1 00:00:00,666 --> 00:00:03,233 (bright music) 2 00:00:15,733 --> 00:00:19,133 (bright music continues) 3 00:00:20,466 --> 00:00:24,100 - When I'm stuck on a problem, music can transport me 4 00:00:24,100 --> 00:00:27,066 into realms that help me solve it 5 00:00:27,066 --> 00:00:32,066 as if my right brain is helping my left brain come out 6 00:00:32,066 --> 00:00:35,633 of a ditch so that they can work on it together. 7 00:00:35,633 --> 00:00:39,066 (bright music continues) 8 00:00:41,400 --> 00:00:43,766 I'm Karen Ashe, professor of neurology 9 00:00:43,766 --> 00:00:46,133 at the University of Minnesota and the director 10 00:00:46,133 --> 00:00:49,633 of the N. Bud Grossman Center for Memory Research and Care, 11 00:00:49,633 --> 00:00:52,966 and I'm also the CEO of a company called Myriel. 12 00:00:52,966 --> 00:00:56,300 (bright music continues) 13 00:00:56,300 --> 00:00:58,300 I went to medical school at Harvard 14 00:00:58,300 --> 00:01:00,133 and in my third or fourth year, 15 00:01:00,133 --> 00:01:04,800 I went into the library and looked at different journals. 16 00:01:04,800 --> 00:01:09,366 I knew that I needed to pick a profession whose journals 17 00:01:09,366 --> 00:01:12,966 that I would enjoy reading for the rest of my career. 18 00:01:12,966 --> 00:01:16,233 And I loved the neurology journals and I thought, 19 00:01:16,233 --> 00:01:17,700 "Wow, this is so neat." 20 00:01:17,700 --> 00:01:21,166 (bright music continues) 21 00:01:23,033 --> 00:01:26,866 When I was a resident in neurology 40 years ago, 22 00:01:26,866 --> 00:01:31,466 one of my teachers told me that the diseases 23 00:01:31,466 --> 00:01:35,533 that caused dementia are waste basket diseases. 24 00:01:35,533 --> 00:01:36,966 (bright music continues) 25 00:01:36,966 --> 00:01:40,366 Neurologists love to classify diseases according 26 00:01:40,366 --> 00:01:44,833 to their causes and put them neatly into filing cabinets 27 00:01:44,833 --> 00:01:46,366 but we couldn't do that with dementia 28 00:01:46,366 --> 00:01:48,533 because we didn't know what caused them. 29 00:01:48,533 --> 00:01:51,900 (bright music continues) 30 00:01:54,633 --> 00:01:57,666 People can get dementia as they get older. 31 00:01:58,833 --> 00:02:03,266 Dementia is what results when certain aspects 32 00:02:03,266 --> 00:02:08,266 of mentation break down, aspects like memory and language, 33 00:02:09,366 --> 00:02:12,433 abstract thinking, behaving appropriately, 34 00:02:12,433 --> 00:02:16,766 doing calculations, having a sense of direction. 35 00:02:16,766 --> 00:02:21,033 Alzheimer's disease is the most common form of dementia. 36 00:02:21,033 --> 00:02:23,266 It's one of many forms of dementia. 37 00:02:23,266 --> 00:02:26,933 (bright music continues) 38 00:02:26,933 --> 00:02:31,933 We are studying mentation and how it goes wrong. 39 00:02:32,800 --> 00:02:34,433 We all have millions of memories 40 00:02:34,433 --> 00:02:38,100 and they're like metaphorical light bulbs. 41 00:02:38,100 --> 00:02:41,766 Our brains can strengthen and weaken memories 42 00:02:41,766 --> 00:02:45,266 by increasing and decreasing electrical activity, 43 00:02:45,266 --> 00:02:47,066 (bright music continues) 44 00:02:47,066 --> 00:02:50,766 and we've found a molecule called caspase-2 45 00:02:50,766 --> 00:02:54,933 that decreases electrical signals and weakens memories. 46 00:02:56,733 --> 00:02:59,266 We need caspase-2 normally, 47 00:02:59,266 --> 00:03:02,666 because we can't handle millions of memories all at once, 48 00:03:02,666 --> 00:03:07,000 just as we wouldn't want all the lights on all the time. 49 00:03:07,000 --> 00:03:09,166 But the problem in Alzheimer's disease 50 00:03:09,166 --> 00:03:12,500 is that caspase-2 is on overdrive, 51 00:03:12,500 --> 00:03:14,866 so we can't recover our memories. 52 00:03:16,333 --> 00:03:20,866 We began to try and make a drug to block caspase-2 53 00:03:20,866 --> 00:03:24,166 and this year, we developed a prototype 54 00:03:24,166 --> 00:03:27,100 that can repair the synapses in cells 55 00:03:27,100 --> 00:03:28,833 that are growing in a dish. 56 00:03:28,833 --> 00:03:30,166 (bright music continues) 57 00:03:30,166 --> 00:03:32,833 We're excited because we think 58 00:03:32,833 --> 00:03:35,633 that these drugs will not only prevent, 59 00:03:35,633 --> 00:03:39,100 but also reverse memory problems. 60 00:03:39,100 --> 00:03:44,100 Even more exciting, we think that the memories that are lost 61 00:03:46,000 --> 00:03:50,633 are still there, but could be recovered by this drug. 62 00:03:50,633 --> 00:03:54,033 (bright music continues) 63 00:03:55,933 --> 00:03:58,333 So we started at home base, 64 00:03:58,333 --> 00:04:01,233 and it took 10 years for us to get to a prototype 65 00:04:01,233 --> 00:04:04,766 which is a compound that restores synaptic function 66 00:04:04,766 --> 00:04:06,833 in neurons growing in a dish. 67 00:04:06,833 --> 00:04:10,866 We hope that in four years, we'll be at second base 68 00:04:10,866 --> 00:04:13,600 which means we'll have a compound that gets 69 00:04:13,600 --> 00:04:18,600 into the brain and restores memory function in mice. 70 00:04:19,733 --> 00:04:22,000 I would say, we would be at third base 71 00:04:22,000 --> 00:04:25,266 when we have compounds that are safe 72 00:04:25,266 --> 00:04:29,166 in small groups of humans, but we will not get 73 00:04:29,166 --> 00:04:34,166 to home base again until the drug is shown to be both safe 74 00:04:35,533 --> 00:04:39,500 and effective in two large groups of patients. 75 00:04:40,233 --> 00:04:43,266 (bright music continues) 76 00:04:43,266 --> 00:04:45,566 It's every scientist's dream 77 00:04:45,566 --> 00:04:47,500 to make the world a better place, 78 00:04:48,700 --> 00:04:51,700 and we work very hard to try and make discoveries 79 00:04:51,700 --> 00:04:54,666 that will help us make the world a better place. 80 00:04:54,666 --> 00:04:59,666 (gentle music) (birds chirp) 81 00:05:06,500 --> 00:05:09,000 (birds chirp) 82 00:05:12,233 --> 00:05:14,800 (gentle music)