43:37.040
<v Speaker 1>but mostly what they're doing is moving around in dead tissues,

0:43:37.080 --> 0:43:39.560
<v Speaker 1>so you don't usually feel it a lot. But here's

0:43:39.600 --> 0:43:43.440
<v Speaker 1>what happens. They sprinkle some little maggots they're like a

0:43:43.440 --> 0:43:47.520
<v Speaker 1>couple millimeters long in the wound, and then they have

0:43:48.040 --> 0:43:52.879
<v Speaker 1>really fancy bandages that cover up the wound and keep

0:43:52.920 --> 0:43:55.439
<v Speaker 1>the maggots in the wound and don't let them get out.

0:43:56.080 --> 0:43:59.440
<v Speaker 1>There's a company called Monarch Labs, for example, that sells

0:44:00.080 --> 0:44:06.439
<v Speaker 1>the Maggot Megapack, maggot t shirts and the le Flap

0:44:06.640 --> 0:44:08.520
<v Speaker 1>du jore case dressing.

0:44:08.800 --> 0:44:09.040
<v Speaker 2>So.

0:44:11.400 --> 0:44:14.240
<v Speaker 1>It contains the maggots while still letting the maggots breathe.

0:44:14.400 --> 0:44:16.520
<v Speaker 1>And what happens is the maggots spend a couple days

0:44:17.080 --> 0:44:20.239
<v Speaker 1>in their larval form going around eating dead tissue, and

0:44:20.239 --> 0:44:21.919
<v Speaker 1>then when they get to the stage where they would

0:44:21.960 --> 0:44:25.120
<v Speaker 1>usually fall off and try to bury themselves in the soil,

0:44:25.680 --> 0:44:29.120
<v Speaker 1>you remove the dressing, you collect all of the maggots,

0:44:29.680 --> 0:44:32.360
<v Speaker 1>and then you just take them away. And the maggots

0:44:32.400 --> 0:44:35.719
<v Speaker 1>have cleaned off the dead tissue, they have fought some

0:44:35.840 --> 0:44:40.080
<v Speaker 1>of the bacterial infections, and there's fairly good evidence that

0:44:40.120 --> 0:44:42.680
<v Speaker 1>actually outcomes are pretty good. Here's where some of the

0:44:43.040 --> 0:44:46.760
<v Speaker 1>nuances of biology come in, because the answer is never clear.

0:44:47.360 --> 0:44:50.880
<v Speaker 1>Some studies do find that the maggots do less well

0:44:50.960 --> 0:44:56.800
<v Speaker 1>against particular species of bacteria. Sometimes the results are contradictory

0:44:56.840 --> 0:45:00.120
<v Speaker 1>between studies, suggesting that you don't always get consistent results

0:45:00.880 --> 0:45:04.680
<v Speaker 1>for obvious reasons. Pharmaceutical companies are trying to figure out

0:45:04.719 --> 0:45:07.640
<v Speaker 1>if you can not have the maggots but still have

0:45:07.719 --> 0:45:12.080
<v Speaker 1>the antimicrobial properties. So they're trying to understand what kind

0:45:12.160 --> 0:45:15.799
<v Speaker 1>of compounds the maggots are secreting and excreting. And there

0:45:15.960 --> 0:45:19.759
<v Speaker 1>is a drug called seratusin which was it sounds like

0:45:19.800 --> 0:45:25.160
<v Speaker 1>derived from maggot secretions excretions, and it inhibits twelve strains

0:45:25.200 --> 0:45:31.000
<v Speaker 1>of MRSA, which is that multi antibiotic resistance Staphylococcus aureus.

0:45:31.120 --> 0:45:31.560
<v Speaker 1>Was that right?

0:45:31.920 --> 0:45:32.440
<v Speaker 2>Sounds right?

0:45:32.600 --> 0:45:33.240
<v Speaker 1>Yeah? Nice?

0:45:33.440 --> 0:45:35.600
<v Speaker 2>Is there some tech bro out there making like tiny

0:45:35.719 --> 0:45:38.080
<v Speaker 2>robotic maggots that like walk around and eat dead flesh

0:45:38.080 --> 0:45:39.000
<v Speaker 2>and ooze out this.

0:45:39.080 --> 0:45:44.880
<v Speaker 1>Medicine maybe eventually, who knows what the future holds mag bots.

0:45:44.960 --> 0:45:46.399
<v Speaker 2>That's a billion dollar idea right there.

0:45:46.480 --> 0:45:48.680
<v Speaker 1>Somebody call me, yeah, well you should patent it while

0:45:48.680 --> 0:45:52.360
<v Speaker 1>you're ahead. So there's other kinds of compounds that have

0:45:52.360 --> 0:45:55.279
<v Speaker 1>been secreted that help with different kinds of bacteria. So

0:45:55.320 --> 0:45:57.839
<v Speaker 1>folks are working on this, and there have been some

0:45:57.880 --> 0:46:01.719
<v Speaker 1>studies on wounds in children that we're having difficulties sort

0:46:01.760 --> 0:46:05.359
<v Speaker 1>of healing up, and they had multi drug resistant pseudomonous

0:46:06.239 --> 0:46:09.279
<v Speaker 1>originosa in them, and they had been treated with things

0:46:09.280 --> 0:46:13.600
<v Speaker 1>like antibiotics, but the bacteria were resistant, and they treated

0:46:13.600 --> 0:46:16.479
<v Speaker 1>the kids with maggots, and the maggots really did seem

0:46:16.520 --> 0:46:18.680
<v Speaker 1>to help. They still did some other follow up treatments,

0:46:18.680 --> 0:46:20.319
<v Speaker 1>but the maggots seemed to be like the thing that

0:46:20.360 --> 0:46:23.120
<v Speaker 1>helps these diseases turn the corner, and after thirty four days,

0:46:23.160 --> 0:46:25.239
<v Speaker 1>these infections no longer had bacteria.

