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But what really it taught me is that we have to be open-minded.

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For the little bit that we know through our studies, there's just so much more that we do not know.

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The human brain is the most complex structure in the known universe,

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and we are in the middle of a scientific revolution to understand its inner workings.

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Join us for a conversation with world-renowned neuroscientists as they visit Rochester.

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I am Dr. John Foxe, Director of the Del Monte Institute for Neuroscience at the University of Rochester,

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and you are listening to Neuroscience Perspectives.

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I'm John Fox. I'm the Director of the Del Monte Institute for Neuroscience at the University of Rochester,

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and I'm welcoming you to Neuroscience Perspectives.

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I'm profoundly honored today to have a guest from the University of Wisconsin-Madison,

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Professor Qiang Chen, who is a neurodevelopmentalist, a neurodevelopmental researcher, scholar, and let's start, Qiang.

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Welcome to the University of Rochester.

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Thank you for the invitation. Glad to be here.

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It's absolutely fantastic to have you here.

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Let's talk about your trajectory into science first,

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and we'll get into the meat and potatoes of the science that you do fairly quickly.

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You hail from China. Do you want to tell us a little bit, just like your little biography,

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how you got into science, how you started out, how did you end up in the United States of America?

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So I was born in Beijing, China, and I grew up in the city and stayed in the city,

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go through all the schools, including college, Peking University, one of the famous ones, and never left the city.

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And then the next move I made is across the ocean and coming to the United States for graduate school.

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At the time, the United States was certainly viewed as the place if you want to pursue research,

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pursue a science education at the highest level.

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And it's a very natural move to say I want to go to graduate school in the United States,

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and I was fortunate to get into University of Pennsylvania School of Medicine to pursue my PhD.

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And that's where I got interested into neuroscience and got a broad training in neuroscience, neurobiology, neurodevelopment, and then went on from there.

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And I think the hook there was a very interesting neurodevelopment class, and my PhD mentor, Rita Balich Gordon,

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fantastic, outstanding molecular and cellular neuroscientist.

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She was studying synaptic elimination using the neuromuscular junction system.

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They have developed this nice imaging tool where you could label these different neurons with different color,

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and then at the neuromuscular junction that synapse between muscle fiber and the neurons,

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you can see the input from these different neurons, and they compete with each other,

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because initially you have multiple neurons innovating a single muscle fiber, and then later on through development, you get one.

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It's a one-on-one relationship. That's to ensure function. Whenever the neuron fires, the muscle contracts, you can breathe.

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So that imaging experiment was really what hooked me because you could see such an intricate process right in front of your eyes,

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and with this developmental trajectory and with this important functional implication.

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So it's like, wow, you could do that, and the neuroscience is so cool.

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So then I wanted to join her lab to study that process, and it was a really amazing journey.

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Amazing. I want to pick up on two things that you said there.

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One that struck me, of course, is an individual in your life that really inspired you, and you mentioned Professor Rita Balich Gordon.

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And then the other piece would be arriving across the ocean, as you put it, from China to the University of Pennsylvania.

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So you arrive in Philadelphia, and sort of the cultural change, and how was it navigating that?

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So maybe you could speak to those two things.

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To get at the first question, the first thing, my PhD mentor, I think that is quite remarkable.

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When I defended my thesis, I thanked a few people. I said there's this famous saying in Chinese that for every successful man,

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there's a woman behind him. So I said in my career up to this point, there are these significant people.

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And I thanked my mom, and I thanked Rita. I said this is really fortunate because if you don't have that one person in your career,

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of course many people, but those important moments, we're lucky to have those people to guide us and to lead us and to support us.

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And I cannot say how much I'm grateful for those people along the way. So that's really, really important.

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But I think what she taught me is not only how to think like a scientist, how to do critical thinking.

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I think the thing she said the most to me is to get a life. Don't be in the lab all the time.

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And experiments may work or may not work, and you have your frustrations, your fair share of that.

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But if you don't have a life outside the lab, this is really going to be difficult for you in the long run.

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So that actually saguaged into your second question really nicely, is that how I coped with the cultural change,

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well, I didn't have to because at that moment we were pretty much in the lab all the time.

