1 00:00:17,135 --> 00:00:18,354 What if I told you 2 00:00:19,514 --> 00:00:24,432 I could read your DNA, your genetic makeup, your "Book of Life?" 3 00:00:25,742 --> 00:00:27,033 Are you interested? 4 00:00:28,233 --> 00:00:31,104 I can give you a vast amount of information about yourself 5 00:00:31,104 --> 00:00:34,643 that will help you live longer and better lives. 6 00:00:34,673 --> 00:00:36,163 Isn't that wonderful? 7 00:00:36,843 --> 00:00:38,043 Do you want to? 8 00:00:38,273 --> 00:00:39,674 You don't want to? 9 00:00:40,004 --> 00:00:41,284 You are not sure? 10 00:00:41,724 --> 00:00:43,473 Well, you're probably right. 11 00:00:44,253 --> 00:00:45,323 It's complex. 12 00:00:46,143 --> 00:00:47,143 Let me explain. 13 00:00:48,493 --> 00:00:49,673 We are reaching a time 14 00:00:49,673 --> 00:00:54,794 when more and more people will have easy access to their DNA. 15 00:00:55,724 --> 00:00:57,503 Just about 15 years ago, 16 00:00:57,503 --> 00:01:01,804 it cost the equivalent of four jumbo jet airplanes 17 00:01:02,424 --> 00:01:06,743 to read the sequence of one human DNA from beginning to end. 18 00:01:07,023 --> 00:01:11,084 Today, it costs around a bicycle to read the DNA. 19 00:01:11,374 --> 00:01:13,764 And it takes about the time to read your DNA 20 00:01:14,254 --> 00:01:19,575 the same time it'll take you to ride your bicycle from home to work and back. 21 00:01:20,765 --> 00:01:22,084 Before you know it, 22 00:01:22,884 --> 00:01:25,395 it's going to cost like a cup of coffee, 23 00:01:25,785 --> 00:01:28,475 and it'll take the time to read your DNA 24 00:01:29,185 --> 00:01:31,684 the same time it'll take you to drink the coffee. 25 00:01:31,874 --> 00:01:33,195 Isn't that amazing? 26 00:01:33,985 --> 00:01:38,126 We are reaching a time which we call "DNA of Everything." 27 00:01:38,526 --> 00:01:41,855 We will be able to read the DNA of everything around us. 28 00:01:42,515 --> 00:01:46,585 This is a new layer of information we have never seen before. 29 00:01:48,565 --> 00:01:52,945 For example, you'll be able to read the food you're eating 30 00:01:53,285 --> 00:01:57,476 in order to understand what it contains and what it's composed of. 31 00:01:57,776 --> 00:02:00,825 I could read your DNA and figure out 32 00:02:01,065 --> 00:02:04,027 what you contain and what you're composed of. 33 00:02:04,717 --> 00:02:08,436 You could use that to minimize injuries and diseases. 34 00:02:08,986 --> 00:02:13,835 For example, imagine you want to run a marathon, 35 00:02:14,535 --> 00:02:17,026 and besides the physiological test, 36 00:02:17,026 --> 00:02:21,925 what if I told you that I could look at your genes and tell you 37 00:02:21,925 --> 00:02:25,096 whether your body can stand up to this extreme stress? 38 00:02:25,356 --> 00:02:26,946 Wouldn't you want to know that? 39 00:02:26,946 --> 00:02:29,326 You can then take preventative measures, 40 00:02:29,336 --> 00:02:31,227 start treatment, 41 00:02:31,227 --> 00:02:35,976 or look at your genes and decide whether you want to understand them or not. 42 00:02:35,976 --> 00:02:37,586 You can change your lifestyle. 43 00:02:37,586 --> 00:02:39,586 You can change the way you live 44 00:02:39,596 --> 00:02:42,955 in order to minimize the risks for these diseases. 45 00:02:44,485 --> 00:02:49,028 Not only healthy individuals can benefit from reading their DNA, 46 00:02:49,818 --> 00:02:55,626 reading your DNA can also assist in solving complex medical puzzles. 47 00:02:56,936 --> 00:02:58,147 A few years ago, 48 00:02:59,507 --> 00:03:03,947 Nicholas Volker from Wisconsin suffered from an inflamed intestine. 49 00:03:04,907 --> 00:03:11,556 He underwent more than 150 operations in the first four years of his life. 50 00:03:13,046 --> 00:03:16,836 His doctors didn't know what the cause of his sufferings is, 51 00:03:17,146 --> 00:03:21,398 but they decided that they wanted to test a new technology, 52 00:03:21,398 --> 00:03:22,868 an unproven technology. 53 00:03:23,338 --> 00:03:26,597 This technology is DNA sequencing. 