1 00:00:04,989 --> 00:00:09,594 IT'S MY PLEASURE TO WELCOME 2 00:00:09,594 --> 00:00:12,029 DR. STEPHANIE HELENA TO THE 3 00:00:12,029 --> 00:00:14,432 NATIONAL CANCER INSTITUTE. 4 00:00:14,432 --> 00:00:16,400 DR. HELENA IS THE PROFESSOR OF 5 00:00:16,400 --> 00:00:18,102 HEMEATOLOGY AND CHIEF OF THE 6 00:00:18,102 --> 00:00:19,704 SECTION OF HEMEATOLOGY AT THE 7 00:00:19,704 --> 00:00:23,407 YALE SCHOOL OF MEDICINE AND I 8 00:00:23,407 --> 00:00:25,042 IPT GREATER VIETED HER BECAUSE I 9 00:00:25,042 --> 00:00:27,945 CONSIDER HER A STUNNING EXAMPLE 10 00:00:27,945 --> 00:00:29,680 OF A PHYSICIAN SCIENTIST WHOSE 11 00:00:29,680 --> 00:00:32,650 BOTH A CARING PHYSICIAN AND AN 12 00:00:32,650 --> 00:00:34,252 OUTSTANDING SCIENTIST WHO 13 00:00:34,252 --> 00:00:36,120 COMBINED BASIC TRANSLATIONAL AND 14 00:00:36,120 --> 00:00:38,523 CLINICAL STUDIES TO ADVANCE OUR 15 00:00:38,523 --> 00:00:42,093 UNDERSTANDING OF HEMEAT O LOGIC 16 00:00:42,093 --> 00:00:42,426 MALIGNANCIES. 17 00:00:42,426 --> 00:00:51,736 SHE RECEIVED HER DOCTORAL DEGREE 18 00:00:51,736 --> 00:00:52,904 FROM THE EVERHART MEDICINE AND 19 00:00:52,904 --> 00:00:55,106 AFTER THAT SHE JOINED CHILDREN'S 20 00:00:55,106 --> 00:00:58,176 HOSPITAL LOS ANGELES WHERE SHE 21 00:00:58,176 --> 00:00:59,577 STUDIED HEMATOPOIETIC STEM CELL 22 00:00:59,577 --> 00:00:59,811 BIOLOGY. 23 00:00:59,811 --> 00:01:03,581 IN 2000 SHE JOINED THE YALE 24 00:01:03,581 --> 00:01:04,882 INTERNAL MEDICINE RESIDENCY 25 00:01:04,882 --> 00:01:07,051 PROGRAM IN THE PHYSICIAN 26 00:01:07,051 --> 00:01:10,454 SCIENTIST RESEARCH TRACK AND IN 27 00:01:10,454 --> 00:01:13,524 2002 SHE BEGAN A HEMEATOLOGY 28 00:01:13,524 --> 00:01:19,163 FELLOWSHIP WHERE SHE STUDIED 29 00:01:19,163 --> 00:01:22,133 NUTRIFILL WITH MARY, AND THEN 30 00:01:22,133 --> 00:01:25,102 ALSO STUDIED WITH DR. KRAUSE. 31 00:01:25,102 --> 00:01:26,470 IN 2010 SHE TEABED HER OWN LAB 32 00:01:26,470 --> 00:01:27,805 RAARE TOY IN THE SECURITIZATION. 33 00:01:27,805 --> 00:01:29,941 OF HEMEATOLOGY AND IN 2019 SHE 34 00:01:29,941 --> 00:01:32,310 BECAME THE INTERIM SECTION CHIEF 35 00:01:32,310 --> 00:01:35,780 OF HEMEATOLOGY AND IN 2020, WAS 36 00:01:35,780 --> 00:01:37,281 LABEL--WAS NAMED SECTION CHIEF, 37 00:01:37,281 --> 00:01:40,852 WAS NAMED THE SECTION CHIEF OF 38 00:01:40,852 --> 00:01:41,619 HEMEATOLOGY. 39 00:01:41,619 --> 00:01:43,221 SHE ESTABLISHED THE HEMEATOLOGY 40 00:01:43,221 --> 00:01:44,755 TISSUE BANK AND TOOK ON THE ROLE 41 00:01:44,755 --> 00:01:46,757 OF ASSISTANT MEDICAL DIRECTOR OF 42 00:01:46,757 --> 00:01:49,493 THE CLINICAL TRIALS RESEARCH 43 00:01:49,493 --> 00:01:50,761 SUPPORT LABORATORY IN THE YALE 44 00:01:50,761 --> 00:01:51,562 CANCER CENTER. 45 00:01:51,562 --> 00:01:54,532 SHE'S ALSO CHIEF OF THE DIVISION 46 00:01:54,532 --> 00:01:57,268 OF CHANSALATION HEMEATOLOGY AND 47 00:01:57,268 --> 00:02:00,571 DIRECTS THE DE LUCA CENTER FOR 48 00:02:00,571 --> 00:02:01,939 HEMEATOLOGY RESEARCH IN THE YALE 49 00:02:01,939 --> 00:02:03,107 CANCER CENTER. 50 00:02:03,107 --> 00:02:04,542 HER SCIENTIFIC INTERESTS FOCUS 51 00:02:04,542 --> 00:02:07,078 ON HEMEAT O POETICESIS, 52 00:02:07,078 --> 00:02:08,646 MYELODYSPLASTIC SYNDROME AND 53 00:02:08,646 --> 00:02:09,680 AAMERICA L. 54 00:02:09,680 --> 00:02:11,315 AND IN COLLABORATION WITH 55 00:02:11,315 --> 00:02:15,386 COLLEAGUES AT YALE AND ELSEWHERE 56 00:02:15,386 --> 00:02:16,888 SHE'S DEVELOPED A 57 00:02:16,888 --> 00:02:18,389 XENOTRANSPLANTATION MODEL FOR 58 00:02:18,389 --> 00:02:20,358 MDS, ADVANCED OUR UNDERSTANDING 59 00:02:20,358 --> 00:02:24,161 OF R NA SPLICING FACTORS IN MDS 60 00:02:24,161 --> 00:02:26,664 AND ALSO HEMEAT ON POETICESIS 61 00:02:26,664 --> 00:02:27,865 AND LEUKEMIA. 62 00:02:27,865 --> 00:02:29,166 SHE'S RECEIVED SIGNIFICANT 63 00:02:29,166 --> 00:02:30,401 RECOGNITION FOR HER WORK. 64 00:02:30,401 --> 00:02:34,305 IN 2015 SHE RECEIVED THE SIR 65 00:02:34,305 --> 00:02:35,840 WILLIAM AWARD FROM THE 66 00:02:35,840 --> 00:02:37,875 INTERURBAN CLINICAL CLUB AND IN 67 00:02:37,875 --> 00:02:40,077 2022 SHE RECEIVED THE EMERGING 68 00:02:40,077 --> 00:02:41,379 LEADER IN INTERNAL MEDICINE 69 00:02:41,379 --> 00:02:43,014 AWARD FROM THE YALE SCHOOL OF 70 00:02:43,014 --> 00:02:44,649 MEDICINE AND IN 2024 SHE WAS 71 00:02:44,649 --> 00:02:47,752 ELECTED TO MEMBERSHIP IN A 72 00:02:47,752 --> 00:02:49,120 CONNECTICUT ACADEMY OF SCIENCE 73 00:02:49,120 --> 00:02:50,288 AND ENGINEERING SO PLEASE JOIN 74 00:02:50,288 --> 00:02:52,657 ME IN WELCOMING DR. STEPHANIE 75 00:02:52,657 --> 00:02:59,463 HELENA TO THE NCI. 76 00:02:59,463 --> 00:03:00,164 [ APPLAUSE ] 77 00:03:00,164 --> 00:03:03,000 >> THANK YOU SANDY FOR THIS 78 00:03:03,000 --> 00:03:07,238 AMAZING INTRODUCTION, VERY KIND. 79 00:03:07,238 --> 00:03:08,506 [INDISCERNIBLE] COVID OR FLU, 80 00:03:08,506 --> 00:03:09,807 BUT OTHERWISE IT'S JUST 81 00:03:09,807 --> 00:03:11,442 ALLERGIES AND THEY DON'T SEEM TO 82 00:03:11,442 --> 00:03:13,678 GO AWAY, BUT I UPON TO SAY AS A 83 00:03:13,678 --> 00:03:15,346 PHYSICIAN, I REALLY, REALLY YOU 84 00:03:15,346 --> 00:03:17,315 KNOW WHEN I STARTED RESEARCH, I 85 00:03:17,315 --> 00:03:19,150 REALLY HAD NO CLUE AND I THINK 86 00:03:19,150 --> 00:03:20,785 TO BE A PHYSICIAN WHO ALWAYS 87 00:03:20,785 --> 00:03:24,188 DOES RESEARCH IT TAKES THIS 88 00:03:24,188 --> 00:03:25,589 VILLAGE AROUND YOU AND SANDY 89 00:03:25,589 --> 00:03:27,792 [INDISCERNIBLE] WAS 1 OF THOSE 90 00:03:27,792 --> 00:03:29,193 PEOPLE ENCOURAGING PHYSICIANS 91 00:03:29,193 --> 00:03:31,729 LIKE ME, YEAH, JUST WORK ON RNA, 92 00:03:31,729 --> 00:03:33,397 IT'S AN ARK MAZING FIELD AND 93 00:03:33,397 --> 00:03:35,499 THAT IS I'M INCREDIBLY GRATEFUL 94 00:03:35,499 --> 00:03:36,767 FOR THE SCIENTISTS, INVITING 95 00:03:36,767 --> 00:03:38,302 SOMEBODY LIKE ME INTO DOING 96 00:03:38,302 --> 00:03:40,004 SCIENCE AND DISEASE, SO I HAVE 97 00:03:40,004 --> 00:03:42,039 KIND OF 2 STORIES FOR YOU AND I 98 00:03:42,039 --> 00:03:43,574 KNOW THIS IS ALSO CLINICAL, I 99 00:03:43,574 --> 00:03:45,676 HAVE A BIT OF CLINICAL 100 00:03:45,676 --> 00:03:45,977 BACKGROUND. 101 00:03:45,977 --> 00:03:47,578 I KNOW THERE ARE TRAINEES IN THE 102 00:03:47,578 --> 00:03:49,313 ROOM, IF YOU WANT TO ASK 103 00:03:49,313 --> 00:03:51,015 QUESTIONS, PLEASE INTERRUPT ME 104 00:03:51,015 --> 00:03:53,084 AND WE CAN IMPROVISE AT THE END 105 00:03:53,084 --> 00:03:55,786 AND CUT A FEW SLIDES. 106 00:03:55,786 --> 00:04:02,560 OKAY, LET'S SEE HOW I MOVE 107 00:04:02,560 --> 00:04:02,793 FORWARD. 108 00:04:02,793 --> 00:04:04,996 >> OKAY, SO MY LAB IN PARTICULAR 109 00:04:04,996 --> 00:04:07,531 IS INTERESTED IN MYELODYSPLASIA 110 00:04:07,531 --> 00:04:08,833 BECAUSE IT'S ALSO A CLINICAL 111 00:04:08,833 --> 00:04:10,401 PROBLEM I'M INTERESTED WHEN I 112 00:04:10,401 --> 00:04:11,936 SEE THESE PATIENTS I ALSO WANT 113 00:04:11,936 --> 00:04:13,904 TO KNOW WHAT WE CAN DO FOR THEM 114 00:04:13,904 --> 00:04:15,606 AND TREATMENT ISN'T GREAT AND IF 115 00:04:15,606 --> 00:04:22,213 YOU LOOK HERE AT MDS 116 00:04:22,213 --> 00:04:22,813 MYELODYSPLASIA, THERE'S OVER 117 00:04:22,813 --> 00:04:25,216 20,000 PATIENTS IN THE U.S. PER 118 00:04:25,216 --> 00:04:28,686 YEAR, IT'S CAUSED BY GENETIC, 119 00:04:28,686 --> 00:04:30,321 EPIGENETIC, TRANSKRINGZ AND 120 00:04:30,321 --> 00:04:31,522 SIGNALING AND SPLICING 121 00:04:31,522 --> 00:04:34,225 ABNORMALITIES AND MANY PATIENTS 122 00:04:34,225 --> 00:04:35,259 HAVE CYTOPENIA, AND HEART 123 00:04:35,259 --> 00:04:37,261 DISEASE OR WHATEVER DUE TO MDS 124 00:04:37,261 --> 00:04:39,263 AND A SUBSET PROGRESS TO AML. 125 00:04:39,263 --> 00:04:42,433 IF YOU SEE HERE, SURVIVAL ISN'T 126 00:04:42,433 --> 00:04:43,868 GREAT AND IT AFFECTS OLDER 127 00:04:43,868 --> 00:04:48,539 PEOPLE ON THE RIGHT THAT IS 128 00:04:48,539 --> 00:04:52,009 ALWAYS RELATIVE. 129 00:04:52,009 --> 00:04:53,644 SO THE HEMATOPOIETIC STEM CELL 130 00:04:53,644 --> 00:04:54,578 DISORDER SO ALL CELLS IN THE 131 00:04:54,578 --> 00:04:58,749 BLOOD CAN BE AFFECTED BUT 132 00:04:58,749 --> 00:04:59,216 PREDOMINANTLY MYELOID 133 00:04:59,216 --> 00:05:01,452 ILLUMINATEIAGE IS SHOWN HERE 134 00:05:01,452 --> 00:05:04,588 ASSOCIATED WITH INCREASED AGE, 135 00:05:04,588 --> 00:05:05,990 EXPOSURE TO PREVIOUS CHEMO 136 00:05:05,990 --> 00:05:08,059 THERAPY AND RADIATION, SO IF YOU 137 00:05:08,059 --> 00:05:10,061 CURE PATIENTS FROM THE CANCER, 138 00:05:10,061 --> 00:05:14,131 THEY'RE NOW AT RISK FOR MDS, AND 139 00:05:14,131 --> 00:05:16,600 THEN PROGRESSION TO SECONDARY 140 00:05:16,600 --> 00:05:19,403 AML AND IN 2011, BEING AN 141 00:05:19,403 --> 00:05:21,939 OPPORTUNE TIME FOR MY LAB, THESE 142 00:05:21,939 --> 00:05:24,108 MUTATIONS WERE DISCOVERED TO 143 00:05:24,108 --> 00:05:25,743 OCCUR IN OVER 50% OF THE 144 00:05:25,743 --> 00:05:27,478 PATIENTS WITH MDS AND SEVERAL 145 00:05:27,478 --> 00:05:29,647 OTHER PATHWAYS ARE ALSO AFFECTED 146 00:05:29,647 --> 00:05:32,416 BY OUR FOLKS TODAY ARE ON 147 00:05:32,416 --> 00:05:32,750 SPLICING. 148 00:05:32,750 --> 00:05:34,785 SO MY TALK HAS KIND OF 2 SIDES, 149 00:05:34,785 --> 00:05:38,422 1 IS REALLY TALKING ABOUT OUR 150 00:05:38,422 --> 00:05:40,524 WORK ON LIMITATIONS AND I HOPE I 151 00:05:40,524 --> 00:05:43,527 WILL GET TO TELL YOU ABOUT THE 152 00:05:43,527 --> 00:05:44,562 XENOTRANSPLANTATION MODEL WE 153 00:05:44,562 --> 00:05:48,132 DEVELOPED TOGETHER WITH RICHARD 154 00:05:48,132 --> 00:05:48,499 [INDISCERNIBLE]. 155 00:05:48,499 --> 00:05:50,367 SO JUST A FACTOR ON THE 156 00:05:50,367 --> 00:05:51,969 MUTATIONS, THEY WERE DISCOVERED 157 00:05:51,969 --> 00:05:53,204 IN 2011, YOU WONDERED WHY NOT 158 00:05:53,204 --> 00:05:54,972 BEFORE BUT THIS WAS A BIG EFFORT 159 00:05:54,972 --> 00:05:56,974 TO SEQUENCE THE MDS GENOME, THEY 160 00:05:56,974 --> 00:05:59,110 ARE REALLY KEY FACTORS OF THE 161 00:05:59,110 --> 00:06:00,277 SPLICING MACHINERY AND MAYBE 162 00:06:00,277 --> 00:06:03,214 THAT'S WHY THEY WERE ALSO KIND 163 00:06:03,214 --> 00:06:03,981 OF--LIMITATIONS WERE IGNORED 164 00:06:03,981 --> 00:06:05,783 BECAUSE PEOPLE THOUGHT IT WAS 165 00:06:05,783 --> 00:06:06,283 IMPOSSIBLE. 166 00:06:06,283 --> 00:06:07,852 AND THEY OCCURRED IN OVER 50% OF 167 00:06:07,852 --> 00:06:11,856 THE PATIENTS WITH MDS OR CHRONIC 168 00:06:11,856 --> 00:06:13,724 MONOSITTIC LEUKEMIA AND IN 20% 169 00:06:13,724 --> 00:06:15,593 OF THE PATIENTS WITH SECONDARY 170 00:06:15,593 --> 00:06:19,363 AML BUT ALSO WITH THE CHRONIC 171 00:06:19,363 --> 00:06:21,432 LEUKEMIA AND EVEN THIS A HANDFUL 172 00:06:21,432 --> 00:06:23,734 OF SOLID TUMORS AND WE DON'T 173 00:06:23,734 --> 00:06:24,602 KNOW WHY THE SELECTION SO 174 00:06:24,602 --> 00:06:26,337 THERE'S STILL A LOT OF WORK ON 175 00:06:26,337 --> 00:06:26,971 TO DO. 176 00:06:26,971 --> 00:06:28,939 WHAT'S INTERESTING IS THAT I 177 00:06:28,939 --> 00:06:33,177 THEY ARE MUTUALLY EXCLUSIVE SO 178 00:06:33,177 --> 00:06:34,678 PATIENTS GENERALLY OVER HAVE 1 179 00:06:34,678 --> 00:06:36,247 OF THE PLIESING MUTATIONS, IF 180 00:06:36,247 --> 00:06:40,084 THERE ARE 2, THEY ARE IN THE 181 00:06:40,084 --> 00:06:42,319 SAME CELL, THE VERY FREQUENTY IS 182 00:06:42,319 --> 00:06:44,088 HIGH, AND REALLY THEY ARE IN THE 183 00:06:44,088 --> 00:06:46,290 DOMINANT CLONE, AND WE KNOW THAT 184 00:06:46,290 --> 00:06:48,459 THEIR DRIVER MUTATIONS FOR MANY 185 00:06:48,459 --> 00:06:50,528 MOUSE STUDIES FOR EXAMPLE, SO 186 00:06:50,528 --> 00:06:54,231 JUST A BRIEF, BRIEF, VERY SIMPLE 187 00:06:54,231 --> 00:06:56,567 PRIMER ON SPLICING RIGHT, SO IN 188 00:06:56,567 --> 00:06:59,436 THE GENE, YOU HAVE REGULATORY 189 00:06:59,436 --> 00:07:00,037 SEQUENCES, ENHANCES PROMOTERS 190 00:07:00,037 --> 00:07:01,438 YOU HAVE THE TEAM AND THEN THE 191 00:07:01,438 --> 00:07:03,541 YEEN IS EXIT AND ENTRON, THEY 192 00:07:03,541 --> 00:07:05,075 SPLICE THESE ENTRONS OUT TO 193 00:07:05,075 --> 00:07:09,013 CREATE THE MRNA, OR THE 194 00:07:09,013 --> 00:07:09,580 RNATHAT'S UNCAPPED, 195 00:07:09,580 --> 00:07:11,982 [INDISCERNIBLE] EXPORTED INTO 196 00:07:11,982 --> 00:07:14,385 THE CYTOPLASM WHERE IT'S THEN 197 00:07:14,385 --> 00:07:14,952 TRANSLATED INTO PROTEINS. 