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We didn't really go to a lot of concerts and we didn't really do a lot of these things outside the lab.

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So for me, it didn't really change much. Of course, your people, your surrounding changed.

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And I still remember that July the 4th concert in front of the Art Museum in Philadelphia,

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where you have these incredible band playing and you have the fireworks and then you have all of these sensory inputs

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all coming at you at the same time and the people around you drinking beers, dancing.

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I was like, oh, so this is a really interesting experience that we never had in China.

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So I mostly focused on the positive things at the get-go and then sort of spent most of the time in the lab

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and didn't really have much of a life outside. It's interesting, right?

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The lab provides that sort of warm space to transition. Yeah, it was really a great place.

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And I really like the point that you make about Rita, who is, of course, a giant in our field

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and known to many people in the neurosciences and the part of standing on the shoulder of giants.

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It's these mentors that pick you up, mentor you in your science career, but also in your life.

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And how to navigate the space is really, that's a beautiful story actually. Thanks for sharing that.

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So let's dive into your science. I have a little of my little crib notes here.

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I was wondering what role did your early work in BDNF protein play in the drug that's pending FDA approval for Rett syndrome currently?

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So actually, we have a bit of unpacking to do here. We need to start with some words about Rett syndrome,

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because not everybody who will be tuning in will know exactly what Rett syndrome is.

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And what drew you to studying that particular disease?

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Right. So this is actually a quite devastating neurodevelopmental disorder,

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and it's caused by a mutation in a single gene called methyl CBG binding protein 2.

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The gene is on the X chromosome, and so mostly the patients we have are girls.

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And it's not that uncommon. One out of 10 to 15,000 girls, you have one Rett syndrome girl.

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And when I say it's devastating, it's that in twofold.

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One is the disease obviously affects many of the functions of the person, and these people are highly debilitated.

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But the other aspect of this is a heart disease is that most of these girls, they are born grossly normal, so just like any other girl.

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And as parents, you have a lovely daughter, and then between maybe three months to three, five years,

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there is that onset of the disease that's quite sudden in that they almost feel like overnight things changed.

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It's like a switch. And then these girls, they will lose many of the developmental milestones they have obtained and then just regress.

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So that's a key feature of the disease. And it's very hard for people to lose something.

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If you never had it, that's fine, but if you had something great and then you lost it, it's so hard to take.

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So it's a heart disease. And then the way I got into the disease is a little bit by luck,

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because after my PhD training, I was interested in neurodevelopment and neuroscience, how the brain works.

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And I thought for my independent career, the best way to settle on important question is to find out what are the functionally most important genes.

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And the way we do that is mostly in science is to take it away, use genetic approaches to remove the gene

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and see whether you cause severe phenotypes. And then if you do something very important, if you don't, maybe it's not so much.

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So I wanted to have a genetics toolbox. And that's where I did my postdoc with Rudolf Janisch,

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really a giant in mouse genetics and many, many things. And I went to his lab to learn mouse genetic toolbox.

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And the time I joined the lab, they have just made the model for Rett syndrome.

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And that's a quite exciting time, I think, Huda Zoghbi's work in 1999, 2000.

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That's when they identified the gene as the single cause of the disease.

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And then a year later, that's when Rudolf's lab and Adrian Burr's lab, they published knockout mouse,

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MECP2 knockout and mimic the disease. So that's when I joined the lab.

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And then Rudolf's lab is again epigenetics, genetics. There's been neuroscientists in the lab, but not the main focus.

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As a neuroscientist coming in and they have this disease model,

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it's perfect for me to follow the previous postdoc's work and the study.

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I suppose one of the great things about the Rett mouse model is sometimes the mouse models can be a little bit disappointing

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in that they don't recapitulate the disease that we see in the human patients.

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But in the case of the Rett mouse, the phenotype is very strongly similar to what we see in the patients with the midline ringing and so on.

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Yeah, that's really small brain.

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Gives you something to shoot at as well.

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Yeah, I think we have as a field benefited tremendously from those models because if you search Rett syndrome in 2001,

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you probably get double digit papers, mostly talking about the disease itself.

