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