198 00:07:14,952 --> 00:07:18,989 AND YOU KNOW AUTOSPLICING IS AN 199 00:07:18,989 --> 00:07:19,690 AMAZING REGULATORY MECHANISM 200 00:07:19,690 --> 00:07:22,026 WHERE YOU CAN NOW CREATE PROTEIN 201 00:07:22,026 --> 00:07:25,129 DIVERSITY FROM A TRANSCRIPT 202 00:07:25,129 --> 00:07:26,697 THAT'S DIFFERENTIALLY SPLICED 203 00:07:26,697 --> 00:07:28,465 WHEN THE SPLICING IS 204 00:07:28,465 --> 00:07:31,101 DISREGULATIONED, THEN YOU KNOW 205 00:07:31,101 --> 00:07:33,637 YOU LOSE PROTEINS, YOU GAIN 206 00:07:33,637 --> 00:07:37,474 PROTEINS, SO THAT IS PART OF THE 207 00:07:37,474 --> 00:07:38,209 DISEASE PROCESS. 208 00:07:38,209 --> 00:07:41,579 GENERALLY WE THINK OF THESE 209 00:07:41,579 --> 00:07:43,214 MUTATIONS AS HOT SPOT MUTATIONS 210 00:07:43,214 --> 00:07:44,381 SO THEY'RE VERY SPECIFIC 211 00:07:44,381 --> 00:07:46,784 RESIDUES IN THE DIFFERENT 212 00:07:46,784 --> 00:07:48,052 PROTEINS THAT MUTATED AND WHAT 213 00:07:48,052 --> 00:07:51,488 WE KNOW SO FAR IS THAT THEY ARE 214 00:07:51,488 --> 00:07:56,961 ALL KIND OF INTERACT WITH THE 215 00:07:56,961 --> 00:07:59,697 RNA, ZRSR2 IS A BIT DIFFERENT, 216 00:07:59,697 --> 00:08:01,565 THE CELLS HAVE TO HAVE A 217 00:08:01,565 --> 00:08:02,666 WILD-TYPE ALLELE AND WE THINK OF 218 00:08:02,666 --> 00:08:04,468 THEM AS GAIN OF MUTATION 219 00:08:04,468 --> 00:08:05,002 FUNCTIONS. 220 00:08:05,002 --> 00:08:05,936 MEANING THE PROTEIN FUNCTION IS 221 00:08:05,936 --> 00:08:06,904 LOT BUT THERE'S SOMETHING NEW 222 00:08:06,904 --> 00:08:08,205 ADDED TO WHAT THE PRACTICES TEEN 223 00:08:08,205 --> 00:08:11,342 - IS NOW DOING. 224 00:08:11,342 --> 00:08:13,110 AND WHEN WE SPLICE THESE 225 00:08:13,110 --> 00:08:15,646 MUTATIONS TO FIND CLINICAL MINO 226 00:08:15,646 --> 00:08:21,652 TYPES SO AS THE MUTATIONS OCCUR, 227 00:08:21,652 --> 00:08:27,124 THE CANNED WHAT UV MELANOMA AND 228 00:08:27,124 --> 00:08:28,859 MUTATIONS OCCUR IN MDS BUT IN 229 00:08:28,859 --> 00:08:33,264 LUNG CANCER AS THEY OCCUR IN MDS 230 00:08:33,264 --> 00:08:34,732 AND CHRONIC MILE O SIDIC 231 00:08:34,732 --> 00:08:36,800 LEUKEMIA BUT I DON'T THINK 232 00:08:36,800 --> 00:08:38,235 THIEVE BEEN SEEN INSIDE TUMORS. 233 00:08:38,235 --> 00:08:41,872 THIS IS JUST AN OLDER 234 00:08:41,872 --> 00:08:42,940 CLASSIFICATION, AND YOU CAN SEE 235 00:08:42,940 --> 00:08:46,644 HERE, YOU KNOW HOW FREQUENT 236 00:08:46,644 --> 00:08:48,946 THESE SPLICING FACTORS ARE, THE 237 00:08:48,946 --> 00:08:49,880 MUTATIONS ARE THE MOST COMMON 238 00:08:49,880 --> 00:08:52,616 AND THEY'LL CURE AGAIN, THERE'S 239 00:08:52,616 --> 00:08:54,251 SUBTYPE SPECIFICITY WITH AN MDS, 240 00:08:54,251 --> 00:08:56,954 I KIND OF TRIED TO PULL OUT LIKE 241 00:08:56,954 --> 00:08:59,223 THE KEY DIFFERENTIALLY PLIESED, 242 00:08:59,223 --> 00:09:02,760 YOU KNOW TRANSCRIPTS AND YOU 243 00:09:02,760 --> 00:09:04,028 KNOW RIGHT, THEY VARY BETWEEN 244 00:09:04,028 --> 00:09:05,229 THE DIFFERENT SPLICING FACTORS, 245 00:09:05,229 --> 00:09:06,530 THERE ARE FEW THAT MAYBE 246 00:09:06,530 --> 00:09:08,365 OVERLAPPING BUT OF COURSE WE ALL 247 00:09:08,365 --> 00:09:09,800 WANT TO KNOW WHY LIMITATIONS 248 00:09:09,800 --> 00:09:12,970 WHAT DO THEY HAVE IN COMMON AND 249 00:09:12,970 --> 00:09:14,071 MAYBE THAT'S A COMMON MECHANISM 250 00:09:14,071 --> 00:09:15,906 THAT WE CAN TARGET, AND WHAT YOU 251 00:09:15,906 --> 00:09:18,809 SEE HERE IT'S AGAIN, THIS TILL A 252 00:09:18,809 --> 00:09:20,377 SIMPLIFICATION OF PLIESING AND 253 00:09:20,377 --> 00:09:21,445 YOU VALID TO HAVE 254 00:09:21,445 --> 00:09:24,081 [INDISCERNIBLE] IN THE AUDIENCE 255 00:09:24,081 --> 00:09:28,218 TO GO IN NOR DETAIL BUT YOU SEE 256 00:09:28,218 --> 00:09:29,286 THESE SPLICING FACTORS, ALL HAVE 257 00:09:29,286 --> 00:09:31,255 A FUNCTION EARLY IN THE WHOLE 258 00:09:31,255 --> 00:09:33,023 SPLICING PROCESS AS I DEFINE THE 259 00:09:33,023 --> 00:09:34,992 EXOHMS THAT ARE INCLUDED OR 260 00:09:34,992 --> 00:09:37,995 EXCLUDED, THE SPLICE SIDES, AND 261 00:09:37,995 --> 00:09:42,766 REALLY INITIAL ATTACK AT THESE 262 00:09:42,766 --> 00:09:44,401 ENTRON EXON JUNCTIONS. 263 00:09:44,401 --> 00:09:46,236 AND SO, EARLY ON, SO WE WERE 264 00:09:46,236 --> 00:09:49,073 WORKING ON REALLY, REALLY 265 00:09:49,073 --> 00:09:50,474 COMPLICATED FUSION PROTEIN IN MY 266 00:09:50,474 --> 00:09:52,676 LAB AND I WAS INTERESTING IN THE 267 00:09:52,676 --> 00:09:54,011 BINDING PROCESS AND THESE 268 00:09:54,011 --> 00:09:55,612 MUTATIONS WERE PUBLISHED AND 269 00:09:55,612 --> 00:09:58,148 THAT'S WHAT WE JUMPED ON BECAUSE 270 00:09:58,148 --> 00:10:01,585 I REALLY WANTED TO BE AN ADULT 271 00:10:01,585 --> 00:10:03,921 HEMEATOLOGYIST AND NOT A 272 00:10:03,921 --> 00:10:06,056 PEDIATRIC HEMEATOLOGYIST, AND WE 273 00:10:06,056 --> 00:10:07,091 CHOSE THE [INDISCERNIBLE] 274 00:10:07,091 --> 00:10:09,126 BECAUSE IT BINDS RNA, IT BINDS 275 00:10:09,126 --> 00:10:10,728 EXONS AND THOSE ARE MORE 276 00:10:10,728 --> 00:10:13,063 CONSERVED BETWEEN MOUSE AND 277 00:10:13,063 --> 00:10:13,997 MUSEUM MAN. 278 00:10:13,997 --> 00:10:16,600 AND JUST A QUICK PRIMER ON WHAT 279 00:10:16,600 --> 00:10:18,202 WE DID, RIGHT? 280 00:10:18,202 --> 00:10:20,204 , SO, AS THE TUMORS ARE KNOWN TO 281 00:10:20,204 --> 00:10:21,939 HAVE THE RNA BINDING DOMAIN AND 282 00:10:21,939 --> 00:10:23,841 KIND OF LIKE THESE PIECES OF RNA 283 00:10:23,841 --> 00:10:26,143 AND 1 SIDE AND ON THE OTHER SIDE 284 00:10:26,143 --> 00:10:27,544 AND THIS REGION HERE IS CALLED 285 00:10:27,544 --> 00:10:29,012 THE LINKER SO IT LOOKED LIKE 286 00:10:29,012 --> 00:10:30,881 THESE MUTATIONS ARE JUST IN A 287 00:10:30,881 --> 00:10:33,050 LINKER REGION, BUT THAT'S NOT 288 00:10:33,050 --> 00:10:37,254 TRUE BECAUSE YOU CAN SIGH HERE, 289 00:10:37,254 --> 00:10:39,123 THESE 2 RNA SEQUENCES, AND 290 00:10:39,123 --> 00:10:41,959 ACTUALLY IT'S A CONIF I WERATION 291 00:10:41,959 --> 00:10:45,696 CHANGES COME SF 2 WHEN RNA'S 292 00:10:45,696 --> 00:10:48,232 THERE AND THESE 2 LINKERS AND 293 00:10:48,232 --> 00:10:49,600 END TERMINAL REGION ARE REALLY 294 00:10:49,600 --> 00:10:51,301 KIND OF LIKE ARMS THAT GO AROUND 295 00:10:51,301 --> 00:10:52,469 THE RNA AND IT MAKES SENSE IF 296 00:10:52,469 --> 00:10:54,338 YOU HAVE A MUTATION HERE, A 297 00:10:54,338 --> 00:10:56,240 CHANGE MAY BE HOW RNA IS BOUND 298 00:10:56,240 --> 00:10:59,510 AND THAT'S WHEN WE DID IN 299 00:10:59,510 --> 00:11:00,778 COLLABORATION WITH YOUR 300 00:11:00,778 --> 00:11:02,246 [INDISCERNIBLE], AND GOT ON TO 301 00:11:02,246 --> 00:11:04,882 SHOW THAT THERE IS SIGNIFY 302 00:11:04,882 --> 00:11:06,717 SEQUENCE SPECIFIC DIFFERENCE IN 303 00:11:06,717 --> 00:11:08,218 BINDING AFFINITY. 304 00:11:08,218 --> 00:11:13,090 WE PERFORMED YOU KNOW BACK 305 00:11:13,090 --> 00:11:15,526 THEN HITS CLIP AND NOT SO 306 00:11:15,526 --> 00:11:16,693 EFFICIENT TECHNOLOGY TO LOOK AT 307 00:11:16,693 --> 00:11:18,896 HOW WILD-TYPE AND MUTANT, HAVE 308 00:11:18,896 --> 00:11:21,331 BIND RNA AND THEN WE SEE A 309 00:11:21,331 --> 00:11:23,700 SEQUENCE MOTIVE DIFFERENCE AND 310 00:11:23,700 --> 00:11:27,471 SO IN MUTANT TO CC& G 311 00:11:27,471 --> 00:11:29,940 CONTAINING EXONS ARE 312 00:11:29,940 --> 00:11:32,042 PREFERENTIALLY INCLUED AND 313 00:11:32,042 --> 00:11:32,910 [INDISCERNIBLE] ARE EXCLUDED. 314 00:11:32,910 --> 00:11:34,445 SO YOU HAVE ABERRANT SPLICING. 315 00:11:34,445 --> 00:11:38,849 AND THEN AT THE SAME TIME, WHILE 316 00:11:38,849 --> 00:11:41,051 BRADLEY AND DAUBNER WERE WORKING 317 00:11:41,051 --> 00:11:42,886 ON [INDISCERNIBLE], AND OMAR 318 00:11:42,886 --> 00:11:44,421 GENERATED THE MOUSE MODEL SO WE 319 00:11:44,421 --> 00:11:52,696 PUT ALL OUR DATA TOGETHER AND 320 00:11:52,696 --> 00:11:54,832 THE SRSF2 MUTATIONS DID BIND AND 321 00:11:54,832 --> 00:11:57,267 SPLICE, IT IS INCLUSION OF 322 00:11:57,267 --> 00:11:58,101 SOPHISTICATED CALLED POISON EXON 323 00:11:58,101 --> 00:11:59,636 THAT CHANGES THE FRAME AND 324 00:11:59,636 --> 00:12:04,942 RESULTS IN DECREASED TRANSLATION 325 00:12:04,942 --> 00:12:06,443 OF EZH2, ALSO CONSIDER IN 326 00:12:06,443 --> 00:12:09,413 MDECKER S BUT THEY'RE MUTT YULE 327 00:12:09,413 --> 00:12:11,415 LE EXCLUSIVE SO OTHER BIOLOGY 328 00:12:11,415 --> 00:12:13,050 MADE SENSE, I ALWAYS FELT THIS 329 00:12:13,050 --> 00:12:14,418 WAS LIKE THE FINAL PUBLISHING WE 330 00:12:14,418 --> 00:12:15,552 HAVE TO DO, RIGHT? 331 00:12:15,552 --> 00:12:17,754 YOU HAVE A REALLY COMPLEX 332 00:12:17,754 --> 00:12:19,857 PROCESS, YOU AND YOU FIND 1 333 00:12:19,857 --> 00:12:20,824 ALTERNATIVE SPLICED EVENT THAT 334 00:12:20,824 --> 00:12:22,659 TELLS A BEAUTIFUL STORY, SO WE 335 00:12:22,659 --> 00:12:25,362 STILL DON'T KNOW SO MUCH ABOUT 336 00:12:25,362 --> 00:12:26,597 HOW THE SPLICING FACTOR 337 00:12:26,597 --> 00:12:30,133 MUTATIONS FUNCTION BUT IT WAS A 338 00:12:30,133 --> 00:12:30,667 GREAT START. 339 00:12:30,667 --> 00:12:32,336 SO OF COURSE EARLY ON, YOU KNOW 340 00:12:32,336 --> 00:12:34,304 PEOPLE WERE ASKING, OKAY, CAN WE 341 00:12:34,304 --> 00:12:37,374 TREAT PATIENTS, CAN WE TREAT 342 00:12:37,374 --> 00:12:39,409 PATIENTS AND FROM THE FACT THAT 343 00:12:39,409 --> 00:12:42,746 YOU KNOW THAT THESE MUTATIONS 344 00:12:42,746 --> 00:12:44,081 ALWAYS HETEROZYGOUS, HE KNOWS HE 345 00:12:44,081 --> 00:12:47,551 RELIES ON THE WILD-TYPE ALLELE, 346 00:12:47,551 --> 00:12:49,186 THEY'RE MUTUALLY EXCLUSIVE SO 347 00:12:49,186 --> 00:12:51,021 ONLY 1 SPLICING MUTATION 348 00:12:51,021 --> 00:12:52,823 TOLERATED, LATER ON PEOPLE PROVE 349 00:12:52,823 --> 00:12:53,991 THAT IN-MOUSE MODELS AND SO CAN 350 00:12:53,991 --> 00:12:57,761 YOU ACTUALLY KIND OF LIKE, YOU 351 00:12:57,761 --> 00:12:59,396 KNOW PERTURB THE WILD-TYPE 352 00:12:59,396 --> 00:13:01,532 NORMAL SPLICING PROCESS AND WHAT 353 00:13:01,532 --> 00:13:04,134 MUTANT CELLS WOULD BE 354 00:13:04,134 --> 00:13:05,602 PREFERENTIALLY SENSITIVE. 355 00:13:05,602 --> 00:13:07,905 AND YOU KNOW THERE WAS AN 356 00:13:07,905 --> 00:13:09,540 INHIBITOR OF SF 3 B 1 AND SO 357 00:13:09,540 --> 00:13:11,241 PEOPLE THOUGHT LIKE OKAY, COME 358 00:13:11,241 --> 00:13:13,577 AND USE THE SFB 3 B 1 INHIBITOR 359 00:13:13,577 --> 00:13:17,247 AND THEN CAN WE SPECIFICALLY 360 00:13:17,247 --> 00:13:19,016 TARGET MUTANT MDS AND I THINK IN 361 00:13:19,016 --> 00:13:21,151 MOUSE MODELS AND CELL LINES IT 362 00:13:21,151 --> 00:13:21,952 LOOKED ALL GREAT. 363 00:13:21,952 --> 00:13:23,954 WHEN I WENT INTO CLINICAL TRIAL, 364 00:13:23,954 --> 00:13:27,291 UNFORTUNATELY IT DID NOT WORK. 365 00:13:27,291 --> 00:13:30,827 THERE'S ALSOA A LOT OF FEAR 366 00:13:30,827 --> 00:13:33,664 OVER, YOU KNOW TOXICITY, THIS 367 00:13:33,664 --> 00:13:35,499 WAS LIKE AN OLDER COMPOUND THAT 368 00:13:35,499 --> 00:13:36,867 HAD LED TO BLINDNESS WHICH 369 00:13:36,867 --> 00:13:39,970 DIDN'T HAPPEN IN THIS TRIAL BUT 370 00:13:39,970 --> 00:13:42,773 REALLY WAS NO MUTANT SPLICING 371 00:13:42,773 --> 00:13:43,840 SIGNATURE SO RIGHT, SO NOW THIS 372 00:13:43,840 --> 00:13:45,375 DRUG IS NOT ON THE MARKET, 373 00:13:45,375 --> 00:13:46,476 ALTHOUGH PEOPLE AGAIN CAREFULLY 374 00:13:46,476 --> 00:13:48,445 LOOKING AT THE DATA AND 375 00:13:48,445 --> 00:13:50,180 HOPEFULLY FINDING MAYBE A SUBSET 376 00:13:50,180 --> 00:13:51,481 OR COMBINATIONS OF OTHER 377 00:13:51,481 --> 00:13:52,583 MECHANISMS WHERE IT CAN BE USED 378 00:13:52,583 --> 00:13:54,518 IN THE TREATMENT OF MDECKER S 379 00:13:54,518 --> 00:13:55,586 BECAUSE WE DON'T HAVE ANYTHING 380 00:13:55,586 --> 00:13:59,222 GOOD TO GIVE TO PATIENTS. 