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But now if you search, you probably got tens of thousands of papers because the field just ballooned

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because the availability of those models, you have a handle, like you said.

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You can really study the mechanism and then you can generate new knowledge.

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So I was fortunate, again, you know, you got to be lucky sometimes to be at the right time and the right place.

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And this is one of those examples.

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And going back to what you're saying, my earlier work during postdoc training in the end user's lab studying the role of BDNF in Rett syndrome.

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And that, again, is another teaching moment, I think, for me going into my independent career.

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I have to say that's the paper actually got me a job.

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But what I learned from it, it's not just the work itself.

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It's more than that.

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This is a gene at the time believed to be a gene that represses transcription.

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And then if you don't have it, then you probably have genes whose level will go up.

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And what I saw in the Rett syndrome mouse is that the BDNF level is down.

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It's decreased.

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This is obviously a very important neurotrophic factor.

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Do you want to quickly say something about what BDNF does?

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Oh, yeah. It's a brain derived neurotrophic factor.

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It's a major trophic factor for the brain development and function.

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And that factor being lower certainly makes sense for the disease.

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There's a lot of developmental delays and sort of atrophic phenotypes.

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But from the fundamental aspect, when you think of MSP2 as a repressor,

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why would you have something that goes down when you don't have a repressor?

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So there's a lot of debate in the field at the time when I made the observation.

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I go to meetings, people ask me, well, it doesn't make sense, right?

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How could you make sense of your work?

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You don't have a repressor and then this gene goes down.

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And it was very hard for me actually to try to discuss.

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You could say, wave your hands.

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This is an indirect effect and this and that.

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But I think what people were questioning more is,

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if you don't have something that's logical, how would it even be useful?

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So how would it really make it easier to develop a therapy in the future?

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So I was really thinking hard.

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But BNNF is a very hard molecule to make a therapy out of in terms of the kinetics,

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in terms of the pharmacological property.

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And so Mir Gangar Soor at the MIT that time, who is an expert in BNNF,

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and he told me, well, you know, this BNNF is never going to be a therapy.

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But this general direction of trophic support is probably a valid direction.

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Right, it's practical there.

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Yeah, and then IGF, for example, is a trophic factor,

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a growth factor that has been approved by FDA as a drug to treat something else.

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You know, let's look at the general effect and try IGF-1 and see if this works.

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And he actually started a collaboration with Ruel's lab to look at the role of IGF-1.

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And another surprise is that, well, it did have some modest effect, but it's modest.

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And then they tested the tripeptide of IGF-1, just 3-peptide of IGF-1,

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known to in some cases have similar effect as IGF-1.

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And they tried that in the mouse model and also had a modest effect.

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There were only those two papers.

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And again, the field is questioning the validity of the study.

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You know, mouse work, you know, you could see effect,

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but who knows whether it's going to happen in humans.

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And you want to have a strong foundation of your mouse work.

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And then people were saying, well, you don't have any change in expression of IGF-1.

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You don't have any change of IGF-1 receptor expression in the mouse model.

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How could this even work conceivably?

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Right, so there's a lot of doubt.

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So then, you know, what happened was because IGF-1, there's a drug available,

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tripeptide, there's Neurin, a company then later on bought by Acadia.

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They had a drug that's a modified version of the tripeptide, that's a truffinidide.

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That's a drug now pending approval at FDA.

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Because those things were all available,

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and there's some preclinical data in mouse models suggesting they may work.

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They just went on to do the trial.

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And then the IGF-1 trial didn't pan out,

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but the truffinidide trial actually gave pretty promising results.

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So you can think of all of these effects as indirect.

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But what really it taught me is that we have to be open-minded.

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For the little bit that we know through our studies,

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there's just so much more that we do not know.

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So if you are certain of a result, and it's fundamentally important,

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you should publish it.

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You should let people see it and debate it.

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Get it out there and allow it to be debated, yeah.

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And let people lean on it, and that's perfectly acceptable.

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And also people can do their own thing,

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make their own call based on their judgment.

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Pharmaceutical companies or biotech, they made their call.