54 00:03:26,887 --> 00:03:31,477 They were able to locate the exact mutation on his DNA, 55 00:03:31,717 --> 00:03:35,369 the change of his DNA that probably explained 56 00:03:35,589 --> 00:03:38,618 much of his suffering and his medical condition. 57 00:03:39,438 --> 00:03:45,328 And it also dictated a treatment: bone marrow transplantation. 58 00:03:45,818 --> 00:03:50,187 A few weeks later, Nic was out of the hospital. 59 00:03:52,257 --> 00:03:56,929 It was certain that DNA sequencing saved Nic's life 60 00:03:58,579 --> 00:04:01,193 At Tel Aviv University, the team that I lead, 61 00:04:01,193 --> 00:04:03,449 the genomic intelligence team, 62 00:04:03,449 --> 00:04:07,658 has been reading and sequencing hundreds of individuals in the past few years. 63 00:04:08,078 --> 00:04:11,657 We scanned their DNA and we tried to look for their change, 64 00:04:11,657 --> 00:04:15,579 the mutation that leads to many of their severe conditions. 65 00:04:15,579 --> 00:04:18,057 They come to us with their physicians, 66 00:04:18,377 --> 00:04:20,028 and we look at their DNA, 67 00:04:20,338 --> 00:04:24,917 and we identify their exact mutation that leads to their medical condition. 68 00:04:24,917 --> 00:04:27,840 We were able to find many of these novel mutations, 69 00:04:27,840 --> 00:04:32,279 new mutations that explain much of their suffering. 70 00:04:32,279 --> 00:04:36,988 This is the first critical step in understanding what leads to their disease. 71 00:04:37,048 --> 00:04:41,568 And it's also a critical step in trying to alleviate their suffering. 72 00:04:41,598 --> 00:04:45,918 Some of them also lead to cure or treatment for these patients. 73 00:04:47,038 --> 00:04:50,630 So, reading your DNA is wonderful. 74 00:04:51,190 --> 00:04:52,110 It's terrific. 75 00:04:52,340 --> 00:04:54,429 We should all read our DNA. 76 00:04:54,619 --> 00:04:57,238 OK, who's coming up first? 77 00:05:02,738 --> 00:05:08,220 Many people asked me if I have read my own DNA. 78 00:05:08,970 --> 00:05:11,368 And the truth is ... No. 79 00:05:12,038 --> 00:05:13,089 I haven't. 80 00:05:13,929 --> 00:05:14,869 Why? 81 00:05:15,939 --> 00:05:17,159 It's complex. 82 00:05:19,609 --> 00:05:22,119 I have a game I play with my children. 83 00:05:22,579 --> 00:05:26,101 We look up at the sky, and we point at one of the clouds, 84 00:05:26,861 --> 00:05:32,391 and then we try to figure out what form the cloud takes. 85 00:05:32,391 --> 00:05:35,229 Sometimes we see familiar faces; 86 00:05:35,239 --> 00:05:38,968 other times we see dragons or princesses. 87 00:05:38,968 --> 00:05:43,184 However, very rarely, we see the same image 88 00:05:43,184 --> 00:05:46,004 even if we look at the same cloud. 89 00:05:47,910 --> 00:05:52,751 When I go back to the lab, and I look at genetic information, 90 00:05:53,771 --> 00:05:57,071 sometimes I feel like I'm playing the same guessing game 91 00:05:57,071 --> 00:05:58,990 I just played with my children. 92 00:05:58,990 --> 00:06:01,120 Sometimes, it looks like a dragon, 93 00:06:01,120 --> 00:06:03,422 and other times, it looks like a princess. 94 00:06:03,422 --> 00:06:05,631 It doesn't have a definite structure. 95 00:06:05,731 --> 00:06:08,950 What I mean is that even if I find the mutation, 96 00:06:09,580 --> 00:06:13,151 I can't always say if it's good or bad. 97 00:06:13,151 --> 00:06:15,659 The answer is not straightforward, 98 00:06:16,249 --> 00:06:21,471 and sometimes it leads to confusion and to greater uncertainty. 99 00:06:22,981 --> 00:06:26,681 Let's say, you came to me, and you wanted to look at your genes. 100 00:06:26,681 --> 00:06:30,211 We are looking at the genomic cloud, 101 00:06:30,211 --> 00:06:32,762 and we are trying to define this cloud. 102 00:06:32,792 --> 00:06:35,911 If I look at your DNA, while scanning for genes to see 103 00:06:35,911 --> 00:06:40,080 whether your body can stand up to the extreme stress, 104 00:06:40,170 --> 00:06:44,061 maybe I can also see genes 105 00:06:44,061 --> 00:06:47,541 that are involved in early cancer development, 106 00:06:47,541 --> 00:06:49,502 or Alzheimer's disease, 107 00:06:49,792 --> 00:06:51,851 or Parkinson's disease. 