381 00:13:59,222 --> 00:14:03,760 SO AT THAT SAME TIME, YOU KNOW 382 00:14:03,760 --> 00:14:06,229 RIGHT, ONCE YOU DEVELOP A REALLY 383 00:14:06,229 --> 00:14:07,431 GOOD APPROACH, ECNOLOGY, IT WAS 384 00:14:07,431 --> 00:14:11,535 OBVIOUS FOR US, OKAY, LET'S 385 00:14:11,535 --> 00:14:12,936 TACKLE U2 FAC1, BECAUSE THAT'S 386 00:14:12,936 --> 00:14:16,273 WHAT WE CAN DO IN THE LAB, WE 387 00:14:16,273 --> 00:14:17,441 DIDN'T WANT TO REINVENT THE 388 00:14:17,441 --> 00:14:20,110 WHILE, WE DIDN'T WANT TO MOVE ON 389 00:14:20,110 --> 00:14:20,677 TO MANAGE NEW. 390 00:14:20,677 --> 00:14:22,980 SO WE LOOKED AT MUTANT 1 BIND 391 00:14:22,980 --> 00:14:24,715 AND HOW DO THEY ALTER BINDING 392 00:14:24,715 --> 00:14:27,284 AND THERE WAS THIS VERY SIMPLE, 393 00:14:27,284 --> 00:14:28,452 YOU KNOW HYPOTHESIS THAT PEOPLE 394 00:14:28,452 --> 00:14:32,289 HAD FROM IN INVITRO DATA AND 395 00:14:32,289 --> 00:14:33,690 ALSO RNA SEQUENCING DATA WHERE 396 00:14:33,690 --> 00:14:36,560 IT SAID, YOU KNOW, SO IT MUST 397 00:14:36,560 --> 00:14:39,162 JUST NOT BIND AND THEN HAVE YOU 398 00:14:39,162 --> 00:14:39,796 EXON EXCLUSION. 399 00:14:39,796 --> 00:14:41,732 I SAID WELL, LET'S LOOK AT OUR 400 00:14:41,732 --> 00:14:44,701 TECHNOLOGY AND WHEN I SAY LET'S 401 00:14:44,701 --> 00:14:46,103 LOOK, I TOLD YULIA CAN YOU 402 00:14:46,103 --> 00:14:48,238 PLEASE LOOK AND SO JULIA IS AN 403 00:14:48,238 --> 00:14:49,272 AMAZING POST DOC, AND JUNIOR 404 00:14:49,272 --> 00:14:50,941 SCIENTIST IN THE LAB ACTUALLY 405 00:14:50,941 --> 00:14:54,478 LOOKING FOR FACULTY POSITION, 406 00:14:54,478 --> 00:14:55,879 SHE'S UTTERLY AMAZING, SHE'S A 407 00:14:55,879 --> 00:14:56,613 TRIPLE THREAT THAT EVERYONE 408 00:14:56,613 --> 00:14:59,783 WANTS TO HAVE IN THE LAB, 409 00:14:59,783 --> 00:15:02,019 BIO-INFORMATICS, AMAZING AT THE 410 00:15:02,019 --> 00:15:03,920 BENCH, FANTAST COLLABORATION AND 411 00:15:03,920 --> 00:15:07,557 TUMOR BIOLOGY WHO FORTUNATELY 412 00:15:07,557 --> 00:15:09,559 WORKED IN MY LAB FOR 3 YEARS AND 413 00:15:09,559 --> 00:15:12,596 I WAS A PROFESSOR IN ITALY SO WE 414 00:15:12,596 --> 00:15:14,331 HAVE JOINT LABS ACROSS THE 415 00:15:14,331 --> 00:15:14,598 ATLANTIC. 416 00:15:14,598 --> 00:15:21,271 SO AGAIN, IF YOU LOOK AT U21 AND 417 00:15:21,271 --> 00:15:22,706 USF2, SO HERE THESE FINGER 418 00:15:22,706 --> 00:15:24,775 DOMAINS THAT HAVE THE POINT 419 00:15:24,775 --> 00:15:27,711 MUTATIONS AND IN THE MIDDLE IS 420 00:15:27,711 --> 00:15:29,112 YOUR END DOMAIN WHERE PEOPLE 421 00:15:29,112 --> 00:15:30,380 HAVE SHOWN BEAUTIFULLY IT'S 422 00:15:30,380 --> 00:15:31,615 THESE 2 ZINC FINGERS THAT 423 00:15:31,615 --> 00:15:33,784 COMBINE AND ARE ACTUALLY THE RNA 424 00:15:33,784 --> 00:15:36,086 BINDING SURFACE WHICH IS 425 00:15:36,086 --> 00:15:36,353 GORGEOUS. 426 00:15:36,353 --> 00:15:38,922 THE PROBLEM IS THAT IT ALWAYS 427 00:15:38,922 --> 00:15:44,094 OCCURS IT'S LIKE AN OBLIGATORY 428 00:15:44,094 --> 00:15:44,394 HETERODIMER. 429 00:15:44,394 --> 00:15:47,931 AND PEOPLE ALWAYS THOUGHT, WELL 430 00:15:47,931 --> 00:15:51,134 WE KNOW U2 AF2 BINDS BUT IT 431 00:15:51,134 --> 00:15:52,803 HADN'T BEEN PROVEN IN VIVO. 432 00:15:52,803 --> 00:15:58,775 SO WE DECIDED, YOU KNOW TO USE 433 00:15:58,775 --> 00:16:01,812 ADVANCED TECHNOLOGY OVER 434 00:16:01,812 --> 00:16:03,346 [INDISCERNIBLE] CLIP ENHANCED 435 00:16:03,346 --> 00:16:09,219 CROSS LINKS AND IMMUNO 436 00:16:09,219 --> 00:16:09,920 PRECIPITATION, AND PULL OUT 437 00:16:09,920 --> 00:16:11,354 THOSE THAT HAVE A FLAG TAG. 438 00:16:11,354 --> 00:16:12,989 AND WE LABEL THESE RNAs THAT 439 00:16:12,989 --> 00:16:16,126 WE PULL OUT WITH P32 AND WHEN WE 440 00:16:16,126 --> 00:16:17,694 SEQUENCE TWINED OF THE END OF 441 00:16:17,694 --> 00:16:21,064 THE READ FROM THE REVERSE 442 00:16:21,064 --> 00:16:22,799 TRANSCRIPTION IS EXACTLY THE 443 00:16:22,799 --> 00:16:23,567 CROSS LINKING SIDE. 444 00:16:23,567 --> 00:16:26,036 AND BECAUSE WE KNEW THAT YOU 445 00:16:26,036 --> 00:16:28,739 KNOW WE HAVE THIS HETERODIMER, 446 00:16:28,739 --> 00:16:31,808 YULIA DECIDED TO CUT THIS 447 00:16:31,808 --> 00:16:34,644 MEMBRANE, THIS IS THE RIA THAT'S 448 00:16:34,644 --> 00:16:36,947 BOUND, LABELED AS P32 TO CUT THE 449 00:16:36,947 --> 00:16:40,016 MEMBRANE JUST UNDERNEATH THE 450 00:16:40,016 --> 00:16:44,621 SIZE OF U2 AF2, WHICH IS 65 451 00:16:44,621 --> 00:16:45,021 KILODALTONS. 452 00:16:45,021 --> 00:16:47,724 AND THEN THE BOUND RNETWORKA 453 00:16:47,724 --> 00:16:49,593 SHIFT IS BOUND THESE PROTEINS 454 00:16:49,593 --> 00:16:49,893 UP. 455 00:16:49,893 --> 00:16:51,928 SO SHE CUT THE MEMBRANE TO 456 00:16:51,928 --> 00:16:55,265 RELOOK AT, OKAY, WHAT DOES U2 457 00:16:55,265 --> 00:16:56,500 AF1 RECEIVE THE DIFFERENCES? 458 00:16:56,500 --> 00:16:57,501 SO UP HERE WE DIDN'T KNOW WHAT 459 00:16:57,501 --> 00:17:01,037 WE WERE GOING TO GET, WERE WE 460 00:17:01,037 --> 00:17:05,041 GETTING U2 AF2 OR 461 00:17:05,041 --> 00:17:05,442 HETEROBINDINGING. 462 00:17:05,442 --> 00:17:08,478 SO HERE YOU SEE THE 463 00:17:08,478 --> 00:17:09,279 [INDISCERNIBLE] TRACK AND YOU 464 00:17:09,279 --> 00:17:11,815 CAN SEE THE VERY BRIGHT CLEAR 465 00:17:11,815 --> 00:17:14,017 PEEK OF U2 F1 BINDING AT THE 3 466 00:17:14,017 --> 00:17:17,521 PRIME SPLICE SIDE AND THEN RIGHT 467 00:17:17,521 --> 00:17:18,822 IN THIS LARGER BAND THAT WE 468 00:17:18,822 --> 00:17:22,459 PULLED OUT, YOU CAN SEE THAT 469 00:17:22,459 --> 00:17:24,995 THERE'S U2 AF1 BINDING AND NOW 470 00:17:24,995 --> 00:17:29,299 YOU SEE U2 AF2 BINDING OVER THE 471 00:17:29,299 --> 00:17:29,533 TRACT. 472 00:17:29,533 --> 00:17:32,202 IF YOU LOOK AT WHAT DO THE 473 00:17:32,202 --> 00:17:36,106 MUTATIONS DO, SO ORANGE THE S34 474 00:17:36,106 --> 00:17:39,743 F-MUTATION IN THE FIRST FINGER 475 00:17:39,743 --> 00:17:41,378 AND THE R-MUTATION THE 476 00:17:41,378 --> 00:17:42,679 SEQUENCING FINGER, YOU CAN SEE 477 00:17:42,679 --> 00:17:43,480 THEY'RE DIFFERENT, THEY'RE NOT 478 00:17:43,480 --> 00:17:45,982 THE SAME SO CAN YOU SEE THAT 479 00:17:45,982 --> 00:17:51,621 WITH F34 F WE GAIN A MINUS 3 P, 480 00:17:51,621 --> 00:17:55,859 OVER THIS C VERSUS U-3 POSITION 481 00:17:55,859 --> 00:17:58,028 AND WITH Q87 WE GAIN A VERY 482 00:17:58,028 --> 00:17:58,795 SUBTLE PLUS 1 PEAK. 483 00:17:58,795 --> 00:18:00,430 AND THEN THE OTHER THING YOU CAN 484 00:18:00,430 --> 00:18:04,267 SEE THAT THE MUTATIONS, THEY NOT 485 00:18:04,267 --> 00:18:06,369 ONLY AFFECT THE U2 F 1 BINDING 486 00:18:06,369 --> 00:18:08,538 BUT MABEL THEY ALSO AFFECT HOW 487 00:18:08,538 --> 00:18:11,842 THE WAVE INTERACTING WITH THE R, 488 00:18:11,842 --> 00:18:14,411 INA AND THEN IF WE ARE NOT 489 00:18:14,411 --> 00:18:15,946 COMBINE THIS WITH THE SEQUENCING 490 00:18:15,946 --> 00:18:18,381 DATA AND THAT HAD ALREADY BEEN 491 00:18:18,381 --> 00:18:21,017 PUB LESHED BEFORE, IS THERE IN 492 00:18:21,017 --> 00:18:23,753 BINDING WE ACTUALLY DO NOT HAVE 493 00:18:23,753 --> 00:18:29,326 A SEQUENCE SPECIFICITY TO 494 00:18:29,326 --> 00:18:31,194 WHETHER YOU--S34 F-MUTANT BINDS 495 00:18:31,194 --> 00:18:33,530 OR DOESN'T BIND, IT BINDS 496 00:18:33,530 --> 00:18:34,698 EQUALLY WELL, IT DOESN'T MATTER 497 00:18:34,698 --> 00:18:37,000 WHAT THE SEQUENCE IS AT THE 3, 498 00:18:37,000 --> 00:18:38,635 OR WHAT THE SEQUENCE IS AT THE + 499 00:18:38,635 --> 00:18:40,837 1 BUT WHEN YOU LOOK AT ACTUAL 500 00:18:40,837 --> 00:18:42,806 SPLICING, IF YOU HAVE U AT THAT 501 00:18:42,806 --> 00:18:45,575 MINUS 3 POSITION, THE EXON IS 502 00:18:45,575 --> 00:18:46,676 ACTUALLY PREVENTIVE 503 00:18:46,676 --> 00:18:47,544 REPRESENTIALLY EXCLUDED IF YOU 504 00:18:47,544 --> 00:18:55,318 HAVE A C IT'S PREFERENTIALLY 505 00:18:55,318 --> 00:18:58,321 INCLUDED. 506 00:18:58,321 --> 00:18:59,990 SO SPLICING DOESN'T NECESSARILY 507 00:18:59,990 --> 00:19:01,758 MEAN SPLICING IN THE OUTCOME SO 508 00:19:01,758 --> 00:19:03,159 A FEW MORE WORK ON DO. 509 00:19:03,159 --> 00:19:04,895 SO THIS IS NICE AND IT'S NOT 510 00:19:04,895 --> 00:19:08,365 LIKE ALL OR NOTHING OR BLACK AND 511 00:19:08,365 --> 00:19:08,765 WHITE. 512 00:19:08,765 --> 00:19:10,767 SO JULIA REALLY INTEGRATED 513 00:19:10,767 --> 00:19:13,403 BINDING AND SPLICING AND IT 514 00:19:13,403 --> 00:19:15,739 SEEMS THAT U2 AF1 MUTATIONS LOOK 515 00:19:15,739 --> 00:19:17,607 LIKE MORE OF GAIN OF BYPASSING, 516 00:19:17,607 --> 00:19:20,543 LOTS OF SPLICING MODELS, THAT'S 517 00:19:20,543 --> 00:19:22,245 THIS QUADRANT HERE, MORE BINDING 518 00:19:22,245 --> 00:19:23,580 BUT THERE'S LESS EXIT AND 519 00:19:23,580 --> 00:19:25,448 INCLUSION AND THIS IS AN EXAMPLE 520 00:19:25,448 --> 00:19:28,184 OF BOTH, YOU KNOW THE U2 F 1 AND 521 00:19:28,184 --> 00:19:29,386 THEN THE COMBINED BINDING AND 522 00:19:29,386 --> 00:19:39,596 YOU CAN SEE THAT THERE'S A 523 00:19:39,596 --> 00:19:41,197 REDUCED BINDING THAT IS NEEDED 524 00:19:41,197 --> 00:19:42,399 FOR THE INCLUSION OF THE EXON 525 00:19:42,399 --> 00:19:47,203 AND THEN WHEN YOU LOOK AT U2 AF1 526 00:19:47,203 --> 00:19:48,338 MUTATIONS, THAT LOOKS MORE LIKE 527 00:19:48,338 --> 00:19:50,774 A LOSS OF BINDING, LOSS OF 528 00:19:50,774 --> 00:19:52,309 SPLICING MODEL KIND OF SHOWN 529 00:19:52,309 --> 00:19:55,145 HERE, RIGHT, SO THERE'S LESS OF 530 00:19:55,145 --> 00:19:57,981 A PEAK AT THIS 1 POSITION AND 531 00:19:57,981 --> 00:20:02,719 ALSO YOU AGAIN HAVE KIND OF LESS 532 00:20:02,719 --> 00:20:04,421 BINDING OF U2 F2, BUT OF COURSE 533 00:20:04,421 --> 00:20:06,456 YOU HAVE DOTS IN ALL THE 534 00:20:06,456 --> 00:20:06,957 QUADRANTS. 535 00:20:06,957 --> 00:20:08,825 SO IN THE NEXT STEP, YULIA 536 00:20:08,825 --> 00:20:10,760 LOOKED AT OKAY, WE WANTED TO 537 00:20:10,760 --> 00:20:15,699 UNDERSTAND WHAT ARE THE DIRECT 538 00:20:15,699 --> 00:20:19,169 EFFECTS OF THESE MUTATIONS SO WE 539 00:20:19,169 --> 00:20:20,003 START BY INTEGRATING, BINDING 540 00:20:20,003 --> 00:20:22,372 AND SPLICING AND LOOKING AT 541 00:20:22,372 --> 00:20:24,574 PATHWAYS THAT WE WOULDN'T LOOK 542 00:20:24,574 --> 00:20:25,842 AT SECONDARY EFFECTS BECAUSE ANY 543 00:20:25,842 --> 00:20:27,510 EFFECT BY THESE CELLS GROW FOR 544 00:20:27,510 --> 00:20:29,245 SOMETIME, SO IF YOU JUST LOOK AT 545 00:20:29,245 --> 00:20:30,780 PLIESING, THERE MAY BE MANY 546 00:20:30,780 --> 00:20:32,649 SECONDARY EFFECTS AND IN 547 00:20:32,649 --> 00:20:34,150 PARTICULAR, WE SEE DIFIENTIAL 548 00:20:34,150 --> 00:20:36,419 SPLICING OF OTHER RNA BINDING 549 00:20:36,419 --> 00:20:37,787 PROTEINS, WELL THERE'S KIND OF 550 00:20:37,787 --> 00:20:39,456 THIS CASCADE, BUT BY LOOKING 551 00:20:39,456 --> 00:20:42,625 DREBLGHTLY AT BINDING AND 552 00:20:42,625 --> 00:20:44,160 SPLICING, YOU KNOW MAYBE ABLE TO 553 00:20:44,160 --> 00:20:45,428 LOOK AT DIRECT EFFECTS, AND WHAT 554 00:20:45,428 --> 00:20:48,732 YOU FOUND IN AN ENRICHMENT FOR 555 00:20:48,732 --> 00:20:53,703 THIS, REGULATION OF ORGANELLE 556 00:20:53,703 --> 00:20:56,573 ASSEMBLY, OR CYTOPLASMIC STRESS 557 00:20:56,573 --> 00:20:58,208 GRANULES AND BEFORE THIS THREAD, 558 00:20:58,208 --> 00:20:59,843 MANY OTHER PATHWAYS WERE 559 00:20:59,843 --> 00:21:01,945 IDENTIFIED BUT IN OUR DATA, 560 00:21:01,945 --> 00:21:04,914 BYPASSING, SPLICING, THIS IS A 561 00:21:04,914 --> 00:21:06,549 REALLY PREDOMINANT NODE STRESS 562 00:21:06,549 --> 00:21:08,151 GRANULES BUT ALSO CALLED 563 00:21:08,151 --> 00:21:10,820 [INDISCERNIBLE] BODIES AND OTHER 564 00:21:10,820 --> 00:21:12,155 NUCLEAR BODIES, ASSEMBLIES. 