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They said, this is enough evidence, and we're going to try it.

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Because if you didn't do those things, then you wouldn't even have a drug.

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This drug, I think, really has a very, very good chance of getting approved.

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Well, it must be extremely satisfying to do the basic fundamental work.

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And as you say, you haven't tied it up in a bow.

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There's a lot of unknowns in there.

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But it gets you right to the doorstep of delivering a potential treatment

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to children who need something now.

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These are children who have really a severe developmental disorder.

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And there's a philosophy in the two, right?

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You can't wait for everything to be perfect.

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Don't let perfect be the enemy of the good, right?

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Yeah, yeah, that's precisely what I was going to say.

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But it must be very satisfying to see this now at the doorstep of treatment in patients.

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Yeah, I'm actually very excited, because in my line of work,

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we interact with families as well.

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I think that really, from time to time, refocuses our effort.

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You have a meaning.

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So what you're doing is not like three years later, it may or may not help something.

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Some people are waiting, and they really need this.

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And then you're making an impact with your work.

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And that really is very important for me, and I'm sure for many of our colleagues as well.

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Exactly.

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One of the things, too, people will often ask me is that we work on Rett syndrome, as you do,

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but also even considerably rarer diseases, like some of the lysosomal storage diseases.

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Why are you working on a disease that impacts so few people?

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Why don't you work on autism or schizophrenia?

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But there's a very good reason.

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Do you want to say something about that?

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Obviously, for patients and their families, this is really devastating, and there's a need.

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For me, there's another angle than that, which is to going back to my training,

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to understand brain development and brain function.

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So for me, this is a way that the system is perturbed.

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And when the system is perturbed, it allows you to assess what those modulators

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and those factors are doing under a physiological condition, what they do normally.

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So that's an angle for me to get at how you understand this brain development and function.

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And there's a lot of interesting basic functions.

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This protein, for example, methyl-CBG-pyranate protein 2, it is so fascinating.

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It does so many things.

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People thought it was just binding to methylated Cg and be a repression of transcription,

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but it does so many more things.

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It's such a plutotrophic factor.

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And every time you learn a new function of this protein,

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you get excited about potentially learning new things about how the system works,

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the brain, the neurons, and the synapses.

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And one of the things we did early on unexpectedly is to find out that

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this protein can be modified post-translationally by fosylation.

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And that is a dynamic process, and it can be induced by extracellular signals,

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depending on the cell type.

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If you are a neuron, you express M-HCP2, and then the neural activity comes down the axon,

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and then the neuron gets excited, and this protein in the nucleus, M-HCP2, gets fosylated.

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And then it changes it properly and regulates a downstream effect through kinase pathways

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and then generates synaptic changes and circuit level changes as a switch.

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And then in different cell types, like neuroprogenitor cells,

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this same protein is expressed, and it can be fosylated,

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but this time it's triggered by a different signal, it's a growth signal.

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And again, once it's fosylated at the same site,

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then it triggers a different kinase pathway,

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and then it has different downstream transcriptional changes and effectors,

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and then the outcome would be proliferation and differentiation of that neuroprogenitor cell.

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So it's a very interesting molecular switch.

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And then if you think of this protein coding one-third of the genome everywhere,

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it could serve as another layer of epigenetic regulation.

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You know, you talk about histone code, what about an M-HCP2 fosylation code on top of that?

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And then you can have finer regulation of these downstream outputs.

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So that is a fascinating question that we have studied for a long time and published many papers.

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And then for me as a scientist, there are all these other things we could learn,

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getting in from the angle of this one disease and focusing on this one gene, this one protein.

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And that's the key, right? They're monogenic diseases,

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so you've got one gene that's been mutated,

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and it allows you to really focus right in on a cascade of events

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and a very elegant set of transcription patterns and codings and so on.

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But it gives you that ability to really winnow in on a distinct problem

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as opposed to trying to tackle, boil the ocean, as they say.

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Oftentimes, there are insights from studying one monogenic disease

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that then have implications for all the others as well,

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that you learn as you go that there are mechanisms and things that are generalizable.

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Yeah, precisely.