0:46:25.320 --> 0:46:27.600
<v Speaker 2>Bo. Yeah, amazing, good job maggots.

0:46:27.680 --> 0:46:29.920
<v Speaker 1>Yeah. But so our listener wanted to know if they

0:46:29.960 --> 0:46:33.360
<v Speaker 1>can stop worrying about superbugs because we're all going to

0:46:33.360 --> 0:46:36.400
<v Speaker 1>be using maggots. There's a couple problems with that. So,

0:46:36.440 --> 0:46:38.560
<v Speaker 1>first of all, maggots tend to be used for a

0:46:38.600 --> 0:46:43.000
<v Speaker 1>pretty narrow range of problems. So diabetic foot ulcers, pressure

0:46:43.080 --> 0:46:47.879
<v Speaker 1>ulcers basically wounds on the exterior of your body that

0:46:47.960 --> 0:46:51.040
<v Speaker 1>are having trouble healing, and we have problems with antibiotic

0:46:51.120 --> 0:46:55.200
<v Speaker 1>resistant bacteria insider a body two And you know, drinking

0:46:55.239 --> 0:46:57.080
<v Speaker 1>a slurry of maggots isn't going to help us with that.

0:46:57.320 --> 0:46:59.640
<v Speaker 2>And it's super weird to have maggots like eating a

0:46:59.680 --> 0:47:01.600
<v Speaker 2>wound on the outside of your body. I can't imagine

0:47:01.640 --> 0:47:03.600
<v Speaker 2>having maggots that crawl around inside you.

0:47:03.800 --> 0:47:05.799
<v Speaker 1>I don't think they'd survive for very long, but you'd

0:47:05.800 --> 0:47:08.120
<v Speaker 1>feel them wiggling to their death and it would be unpleasant.

0:47:08.640 --> 0:47:08.879
<v Speaker 2>Yeah.

0:47:08.920 --> 0:47:11.320
<v Speaker 1>I also imagine that if we started using maggots to

0:47:11.360 --> 0:47:13.719
<v Speaker 1>the same extent that we use some of our current antibiotics,

0:47:13.719 --> 0:47:17.239
<v Speaker 1>it wouldn't surprise me if resistance arose to whatever the

0:47:17.280 --> 0:47:19.759
<v Speaker 1>maggots were producing as well. And so I don't think

0:47:19.760 --> 0:47:22.880
<v Speaker 1>this is a panacea, but it is a solution that

0:47:22.880 --> 0:47:26.000
<v Speaker 1>seems to be working pretty well for certain types of

0:47:26.080 --> 0:47:27.240
<v Speaker 1>non healing wounds.

0:47:27.800 --> 0:47:32.120
<v Speaker 2>Amazing. It's incredible how many times evolution has found the

0:47:32.160 --> 0:47:34.319
<v Speaker 2>answer to a problem that we have. You know, it's

0:47:34.360 --> 0:47:37.680
<v Speaker 2>just like, give it a billion years and so many mutations,

0:47:37.680 --> 0:47:41.040
<v Speaker 2>they will explore the whole landscape and find an incredible solution.

0:47:41.440 --> 0:47:44.640
<v Speaker 1>Yes, this field is called Darwinian medicine. I believe where

0:47:44.680 --> 0:47:48.560
<v Speaker 1>you go to nature for some answers. I found a

0:47:49.120 --> 0:47:52.239
<v Speaker 1>doctor named doctor Ronald Sherman, and I loved reading his

0:47:52.320 --> 0:47:56.880
<v Speaker 1>papers because he was so excited about the maggots. So

0:47:56.960 --> 0:47:58.719
<v Speaker 1>I want to wrap this up on a quote from

0:47:58.760 --> 0:48:00.880
<v Speaker 1>the conclusion of one of his two thousand and nine papers.

0:48:00.880 --> 0:48:04.719
<v Speaker 1>He said, medicinal maggots are as precise in their debreedment

0:48:04.840 --> 0:48:08.600
<v Speaker 1>as a highly skilled microsurgeon, as attentive to their host

0:48:08.719 --> 0:48:12.200
<v Speaker 1>wounds as the most dedicated wounds care nurse. It is

0:48:12.280 --> 0:48:15.120
<v Speaker 1>no wonder that they have found their way into the

0:48:15.120 --> 0:48:17.720
<v Speaker 1>hearts and wounds of so many.

0:48:19.200 --> 0:48:22.920
<v Speaker 2>So hearts and wounds is the title of his autobiography.

0:48:23.120 --> 0:48:26.399
<v Speaker 1>Yes, thank you for your enthusiasm, doctor Sherman, and let's

0:48:26.440 --> 0:48:29.520
<v Speaker 1>go ahead and reconnect with Jonathan and see if we've

0:48:29.520 --> 0:48:30.520
<v Speaker 1>answered his questions.

0:48:31.239 --> 0:48:34.400
<v Speaker 4>Yes, indeed, you have answered my questions. Thank you. It

0:48:34.440 --> 0:48:36.440
<v Speaker 4>looks like what was old is new once again.

0:48:36.880 --> 0:48:38.920
<v Speaker 2>All right, thank you very much everybody for sending in

0:48:38.960 --> 0:48:41.399
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0:48:41.560 --> 0:48:43.640
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0:48:43.680 --> 0:48:45.640
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0:48:45.960 --> 0:48:55.880
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