565 00:21:12,155 --> 00:21:15,158 SO, WHAT OUR STRESS GRANULES, I 566 00:21:15,158 --> 00:21:17,394 GREAN THINK IT'S TOTALLY 567 00:21:17,394 --> 00:21:18,895 BEAUTIFUL SCIENCE AND I'M VERY 568 00:21:18,895 --> 00:21:20,663 TBLAD THAT JULIA AS A PUNISHING 569 00:21:20,663 --> 00:21:22,432 HD IS KIND OF GOING INTO THAT 570 00:21:22,432 --> 00:21:24,401 FEE AND I'M LOOKING AT IT LIKE 571 00:21:24,401 --> 00:21:26,669 WOW, THIS IS TOO COMPLICATED FOR 572 00:21:26,669 --> 00:21:29,105 ME, BUT STRESS GRANULES AND MANY 573 00:21:29,105 --> 00:21:30,740 OTHER GRANULES, THEY ARE 574 00:21:30,740 --> 00:21:32,675 ORGANELLES AND THEY RIGHT, SO 575 00:21:32,675 --> 00:21:36,980 THEY'RE LIKE PHYSICAL CHEMICAL 576 00:21:36,980 --> 00:21:37,914 TIMING, WHATEVER, CONGRAMERATES 577 00:21:37,914 --> 00:21:39,249 OF CERTAIN PROTEINS AND RNAs 578 00:21:39,249 --> 00:21:40,917 AND I THINK THE BEAUTY AND 579 00:21:40,917 --> 00:21:45,722 STRESS GRANULES IS THAT THEY CAN 580 00:21:45,722 --> 00:21:46,289 BE--PROBABLY--IT'S PROBABLY 581 00:21:46,289 --> 00:21:48,825 ENERGY EFFICIENT TO REGULATE 582 00:21:48,825 --> 00:21:49,459 TRANSLATION AND CELLULAR 583 00:21:49,459 --> 00:21:51,428 FUNCTION THAT WAY AND IT'S 584 00:21:51,428 --> 00:21:53,063 PROBABLY ALSO, IT CAN HAPPEN 585 00:21:53,063 --> 00:21:55,131 FAST BECAUSE YOU DON'T HAVE THIS 586 00:21:55,131 --> 00:22:01,071 ACTIVE TRANSPORT ACROSS 587 00:22:01,071 --> 00:22:01,738 MEMBRANES. 588 00:22:01,738 --> 00:22:03,006 AND [INDISCERNIBLE] SMART, SO 589 00:22:03,006 --> 00:22:05,075 PEOPLE HAVE SHOWN THAT STRESS 590 00:22:05,075 --> 00:22:07,510 GRANULES SEEM TO PROVIDE AN 591 00:22:07,510 --> 00:22:09,279 ADVANTAGE TO CANCERS AND SO 592 00:22:09,279 --> 00:22:10,447 COULD STRESS GRANULES BE A 593 00:22:10,447 --> 00:22:14,384 MECHANISM BY WHICH THESE MUTANT 594 00:22:14,384 --> 00:22:17,387 CELLS GAIN THAT ADVANTAGE IN 595 00:22:17,387 --> 00:22:19,422 ELDERLY PATIENTS BONE MARROW 596 00:22:19,422 --> 00:22:20,990 OVERTIME SO THE FIRST THING SHE 597 00:22:20,990 --> 00:22:23,293 HAD TO SHOW THAT YES THERE ARE 598 00:22:23,293 --> 00:22:26,863 MORE STRESS GRANULES SO THIS IS 599 00:22:26,863 --> 00:22:30,400 INDUCIBLE CELL LINES, AND TO USE 600 00:22:30,400 --> 00:22:31,101 1 STRESSOXIDATIVE STRESS WITH 601 00:22:31,101 --> 00:22:32,735 [INDISCERNIBLE] AND YOU CAN SEE 602 00:22:32,735 --> 00:22:33,903 THERE ARE MORE STRESS GRANULES 603 00:22:33,903 --> 00:22:35,805 IN THE MUTANT CELLS AND THE 604 00:22:35,805 --> 00:22:37,774 WILD-TYPE CELLS, THESE CELL 605 00:22:37,774 --> 00:22:39,976 LINES WEOXON NOWSLY EXPRESS, YOU 606 00:22:39,976 --> 00:22:43,179 HAVE A MUTANT F1 AND YOU TOOK 607 00:22:43,179 --> 00:22:45,148 PATIENT SAMPLES FROM PATIENTS 608 00:22:45,148 --> 00:22:48,218 WITH SECONDARY AML FROM MDS WHO 609 00:22:48,218 --> 00:22:50,854 ARE EITHER WILD-TYPE OR MUTANT 610 00:22:50,854 --> 00:22:53,156 FOR UGF 1 BUT FOR OTHER SPLICING 611 00:22:53,156 --> 00:22:57,494 FACTORS AND SEE CAN SEE STRESS 612 00:22:57,494 --> 00:22:58,428 GRANULES. 613 00:22:58,428 --> 00:23:00,697 SO, IN ANOTHER--BECAUSE AGAIN 1 614 00:23:00,697 --> 00:23:02,999 CAN SEE LONG INVITRO OF THE CELL 615 00:23:02,999 --> 00:23:04,367 LINES, ET CETERA BUT SHE ALSO 616 00:23:04,367 --> 00:23:06,903 WANTED TO KNOW OKAY, CAN SHE 617 00:23:06,903 --> 00:23:08,438 FIGURE OUT WHAT THESE MUTATIONS 618 00:23:08,438 --> 00:23:11,708 DO, IN THE SINGLE CELL LEVEL IN 619 00:23:11,708 --> 00:23:13,309 THE HEMATOPOIETIC HIERARCHY AND 620 00:23:13,309 --> 00:23:18,281 SHE DID 10 X SEQUENCING ON 5 MDS 621 00:23:18,281 --> 00:23:19,749 PEASHTS WITHOUT ANY SPECIFIC 622 00:23:19,749 --> 00:23:22,051 MUTATIONS AND 3 MDS PASHTS WITH 623 00:23:22,051 --> 00:23:24,521 [INDISCERNIBLE] F MUTATIONS AND 624 00:23:24,521 --> 00:23:27,056 SHE ACTUALLY USED 10 X 5 PRIME 625 00:23:27,056 --> 00:23:30,460 LIBRARY, WHICH IS NICE BECAUSE 626 00:23:30,460 --> 00:23:32,996 THIS S34 F MUTATION, RIGHT, IS 627 00:23:32,996 --> 00:23:34,397 VERY, VERY 5 PRIME AND WE'RE 628 00:23:34,397 --> 00:23:37,033 HOPING THAT MAYBE EVEN IN THE 629 00:23:37,033 --> 00:23:38,768 SINGLE CELL, SCHWARTZ THAT THEY 630 00:23:38,768 --> 00:23:40,803 WOULD GET, THAT YOU WOULD BE 631 00:23:40,803 --> 00:23:43,139 ABLE TO SEE WIDER VERSUS MUTANT 632 00:23:43,139 --> 00:23:46,676 READS SO SHE CAN DO THAT RIGHT, 633 00:23:46,676 --> 00:23:48,878 SO THE IN GRAY, ARE THE CELLS 634 00:23:48,878 --> 00:23:52,582 FROM PATIENTS WHO DON'T HAVE 635 00:23:52,582 --> 00:23:53,583 MUTATIONS, IN THIS DARK ORANGE 636 00:23:53,583 --> 00:23:55,718 ARE CELLS FROM PATIENTS WITH S34 637 00:23:55,718 --> 00:23:56,886 FMARKED FOR IDENTIFICATION 638 00:23:56,886 --> 00:23:57,954 MUTATIONS WHERE FOR EACH CELL 639 00:23:57,954 --> 00:24:00,790 SHE COULD SEE AT LEAST 1 MUTANT 640 00:24:00,790 --> 00:24:03,326 READ AND THEN SLIDE ORANGE ARE 641 00:24:03,326 --> 00:24:05,295 CELLS WHERE THERE WERE TO HAVE 642 00:24:05,295 --> 00:24:06,596 READS BUT NONE OF THEM MUTANT 643 00:24:06,596 --> 00:24:08,798 BUT IF YOU DON'T HAVE ENOUGH 644 00:24:08,798 --> 00:24:09,966 READS, YOU CAN'T NECESSARILY 645 00:24:09,966 --> 00:24:12,869 EXCLUDE THAT THEY'RE MUTANT AND 646 00:24:12,869 --> 00:24:17,807 SORRY, I'LL KEEP CLICKING HERE 647 00:24:17,807 --> 00:24:20,877 AND THEN, RIGHT FROM HER BINDING 648 00:24:20,877 --> 00:24:21,744 SPLICING [INDISCERNIBLE], AND 649 00:24:21,744 --> 00:24:24,514 THEN PUBLISH DATA SETS 650 00:24:24,514 --> 00:24:27,917 PROTEOMICS AND DATA SETS ON ICE 651 00:24:27,917 --> 00:24:30,687 GRANULES, SHE DESCRIBED A STRESS 652 00:24:30,687 --> 00:24:32,188 GRANULE SCORE AND SHE CAN APPLY 653 00:24:32,188 --> 00:24:34,157 THIS TO THE SINGLE CELLS. 654 00:24:34,157 --> 00:24:35,592 I THINK I YUSMED A SLIGHT SO I 655 00:24:35,592 --> 00:24:36,893 THINK I WILL GO BACK TO THAT SO 656 00:24:36,893 --> 00:24:41,898 YOU CAN SEE THAT THE CELLS WITH 657 00:24:41,898 --> 00:24:43,866 MUTANT READINGS REALLY HAVE A 658 00:24:43,866 --> 00:24:45,335 HIGH STRESS GRANULE SCORE 659 00:24:45,335 --> 00:24:46,436 COMPARED TO WILD-TYPE CELLS AND 660 00:24:46,436 --> 00:24:49,405 THESE CELLS WHERE WE DON'T KNOW 661 00:24:49,405 --> 00:24:50,440 OTHER WILD-TYPE MUTANT THEY FALL 662 00:24:50,440 --> 00:24:52,008 IN BETWEEN AND SORRY I JUMPED 663 00:24:52,008 --> 00:24:54,410 HERE, AND WHAT YOU SEE HERE NOW 664 00:24:54,410 --> 00:24:57,180 IS RIGHT, SO THIS REGION HERE 665 00:24:57,180 --> 00:25:00,550 HAS THE PROGENITOR CELLS, GRANUE 666 00:25:00,550 --> 00:25:02,852 LOW CITES, MONOCYTES AND THE 667 00:25:02,852 --> 00:25:08,157 MUTANT CELLS SEEM TO BE ARRESTED 668 00:25:08,157 --> 00:25:10,627 IN THAT MORE PROGENITOR CELL, 669 00:25:10,627 --> 00:25:14,831 AND IF ANYTHING THEY SEEM TO 670 00:25:14,831 --> 00:25:16,466 HAVE MORE MONOSITTIC AND WE SEE 671 00:25:16,466 --> 00:25:20,169 THIS IN PATIENTS WITH ANEMIA AS 672 00:25:20,169 --> 00:25:21,104 IT FITS THEIR PHENOTYPE. 673 00:25:21,104 --> 00:25:22,538 AS A SUMMARY OF THE FIRST PART, 674 00:25:22,538 --> 00:25:26,676 RIGHT, SO IT SEEMS THAT SPLICE 675 00:25:26,676 --> 00:25:27,310 MUTATIONS, USUALLY 1 MUTATIONS 676 00:25:27,310 --> 00:25:28,911 RESULT IN THE STRESS GRANULE 677 00:25:28,911 --> 00:25:32,882 RESPONSE AND IS THAT MAYBE A 678 00:25:32,882 --> 00:25:33,950 MECHANISM THAT ALLOWS THESE 679 00:25:33,950 --> 00:25:36,919 CELLS TO SURVIVE IN AN ADVERSE 680 00:25:36,919 --> 00:25:37,887 ENVIRONMENT WITH AGING AND THEN 681 00:25:37,887 --> 00:25:42,592 THE OTHER QUESTION IS, WAS IT 682 00:25:42,592 --> 00:25:43,559 COMMON TO OTHER LIMITATIONS, 683 00:25:43,559 --> 00:25:45,428 TOO, MAYBE ARE THEY TARGETABLE 684 00:25:45,428 --> 00:25:47,163 IN IS THIS PROCESS TARGETABLE IN 685 00:25:47,163 --> 00:25:52,168 SO THEN WE WENT BACK TO OUR SSF2 686 00:25:52,168 --> 00:25:53,469 MUTANT CELL ANDS DATA AND I 687 00:25:53,469 --> 00:25:55,471 DIDN'T SHOW THIS EARLIER BUT 688 00:25:55,471 --> 00:25:58,875 WHEN WE INITIALLY DID OUR RNA 689 00:25:58,875 --> 00:26:00,543 SEQUENCING, ANALYSIS, WE WERE A 690 00:26:00,543 --> 00:26:02,779 LITTLE BIT AT A LOSS BECAUSE WE 691 00:26:02,779 --> 00:26:03,980 SAW THE DIFFERENTIAL SPLICING OF 692 00:26:03,980 --> 00:26:05,748 MANY OTHER R, INA BINDING 693 00:26:05,748 --> 00:26:07,950 PROTEINS, MANY OF THESE ARE 694 00:26:07,950 --> 00:26:10,353 INVOLVED IN YOU KNOW IN STRESS 695 00:26:10,353 --> 00:26:13,690 GRANULES, FOR EXAMPLE, AND OTHER 696 00:26:13,690 --> 00:26:22,665 MEMBRANES ORGANELLES, AND THEN, 697 00:26:22,665 --> 00:26:25,501 JULIA ANALYZED ALL THE SRF 2 698 00:26:25,501 --> 00:26:27,036 MUTANT PLIESING CELL LINE AT 699 00:26:27,036 --> 00:26:29,105 PATIENT DATA SETS AND ALSO FOUND 700 00:26:29,105 --> 00:26:31,574 AGAIN SOME ENRICHMENT IN THIS 701 00:26:31,574 --> 00:26:32,809 STRESS GRANULE SIGNATURE, AND 702 00:26:32,809 --> 00:26:36,813 THEN AGAIN SHE SEQUENCED--USED 703 00:26:36,813 --> 00:26:39,048 THE SAME PATIENTS BUT ALSO 704 00:26:39,048 --> 00:26:40,850 SEQUENCE SF 2 MUTANT PATIENTS 705 00:26:40,850 --> 00:26:43,686 AGAIN WITH THE 3 BIEM 706 00:26:43,686 --> 00:26:45,988 SEQUENCING, SO RIGHT S34 F IS 707 00:26:45,988 --> 00:26:48,658 THE ESEN 34, P95 AND AN AMINO 708 00:26:48,658 --> 00:26:51,761 ACID, 95, SO MUCH, MUCH, HARDER 709 00:26:51,761 --> 00:26:54,197 TO ACTUALLY FIND READS THAT GO 710 00:26:54,197 --> 00:26:56,265 THAT FAR INTO, YOU KNOW INTO THE 711 00:26:56,265 --> 00:26:56,733 SEQUENCE. 712 00:26:56,733 --> 00:26:57,900 BUT EVEN THERE, THERE'S A 713 00:26:57,900 --> 00:26:59,769 SUGWREOF THE YEN THAT THERE MAY 714 00:26:59,769 --> 00:27:02,238 BE AN INCREASED STRESS RESPONSE 715 00:27:02,238 --> 00:27:06,109 SO THAT COULD BE A COMMON 716 00:27:06,109 --> 00:27:06,509 MECHANISM. 717 00:27:06,509 --> 00:27:09,512 SO THEN THE QUESTION IS HEY, 718 00:27:09,512 --> 00:27:14,050 DOES IT HAVE ANY BIOLOGIC 719 00:27:14,050 --> 00:27:15,785 FUNCTION AND ONCE SHE TAKES THE 720 00:27:15,785 --> 00:27:17,620 WILD-TYPE OR THE CELLS AND 721 00:27:17,620 --> 00:27:18,354 EXPOSES THEM TO 722 00:27:18,354 --> 00:27:19,389 ARE--ADMINISTRATIVE SONNITE AND 723 00:27:19,389 --> 00:27:20,923 LOOKS AT CELL VIABILITY, THERE 724 00:27:20,923 --> 00:27:24,026 SEEMS TO BE SOME ADVANTAGE IN 725 00:27:24,026 --> 00:27:24,694 THE MUTANT CELLS. 726 00:27:24,694 --> 00:27:27,864 AND THERE IS AN INHIBITOR OF 727 00:27:27,864 --> 00:27:32,468 THIS INTEGRATED TRESES RESPONSE 728 00:27:32,468 --> 00:27:34,237 CALLED ISRIP AND IT FUNCTIONS 729 00:27:34,237 --> 00:27:37,140 HERE, IT INHIBITS THE FUNCTION 730 00:27:37,140 --> 00:27:38,074 OF PHOSPHORYLATED EIF2 ALPHA 731 00:27:38,074 --> 00:27:40,543 WHICH IS IN THE STRESS RESPONSE 732 00:27:40,543 --> 00:27:43,546 THAT WOULD LEAD TO STOP OF 733 00:27:43,546 --> 00:27:43,913 TRANSLATION. 734 00:27:43,913 --> 00:27:46,582 AND I LEARNED READING ABOUT 735 00:27:46,582 --> 00:27:49,352 ISRIB, THAT I THINK IT'S BEEN 736 00:27:49,352 --> 00:27:51,187 USED, YOU KNOW PEOPLE WHO WANT 737 00:27:51,187 --> 00:27:52,722 TO NOT AGE OR ANYTHING LIKE THAT 738 00:27:52,722 --> 00:27:55,792 BUT ALSO IN ALL SORTS OF THINGS. 