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So we're going to run out of time, and I want to ask you, what's on the horizon?

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What's next up for you? Where do you see the lab going and the work going over the next few years?

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Well, there's a lot of work going on.

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Obviously, we have these different platforms, experimental platforms like the mouse models,

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the human stem cell models, and slice culture models that we could use to study this one disease

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and apply on other fronts as well.

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But in terms of the disease, we're actually going more into treatment or drug screening.

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We have this human stem cell platform where we derive brain cell types from the patient cells,

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and then we do drug screens and RNAi screens to look at molecules and genes

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that could modify the disease outcome from the individual cell platform,

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and then we go back to the animal models to test.

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So that's certainly one major direction. There is a lot of ongoing work there.

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And another direction is integration.

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So obviously, we have done the genetic manipulation and looked at from the nucleus with the mutation

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to the cells, to the circuit, to the animal behavior of one level at a time.

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And recently, we have started work to look at multiple levels at the same time.

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So I'll talk a little bit about our recent work in calcium imaging in freely behaving animals,

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imaging relevant brain regions underlying certain behavior that is important for the disease,

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and then basically time-lock the two modalities at the same time.

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Basically, you look at the activities in the circuit.

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At the same time, the animal is doing a behavior, figuring out what the animal is thinking before it does it.

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So that type of integration.

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And then you could do, pair that with genetic and pharmacological manipulation

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to look at how these different modalities associate with each other and whether they change together.

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And that's from the outside.

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From inside the cells, we're doing some patch-seq experiment,

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where you'll be able to sequentially look at the electrical properties of the cell

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and the transcription program in that cell, and also the morphology of the cell through time and in space.

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So that really gives an opportunity to look at multiple levels at the same time

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and have a better understanding of the causality from one level to the next level.

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So that's where we're focusing our efforts, more integrated analysis.

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Of course, Rett syndrome is a focus of the lab, and a lot of the model we study has something to do with Rett syndrome.

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But that allows us to broaden our research into development and developmental disorders, such as autism.

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We live in a period now in the neurosciences where the tools from the molecular and cellular level

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right to the systems level are so exquisite that I don't know that people really appreciate what's ahead over the next decade.

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The insights that will undoubtedly come forward.

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And I'm so looking forward to continuing to follow the work from your lab. It's exceptional.

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I'm going to ask you one more question.

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Go back to the start. I know you're a scientist, but maybe let's get a little political for a moment.

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Because you were talking about coming from China to the US, where it was recognized at that time.

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And this is very much the same for my own trajectory.

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This was the great biomedical research engine here.

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And young, talented scientists came from all over the world to here.

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We live in difficult political times. We live in a time now where there's a war again in Europe.

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Who would have thunk it?

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And a time of tension between this great country and the great country you hail from.

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Do you worry about the scientific engine and the interchange of ideas?

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Do you have thoughts about that?

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I do worry.

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Over the last, in particular, the last couple of years, the relationship between China and the US has deteriorated.

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And I think we are already seeing the impact of that.

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Many of my colleagues have left the US.

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And we, more importantly, have a problem with the pipeline.

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And now we don't get as many Chinese students and post-docs in the labs.

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Because they have viewed this political environment as not favorable.

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Because when we come here, we didn't care about politics.

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We had our eyes focused on science.

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But now that the political environment has become so, I guess, radical, that people cannot afford to not look at it.

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So many of these young people, this graduate student candidates and post-doc candidate, they turn their attention elsewhere.

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So I've heard from many of my colleagues that it's in the past you post an ad for a postdoc.

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A lot of those applicants are from China now.

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It's not.

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It will be known.

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Literally right now there's none.

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And I'm hoping because in science, where I am, certainly at the University of Wisconsin-Madison,

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that collaborative and collegial environment, that diverse background of people is really a strength.

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Because when people work together and bring your different perspective together, it actually helps science to move forward.

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And that dialogue should never stop.

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And the collaboration should never stop.

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Because in a sense, I don't think you can do this in an isolated way.

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It can be healthy competition, no doubt, and that brings the best of people for sure.

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But this collaboration and cooperation really is key to doing some of these really important science work.

