0:00:17.135,0:00:18.354 What if I told you 0:00:19.514,0:00:24.432 I could read your DNA, your genetic[br]makeup, your "Book of Life?" 0:00:25.742,0:00:27.033 Are you interested? 0:00:28.233,0:00:31.104 I can give you a vast amount[br]of information about yourself 0:00:31.104,0:00:34.643 that will help you live longer[br]and better lives. 0:00:34.673,0:00:36.163 Isn't that wonderful? 0:00:36.843,0:00:38.043 Do you want to? 0:00:38.273,0:00:39.674 You don't want to? 0:00:40.004,0:00:41.284 You are not sure? 0:00:41.724,0:00:43.473 Well, you're probably right. 0:00:44.253,0:00:45.323 It's complex. 0:00:46.143,0:00:47.143 Let me explain. 0:00:48.493,0:00:49.673 We are reaching a time[br] 0:00:49.673,0:00:54.794 when more and more people will have[br]easy access to their DNA. 0:00:55.724,0:00:57.503 Just about 15 years ago, 0:00:57.503,0:01:01.804 it cost the equivalent[br]of four jumbo jet airplanes 0:01:02.424,0:01:06.743 to read the sequence of one human DNA[br]from beginning to end. 0:01:07.023,0:01:11.084 Today, it costs around[br]a bicycle to read the DNA. 0:01:11.374,0:01:13.764 And it takes about the time[br]to read your DNA 0:01:14.254,0:01:19.575 the same time it'll take you to ride[br]your bicycle from home to work and back. 0:01:20.765,0:01:22.084 Before you know it, 0:01:22.884,0:01:25.395 it's going to cost like a cup of coffee, 0:01:25.785,0:01:28.475 and it'll take the time to read your DNA 0:01:29.185,0:01:31.684 the same time it'll take you[br]to drink the coffee. 0:01:31.874,0:01:33.195 Isn't that amazing? 0:01:33.985,0:01:38.126 We are reaching a time[br]which we call "DNA of Everything." 0:01:38.526,0:01:41.855 We will be able to read the DNA[br]of everything around us. 0:01:42.515,0:01:46.585 This is a new layer of information[br]we have never seen before. 0:01:48.565,0:01:52.945 For example, you'll be able to read[br]the food you're eating 0:01:53.285,0:01:57.476 in order to understand what it contains[br]and what it's composed of. 0:01:57.776,0:02:00.825 I could read your DNA and figure out 0:02:01.065,0:02:04.027 what you contain[br]and what you're composed of. 0:02:04.717,0:02:08.436 You could use that to minimize[br]injuries and diseases. 0:02:08.986,0:02:13.835 For example, imagine you want[br]to run a marathon, 0:02:14.535,0:02:17.026 and besides the physiological test, 0:02:17.026,0:02:21.925 what if I told you that I could look[br]at your genes and tell you 0:02:21.925,0:02:25.096 whether your body can stand up[br]to this extreme stress? 0:02:25.356,0:02:26.946 Wouldn't you want to know that? 0:02:26.946,0:02:29.326 You can then take preventative measures, 0:02:29.336,0:02:31.227 start treatment, 0:02:31.227,0:02:35.976 or look at your genes and decide whether[br]you want to understand them or not. 0:02:35.976,0:02:37.586 You can change your lifestyle.[br] 0:02:37.586,0:02:39.586 You can change the way you live 0:02:39.596,0:02:42.955 in order to minimize the risks[br]for these diseases. 0:02:44.485,0:02:49.028 Not only healthy individuals can benefit[br]from reading their DNA, 0:02:49.818,0:02:55.626 reading your DNA can also assist[br]in solving complex medical puzzles. 0:02:56.936,0:02:58.147 A few years ago, 0:02:59.507,0:03:03.947 Nicholas Volker from Wisconsin suffered[br]from an inflamed intestine. 0:03:04.907,0:03:11.556 He underwent more than 150 operations[br]in the first four years of his life. 0:03:13.046,0:03:16.836 His doctors didn't know what[br]the cause of his sufferings is, 0:03:17.146,0:03:21.398 but they decided that they wanted[br]to test a new technology, 0:03:21.398,0:03:22.868 an unproven technology. 0:03:23.338,0:03:26.597 This technology is DNA sequencing. 