739 00:27:55,792 --> 00:27:57,994 SO WE DON'T KNOW IF THIS IS 740 00:27:57,994 --> 00:27:59,829 VIABLE DRUG OR NOT THAT PEOPLE 741 00:27:59,829 --> 00:28:01,798 COULD TAKE WITH THESE DISEASES, 742 00:28:01,798 --> 00:28:03,566 BUT HE TESTED IT INVITRO IN OUR 743 00:28:03,566 --> 00:28:06,002 CELL LINES AND THE EFFECT IS 744 00:28:06,002 --> 00:28:08,204 VERY, VERY SUBTLE, HENS THIS 745 00:28:08,204 --> 00:28:09,238 REPRESENTATION BUT THERE SEEMS 746 00:28:09,238 --> 00:28:12,008 TO BE A DIFFERENTIAL EFFECT OF 747 00:28:12,008 --> 00:28:14,477 THIS INHIBITOR ON MUTANT 748 00:28:14,477 --> 00:28:15,077 COMPARED TO WILD-TYPE CELLS. 749 00:28:15,077 --> 00:28:18,381 SO THIS IS WHAT SHE HAD SO FAR. 750 00:28:18,381 --> 00:28:20,550 AND THEN OBVIOUSLY, THE OBVIOUS 751 00:28:20,550 --> 00:28:21,751 QUESTION AND THOMAS ASKED ME, 752 00:28:21,751 --> 00:28:24,353 WELL IS IT DIRECT, IS IT 753 00:28:24,353 --> 00:28:25,822 INCORRECT AND WE DON'T KNOW. 754 00:28:25,822 --> 00:28:27,256 BUT THE FIRST PLACE TO ELECTRIC 755 00:28:27,256 --> 00:28:34,297 NOW IS OKAY, WHAT IS IN THESE 756 00:28:34,297 --> 00:28:34,664 STRESS GRANULES? 757 00:28:34,664 --> 00:28:36,833 AND I THINK IT'S DIFFICULT TO 758 00:28:36,833 --> 00:28:42,872 ISOLATE LITTLE ORGANELLES IN TE 759 00:28:42,872 --> 00:28:44,474 MEMBRANES, HOW DO YOU ISOLATE 760 00:28:44,474 --> 00:28:47,376 THEM AND ARE THIS PHYSICAL 761 00:28:47,376 --> 00:28:49,745 CONGLOMERATE BUT SHE GOT A 762 00:28:49,745 --> 00:28:51,113 PROTOCOL FROM [INDISCERNIBLE] 763 00:28:51,113 --> 00:28:52,315 LAB WHO'S THE WORLD EXPERT IN 764 00:28:52,315 --> 00:28:54,984 THIS FIELD AND IT'S A VERY 765 00:28:54,984 --> 00:28:59,355 COMPLICATED PROCESS WITH LOTS OF 766 00:28:59,355 --> 00:29:00,256 SENTRIFICATIONS, LABELING OF 767 00:29:00,256 --> 00:29:01,123 THESE STRESS GRANULES AND THEN 768 00:29:01,123 --> 00:29:03,759 YOU CAN PULL THEM OUT WITH 1 OF 769 00:29:03,759 --> 00:29:08,798 THE STRESS GRANULE, KIND OF LIKE 770 00:29:08,798 --> 00:29:10,867 MARKET PROTEINS GPP31, SO SHE 771 00:29:10,867 --> 00:29:14,170 DID THIS ON CELLS WITH OR 772 00:29:14,170 --> 00:29:16,105 WITHOUT ARSONITE STRESS, AND 773 00:29:16,105 --> 00:29:19,642 SUBMITTED INPUT AND THE IP 774 00:29:19,642 --> 00:29:21,878 PRODUCT BOTH MASS SPEC AND 775 00:29:21,878 --> 00:29:23,946 RNA-SEQ AND THIS IS RECENT DATA 776 00:29:23,946 --> 00:29:25,381 AND WE STILL DOESN'T HAVE AN 777 00:29:25,381 --> 00:29:25,615 ANSWER. 778 00:29:25,615 --> 00:29:29,986 BUT SHE WAS ABLE TO YOU KNOW 779 00:29:29,986 --> 00:29:37,093 PULL OUT 37 DIFFERENTIALLY 37 780 00:29:37,093 --> 00:29:40,930 PROTEINS, THAT WERE PRESENT IN 781 00:29:40,930 --> 00:29:45,768 S34 F MUTANT CELLS, TRESES 782 00:29:45,768 --> 00:29:46,335 GRANULES, VERSUS WILD-TYPE. 783 00:29:46,335 --> 00:29:48,771 AND THEY WERE ALSO ENRICHED OVER 784 00:29:48,771 --> 00:29:50,139 JUST INPUT. 785 00:29:50,139 --> 00:29:53,643 SO THAT'S THE FIRST START AND 786 00:29:53,643 --> 00:29:58,180 THEN, SAME ANALYZING THESE 787 00:29:58,180 --> 00:29:59,582 RNAs, SO THEY'RE--SHE HAS 788 00:29:59,582 --> 00:30:00,917 DIFFERENTIAL GENE EXPRESSION 789 00:30:00,917 --> 00:30:02,318 WITH RNAs ENRICHED IN THE 790 00:30:02,318 --> 00:30:04,353 STRESS GRANULES THAT ARE 791 00:30:04,353 --> 00:30:05,555 DIFFERENTIALLY EXPRESSED IN THE 792 00:30:05,555 --> 00:30:07,757 WILD-TYPE AND THEN ENRICHED IN 793 00:30:07,757 --> 00:30:09,058 THE GRANULES OVER TOTAL SIDE OF 794 00:30:09,058 --> 00:30:13,396 RTHIS,A IN THE CELL, AND SHE 795 00:30:13,396 --> 00:30:14,463 ALSO HAS SPLICING DIFFERENCES, 796 00:30:14,463 --> 00:30:16,132 SO NOW I THINK FOR HER, THIS IS 797 00:30:16,132 --> 00:30:18,601 A PROJECT SHE WILL TAKE ON IN 798 00:30:18,601 --> 00:30:20,369 HER OWN LAB WILL COME TO NOW 799 00:30:20,369 --> 00:30:23,205 FIGURE OUT WHAT THEY ARE AND I 800 00:30:23,205 --> 00:30:25,174 THINK DOES EVERYBODY HAVE A 801 00:30:25,174 --> 00:30:28,144 COLLABORATION HERE WITH THE NCI. 802 00:30:28,144 --> 00:30:30,212 BECAUSE NOW I THINK THE NEXT 803 00:30:30,212 --> 00:30:32,315 WORK WILL BE TO FIND THESE 804 00:30:32,315 --> 00:30:35,418 PROTEINS RNAs AND THEN ALTER 805 00:30:35,418 --> 00:30:36,586 THEIR EXON INCLUSION, EXCLUSION 806 00:30:36,586 --> 00:30:40,156 TO SEE DOES IT ALTER STRESS 807 00:30:40,156 --> 00:30:41,857 GRANULE BIOLOGY. 808 00:30:41,857 --> 00:30:49,365 AND AGAIN, WHAT'S EXCITING I 809 00:30:49,365 --> 00:30:51,567 THINK, MKS, AML, ARE ALL SOLID 810 00:30:51,567 --> 00:30:54,670 TUMORS AND THEY MAY USE SIMILAR 811 00:30:54,670 --> 00:30:57,607 MECHANISMS IN A SIMILAR WAY AND 812 00:30:57,607 --> 00:30:59,241 P-GRANULES THEY'RE INVOLVED IN 813 00:30:59,241 --> 00:31:01,110 MANY CANCER HALLMARKS, SO 814 00:31:01,110 --> 00:31:02,945 HOPEFULFULLY WE WILL BE ABLE TO 815 00:31:02,945 --> 00:31:05,147 FIND A MECHANISM THAT MAYBE 816 00:31:05,147 --> 00:31:06,782 ULTIMATELY NOT OHM LEAD TO 817 00:31:06,782 --> 00:31:09,085 TREATMENT FOR MDS, BUT ALSO 818 00:31:09,085 --> 00:31:14,156 OTHER LEUKEMIAS, AND SO, I'M 819 00:31:14,156 --> 00:31:17,193 SWITCHING NOW, BECAUSE THIS IS 820 00:31:17,193 --> 00:31:18,961 VERY, VERY, RNA HEAVY AND SANDY 821 00:31:18,961 --> 00:31:21,731 INVITED ME BUT I ALSO SAID I'M A 822 00:31:21,731 --> 00:31:22,898 CLINICIAN, LET ME MAYBE SHOW 823 00:31:22,898 --> 00:31:24,433 SOMETHING ELSE THAT WE'RE DOING 824 00:31:24,433 --> 00:31:30,873 IN THE LAB. 825 00:31:30,873 --> 00:31:34,310 SO, WHEN I WAS A POST DOC AND I 826 00:31:34,310 --> 00:31:36,278 WANTED TO STUDY IN SANDY'S LAB, 827 00:31:36,278 --> 00:31:38,848 I HAD 2 PROBLEMS, I HAD NO 828 00:31:38,848 --> 00:31:39,115 SAMPLES. 829 00:31:39,115 --> 00:31:42,551 THERE WERE NO SAMPLES FOR MILE 830 00:31:42,551 --> 00:31:43,019 MYELODYSPLASIA. 831 00:31:43,019 --> 00:31:45,721 AND AT THAT POINT THERE WERE NOT 832 00:31:45,721 --> 00:31:49,025 CONVINCING MOUSE MODELS, BUT I'M 833 00:31:49,025 --> 00:31:52,128 A CLINICIAN, AND SO I ATTENDED 834 00:31:52,128 --> 00:31:54,764 IN-PEASHT SERVICE AND OF COURSE 835 00:31:54,764 --> 00:31:56,165 THAT'S ALWAYS THE WORST, BECAUSE 836 00:31:56,165 --> 00:31:57,533 THE PEOPLE WHO DO WELL ARE NOT 837 00:31:57,533 --> 00:31:59,168 IN THE HOSPITAL AND EVERY TIME I 838 00:31:59,168 --> 00:32:02,104 COME OFF SERVICE, I'M LIKE WHAT 839 00:32:02,104 --> 00:32:02,672 CAN WE DO? 840 00:32:02,672 --> 00:32:05,541 SO I REALLY WANTED TO DEVELOP A 841 00:32:05,541 --> 00:32:07,109 MODEL TO STUDY MDS AND AT THE 842 00:32:07,109 --> 00:32:08,944 TIME THAT I KIND OF WAS A POST 843 00:32:08,944 --> 00:32:12,915 DOC TO THE LAB, WAS VERY 844 00:32:12,915 --> 00:32:17,186 FORTUNATE THAT IN A RICHARD 845 00:32:17,186 --> 00:32:18,688 FLAVELL, WAS DEVELOPING WITH 846 00:32:18,688 --> 00:32:19,522 ANTHONY [INDISCERNIBLE] A POST 847 00:32:19,522 --> 00:32:24,293 DOC IN HIS LAB, THESE MICE WHERE 848 00:32:24,293 --> 00:32:26,595 THEY WANTED TO HAVE A HUMANIZED 849 00:32:26,595 --> 00:32:28,564 IMMUNE SIZE TO STUDY HIV AND 850 00:32:28,564 --> 00:32:30,900 THEN HUMAN RAT CELLS TO STUDY 851 00:32:30,900 --> 00:32:33,836 MALARIA BECAUSE IT WAS IN PART 852 00:32:33,836 --> 00:32:35,371 FUNDED BY THE GATES FOUNDATION 853 00:32:35,371 --> 00:32:37,339 TO IMPROVE GLOBAL HEALTH AND FOR 854 00:32:37,339 --> 00:32:40,076 THAT, THEY DECIDED TO HUMANIZE 855 00:32:40,076 --> 00:32:40,943 THE BONE MARROW BECAUSE THEY 856 00:32:40,943 --> 00:32:45,414 NEEDED TO BE ABLE TO INGRAFT 857 00:32:45,414 --> 00:32:46,682 HEMATOPOIETIC STEM CELLS AND 858 00:32:46,682 --> 00:32:48,451 ALREADY, WE KNEW AT THAT POINT 859 00:32:48,451 --> 00:32:53,456 THAT MDS, YOU CAN TAKE AN A. 860 00:32:53,456 --> 00:32:56,358 L. L. OR MANY A. M. L.S AND PUT 861 00:32:56,358 --> 00:32:57,993 THEM IN THE WORSE DEFIC MOUSE 862 00:32:57,993 --> 00:32:59,962 MODELS AND YOU CAN GET 863 00:32:59,962 --> 00:33:01,597 INGRAFTMENT AND YOU CAN KEEP 864 00:33:01,597 --> 00:33:05,000 THIS OVERTIME BUT MDS, IF PEOPLE 865 00:33:05,000 --> 00:33:07,136 HAD 0.5% INGRAFTMENT, THEY WERE 866 00:33:07,136 --> 00:33:08,804 HAPPY THEY HAD INGRAFTMENT AND 867 00:33:08,804 --> 00:33:12,274 YOU COULD STUDY IT A LITTLE BIT. 868 00:33:12,274 --> 00:33:14,910 SO WHAT RICHARD'S GROUP DID, WAS 869 00:33:14,910 --> 00:33:17,613 TOO LOOK AT, YOU KNOW CYTOKINES 870 00:33:17,613 --> 00:33:19,515 AND HEMEAT O POETICESIS AND WHAT 871 00:33:19,515 --> 00:33:21,350 CYTOKINES ARE NEEDED AND TO LOOK 872 00:33:21,350 --> 00:33:26,889 AT WELL, WHERE IS A CROSS 873 00:33:26,889 --> 00:33:28,023 REACTIVITY BETWEEN MOUSE AND 874 00:33:28,023 --> 00:33:29,125 HUMAN, RIGHT IN AND MOST 875 00:33:29,125 --> 00:33:31,660 IMPORTANTLY THEY WERE LOOKING AT 876 00:33:31,660 --> 00:33:34,029 OKAY, WHICH CYTOKINES FROM THE 877 00:33:34,029 --> 00:33:44,473 MOUSE DO NOT WORK ON HUMAN 878 00:33:45,508 --> 00:33:50,246 CELLS? 879 00:33:50,246 --> 00:33:53,816 AND AMONG THOSE THROMPOETIN, AND 880 00:33:53,816 --> 00:34:00,990 OTHERS, AND THEY PAIRED UP WITH 881 00:34:00,990 --> 00:34:02,491 REGEN RON WHO DEVELOPED THESE 882 00:34:02,491 --> 00:34:05,294 TECHNOLOGIES SO IT WAS LIKE JUST 883 00:34:05,294 --> 00:34:06,228 BEFORE CRISPR SOLVED EVERYTHING 884 00:34:06,228 --> 00:34:08,964 AND THEY INTRODUCE THE ENTIRE 885 00:34:08,964 --> 00:34:12,001 HUMAN GENOMIC LOCUST INTO THE 886 00:34:12,001 --> 00:34:13,035 MOUSE GENOMIC LOCUST. 887 00:34:13,035 --> 00:34:16,305 SO NOW THE ENTIRE CODING AND 888 00:34:16,305 --> 00:34:20,042 ALSO NONCODING BUT EVER SEQUENCE 889 00:34:20,042 --> 00:34:22,711 OF THE HUMAN GENES WERE 890 00:34:22,711 --> 00:34:24,180 PHYSIOLOGICALLY EXPRESSED UNDER 891 00:34:24,180 --> 00:34:26,982 THE MOUSE, YOU KNOW REGULATORY 892 00:34:26,982 --> 00:34:27,383 SEQUENCES. 893 00:34:27,383 --> 00:34:28,751 AND THIS IS KIND OF JUST A 894 00:34:28,751 --> 00:34:32,288 LITTLE BIT OF A STORY OF THESE, 895 00:34:32,288 --> 00:34:33,789 YOU KNOW HUMANIZED--IMMUNO 896 00:34:33,789 --> 00:34:34,623 DEFICIENT MODELS, RIGHT, SO I 897 00:34:34,623 --> 00:34:40,062 REMEMBER WHEN I WAS IN--AT CHLA, 898 00:34:40,062 --> 00:34:43,399 YOU KNOW PEOPLE WERE WORKING ON 899 00:34:43,399 --> 00:34:45,367 NUDE AND SKID MICE, SO WE FIRST 900 00:34:45,367 --> 00:34:47,136 PRIORITY YOU HAVE TO HAVE A 901 00:34:47,136 --> 00:34:48,404 MOUSE THAT IS IMMUNO DEFICIENT 902 00:34:48,404 --> 00:34:50,406 SO THE MOUSE IMMUNE CELLS DO NOT 903 00:34:50,406 --> 00:34:53,509 ATTACK THE HUMAN CELLS AND YOU 904 00:34:53,509 --> 00:34:56,946 KNOW STARTED WITH GETTING RID OF 905 00:34:56,946 --> 00:34:59,181 T-CELLS, T AND B CELLS, MAYBE 906 00:34:59,181 --> 00:35:04,653 INHIBITING A LITTLE BIT 907 00:35:04,653 --> 00:35:05,955 MONOCYTES MACROPHAGES AND THEN 908 00:35:05,955 --> 00:35:07,690 EVENTUALLY ALSO GETTING RID OF 909 00:35:07,690 --> 00:35:09,458 NK CELLS, SO NOW THE HUMAN CELLS 910 00:35:09,458 --> 00:35:11,460 CAN GET IN BUT AGAIN, RIGHT, SO 911 00:35:11,460 --> 00:35:13,762 THEY WERE STILL LACKING 912 00:35:13,762 --> 00:35:14,363 DIFFERENTIATION FACTORS THAT, 913 00:35:14,363 --> 00:35:16,799 WOOED ON THEM, SO THEN A VERY 914 00:35:16,799 --> 00:35:20,135 POPULAR MODEL IS NSGS MODEL AND 915 00:35:20,135 --> 00:35:22,905 THAT EXPRESSES STEM CELL 916 00:35:22,905 --> 00:35:24,506 FACTORED GMCSF AND INTERLEUKIN 917 00:35:24,506 --> 00:35:26,709 3, BUT THOSE ARE TRANSGENIC MICE 918 00:35:26,709 --> 00:35:29,345 SO THOSE FACTORS ARE JUST 919 00:35:29,345 --> 00:35:31,313 EXPRESSED ANYWHERE, THEY'RE NOT 920 00:35:31,313 --> 00:35:32,248 REGULATED, THEY'RE EXPRESSED ALL 921 00:35:32,248 --> 00:35:35,184 THE TIME SO ACTUALLY IF YOU 922 00:35:35,184 --> 00:35:36,018 INGRAFT HEMATOPOIETIC STEM CELLS 923 00:35:36,018 --> 00:35:38,754 INTO THE MICE FOR SOMETIME, YOU 924 00:35:38,754 --> 00:35:41,624 GET GET HEMEAT O POEESIS BUT 925 00:35:41,624 --> 00:35:43,492 THEN YOU GET EXHAUSTION BECAUSE 926 00:35:43,492 --> 00:35:44,693 OF THESE CELL LINES. 