108 00:06:51,901 --> 00:06:54,073 Now, would you want to know that? 109 00:06:55,213 --> 00:07:00,252 The most challenging concern when reading your DNA 110 00:07:00,752 --> 00:07:04,860 is once you read it, you can't go back. 111 00:07:06,230 --> 00:07:08,452 You can't erase this information. 112 00:07:08,892 --> 00:07:10,912 You can't unlearn. 113 00:07:12,742 --> 00:07:14,212 That's scary. 114 00:07:14,552 --> 00:07:17,873 What if this information would get out there? 115 00:07:18,423 --> 00:07:20,708 It could be used against you. 116 00:07:21,738 --> 00:07:26,241 12 year-old Colman was expelled from school in Palo Alto, California 117 00:07:26,241 --> 00:07:32,075 because he carried a mutation that increased his risk for infections 118 00:07:32,075 --> 00:07:35,283 that jeopardized other children at school. 119 00:07:35,283 --> 00:07:37,022 He wasn't even sick. 120 00:07:37,022 --> 00:07:39,854 He was just carrying the mutation. 121 00:07:42,244 --> 00:07:46,373 Would we want to start testing our politicians to see 122 00:07:46,373 --> 00:07:51,473 whether they'll suffer from a devastating disease during their service period - 123 00:07:51,473 --> 00:07:54,243 you know, it might affect their decision making. 124 00:07:55,113 --> 00:07:58,733 Will we start selecting our lifetime partners based on DNA, 125 00:07:58,733 --> 00:08:02,224 and checking their loyalty in the DNA before we get married? 126 00:08:02,784 --> 00:08:06,824 And after we get married, what about the next generation? 127 00:08:06,834 --> 00:08:09,383 We all want perfect babies. 128 00:08:10,473 --> 00:08:13,764 What if the parents of this child were told 129 00:08:13,764 --> 00:08:18,474 that their child will eventually suffer from ALS? 130 00:08:20,894 --> 00:08:24,153 Or this child - if his parents were told 131 00:08:24,153 --> 00:08:26,813 that he will suffer from severe hearing loss? 132 00:08:27,633 --> 00:08:30,073 Or what about this sweet child - 133 00:08:30,703 --> 00:08:35,754 if his parents were told that at the age of 60 134 00:08:36,244 --> 00:08:40,124 he will suffer from Parkinson-like symptoms? 135 00:08:40,124 --> 00:08:42,155 What would they have done? 136 00:08:42,815 --> 00:08:47,585 What would the world look like without these and many other children? 137 00:08:47,595 --> 00:08:52,255 Will we shape our society based on DNA sequencing? 138 00:08:52,695 --> 00:08:54,376 It has already begun. 139 00:08:55,076 --> 00:08:59,225 Abortions are on the rise in the past few years 140 00:08:59,225 --> 00:09:03,215 in parallel to advance in DNA sequencing technologies. 141 00:09:04,965 --> 00:09:08,955 Maybe - maybe if we gradually look at the DNA, 142 00:09:08,965 --> 00:09:10,336 and not all at once, 143 00:09:10,336 --> 00:09:13,756 it would be easier to digest this information. 144 00:09:14,196 --> 00:09:17,414 In the lab, we call it responsible genomics: 145 00:09:17,414 --> 00:09:23,625 meaning giving the right person the needed information at the right time, 146 00:09:23,625 --> 00:09:26,015 whether it be prenatal diagnosis, 147 00:09:26,035 --> 00:09:28,695 or predisposition to diabetes, 148 00:09:28,695 --> 00:09:31,447 or cardiovascular complication. 149 00:09:32,337 --> 00:09:35,606 We are scanning the DNA and dividing it to discreet units, 150 00:09:35,606 --> 00:09:39,185 and evaluating the private parts and the open parts. 151 00:09:39,505 --> 00:09:44,935 We are evaluating the risks versus the benefits of exposing your DNA. 152 00:09:45,195 --> 00:09:49,887 We are ranking it, so people can accept their DNA more readily. 153 00:09:52,987 --> 00:09:55,926 After we address these concerns, 154 00:09:56,936 --> 00:10:01,086 I think I will be ready to read my DNA. 155 00:10:02,346 --> 00:10:06,587 Reading your DNA gives you great knowledge about yourself. 156 00:10:07,377 --> 00:10:09,556 Knowledge leads to power. 157 00:10:10,056 --> 00:10:15,257 And we all know that with great power comes great responsibility. 158 00:10:17,257 --> 00:10:20,917 It will not take long before someone knocks on your door 159 00:10:20,917 --> 00:10:24,767 and asks you whether you want to read your DNA. 160 00:10:26,097 --> 00:10:27,806 What will you say? 161 00:10:29,176 --> 00:10:30,358 Thank you. 162 00:10:30,358 --> 00:10:32,526 (Applause)