0:03:26.887,0:03:31.477 They were able to locate[br]the exact mutation on his DNA, 0:03:31.717,0:03:35.369 the change of his DNA[br]that probably explained 0:03:35.589,0:03:38.618 much of his suffering[br]and his medical condition. 0:03:39.438,0:03:45.328 And it also dictated a treatment:[br]bone marrow transplantation. 0:03:45.818,0:03:50.187 A few weeks later,[br]Nic was out of the hospital. 0:03:52.257,0:03:56.929 It was certain that DNA[br]sequencing saved Nic's life 0:03:58.579,0:04:01.193 At Tel Aviv University,[br]the team that I lead, 0:04:01.193,0:04:03.449 the genomic intelligence team, 0:04:03.449,0:04:07.658 has been reading and sequencing hundreds[br]of individuals in the past few years. 0:04:08.078,0:04:11.657 We scanned their DNA and we tried[br]to look for their change, 0:04:11.657,0:04:15.579 the mutation that leads to many[br]of their severe conditions. 0:04:15.579,0:04:18.057 They come to us with their physicians, 0:04:18.377,0:04:20.028 and we look at their DNA, 0:04:20.338,0:04:24.917 and we identify their exact mutation[br]that leads to their medical condition. 0:04:24.917,0:04:27.840 We were able to find many[br]of these novel mutations, 0:04:27.840,0:04:32.279 new mutations that explain[br]much of their suffering. 0:04:32.279,0:04:36.988 This is the first critical step in[br]understanding what leads to their disease. 0:04:37.048,0:04:41.568 And it's also a critical step in trying[br]to alleviate their suffering. 0:04:41.598,0:04:45.918 Some of them also lead to cure[br]or treatment for these patients. 0:04:47.038,0:04:50.630 So, reading your DNA is wonderful. 0:04:51.190,0:04:52.110 It's terrific. 0:04:52.340,0:04:54.429 We should all read our DNA. 0:04:54.619,0:04:57.238 OK, who's coming up first? 0:05:02.738,0:05:08.220 Many people asked me[br]if I have read my own DNA. 0:05:08.970,0:05:11.368 And the truth is ... No. 0:05:12.038,0:05:13.089 I haven't. 0:05:13.929,0:05:14.869 Why? 0:05:15.939,0:05:17.159 It's complex. 0:05:19.609,0:05:22.119 I have a game I play with my children. 0:05:22.579,0:05:26.101 We look up at the sky,[br]and we point at one of the clouds, 0:05:26.861,0:05:32.391 and then we try to figure out[br]what form the cloud takes. 0:05:32.391,0:05:35.229 Sometimes we see familiar faces; 0:05:35.239,0:05:38.968 other times we see dragons or princesses. 0:05:38.968,0:05:43.184 However, very rarely,[br]we see the same image 0:05:43.184,0:05:46.004 even if we look at the same cloud. 0:05:47.910,0:05:52.751 When I go back to the lab,[br]and I look at genetic information, 0:05:53.771,0:05:57.071 sometimes I feel like I'm playing[br]the same guessing game 0:05:57.071,0:05:58.990 I just played with my children. 0:05:58.990,0:06:01.120 Sometimes, it looks like a dragon, 0:06:01.120,0:06:03.422 and other times, it looks like a princess. 0:06:03.422,0:06:05.631 It doesn't have a definite structure. 0:06:05.731,0:06:08.950 What I mean is that even if[br]I find the mutation, 0:06:09.580,0:06:13.151 I can't always say if it's good or bad. 0:06:13.151,0:06:15.659 The answer is not straightforward, 0:06:16.249,0:06:21.471 and sometimes it leads to confusion[br]and to greater uncertainty. 0:06:22.981,0:06:26.681 Let's say, you came to me,[br]and you wanted to look at your genes. 0:06:26.681,0:06:30.211 We are looking at the genomic cloud, 0:06:30.211,0:06:32.762 and we are trying to define this cloud. 0:06:32.792,0:06:35.911 If I look at your DNA,[br]while scanning for genes to see 0:06:35.911,0:06:40.080 whether your body can stand up[br]to the extreme stress, 0:06:40.170,0:06:44.061 maybe I can also see genes 0:06:44.061,0:06:47.541 that are involved[br]in early cancer development, 0:06:47.541,0:06:49.502 or Alzheimer's disease, 0:06:49.792,0:06:51.851 or Parkinson's disease. 