927 00:35:44,693 --> 00:35:46,962 AND THEN THE LAB LABELED THESE 928 00:35:46,962 --> 00:35:49,164 MICE MR. G, IT'S A GOOD ACRONYM 929 00:35:49,164 --> 00:35:50,399 AND THESE THAT STAND FOR THE 930 00:35:50,399 --> 00:35:53,102 CYTOKINES THAT ARE INTRODUCED, 931 00:35:53,102 --> 00:35:55,137 THE RAD GAMMA KNOCK OUT 932 00:35:55,137 --> 00:35:57,740 PHENOTYPE, IMMUNO PHENOTYPE AND 933 00:35:57,740 --> 00:36:00,175 THERE'S ALSO REPLACEMENT OF 934 00:36:00,175 --> 00:36:04,280 ALPHA WITH HUMAN ALPHA, AND 935 00:36:04,280 --> 00:36:06,015 ALPHA BINDS CD47, IT'S KIND OF 936 00:36:06,015 --> 00:36:07,616 THIS DON'T EAT ME SIGNAL AND 937 00:36:07,616 --> 00:36:15,658 IT'S VERY IMPORTANT IN THE XENO 938 00:36:15,658 --> 00:36:15,925 TOLERANCE. 939 00:36:15,925 --> 00:36:18,560 SO MANY POST DOCS WORKING ON 940 00:36:18,560 --> 00:36:21,096 THIS IN RICHARD'S LAB, REALLY 941 00:36:21,096 --> 00:36:23,632 CHARACTERIZED EVERY SINGLE 942 00:36:23,632 --> 00:36:25,834 REPLACEMENT, AGAIN, RESULTING IN 943 00:36:25,834 --> 00:36:27,102 THE CYTOKINE KNOCK OUT MOUSE 944 00:36:27,102 --> 00:36:28,871 MODEL THAT ALSO INCLUDES 945 00:36:28,871 --> 00:36:30,572 INTERLEUKIN 6, THERE ARE OTHER 946 00:36:30,572 --> 00:36:32,174 VERSIONS FOR EXAMPLE, 947 00:36:32,174 --> 00:36:33,575 INTERLEUKIN 15 THAT THEY QUICKLY 948 00:36:33,575 --> 00:36:35,611 REALIZED THAT IF YOU HAVE MCSF 949 00:36:35,611 --> 00:36:37,379 AND YOU HAVE MONOCYTES AND 950 00:36:37,379 --> 00:36:40,349 MACROPHAGES, THOSE ACTUALLY THEN 951 00:36:40,349 --> 00:36:42,017 MAKE HUMAN IL15 THAT'S NEEDED 952 00:36:42,017 --> 00:36:43,285 FOR NK CELL DEVELOPMENT, YOU 953 00:36:43,285 --> 00:36:46,422 DON'T NEED TO PUT IN EXOGENOUS 954 00:36:46,422 --> 00:36:47,356 INTERLEUKIN 15 AND SO THEN, 955 00:36:47,356 --> 00:36:49,425 EARLY ON I WAS STILL A POST DOC 956 00:36:49,425 --> 00:36:52,261 BUT IT WAS EVENTUALLY FINISHED 957 00:36:52,261 --> 00:36:54,096 BY WOREALLY MAIRKSZING PEOPLE IN 958 00:36:54,096 --> 00:36:56,465 MY LAB, BILLY AND 959 00:36:56,465 --> 00:36:57,566 [INDISCERNIBLE] AND TOGETHER 960 00:36:57,566 --> 00:36:59,802 WITH ANTHONY [INDISCERNIBLE], WE 961 00:36:59,802 --> 00:37:01,570 TOOK MDS OF ALL LO GRADE AND 962 00:37:01,570 --> 00:37:05,674 HIGH RISK AND THEN ALWAYS 963 00:37:05,674 --> 00:37:07,176 COMPARED INGRAFTMENT AND MR. G 964 00:37:07,176 --> 00:37:09,411 MICE COMPARED TO THE GOAL 965 00:37:09,411 --> 00:37:11,613 STANDARD THEIR, MSG MICE AND HAD 966 00:37:11,613 --> 00:37:13,682 MUCH, MUCH, IMPROVED INGRAFTMENT 967 00:37:13,682 --> 00:37:15,351 AND REALLY OVER50% OF THE MICE 968 00:37:15,351 --> 00:37:16,418 INGRAFTMENT OVER LIKE 10%, SO 969 00:37:16,418 --> 00:37:18,754 YOU CAN IMAGINE, YOU CAN REALLY 970 00:37:18,754 --> 00:37:20,155 ALSO TEST DRUGS BECAUSE CAN YOU 971 00:37:20,155 --> 00:37:22,157 ACTUALLY MEASURE SOMETHING WITH 972 00:37:22,157 --> 00:37:24,426 SOME RELIABILITY. 973 00:37:24,426 --> 00:37:26,595 IMPORTANTLY, WE COULD RECEDE 974 00:37:26,595 --> 00:37:28,097 DISPLASSIA, BECAUSE YOU KNOW YOU 975 00:37:28,097 --> 00:37:30,766 GET ARITHROUGH ATOM POETICESIS, 976 00:37:30,766 --> 00:37:32,968 THE HALLMARK, WITH THE 977 00:37:32,968 --> 00:37:34,837 MUTATIONS, AND I REMEMBER, YOU 978 00:37:34,837 --> 00:37:35,804 KNOW PERFORMING A BONE MARROW 979 00:37:35,804 --> 00:37:37,806 ON THE PATIENT, SEEING THE BONE 980 00:37:37,806 --> 00:37:39,308 MARROW IN PATHOLOGY, AND THEN 981 00:37:39,308 --> 00:37:40,976 THE PEASHT GRACIOUSLY WRITE, 982 00:37:40,976 --> 00:37:42,845 CONSENTED TO GIVING US A SAMPLE, 983 00:37:42,845 --> 00:37:43,812 INGRAFTING IT INTO MICE AND 984 00:37:43,812 --> 00:37:45,447 LOOKING AT THE MOUSE, AND I'M 985 00:37:45,447 --> 00:37:48,984 LIKE WOW, THIS IS EXACTLY THE 986 00:37:48,984 --> 00:37:50,386 SAME PHENOTYPE. 987 00:37:50,386 --> 00:37:51,487 WE ALSO SEQUENCED, THE PATIENTS 988 00:37:51,487 --> 00:37:54,923 AND THE MICE TO SHOW THAT WE ARE 989 00:37:54,923 --> 00:37:57,192 INGRAFTING THE MUTANT STEM 990 00:37:57,192 --> 00:37:59,661 CELLS, AND THEN ULTIMATELY WE 991 00:37:59,661 --> 00:38:00,929 ALSO PERFORMED THERAPEUTIC 992 00:38:00,929 --> 00:38:03,198 TESTING WITH MUTANT IDH 993 00:38:03,198 --> 00:38:05,467 INHIBITORS COMPARING THAT FOR 994 00:38:05,467 --> 00:38:08,570 EXAMPLE IN ELABORATE OR PERP 995 00:38:08,570 --> 00:38:11,407 INHIBITOR WHICH A COLLEAGUE HAD 996 00:38:11,407 --> 00:38:13,609 SHOWN WORKS IN IDH MUTANT CELLS 997 00:38:13,609 --> 00:38:18,881 THAT END UP HAVING A DNA REPAIR 998 00:38:18,881 --> 00:38:19,114 DEFECT. 999 00:38:19,114 --> 00:38:20,616 SO WE'RE VERY EXCITED ABOUT THAT 1000 00:38:20,616 --> 00:38:22,618 AND THEN OF COURSE, ONCE YOU 1001 00:38:22,618 --> 00:38:24,153 HAVE SUCH A MODEL THAT'S QUITE 1002 00:38:24,153 --> 00:38:25,854 GOOD, YOU THINK IT'S NOT GOOD 1003 00:38:25,854 --> 00:38:26,121 ENOUGH. 1004 00:38:26,121 --> 00:38:29,892 AND 1 BIG DEFICIT IN ALL 1005 00:38:29,892 --> 00:38:31,527 HUMANIZED MOUSE MODELS IS THAT 1006 00:38:31,527 --> 00:38:34,663 WHILE YOU STILL HAVE THE MOUSE 1007 00:38:34,663 --> 00:38:36,598 INNATE IMMUNITY, SO THE MOUSE 1008 00:38:36,598 --> 00:38:38,167 GRANUE LOW SIGHTS BUT THE 1009 00:38:38,167 --> 00:38:39,001 MACROPHAGES ARE ACTUALLY A 1010 00:38:39,001 --> 00:38:41,737 PROBLEM, AND SO IN THESE MICE 1011 00:38:41,737 --> 00:38:44,139 YOU ACTUALLY DON'T HAVE 1012 00:38:44,139 --> 00:38:45,140 CIRCULATING RED CELLS, AND 1013 00:38:45,140 --> 00:38:49,411 INKRED EBLLY ARK MAZING POST DOC 1014 00:38:49,411 --> 00:38:53,348 IN RICHARD'S LAB WHOSE GOT 1015 00:38:53,348 --> 00:38:56,018 FACULTY 1016 00:38:56,018 --> 00:38:58,320 FACULTY TRY TO FIGURE OUT AGAIN 1017 00:38:58,320 --> 00:38:59,621 DELETING ALL THINGS FROM THE 1018 00:38:59,621 --> 00:39:02,391 MICE, CROSSING IT TO MCSF, 1019 00:39:02,391 --> 00:39:03,225 KNOCKOUT MICE, ET CETERA TO SEE 1020 00:39:03,225 --> 00:39:06,128 WHAT WE CAN GET, CAN WE GET 1021 00:39:06,128 --> 00:39:09,631 CIRCULATING HUMAN RED CELLS, AND 1022 00:39:09,631 --> 00:39:10,899 THEN 1 EXPERIMENT THAT KIND OF 1023 00:39:10,899 --> 00:39:12,868 TOLD THEM WHAT TO GO AFTER WAS 1024 00:39:12,868 --> 00:39:15,104 TO TAKE HUMAN RED CELLS, LABEL 1025 00:39:15,104 --> 00:39:16,171 THEM WITH FLUORESCENT DIE, 1026 00:39:16,171 --> 00:39:17,806 INYECT THEM INTO THE MICE AND 1027 00:39:17,806 --> 00:39:19,208 TAKING OTHER ORGANS AND THEN 1028 00:39:19,208 --> 00:39:21,076 LOOKING WHERE ARE THESE CELLS, 1029 00:39:21,076 --> 00:39:22,444 SO SOME GOT THE QUESTION THE 1030 00:39:22,444 --> 00:39:24,646 SPLEEN AND WE ALL THOUGHT THAT 1031 00:39:24,646 --> 00:39:26,748 WAS THE MAIN SITE WHERE MOST OF 1032 00:39:26,748 --> 00:39:28,183 THE CELLS WERE SEQUESTERED IN 1033 00:39:28,183 --> 00:39:32,321 THE LIVER LIVER EMPLOY SO THERS 1034 00:39:32,321 --> 00:39:32,821 THIS MOUSE. 1035 00:39:32,821 --> 00:39:34,223 I ALWAYS HAVE TO WRITE THIS DOWN 1036 00:39:34,223 --> 00:39:37,593 BECAUSE I CAN NEVER SAY IT THAT 1037 00:39:37,593 --> 00:39:45,033 IS KNOCKED OUT FOR FUMER OLDER 1038 00:39:45,033 --> 00:39:46,101 PEOPLE ASEITATE-ASIGNIFYTAL 1039 00:39:46,101 --> 00:39:46,635 HYDROLACE [INDISCERNIBLE]. 1040 00:39:46,635 --> 00:39:51,607 SO THEY HAVE A METABOLIC DEFECT 1041 00:39:51,607 --> 00:39:52,674 IN TYROSEEN METABOLISM AND SO 1042 00:39:52,674 --> 00:39:53,942 YOU ACTUALLY HAVE TO KEEP THEM 1043 00:39:53,942 --> 00:39:58,380 ON SPECIAL WATER SO THEY DON'T 1044 00:39:58,380 --> 00:39:59,281 GENERATE TOXIC METABOLITES THAT 1045 00:39:59,281 --> 00:40:00,249 TISSUE CULTURE MEDIAS THEIR 1046 00:40:00,249 --> 00:40:02,417 LIVER CELLS. 1047 00:40:02,417 --> 00:40:05,521 WELL, IT TURNS OUT YOU CAN 1048 00:40:05,521 --> 00:40:07,256 ACTUALLY TAKE HEPATOCYTES, 1049 00:40:07,256 --> 00:40:09,324 EITHER MOUSE HEPATOCYTES OR 1050 00:40:09,324 --> 00:40:12,394 HUMAN HEPATOCYTES AND INJECT 1051 00:40:12,394 --> 00:40:15,030 THEM INTO THE SPLENIC VEIN, AND 1052 00:40:15,030 --> 00:40:17,566 THEN THESE CELLS WERE LARGE IN 1053 00:40:17,566 --> 00:40:20,903 THE LIVER, SO YOU CAN INJECT 1054 00:40:20,903 --> 00:40:21,637 HUMAN HEPATOCYTES INTO THESE 1055 00:40:21,637 --> 00:40:24,039 SURGERY INTO THESE MICE, AND YOU 1056 00:40:24,039 --> 00:40:25,674 WITHDRAW THIS WATER, SO WITH 1057 00:40:25,674 --> 00:40:28,911 BITS NOW, YOU'RE CREATING THE 1058 00:40:28,911 --> 00:40:30,179 MOUSE HUMAN HEPATOCYTES AND THEY 1059 00:40:30,179 --> 00:40:32,247 WILL ACTUALLY TAKE OVER AND THEN 1060 00:40:32,247 --> 00:40:34,483 YOU CAN MEASURE HUMAN ALBUT MIN 1061 00:40:34,483 --> 00:40:36,018 IN PLASMA AND KIND OF WHAT IT 1062 00:40:36,018 --> 00:40:39,888 SETS A CERTAIN LEVEL, THEY'RE 1063 00:40:39,888 --> 00:40:41,256 PROBABLY MOSTLY HUMAN 1064 00:40:41,256 --> 00:40:43,692 HEPATOCYTES AROUND AND SO THEN 1065 00:40:43,692 --> 00:40:48,797 WE CAN TAKE THESE HUMAN LIVER 1066 00:40:48,797 --> 00:40:52,000 HUMANIZED MR. G MICE AND INGRAFT 1067 00:40:52,000 --> 00:40:56,004 HUMAN CD34 CELLS JUST 1068 00:40:56,004 --> 00:40:57,506 RETROORBITALLY, AND NOW WE HAVE 1069 00:40:57,506 --> 00:41:00,976 HUMAN AND MICE THAT HAVE HUMAN 1070 00:41:00,976 --> 00:41:04,713 LIVER AND HEMATOPOIETIC STEM 1071 00:41:04,713 --> 00:41:06,148 CELLS INGRAFTED AND REALLY TO 1072 00:41:06,148 --> 00:41:08,016 OUR DELIGHT, THESE MICE NOW HAVE 1073 00:41:08,016 --> 00:41:09,084 CIRCULATING HUMAN RED CELLS. 1074 00:41:09,084 --> 00:41:10,953 AGAIN THIS IS A LOG SCALE, BUT 1075 00:41:10,953 --> 00:41:13,755 YOU KNOW REALLY THERE ARE UP TO 1076 00:41:13,755 --> 00:41:16,291 10% CIRCULATING HUMAN RED CELLS, 1077 00:41:16,291 --> 00:41:16,959 IN THESE MICE. 1078 00:41:16,959 --> 00:41:18,961 YOU CAN'T REPLACE ALL THE RED 1079 00:41:18,961 --> 00:41:20,395 CELLS, THE HUMAN RED CELLS ARE 1080 00:41:20,395 --> 00:41:21,797 MUCH BIGGER THAN THE RED CELLS 1081 00:41:21,797 --> 00:41:24,199 AND THE MICE NEED THEIR OWN RED 1082 00:41:24,199 --> 00:41:27,236 CELLS THAT CIRCULATE PROPERLY, 1083 00:41:27,236 --> 00:41:28,370 MOST LIKELY. 1084 00:41:28,370 --> 00:41:29,571 AND THAT WAS--WELL, SURPRISINGLY 1085 00:41:29,571 --> 00:41:31,773 ALSO THAT WE ACTUALLY HAD HIGHY 1086 00:41:31,773 --> 00:41:34,476 INGRAFTMENT IN THE BONE MARROW 1087 00:41:34,476 --> 00:41:36,445 AND ALSO GENERALLY MORE ERYTH 1088 00:41:36,445 --> 00:41:38,013 ROUGH ATOM PORESIS IN THE BONE 1089 00:41:38,013 --> 00:41:39,081 MARROW, SO SUGGESTING IN THE 1090 00:41:39,081 --> 00:41:40,482 LIVER, MANY OTHER PROTEINS THAT 1091 00:41:40,482 --> 00:41:44,052 MAY BE 1 DAY WE COULD SCREEN, TO 1092 00:41:44,052 --> 00:41:45,587 UNDERSTAND, WHAT OTHER PROTEINS 1093 00:41:45,587 --> 00:41:48,690 MADE IN THE LIVER THAT ARE 1094 00:41:48,690 --> 00:41:51,226 ACTUALLY IMPORTANT FOR HEMEAT O 1095 00:41:51,226 --> 00:41:51,560 POETICESIS. 