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And it has been successful in the past.

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I mean, the U.S. has been the go-to place.

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And all of these talents coming in from all over the world really has helped to sustain the scientific engine in this country.

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I hope that will continue to be the same way in the foreseeable future.

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Because those bright minds, when you see them, you just want to work with them.

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You don't view them as enemies and you want them to be on your side.

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And they want to be on your side as well.

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I mean, from the people of these countries, I don't really see any issues between the people.

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No, but as you say, when youngsters come here to do science, it's science that they had in mind.

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They weren't thinking about the politics.

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And that's what has changed.

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And I suppose one of the—I don't know that the American public fully appreciates how much the science engine has driven American economy

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and the success of the country.

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And a lot of it is on the backs of these diverse minds that came from all over the world to be here.

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And one of the upshots of this is of the current political climate is that that's drying up.

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I don't think people really understand that that's one of the—some of the collateral damage going on here.

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Very quickly, I wanted to come back to—and it's highly related, actually.

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You said something very elegant about diverse minds being the strength of a scientific engine or something along those lines.

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And I know actually you serve as a leader, a chair for the diversity component of your—what's called the IDDRC.

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So I think we have to explain what IDDRCs are very quickly to our audience.

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Maybe you could just finish—close out, if you wouldn't mind, with some comments about your role in that—or that aspect of your role.

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Right. So IDDRC stands for Intellectual and Developmental Disability Research Center.

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It's a national network of research centers, and it's certainly started in the 60s.

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And really, at the time, JFK, John F. Kennedy convened a committee to study the landscape.

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And because at that time, people with intellectual disability, they don't get much service.

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They're mostly institutionalized.

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There's not much research and service going on.

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And the recommendation of that presidential committee was to invest in some of these centers,

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to establish some of these centers across the country to do more research,

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because that's going to be the driver and the engine for discovery.

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And then you will be able to provide better service and all of that.

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And so now they're starting in the 60s, and 56 years later,

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now we have 15 such centers across the United States.

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I know you guys have one right here in Rochester, and you are the director of that center.

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And that's really an amazing resource, because that really is a nucleus for each of these companies

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to sort of rally the troop around the center to do research related to brain development and developmental disorders.

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And this is a fantastic network, and that was born with the National Institute of Child Health and Human Development.

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And basically, over 60 years, provided outstanding resource to these sites across the nation to focus on research in this area.

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And in recent years, I think this network has had more collaboration,

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not only at their respective sites, serve as a nucleus, but across the entire nation.

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These centers have joined forces to tackle some of these important scientific questions,

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because team science now is more of a mainstream now, because the questions are complex.

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You're unlikely going to be able to address it with one approach. You need multiple approaches.

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And then these centers are joining forces to do many things.

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And one of the things the centers wanted to join forces to address is the diversity of the scientific workforce.

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And of course, for the general public, diversity is a topic that needs no introduction.

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I have served in the role of the co-chair of this diversity and equity inclusion workgroup across the IDDRCs.

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And I think it's a really worthwhile effort when we share our experience across these sites to learn from each other what works, what doesn't,

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what are the resources available, and what are the tricks you could do to increase diversity in our workforce.

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And that, I think, is going to be, I guess, something we need to work hard together for quite some time

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before we can see the impact, because that involves people and it's a longer timeline.

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And there's many challenges there.

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But I think it's really a worthwhile effort that I felt at the time quite important to work as a group.

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So I volunteered to organize that group along with some other people.

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And we're making some progress now, although slowly.

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That's fantastic. Well, that's super important work.

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I want to thank you for being here in Rochester, Dr. Chang.

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It's an absolute honor and pleasure to have you. And thanks for your time here today.

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Well, thank you for the invitation. I look forward to talking to your faculty here.

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They do outstanding work. And that's, as a scientist, what we enjoy the most is to talk to your colleagues and learn the new things.

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And then maybe some new collaborations could come out of this.

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And then we will be able to do some better job back at our own laboratories after the visit.

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But I think this is really a fantastic opportunity for me to be here.

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Outstanding. Great to see you. Thank you so much.

