WEBVTT 00:00.666 --> 00:03.233 align:left position:32.5% line:89% size:57.5% (bright music) 00:15.733 --> 00:19.133 align:left position:20% line:89% size:70% (bright music continues) 00:20.466 --> 00:24.100 align:left position:12.5% line:83% size:77.5% - When I'm stuck on a problem, music can transport me 00:24.100 --> 00:27.066 align:left position:30% line:83% size:60% into realms that help me solve it 00:27.066 --> 00:32.066 align:left position:12.5% line:83% size:77.5% as if my right brain is helping my left brain come out 00:32.066 --> 00:35.633 align:left position:22.5% line:83% size:67.5% of a ditch so that they can work on it together. 00:35.633 --> 00:39.066 align:left position:20% line:89% size:70% (bright music continues) 00:41.400 --> 00:43.766 align:left position:22.5% line:83% size:67.5% I'm Karen Ashe, professor of neurology 00:43.766 --> 00:46.133 align:left position:17.5% line:83% size:72.5% at the University of Minnesota and the director 00:46.133 --> 00:49.633 align:left position:12.5% line:83% size:77.5% of the N. Bud Grossman Center for Memory Research and Care, 00:49.633 --> 00:52.966 align:left position:22.5% line:83% size:67.5% and I'm also the CEO of a company called Myriel. 00:52.966 --> 00:56.300 align:left position:20% line:89% size:70% (bright music continues) 00:56.300 --> 00:58.300 align:left position:22.5% line:83% size:67.5% I went to medical school at Harvard 00:58.300 --> 01:00.133 align:left position:10% line:89% size:80% and in my third or fourth year, 01:00.133 --> 01:04.800 align:left position:12.5% line:83% size:77.5% I went into the library and looked at different journals. 01:04.800 --> 01:09.366 align:left position:15% line:83% size:75% I knew that I needed to pick a profession whose journals 01:09.366 --> 01:12.966 align:left position:17.5% line:83% size:72.5% that I would enjoy reading for the rest of my career. 01:12.966 --> 01:16.233 align:left position:15% line:83% size:75% And I loved the neurology journals and I thought, 01:16.233 --> 01:17.700 align:left position:20% line:89% size:70% "Wow, this is so neat." 01:17.700 --> 01:21.166 align:left position:20% line:89% size:70% (bright music continues) 01:23.033 --> 01:26.866 align:left position:20% line:83% size:70% When I was a resident in neurology 40 years ago, 01:26.866 --> 01:31.466 align:left position:20% line:83% size:70% one of my teachers told me that the diseases 01:31.466 --> 01:35.533 align:left position:20% line:83% size:70% that caused dementia are waste basket diseases. 01:35.533 --> 01:36.966 align:left position:20% line:89% size:70% (bright music continues) 01:36.966 --> 01:40.366 align:left position:12.5% line:83% size:77.5% Neurologists love to classify diseases according 01:40.366 --> 01:44.833 align:left position:15% line:83% size:75% to their causes and put them neatly into filing cabinets 01:44.833 --> 01:46.366 align:left position:27.5% line:83% size:62.5% but we couldn't do that with dementia 01:46.366 --> 01:48.533 align:left position:22.5% line:83% size:67.5% because we didn't know what caused them. 01:48.533 --> 01:51.900 align:left position:20% line:89% size:70% (bright music continues) 01:54.633 --> 01:57.666 align:left position:20% line:83% size:70% People can get dementia as they get older. 01:58.833 --> 02:03.266 align:left position:20% line:83% size:70% Dementia is what results when certain aspects 02:03.266 --> 02:08.266 align:left position:10% line:83% size:80% of mentation break down, aspects like memory and language, 02:09.366 --> 02:12.433 align:left position:20% line:83% size:70% abstract thinking, behaving appropriately, 02:12.433 --> 02:16.766 align:left position:17.5% line:83% size:72.5% doing calculations, having a sense of direction. 02:16.766 --> 02:21.033 align:left position:12.5% line:83% size:77.5% Alzheimer's disease is the most common form of dementia. 02:21.033 --> 02:23.266 align:left position:27.5% line:83% size:62.5% It's one of many forms of dementia. 02:23.266 --> 02:26.933 align:left position:20% line:89% size:70% (bright music continues) 02:26.933 --> 02:31.933 align:left position:15% line:83% size:75% We are studying mentation and how it goes wrong. 02:32.800 --> 02:34.433 align:left position:10% line:89% size:80% We all have millions of memories 02:34.433 --> 02:38.100 align:left position:15% line:83% size:75% and they're like metaphorical light bulbs. 