0:06:51.901,0:06:54.073 Now, would you want to know that? 0:06:55.213,0:07:00.252 The most challenging concern[br]when reading your DNA 0:07:00.752,0:07:04.860 is once you read it, you can't go back. 0:07:06.230,0:07:08.452 You can't erase this information. 0:07:08.892,0:07:10.912 You can't unlearn. 0:07:12.742,0:07:14.212 That's scary. 0:07:14.552,0:07:17.873 What if this information[br]would get out there? 0:07:18.423,0:07:20.708 It could be used against you. 0:07:21.738,0:07:26.241 12 year-old Colman was expelled[br]from school in Palo Alto, California 0:07:26.241,0:07:32.075 because he carried a mutation[br]that increased his risk for infections 0:07:32.075,0:07:35.283 that jeopardized other children at school. 0:07:35.283,0:07:37.022 He wasn't even sick. 0:07:37.022,0:07:39.854 He was just carrying the mutation. 0:07:42.244,0:07:46.373 Would we want to start[br]testing our politicians to see 0:07:46.373,0:07:51.473 whether they'll suffer from a devastating[br]disease during their service period - 0:07:51.473,0:07:54.243 you know, it might affect[br]their decision making. 0:07:55.113,0:07:58.733 Will we start selecting[br]our lifetime partners based on DNA, 0:07:58.733,0:08:02.224 and checking their loyalty in the DNA[br]before we get married? 0:08:02.784,0:08:06.824 And after we get married,[br]what about the next generation? 0:08:06.834,0:08:09.383 We all want perfect babies. 0:08:10.473,0:08:13.764 What if the parents[br]of this child were told[br] 0:08:13.764,0:08:18.474 that their child will eventually[br]suffer from ALS? 0:08:20.894,0:08:24.153 Or this child - if his parents were told[br] 0:08:24.153,0:08:26.813 that he will suffer[br]from severe hearing loss? 0:08:27.633,0:08:30.073 Or what about this sweet child - 0:08:30.703,0:08:35.754 if his parents were told[br]that at the age of 60 0:08:36.244,0:08:40.124 he will suffer from[br]Parkinson-like symptoms? 0:08:40.124,0:08:42.155 What would they have done? 0:08:42.815,0:08:47.585 What would the world look like[br]without these and many other children? 0:08:47.595,0:08:52.255 Will we shape our society[br]based on DNA sequencing? 0:08:52.695,0:08:54.376 It has already begun. 0:08:55.076,0:08:59.225 Abortions are on the rise[br]in the past few years 0:08:59.225,0:09:03.215 in parallel to advance[br]in DNA sequencing technologies. 0:09:04.965,0:09:08.955 Maybe - maybe if we gradually[br]look at the DNA, 0:09:08.965,0:09:10.336 and not all at once, 0:09:10.336,0:09:13.756 it would be easier[br]to digest this information. 0:09:14.196,0:09:17.414 In the lab, we call it[br]responsible genomics: 0:09:17.414,0:09:23.625 meaning giving the right person[br]the needed information at the right time, 0:09:23.625,0:09:26.015 whether it be prenatal diagnosis, 0:09:26.035,0:09:28.695 or predisposition to diabetes, 0:09:28.695,0:09:31.447 or cardiovascular complication. 0:09:32.337,0:09:35.606 We are scanning the DNA[br]and dividing it to discreet units, 0:09:35.606,0:09:39.185 and evaluating the private parts[br]and the open parts. 0:09:39.505,0:09:44.935 We are evaluating the risks versus[br]the benefits of exposing your DNA. 0:09:45.195,0:09:49.887 We are ranking it, so people[br]can accept their DNA more readily. 0:09:52.987,0:09:55.926 After we address these concerns,[br] 0:09:56.936,0:10:01.086 I think I will be ready to read my DNA. 0:10:02.346,0:10:06.587 Reading your DNA gives you[br]great knowledge about yourself. 0:10:07.377,0:10:09.556 Knowledge leads to power. 0:10:10.056,0:10:15.257 And we all know that with great power[br]comes great responsibility. 0:10:17.257,0:10:20.917 It will not take long before[br]someone knocks on your door 0:10:20.917,0:10:24.767 and asks you whether you want[br]to read your DNA. 0:10:26.097,0:10:27.806 What will you say? 0:10:29.176,0:10:30.358 Thank you. 0:10:30.358,0:10:32.526 (Applause)