STEM-Talk – Détails, épisodes et analyse
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STEM-Talk
Dawn Kernagis and Ken Ford
Fréquence : 1 épisode/19j. Total Éps: 195

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Episode 172: Kevin Tracey on neuro-immunology and the treatment of inflammatory diseases
Saison 8 · Épisode 172
jeudi 5 septembre 2024 • Durée 01:34:18
Few people know as much about inflammation and neuroscience as Dr. Kevin Tracey does.
In this episode of STEM-Talk, we learn much from Tracey, who was the first to identify the inflammatory reflex, a physiological mechanism that regulates the body’s immune response to injury and invasion.
He is a neurosurgeon, a pioneer in bioelectrical medicine and president and CEO of the Feinstein Institutes for Medical Research in Manhasset, N.Y. The conversation in this episode covers a career spent working on “producing tomorrow’s cures today” in the treatment of inflammatory diseases, including:
- How the death of his mother from a brain tumor when Tracey was 5 years old ultimately influenced his scientific journey.
- How the death of a young patient of his from sepsis further fueled his path, leading him to the insight that “good science begins with hard questions,” as Tracey shared in a TedTalk.
- The molecular mechanisms of inflammation and the use of vagus nerve stimulation to treat it.
- His 1987 discovery of tumor necrosis factor (TNF), which contributed to a new class of drugs for inflammatory and autoimmune diseases.
- Another discovery that allowed him and his colleagues to merge neuroscience and immunology.
- His work on “The Inflammatory Reflex”, which emphasized the basic neural pathway that reflexively monitors and adjusts the inflammatory response.
- A sketch he drew while having lunch, which laid out how treating inflammatory diseases using a bioelectronic device might be possible.
- What advances in bioelectronic medicine he envisions in the next decade, and much more.
[00:03:04] Dawn asks Kevin to tell the story of how he developed an interest in science that evolved into him becoming a neurosurgeon.
[00:04:56] Dawn mentions that Kevin was a curious youth and asks if it is true that after getting his first car, Kevin removed the entire engine because he wanted to better understand how to do a valve job.
[00:06:33] Ken mentions that after Kevin graduated from high school, he enrolled in Boston College where he earned a bachelor’s degree in chemistry. Ken explains that Kevin went to Boston University Medical School for his M.D. and asks Kevin about the transition.
[00:08:41] Ken asks if it is true that during Kevin’s first year at medical school his classmates had better luck finding him on the golf course than in the classroom.
[00:10:42] Dawn asks Kevin about his transition from medical school to the neurological surgery training program at New York Hospital, home of the Cornell University Medical College.
[00:13:11] Dawn pivots to talk about sepsis, which kills more than 350,000 people annually. She asks Kevin to discuss his tragic story of treating a patient with sepsis as a young neurosurgeon and how that changed the trajectory of his career.
[00:16:38] Ken explains that since the aforementioned incident, Kevin has focused on determining why septic shock occurs. Ken refers to a Ted Talk of Kevin’s in which he says, “good science begins with hard questions.” Ken asks Kevin to elaborate on this point.
[00:20:49] Dawn mentions that Kevin often describes himself as a brain surgeon who is fascinated by inflammation. Dawn asks Kevin how he responds when people ask him what inflammation is.
[00:22:29] Ken follows up by explaining that in 1987 Kevin made progress investigating inflammation with his discovery of tumor necrosis factor (TNF), which contributed to a new class of drugs for inflammatory and autoimmune diseases. Ken asks Kevin to discuss this discovery.
[00:25:56] Dawn mentions that in the late ‘90s, Kevin made another discovery that allowed him and his colleagues to merge neuroscience and immunology. Before getting into that discovery, Dawn asks Kevin to explain how humans have simple reflex circuits that harmonize the activity of our organs. She also asks him to talk about Charles Sherrington’s Nobel Prize-winning research, which laid the groundwork for contemporary neuroscience by showing how reflex circuits are the building blocks of our nervous system.
[00:29:50] Ken asks Kevin to elaborate on what monoclonal antibodies are, what disorders they can be used to treat, and what their potential benefits and downsides are.
[00:33:10] Dawn asks Kevin to talk about the discovery he made in the late 1990s, while studying the possibility of blocking TNF during a cerebral infarction or stroke by injecting a molecule that he and his colleagues developed directly into the brain.