02:38.100 --> 02:41.766 align:left position:15% line:83% size:75% Our brains can strengthen and weaken memories 02:41.766 --> 02:45.266 align:left position:15% line:83% size:75% by increasing and decreasing electrical activity, 02:45.266 --> 02:47.066 align:left position:20% line:89% size:70% (bright music continues) 02:47.066 --> 02:50.766 align:left position:15% line:83% size:75% and we've found a molecule called caspase-2 02:50.766 --> 02:54.933 align:left position:12.5% line:83% size:77.5% that decreases electrical signals and weakens memories. 02:56.733 --> 02:59.266 align:left position:12.5% line:89% size:77.5% We need caspase-2 normally, 02:59.266 --> 03:02.666 align:left position:10% line:83% size:80% because we can't handle millions of memories all at once, 03:02.666 --> 03:07.000 align:left position:15% line:83% size:75% just as we wouldn't want all the lights on all the time. 03:07.000 --> 03:09.166 align:left position:22.5% line:83% size:67.5% But the problem in Alzheimer's disease 03:09.166 --> 03:12.500 align:left position:22.5% line:83% size:67.5% is that caspase-2 is on overdrive, 03:12.500 --> 03:14.866 align:left position:22.5% line:83% size:67.5% so we can't recover our memories. 03:16.333 --> 03:20.866 align:left position:15% line:83% size:75% We began to try and make a drug to block caspase-2 03:20.866 --> 03:24.166 align:left position:22.5% line:83% size:67.5% and this year, we developed a prototype 03:24.166 --> 03:27.100 align:left position:22.5% line:83% size:67.5% that can repair the synapses in cells 03:27.100 --> 03:28.833 align:left position:12.5% line:89% size:77.5% that are growing in a dish. 03:28.833 --> 03:30.166 align:left position:20% line:89% size:70% (bright music continues) 03:30.166 --> 03:32.833 align:left position:12.5% line:89% size:77.5% We're excited because we think 03:32.833 --> 03:35.633 align:left position:22.5% line:83% size:67.5% that these drugs will not only prevent, 03:35.633 --> 03:39.100 align:left position:30% line:83% size:60% but also reverse memory problems. 03:39.100 --> 03:44.100 align:left position:10% line:83% size:80% Even more exciting, we think that the memories that are lost 03:46.000 --> 03:50.633 align:left position:17.5% line:83% size:72.5% are still there, but could be recovered by this drug. 03:50.633 --> 03:54.033 align:left position:20% line:89% size:70% (bright music continues) 03:55.933 --> 03:58.333 align:left position:12.5% line:89% size:77.5% So we started at home base, 03:58.333 --> 04:01.233 align:left position:20% line:83% size:70% and it took 10 years for us to get to a prototype 04:01.233 --> 04:04.766 align:left position:17.5% line:83% size:72.5% which is a compound that restores synaptic function 04:04.766 --> 04:06.833 align:left position:12.5% line:89% size:77.5% in neurons growing in a dish. 04:06.833 --> 04:10.866 align:left position:12.5% line:83% size:77.5% We hope that in four years, we'll be at second base 04:10.866 --> 04:13.600 align:left position:22.5% line:83% size:67.5% which means we'll have a compound that gets 04:13.600 --> 04:18.600 align:left position:12.5% line:83% size:77.5% into the brain and restores memory function in mice. 04:19.733 --> 04:22.000 align:left position:22.5% line:83% size:67.5% I would say, we would be at third base 04:22.000 --> 04:25.266 align:left position:22.5% line:83% size:67.5% when we have compounds that are safe 04:25.266 --> 04:29.166 align:left position:17.5% line:83% size:72.5% in small groups of humans, but we will not get 04:29.166 --> 04:34.166 align:left position:12.5% line:83% size:77.5% to home base again until the drug is shown to be both safe 04:35.533 --> 04:39.500 align:left position:15% line:83% size:75% and effective in two large groups of patients. 04:40.233 --> 04:43.266 align:left position:20% line:89% size:70% (bright music continues) 04:43.266 --> 04:45.566 align:left position:15% line:89% size:75% It's every scientist's dream 04:45.566 --> 04:47.500 align:left position:22.5% line:83% size:67.5% to make the world a better place, 04:48.700 --> 04:51.700 align:left position:20% line:83% size:70% and we work very hard to try and make discoveries 04:51.700 --> 04:54.666 align:left position:15% line:83% size:75% that will help us make the world a better place. 04:54.666 --> 04:59.666 align:left position:32.5% line:83% size:57.5% (gentle music) (birds chirp) 05:06.500 --> 05:09.000 align:left position:32.5% line:89% size:57.5% (birds chirp) 05:12.233 --> 05:14.800 align:left position:32.5% line:89% size:57.5% (gentle music)