1096 00:41:51,560 --> 00:41:56,665 SO, WE WANTED TO KNOW, YOU KNOW 1097 00:41:56,665 --> 00:41:58,400 WHAT THE MECHANISM IS FOR THIS 1098 00:41:58,400 --> 00:41:59,835 IMPROVED, YOU KNOW CIRCULATION 1099 00:41:59,835 --> 00:42:02,804 OF HUMAN RED CELL, AND 1 VERY 1100 00:42:02,804 --> 00:42:04,406 OBVIOUS THING WAS ACTUALLY TO 1101 00:42:04,406 --> 00:42:07,009 LOOK FOR COMPLEMENT AND SO 1102 00:42:07,009 --> 00:42:11,446 REALLY THE LIVER HUMANIZED MICE 1103 00:42:11,446 --> 00:42:15,417 HAVE LESS MURINE C3 AND THERE'S 1104 00:42:15,417 --> 00:42:17,185 ALSO LESS COMPLEMENT COATING ON 1105 00:42:17,185 --> 00:42:18,687 THE HUMAN RED CELLS SO YOU 1106 00:42:18,687 --> 00:42:20,055 REALLY JUST DON'T HAVE 1107 00:42:20,055 --> 00:42:21,356 DESTRUCTION OF THE LABELING OF 1108 00:42:21,356 --> 00:42:23,759 THE RED CELLS WITH COMPLEMENT 1109 00:42:23,759 --> 00:42:29,564 AND THEN THEIR PHAGOCYTOSIS BY 1110 00:42:29,564 --> 00:42:31,767 MOUSE MACROPHAGES AND SO I THINK 1111 00:42:31,767 --> 00:42:34,970 THIS RIGHT--I KNOW HAD IS CANCER 1112 00:42:34,970 --> 00:42:38,273 BUT ACTUALLY ATL, BUT CLASSIC 1113 00:42:38,273 --> 00:42:39,308 [INDISCERNIBLE] AND ALSO OUR 1114 00:42:39,308 --> 00:42:40,275 PATIENTS WITH SICKLE CELL 1115 00:42:40,275 --> 00:42:43,211 DISEASE ARE GETTING CARE IN THE 1116 00:42:43,211 --> 00:42:44,746 CENTER, AND WHICH IS PHENOMENAL 1117 00:42:44,746 --> 00:42:46,515 AND THE RIGHT THING TO DID. 1118 00:42:46,515 --> 00:42:49,051 SO WE TOOK THESE CELLS AND CD34 1119 00:42:49,051 --> 00:42:51,720 CELLS WITH PATIENTS FROM SICKLE 1120 00:42:51,720 --> 00:42:53,722 CELL DISEASE, A MONOGENIC DEC WE 1121 00:42:53,722 --> 00:42:54,790 IGNORED FOR FAR TOO LONG AND 1122 00:42:54,790 --> 00:42:57,626 THEN WHAT YOU SEE NOW HERE, ARE 1123 00:42:57,626 --> 00:43:01,263 ACTUALLY SECTIONS FROM LUNG, 1124 00:43:01,263 --> 00:43:05,734 LIVER, AND KIDNEY WITH THE HUMAN 1125 00:43:05,734 --> 00:43:06,635 SPECIFIC HEMOGLOBIN A ANTIBODY 1126 00:43:06,635 --> 00:43:09,204 AND IF YOU COMPARE LUNGS FROM 1127 00:43:09,204 --> 00:43:11,506 PATIENTS FROM MICE INGRAFTED 1128 00:43:11,506 --> 00:43:15,310 WITH THESE CELLS, OR CD34 CELLS 1129 00:43:15,310 --> 00:43:17,012 WITH PATIENT FROM SICKLE CELL 1130 00:43:17,012 --> 00:43:19,047 DISEASE, CAN YOU SEE VASE O, 1131 00:43:19,047 --> 00:43:21,049 CLIEWGZ, SO THESE ARE RED CELLS 1132 00:43:21,049 --> 00:43:24,553 STUCK IN THE LUNG VASCULATURE, 1133 00:43:24,553 --> 00:43:27,789 YOU CAN SEE RED CELLS KIND OF 1134 00:43:27,789 --> 00:43:28,857 STUCK IN THE CAPILLARIES IN THE 1135 00:43:28,857 --> 00:43:31,493 LIVER AND ALSO IN THE GLUE MARUE 1136 00:43:31,493 --> 00:43:33,495 LIE AND YOU KNOW IN THE KIDNEYS 1137 00:43:33,495 --> 00:43:37,566 SO WE CAN ACTUALLY NOW STUDY, 1138 00:43:37,566 --> 00:43:43,605 THESE OCCLUSION FROM HUMAN 1139 00:43:43,605 --> 00:43:43,939 CELLS. 1140 00:43:43,939 --> 00:43:47,142 SO AGAIN WE'RE NEVER SATISFIED. 1141 00:43:47,142 --> 00:43:48,744 SO THAT IS ALSO COMPLICATED 1142 00:43:48,744 --> 00:43:52,547 MODEL TO GENERATE BUT YOU KNOW 1 1143 00:43:52,547 --> 00:43:54,649 THEORY IS THAT IN MDS, 1144 00:43:54,649 --> 00:43:55,951 INFLAMMATION PLAYS A ROLE, 1145 00:43:55,951 --> 00:43:56,651 RIGHT? 1146 00:43:56,651 --> 00:43:58,887 AND WE KNOW INFLAMMATION PLAYS A 1147 00:43:58,887 --> 00:44:02,758 ROLE AND ET CETERA, AND SO TO 1148 00:44:02,758 --> 00:44:04,126 INGRAFT HUMAN WITH THESE MICE WE 1149 00:44:04,126 --> 00:44:07,195 HAVE TO RADIATE THE MICE. 1150 00:44:07,195 --> 00:44:13,268 THERE ARE BEAUTIFUL PUBLICATIONS 1151 00:44:13,268 --> 00:44:20,342 SHOWINGS THAT IF YOU MUTATE THE 1152 00:44:20,342 --> 00:44:21,443 STEM CELL FACTOR RECEPTOR IN 1153 00:44:21,443 --> 00:44:23,412 MICE THAT YOU MAY NOT NEED TO 1154 00:44:23,412 --> 00:44:28,016 RADIATE BUT THAT IS ENOUGH OF A 1155 00:44:28,016 --> 00:44:30,051 COMPETITIVE DISADVANTAGE TO THE 1156 00:44:30,051 --> 00:44:32,287 MURINE STEM CELLS AND PORESIS 1157 00:44:32,287 --> 00:44:37,692 THAT YOU CAN NOW INGRAFT HUMAN 1158 00:44:37,692 --> 00:44:40,262 CELLS WITHOUT IRRADIATION, SO 1159 00:44:40,262 --> 00:44:42,431 VIA CRISPR, AGAIN, WE GENERATED 1160 00:44:42,431 --> 00:44:43,965 THESE MICE WITH THESE W41 1161 00:44:43,965 --> 00:44:45,500 MUTATIONS SO THESE ARE ACTUALLY 1162 00:44:45,500 --> 00:44:47,569 MUTATIONS THAT WERE DRIEBED IN 1163 00:44:47,569 --> 00:44:49,304 B6 MICE CALLED THE WHITE SPOTTED 1164 00:44:49,304 --> 00:44:51,106 MICE SO IN EFFECT THE RECEPTOR 1165 00:44:51,106 --> 00:44:52,707 IS ALSO IMPORTANT TO THE NANO 1166 00:44:52,707 --> 00:44:54,109 SIGHTS SO THESE MICE ARE 1167 00:44:54,109 --> 00:44:55,710 ACTUALLY BLACK BUT THEY HAVE A 1168 00:44:55,710 --> 00:44:57,112 LITTLE WHITE SPOT ON THEIR 1169 00:44:57,112 --> 00:45:00,115 STOMACH, THAT WAS EASY FOR GENO 1170 00:45:00,115 --> 00:45:03,819 TYPING, THE MSG IS WHITE SO WE 1171 00:45:03,819 --> 00:45:04,753 SELECTED COMPLICATED GEANY 1172 00:45:04,753 --> 00:45:07,055 TYPING TO MAKE THESE MICE AND SO 1173 00:45:07,055 --> 00:45:11,359 WITH THIS MOUSE MODEL WE STARTED 1174 00:45:11,359 --> 00:45:15,997 A COLLABORATION WITH LEE GRIMES 1175 00:45:15,997 --> 00:45:18,467 AND [INDISCERNIBLE], AND HE'S A 1176 00:45:18,467 --> 00:45:21,102 PHENOMENAL INFORMATICS PERSON TO 1177 00:45:21,102 --> 00:45:21,937 MODEL MYELODYSPLASIA IN THESE 1178 00:45:21,937 --> 00:45:24,372 MICE AND IT REALLY WAS THE IDEA, 1179 00:45:24,372 --> 00:45:26,208 WITH HOW FAITHFUL REALLY ARE 1180 00:45:26,208 --> 00:45:30,612 THESE MODELS, WE HAD DONE LIKE A 1181 00:45:30,612 --> 00:45:33,949 CRUDE ASSESSMENT AND WITH LEE, 1182 00:45:33,949 --> 00:45:41,923 AMY AND GABRIEL AMAZING PEOPLE, 1183 00:45:41,923 --> 00:45:43,992 SEAN, JENNIFER AND WEI, SO LEE 1184 00:45:43,992 --> 00:45:47,429 IN THE PAPER, HIS PAPER ON THIS 1185 00:45:47,429 --> 00:45:49,598 PHENOMENON METHOD JUST PUBLISHED 1186 00:45:49,598 --> 00:45:52,701 IN IMMUNOLOGY, HE DEVELOPED A 1187 00:45:52,701 --> 00:45:54,503 VERY COMPREHENSIVE SIDE SEQ 1188 00:45:54,503 --> 00:45:56,505 PANEL FOR HEMEAT O POETICESIS SO 1189 00:45:56,505 --> 00:45:59,174 EVERY ANTIBODY IS TITRATED. 1190 00:45:59,174 --> 00:46:01,910 AND SO, AND YOU SEE, HIS GROUP 1191 00:46:01,910 --> 00:46:05,614 SEQUENCED HEPATITIS E C CONTROL 1192 00:46:05,614 --> 00:46:07,916 [INDISCERNIBLE], CD34 CELLS, MSC 1193 00:46:07,916 --> 00:46:09,451 CELLS AND, IT NC AND THIS IS THE 1194 00:46:09,451 --> 00:46:10,418 WHOLE WITH BEAUTIFUL 1195 00:46:10,418 --> 00:46:10,785 REPRESENTATION. 1196 00:46:10,785 --> 00:46:14,756 THIS IS NOW AN MDS SAMPLE FROM 1197 00:46:14,756 --> 00:46:17,392 JOHNS HOPKINS AND WE TOOK THE 1198 00:46:17,392 --> 00:46:21,396 SASM AND THE G-MICE, TO AFTER 16 1199 00:46:21,396 --> 00:46:23,265 WEEKS AFTER INGRAFTMENT, 1200 00:46:23,265 --> 00:46:24,466 HARVESTED THE BONE MARROW TO 1201 00:46:24,466 --> 00:46:27,068 SEQUENCE AND YOU CAN SEE THAT 1202 00:46:27,068 --> 00:46:28,937 WHY THIS IS NOT PERFECT, IT'S 1203 00:46:28,937 --> 00:46:31,273 QUITE A GOOD REPRESENTATION, AT 1204 00:46:31,273 --> 00:46:34,109 THE SINGLE CELL LEVEL OF THE MDS 1205 00:46:34,109 --> 00:46:34,910 POPULATIONS AND HERE'S PROBABLY 1206 00:46:34,910 --> 00:46:38,346 A LITTLE BIT CLEARER SO THIS IS 1207 00:46:38,346 --> 00:46:39,981 THEN SEQUENCING RIGHTFULLY SO 1208 00:46:39,981 --> 00:46:41,383 ALL YEENS, THESE ARE ALL 1209 00:46:41,383 --> 00:46:44,686 SUBPOPULATIONS AND YOU CAN SEE 1210 00:46:44,686 --> 00:46:46,488 THAT THE MDS XENOGRAFTS LOOK 1211 00:46:46,488 --> 00:46:48,990 LIKE THE PASHT IN TERLS OF 1212 00:46:48,990 --> 00:46:51,993 DIFFERENT YALE EXPRESSION 1213 00:46:51,993 --> 00:46:52,794 ANALYSIS. 1214 00:46:52,794 --> 00:46:54,663 SO NOW WE HAVE SO 50ICATEED 1215 00:46:54,663 --> 00:46:58,233 MODEL WHERE WE CAN INGRAFT, AND 1216 00:46:58,233 --> 00:47:00,936 1 OF THE GOALS NOW IS TO INGRAFT 1217 00:47:00,936 --> 00:47:06,608 MICE AND TREAT THEM WITHAISE O 1218 00:47:06,608 --> 00:47:08,243 CYTODEAN, THE STANDARD OF CLAIR 1219 00:47:08,243 --> 00:47:11,880 THAT I THINK ANY MDS CLINICIAN 1220 00:47:11,880 --> 00:47:13,715 DOESN'T LIKE AT ALL BECAUSE WE 1221 00:47:13,715 --> 00:47:16,017 DON'T KNOW WHAT IT DOES OR HOW 1222 00:47:16,017 --> 00:47:18,219 IT WORKS AND MANY PATIENTS 1223 00:47:18,219 --> 00:47:19,621 RELAPSE EVEN AN TRANSPLANT AND 1224 00:47:19,621 --> 00:47:25,860 ONCE PATIENTS ARE REFRACTORY TO 1225 00:47:25,860 --> 00:47:26,828 ISOTOPE AZACYTIDINE, AND THERE'S 1226 00:47:26,828 --> 00:47:30,932 NOTHING ELSE THAT WORKS. 1227 00:47:30,932 --> 00:47:34,536 SO MICHELLE RUDEK YOU KNOW 1228 00:47:34,536 --> 00:47:36,171 DEVELOPED THE REGIMEN IN THE 1229 00:47:36,171 --> 00:47:37,339 MR. G MICE, THEY ARE SENSITIVE, 1230 00:47:37,339 --> 00:47:40,976 AND WE WERE ABLE TO YOU KNOW 1231 00:47:40,976 --> 00:47:48,049 MEASURE BOTH INCORPORATION OF 1232 00:47:48,049 --> 00:47:50,819 THE NUTRITIGHT INTO DNA AND THEN 1233 00:47:50,819 --> 00:47:53,822 ALSO SHOW DECREASE IN 1234 00:47:53,822 --> 00:47:54,823 METHYLATION RIGHT HERE. 1235 00:47:54,823 --> 00:47:56,257 SO THAT'S AN ONGOING PROJECT. 1236 00:47:56,257 --> 00:47:58,126 I THINK I BRIEFLY SHOWED THIS, 1237 00:47:58,126 --> 00:48:00,629 WE HAD USED THESE MICE BEFORE 1238 00:48:00,629 --> 00:48:03,965 BECAUSE YOU KNOW WE HAD FOUND 1239 00:48:03,965 --> 00:48:07,836 THIS MECHANISM, THAT IDH MUTANT 1240 00:48:07,836 --> 00:48:09,437 MDS, AML IS ACTUALLY SENSITIVE 1241 00:48:09,437 --> 00:48:12,374 TO P A RP INHIBITION BECAUSE OF 1242 00:48:12,374 --> 00:48:14,909 A DNA REDETECTED AND THESE MICE 1243 00:48:14,909 --> 00:48:22,951 WERE INGRAFTED AND MDS AML AND 1244 00:48:22,951 --> 00:48:25,053 THEN THEY ARE--WE ACTUALLY 1245 00:48:25,053 --> 00:48:25,654 PERFORMED BONE MARROW 1246 00:48:25,654 --> 00:48:26,921 ASSPIRITUAL STRUGGLESSATIONS 1247 00:48:26,921 --> 00:48:28,223 BEFORE TREATMENT AND SACRIFICE 1248 00:48:28,223 --> 00:48:30,425 MICE AFTER TREATMENT AND THIS IS 1249 00:48:30,425 --> 00:48:33,128 SHOWING IN THESE 2 PATIENTS, 1250 00:48:33,128 --> 00:48:37,198 RIGHT, IN THE SPECIFIC MUTANT 1251 00:48:37,198 --> 00:48:41,836 IDH INHIBITOR, OR THE LAB WORKS 1252 00:48:41,836 --> 00:48:43,471 REALLY WELL, AND THEN THIS IS A 1253 00:48:43,471 --> 00:48:47,776 PATIENT NOW WHO HAD SECONDARY 1254 00:48:47,776 --> 00:48:52,047 AML, AND WHEN ON TREATMENT WITH 1255 00:48:52,047 --> 00:48:53,548 AZATINIB FOR A WREER AND THEP 1256 00:48:53,548 --> 00:48:54,749 PROGRESSED TO AAMERICA L, AND 1257 00:48:54,749 --> 00:49:00,989 THEN WAS NO LONGER SENSITIVE TO 1258 00:49:00,989 --> 00:49:03,091 AZACITINETWORK IB, BUT WAS 1259 00:49:03,091 --> 00:49:03,892 SENSITIVE TO [INDISCERNIBLE]. 1260 00:49:03,892 --> 00:49:06,294 AND THEN WENT TO TO A SMALL 1261 00:49:06,294 --> 00:49:07,495 TRIAL, AND THIS IS A WAKE UP 1262 00:49:07,495 --> 00:49:09,130 CALL THAT WE CAN DO A LOT OF 1263 00:49:09,130 --> 00:49:10,131 THINGS IN THESE MODELS IN 1264 00:49:10,131 --> 00:49:12,233 INVITRO IN THE PATIENT, GIVING 1265 00:49:12,233 --> 00:49:13,401 PATIENTS PREP WHEN THEY HAVE 1266 00:49:13,401 --> 00:49:15,470 AMERICA DS, IT LOOKED VERY 1267 00:49:15,470 --> 00:49:19,340 DIFFERENT AND I WOULD SAY, IT 1268 00:49:19,340 --> 00:49:20,175 PROBABLY DOESN'T WORK AND WE 1269 00:49:20,175 --> 00:49:22,477 HAVE A LOT MORE WORK TO DO TO 1270 00:49:22,477 --> 00:49:27,882 FIGURE OUT CAN 1 FOR EXAMPLE 1271 00:49:27,882 --> 00:49:28,850 INTRODUCE THESE TREATMENTS FOR 1272 00:49:28,850 --> 00:49:32,954 THESE PATIENTS OR MAYBE NOT, 1273 00:49:32,954 --> 00:49:34,222 BECAUSE MDS, CYTOPENIC IS NOT A 1274 00:49:34,222 --> 00:49:35,423 GOOD RUG TO USE. 1275 00:49:35,423 --> 00:49:37,292 BUT WE'RE REALLY POISED TO USE 1276 00:49:37,292 --> 00:49:39,527 THESE MODELS, USE OUR ADVANCES 1277 00:49:39,527 --> 00:49:40,729 IN UNDERSTANDING MUTATIONS TO 1278 00:49:40,729 --> 00:49:41,663 HOPEFULLY GET SOME TREATMENT TO 1279 00:49:41,663 --> 00:49:43,932 PATIENTS AND EVEN IF WE ONLY, 1280 00:49:43,932 --> 00:49:45,900 YOU KNOW CONTRIBUTE SOME STONES 1281 00:49:45,900 --> 00:49:48,103 TO THAT BIG MOSAIC WITH THE 1282 00:49:48,103 --> 00:49:49,304 RESEARCH COMMUNITY, IT'S A VERY 1283 00:49:49,304 --> 00:49:51,606 EXCITING THING TO DO. 1284 00:49:51,606 --> 00:49:54,242 AND AGAIN, SO THIS WORK IS DONE 1285 00:49:54,242 --> 00:49:57,178 BY ABSOLUTELY AMAZING PEOPLE IN 1286 00:49:57,178 --> 00:49:57,912 MY LAB. 1287 00:49:57,912 --> 00:49:59,714 FORMER MEMBERS OF THE LAB AND 1288 00:49:59,714 --> 00:50:02,083 COLLABORATORS REALLY ALL OVER 1289 00:50:02,083 --> 00:50:07,956 THE WORLD AND OBVIOUSLY AMAZING 1290 00:50:07,956 --> 00:50:09,924 FUNDING, FUNDING SOURCES AND 1291 00:50:09,924 --> 00:50:11,326 THEN, IT'S ALWAYS IMPORTANT TO 1292 00:50:11,326 --> 00:50:13,995 HAVE FUN IN THE LAB, THIS IS 1293 00:50:13,995 --> 00:50:15,163 [INDISCERNIBLE] PROSENTING A 1294 00:50:15,163 --> 00:50:16,998 POSTER AT THE MOILOID MEETING 1295 00:50:16,998 --> 00:50:21,603 THIS IS HANNAH [INDISCERNIBLE] 1296 00:50:21,603 --> 00:50:22,804 AND JULIA, AND THE 1297 00:50:22,804 --> 00:50:26,074 [INDISCERNIBLE] MEETING THIS WAS 1298 00:50:26,074 --> 00:50:28,376 A DESSERT HE DESIGNED FOR THE 1299 00:50:28,376 --> 00:50:29,911 MEETING AND I CAN'T TELL YOU HOW 1300 00:50:29,911 --> 00:50:32,113 IT TASTED, I DIDN'T GET TO HAVE 1301 00:50:32,113 --> 00:50:34,983 IT, AND NEW HAVEN HAS GOOD PIZZA 1302 00:50:34,983 --> 00:50:45,527 AND SO THANK YOU FOR BEING HERE 1303 00:50:50,732 --> 00:50:50,865 TODAY. 