[00:35:59] Ken mentions that after this discovery, Kevin started looking into well-established methods in neuroscience, such as those that link specific areas of the brain to specific cognitive functions and asks Kevin to discuss this research.
[00:39:45] Dawn explains that the insight that discrete brain regions control specific behaviors led Kevin to postulate that cutting the circuits connecting the brain and organs could reveal the identity of specific areas that control TNF. Dawn asks Kevin to walk through how he investigated this hypothesis.
[00:44:22] Ken asks Kevin to give an overview of the functions of the vagus nerve.
[00:46:00] Ken mentions that our show notes will provide a link to a short video that maps out the vagus nerve in detail. Ken goes on to mention that after Kevin looked into the relationship between TNF and the vagus nerve, he theorized that the TNF off signal from the vagus nerve completes a nerve circuit between the brain and the immune system. This finding had broad implications, and Ken asks Kevin to elaborate on them.
[00:50:57] Dawn mentions that Kevin wrote an article in 2002 for the journal Nature titled “The Inflammatory Reflex”, which emphasized the basic neural pathway that research had identified which reflexively monitors and adjusts the inflammatory response. Dawn goes on to mention that Kevin coined the term “inflammatory reflex” to describe how the nervous system monitors and controls the circuit to prevent the immune system from becoming overactive or underactive. Additionally, Kevin proposed in this article that it might be possible to activate neural anti-inflammatory mechanisms using small molecules to initiate signals in the central nervous system. Dawn asks Kevin to give an overview of the key insights into the inflammatory reflex he discussed in that article.
[00:54:15] Ken comments on the monumental importance of this paper to the field of neuro-immunology, and the treatment of inflammatory diseases, and asks Kevin what the response to this paper was.
[00:57:30] Dawn explains that Kevin has proposed that a dysregulated inflammatory reflex can lead to toxicity, tissue damage, and the presence of cytokines. It also can lead to miscommunication among cytokines leading to potential complications with autoimmune diseases. Dawn asks Kevin to talk about the process of testing this theory.
[01:00:54] Dawn asks Kevin about a sketch he drew while having lunch, which laid out how treating inflammatory diseases using a bioelectronic device might be possible.
[01:05:18] Ken pivots to talking about an influential 2016 paper that Kevin wrote on how the stimulation of the vagus nerve targeted the inflammatory reflex.
[01:08:23] Ken asks if there are any adverse effects suspected or identified for stimulating the vagus nerve in humans.
[01:12:02] Ken mentions that in writing about the vagus nerve Kevin has often talked about how the vagus nerve can get “out of tune.” Ken asks Kevin to explain how this occurs and what it means.
[01:14:41] Dawn mentions a study that Kevin spearheaded, which found that the dorsal motor nucleus is an important brain stem locus controlling anti-inflammatory signals and the inflammatory reflex. Dawn asks Kevin to discuss this study and how it was the first to demonstrate that neurons in the brain stem nuclei control the production of TNF.
[01:17:51] Dawn asks about a study Kevin and his colleagues conducted that looked at the use of an implanted vagus nerve stimulator in a small group of patients with Crohn’s disease.
[01:20:55] Ken asks Kevin what advances in bioelectronic medicine he envisions in the next decade.
[01:23:23] Ken mentions that the pharmaceutical industry is likely keeping a close eye on the development of bioelectronic medicine.
[01:24:25] Dawn mentions that Kevin is the president and CEO of the Feinstein Institute for Medical Research at Northwell Health, which has 50 research labs, and more than 5,000 researchers and staff on board. Dawn asks Kevin to talk about this research center and the range of work that goes on there.
[01:27:29] After mentioning that Kevin holds 120 U.S. patents, Ken asks Kevin about his ongoing tinkering and development of inventions.
[01:30:22] Dawn asks Kevin, with all the work he has on his plate, if he still finds time to golf.
Links:
Episode 171: Ken and Dawn on AI, Alzheimer’s, global security, keto vs low carb and more
Saison 8 · Épisode 171
jeudi 8 août 2024 • Durée 48:40
In today’s Ask Me Anything episode, Ken and Dawn answer a wide range of questions that cover:
- A recent FDA approval of a neural implant device for people with degenerative neuromuscular disease or spinal-cord injuries.
- Global security in the age of AI.
- A study that looked at ways to optimize glymphatic clearance for people with acute or chronic sleep deprivation.
- Why more gyms don’t offer blood-flow restriction classes for their clients.
- Developments in the realm of Generative AI.