1304 00:50:50,865 --> 00:50:52,000 [ APPLAUSE ] 1305 00:50:52,000 --> 00:50:53,201 >> OKAY, THAT WAS GREAT. 1306 00:50:53,201 --> 00:50:54,702 THE MOUSE MODEL WAS REALLY 1307 00:50:54,702 --> 00:50:56,905 EXCITING, I HAVE A QUESTION 1308 00:50:56,905 --> 00:50:58,439 ABOUT THE SPLICING FACTOR 1309 00:50:58,439 --> 00:50:58,706 MUTATIONS. 1310 00:50:58,706 --> 00:51:00,308 I THINK WHAT'S STRIKING TO ME IS 1311 00:51:00,308 --> 00:51:02,343 THE FACT THAT THERAPY AND 1312 00:51:02,343 --> 00:51:05,280 HETEROZYGOTE AND YET, THE MUTANT 1313 00:51:05,280 --> 00:51:07,715 PROTEIN HAS AN OUTSIZED ROLE, OR 1314 00:51:07,715 --> 00:51:08,116 OUTSIZED FUNCTION. 1315 00:51:08,116 --> 00:51:10,885 DO YOU THINK THAT THAT'S 1316 00:51:10,885 --> 00:51:12,287 BECAUSE--THESE PROTEINS TEND TO 1317 00:51:12,287 --> 00:51:14,022 BE HIGHLY EXPRESSED, DO YOU 1318 00:51:14,022 --> 00:51:16,524 THINK IT'S BECAUSE OF A FUNCTION 1319 00:51:16,524 --> 00:51:19,194 OF A MUTANT PROINE, OR LESS 1320 00:51:19,194 --> 00:51:20,795 WILD-TYPE PROTEIN HAS BEEN MADE. 1321 00:51:20,795 --> 00:51:23,364 HAVE YOU OR ANYBODILE CHECKED IF 1322 00:51:23,364 --> 00:51:25,466 YOU INHIBIT THE MUTANT PROTEIN 1323 00:51:25,466 --> 00:51:30,038 DO YOU GET A RESTORATION OF 1324 00:51:30,038 --> 00:51:31,506 FUNCTION? 1325 00:51:31,506 --> 00:51:34,776 >> OKAY, SO MICE THAT ARE 1326 00:51:34,776 --> 00:51:35,910 HETEROZYGOUS FOR SHE'S SPLICING 1327 00:51:35,910 --> 00:51:36,878 FACTORS ARE DOING PRETTY WELL, 1328 00:51:36,878 --> 00:51:38,513 SO THEY DON'T HAVE MUCH OF A 1329 00:51:38,513 --> 00:51:44,185 PHENOTYPE SO I THINK THAT'S 1 1330 00:51:44,185 --> 00:51:44,419 ASPECT. 1331 00:51:44,419 --> 00:51:49,157 YOU KNOW 1 OF THE REASONS WE 1332 00:51:49,157 --> 00:51:51,025 WERE EXCITED THAT MUTANT 1 1333 00:51:51,025 --> 00:51:54,128 ACTUALLY BINDS THE RNA IS MAYBE 1334 00:51:54,128 --> 00:51:55,196 NOW AND DIFFERENTLY MAYBE NOW 1335 00:51:55,196 --> 00:51:58,700 THERE'S SOMETHING YOU COULD 1336 00:51:58,700 --> 00:51:58,967 INHIBIT,. 1337 00:51:58,967 --> 00:52:00,735 >> WITH THE DRUG DEVELOPERS, I 1338 00:52:00,735 --> 00:52:01,736 WOULDN'T KNOW WHERE TO START TO 1339 00:52:01,736 --> 00:52:04,973 TRY TO DO THAT. 1340 00:52:04,973 --> 00:52:07,375 BUT I THINK, SO, IN THE CELL 1341 00:52:07,375 --> 00:52:12,313 LINES YOU KNOW WE EXOGLY EXPRESS 1342 00:52:12,313 --> 00:52:13,982 THESE PROTEINS, AND IT'S AULENTY 1343 00:52:13,982 --> 00:52:16,084 VIRAL VECTOR SO WE TRY TO 1344 00:52:16,084 --> 00:52:17,452 TRANSDUCE THESE CELLS AND IT WAS 1345 00:52:17,452 --> 00:52:21,289 1 SO WE GET 1 INTERNATIONAL 1346 00:52:21,289 --> 00:52:22,891 CLASSIFICATION GRAIN BUT THEN 1347 00:52:22,891 --> 00:52:25,860 IT'S STILL AULENTY VIRAL LTR AND 1348 00:52:25,860 --> 00:52:28,496 SO FOR THE SFR2, THERE'S RNA, 1349 00:52:28,496 --> 00:52:31,132 THERE'S LOTS OF MUSEUM TABT SSF2 1350 00:52:31,132 --> 00:52:33,001 BUT AT THE PROTEIN LEVEL THERE 1351 00:52:33,001 --> 00:52:35,036 ISN'T THAT MUCH MORE. 1352 00:52:35,036 --> 00:52:37,272 I THINK THE MOST WE GET 1353 00:52:37,272 --> 00:52:39,674 OVEREXPRESSED AT THE PROTEIN 1354 00:52:39,674 --> 00:52:43,344 LEVEL IS 1.5 X OR SO, SO I THINK 1355 00:52:43,344 --> 00:52:45,213 THERE'S A VERY, VERY TIGHT 1356 00:52:45,213 --> 00:52:47,682 REGULATION OF STILL SPLICING 1357 00:52:47,682 --> 00:52:49,384 FACTOR STOICHIOMETRY, AND 1358 00:52:49,384 --> 00:52:52,120 SO,--SO I THINK IT'S A GAME, I 1359 00:52:52,120 --> 00:52:56,891 THINK IT'S A GAIN OF FUNCTION 1360 00:52:56,891 --> 00:52:57,825 AND NOT NECESSARILY--BUT IT 1361 00:52:57,825 --> 00:53:00,194 COULD ALSO BE A COMBINATION. 1362 00:53:00,194 --> 00:53:01,796 >> SO HAS ANYONE TRIED TO 1363 00:53:01,796 --> 00:53:03,865 OVEREXPRESS THE WILD-TYPE 1364 00:53:03,865 --> 00:53:04,098 PROTEIN? 1365 00:53:04,098 --> 00:53:09,504 >> SO ALL OUR WORK IN CELL LINES 1366 00:53:09,504 --> 00:53:11,739 WE OVEREXPRESS WILD-TYPE MUTANT 1367 00:53:11,739 --> 00:53:13,708 SEPARATELY, WE HAVE NOT DONE 1368 00:53:13,708 --> 00:53:21,115 THAT TOGETHER. 1369 00:53:21,115 --> 00:53:21,716 >> OKAY, THANKS. 1370 00:53:21,716 --> 00:53:23,384 >> HAY, THANK YOU SO MUCH, THAT 1371 00:53:23,384 --> 00:53:24,385 WAS FASCINATING. 1372 00:53:24,385 --> 00:53:26,054 I HAVE A QUESTION ABOUT STRESS 1373 00:53:26,054 --> 00:53:28,489 GRANULES, SO WHEN YOU PULL DOWN 1374 00:53:28,489 --> 00:53:30,692 STRESS GRANULES AND WHICH RNAs 1375 00:53:30,692 --> 00:53:32,026 WERE UPOR COUNSEL REGULATED AND 1376 00:53:32,026 --> 00:53:34,696 I WONDERED IF YOU LOOK TO SEE A 1377 00:53:34,696 --> 00:53:35,863 CORRELATION FOR STRESS GRANULES 1378 00:53:35,863 --> 00:53:37,665 THAT WERE DOWN REGULATED IF THEY 1379 00:53:37,665 --> 00:53:39,600 WERE DISPLACED DRCH LITE AND 1380 00:53:39,600 --> 00:53:41,269 BECAME SHORTER SINCE THE LEPGHT 1381 00:53:41,269 --> 00:53:43,471 OF RNAs TEND TO CORRELATE HOW 1382 00:53:43,471 --> 00:53:44,973 ENRICHED OR NOT ENRICHED THEY 1383 00:53:44,973 --> 00:53:47,041 ARE IN THE STRESS GRANULES. 1384 00:53:47,041 --> 00:53:49,143 NYEAH, THAT'S WHATEE JULIA'S 1385 00:53:49,143 --> 00:53:51,012 LOOKING AT NOW SHE WAS JUST AT 1386 00:53:51,012 --> 00:53:52,981 THE RNA SOCIETY MEETING THAT'S 1387 00:53:52,981 --> 00:53:54,415 WHAT SHE CRANKED THIS DATA FOR, 1388 00:53:54,415 --> 00:53:55,950 I'VE SEEN IT LIKE 5 MINUTES SO 1389 00:53:55,950 --> 00:53:57,618 WE DON'T HAVE THAT YET, BUT 1390 00:53:57,618 --> 00:53:59,520 YEAH, YEAH, YOU'RE RIGHT, SO 1391 00:53:59,520 --> 00:54:00,355 THAT'S FIRST YOU WILL HAVE TO 1392 00:54:00,355 --> 00:54:01,990 LOOK AT AND YOU KNOW IT'S A 1393 00:54:01,990 --> 00:54:03,624 LITTLE BIT SCARY BECAUSE WE MAY 1394 00:54:03,624 --> 00:54:07,362 OR MAY NOT FIND SOMETHING. 1395 00:54:07,362 --> 00:54:13,534 >> THANK YOU. 1396 00:54:13,534 --> 00:54:14,836 >> REALLY GOOD QUESTION. 1397 00:54:14,836 --> 00:54:15,937 >> GREAT TALK. 1398 00:54:15,937 --> 00:54:21,409 SO IT'S EXCITING TO SEE THIS IS 1399 00:54:21,409 --> 00:54:22,043 [INDISCERNIBLE] STRESS GRANULES 1400 00:54:22,043 --> 00:54:28,082 AND SO, WHEN YOU LOOK AT THE 1401 00:54:28,082 --> 00:54:30,218 OVERLAP AFFECTED VENTS BETWEEN 1402 00:54:30,218 --> 00:54:30,885 [INDISCERNIBLE] MUTATIONS, THIS 1403 00:54:30,885 --> 00:54:33,021 IS GOING ON THIS WAY THINKING 1404 00:54:33,021 --> 00:54:34,389 INDEPENDENTLY, THIS MUTATIONS 1405 00:54:34,389 --> 00:54:36,457 MAY AFFECT DIFFERENT 1406 00:54:36,457 --> 00:54:37,725 TRANSCRIPTS,. 1407 00:54:37,725 --> 00:54:39,961 >> YEAH, YEAH, GOOD QUESTION. 1408 00:54:39,961 --> 00:54:44,165 SO WE HAVEN'T ANALYZED PATIENT 1409 00:54:44,165 --> 00:54:46,667 DATA SETS BASED ON THAT. 1410 00:54:46,667 --> 00:54:49,570 YOU KNOW IN OUR--IF I REMEMBER 1411 00:54:49,570 --> 00:54:51,873 CORRECTLY IN OUR--BECAUSE OUR 1412 00:54:51,873 --> 00:54:54,175 SRF2 KIND OF LIKE SPLICING 1413 00:54:54,175 --> 00:54:56,744 ANALYSIS DATA WAS A WHILE AGO, 1414 00:54:56,744 --> 00:54:59,013 THERE WEREN'T ACTUALLY A TON OF 1415 00:54:59,013 --> 00:55:01,783 EVENTS SO I THINK NOW, THAT'S 1416 00:55:01,783 --> 00:55:04,118 WHAT JULIA WILL HAVE TO DO IS 1417 00:55:04,118 --> 00:55:06,988 REALLY, SO WE ACTUALLY BACK THEN 1418 00:55:06,988 --> 00:55:08,623 WE PUBLISHED SRF 2 TO 1419 00:55:08,623 --> 00:55:10,091 [INDISCERNIBLE] CLIP AND THAT'S 1420 00:55:10,091 --> 00:55:13,895 NOT SUCH A GREAT TECHNIQUE SO WE 1421 00:55:13,895 --> 00:55:15,296 ACTUALLY HAVE SSF2 ECLIP DATA 1422 00:55:15,296 --> 00:55:16,964 FROM LIKE 4 YEARS AGO THAT WE 1423 00:55:16,964 --> 00:55:18,833 HAVEN'T ANALYZED WHICH IS 1424 00:55:18,833 --> 00:55:24,338 EMBARRASSING BUT NOW WE'RE DOING 1425 00:55:24,338 --> 00:55:24,572 THAT. 1426 00:55:24,572 --> 00:55:26,207 I CAN'T AT ALL, BUT I THINK IT 1427 00:55:26,207 --> 00:55:27,775 WILL BE A REALLY INTERESTING. 1428 00:55:27,775 --> 00:55:30,011 SO THIS--YOU KNOW THE STRESS 1429 00:55:30,011 --> 00:55:31,179 GRANULES SIGNATURE, RIGHT, SHE'S 1430 00:55:31,179 --> 00:55:32,647 TAKING, SHE TOOK ALL THESE DATA 1431 00:55:32,647 --> 00:55:34,382 SETS, AND I THINK SHE'S PUTTING 1432 00:55:34,382 --> 00:55:35,683 THAT TOGETHER AS A LITTLE THING 1433 00:55:35,683 --> 00:55:38,553 FOR THE RNA SOCIETY, RIGHT, SO 1434 00:55:38,553 --> 00:55:39,587 YOU PULLED OUT ALL THE OTHER 1435 00:55:39,587 --> 00:55:41,022 REFRESH YOUR RECOLLECTION NAs 1436 00:55:41,022 --> 00:55:43,658 AND PROTEINS THAT HAVE BEEN 1437 00:55:43,658 --> 00:55:47,728 ISOLATED AND STRESS GRANULES, BY 1438 00:55:47,728 --> 00:55:49,864 VARIOUS GROUPS AND A LOT OF THAT 1439 00:55:49,864 --> 00:55:51,466 FOR EXAMPLE, I THINK LIKE 1440 00:55:51,466 --> 00:55:52,767 [INDISCERNIBLE] AND 2 AND 3 1441 00:55:52,767 --> 00:55:56,003 CELLS SO THERE'S STILL MORE THAT 1442 00:55:56,003 --> 00:55:57,271 CAN BE DONE. 1443 00:55:57,271 --> 00:55:58,239 HER STRESS GRANULE SIGNATURE, 1444 00:55:58,239 --> 00:56:01,242 SHE HAS TO NOW LOOK AT THAT 1445 00:56:01,242 --> 00:56:02,610 SPECIFICALLY FOR SSRF 2, BECAUSE 1446 00:56:02,610 --> 00:56:04,946 A LOT IS TILL INFLUENCED BY HER 1447 00:56:04,946 --> 00:56:06,581 DATA JUST BECAUSE SHE DOESN'T 1448 00:56:06,581 --> 00:56:09,417 HAVE THE BINDING, SPLICING, 1449 00:56:09,417 --> 00:56:09,617 YEAH. 1450 00:56:09,617 --> 00:56:10,284 YEAH, I DON'T KNOW. 1451 00:56:10,284 --> 00:56:11,986 I THINK IT WOULD BE NICE IF 1452 00:56:11,986 --> 00:56:14,422 THERE WERE A COMMON MECHANISM, 1453 00:56:14,422 --> 00:56:15,823 BECAUSE IT'S INTERESTING, RIGHT 1454 00:56:15,823 --> 00:56:19,760 BECAUSE WE HAVE PAPERS 1455 00:56:19,760 --> 00:56:22,530 SUGGESTING THAT SSF2 UGF 1 FOR 1456 00:56:22,530 --> 00:56:24,932 EXAMPLE, ALSO RESIDE IN MORE 1457 00:56:24,932 --> 00:56:29,003 R-LOOPS, BUT EVEN THE MUTATIONS 1458 00:56:29,003 --> 00:56:29,804 FOR [INDISCERNIBLE], THEY'RE NOT 1459 00:56:29,804 --> 00:56:33,708 THE SAME, THEY CURVE, THEY HAVE 1460 00:56:33,708 --> 00:56:34,909 DIFFERENT PHENOTYPES, THEY DO 1461 00:56:34,909 --> 00:56:36,544 DIFFERENT THINGS, SO WHAT'S 1462 00:56:36,544 --> 00:56:37,345 COMMON BETWEEN THOSE 2? 1463 00:56:37,345 --> 00:56:43,584 I DON'T THINK WE KNOW. 1464 00:56:43,584 --> 00:56:47,088 >> THANKS. 1465 00:56:47,088 --> 00:56:49,757 >> ANY OTHER QUESTIONS? 1466 00:56:49,757 --> 00:56:50,124 ANYBODY ONLINE? 1467 00:56:50,124 --> 00:56:53,427 I HAVE NO IDEA HOW THIS WORKS. 1468 00:56:53,427 --> 00:56:55,763 OKAY, SO, IF THERE ARE NO 1469 00:56:55,763 --> 00:56:57,265 FURTHER QUESTIONS, LET'S THANK 1470 00:56:57,265 --> 00:56:59,634 STEPHANIE FOR A GREAT 1471 00:56:59,634 --> 00:56:59,967 PRESENTATION. 1472 00:56:59,967 --> 00:57:10,178 [ APPLAUSE ]