- The tradeoffs between a low-carb diet versus a ketogenic diet.
- A study on Alzheimer’s titled, “APOE 4 Homozygosity Represents a Distinct Genetic Form of Alzheimer’s Disease.”
- Plus, Ken reveals his favorite science-fiction author.
[00:02:38] Dawn opens the episode with a question for Ken about the FDA’s recent approval of a neural implant device which is touted as a means of allowing people with degenerative neuromuscular disease, or spinal-cord injuries, to interface with external technology via neural signals. The listener asks Ken for his insights into what is being called “brain-computer interface technologies.”
[00:05:44] A listener asks Ken if he has a favorite science-fiction writer, or if there is a particular sci-fi series/story that really moves him.
[00:08:48] Multiple listeners ask Ken about a paper recently published titled: “APOE 4 Homozygosity Represents a Distinct Genetic Form of Alzheimer’s Disease.” Listeners ask if it is true that people with two copies of APOE4 allele are certain to develop the disease.
[00:19:30] A listener asks Ken about his time on the National Security Commission on Artificial Intelligence. The commission issued its report five years ago with specific recommendations on how the government should prepare for and defend against the national security implications of AI. Ken shares his thoughts on the implementation of the commission’s recommendations.
[00:21:16] A listener asks Dawn about her collaboration with Dr. Jeff Iliff that looked at a potential approach to optimizing glymphatic clearance for people with acute or chronic sleep deprivation.
[00:27:10] A listener asks Ken why more gyms and physical therapy centers don’t have blood flow restriction devices (BFR) available for their clientele, given that studies have shown that BFR improves strength and muscle mass in both young and older adults. (Two STEM-Talk episodes that cover blood-flow restriction include episode 34 and episode 161.
[00:28:38] A listener asks Ken for his thoughts on AI given the recent developments in the field, particularly in the realm of Generative AI, with programs like Chat GPT becoming a household name. The listener mentions that one of their friends thinks that AI is about to peak, and another says that AI is just getting warmed up.
[00:37:00] A listener writes that they are astounded at how many disorders can be treated with a ketogenic diet and mentions that they themselves have difficulty with a ketogenic diet. Instead, the listener eats low-carb diet and asks if the benefits of a low-carb, non-ketogenic diet are similar to a ketogenic one.
[00:38:19] A listener asks if Ken could talk about carotid scans and if this is a test that those with high LDL should consider getting.
[00:40:17] A 72-year-old listener explains how they structure their daily exercise routine between resistance and endurance training. The listener asks Ken whether they should focus more on resistance training as they are beginning to lose strength, and if so, how they should implement that given their age and the increasing risk for injury.
[00:45:51] To wrap up this episode, a listener asks Ken if he has any new annoyance that he would like to share, as he did in 2022, when he noted his disdain for the phrase “new normal” and the prevalence of cellphone addiction.
Links:
Episode 162: Marc Hamilton discusses the soleus push-up and the health hazard of excessive sitting
Saison 9 · Épisode 162
mercredi 10 janvier 2024 • Durée 01:38:08
Today we have Dr. Marc Hamilton, an international expert in muscle physiology. He has published pioneering work on the soleus push-up, a potent physiological method which Marc discovered having the ability to elevate metabolism for hours, even while sitting.
As a professor of Health and Human Performance at the University of Houston, Marc’s research focuses on solving problems of metabolism and biochemistry. His lab currently has a number of ongoing investigations, including studies on the biochemical mechanisms that may optimize fat metabolism to fuel muscle when fasting between meals. This research includes a look at maximizing glucose metabolism while also reducing related plasma hyperinsulinemia due to chronic inflammation and carbohydrate ingestion.
Another recent area of research focus has been to improve metabolic health for preventing diabetes and pre-diabetes. This includes the goal of improving glucose tolerance. Research has shown that glucose intolerance has been a particularly troubling metabolic problem and has proven to be more difficult to treat than most people realize.
Marc is also well known for a string of papers beginning in early 2000’s that found excessive sitting should be viewed as a serious health hazard. This research illuminated how metabolic and biochemical processes are significantly impacted by certain types of prolonged muscular activity and inactivity.
In today’s interview, we particularly talk to Marc about his paper in iScience that reported that the soleus push-up’s ability to sustain elevated oxidative metabolism to improve the regulation of blood glucose is more effective than many popular methods currently touted as a solution.
Show notes:
[00:02:48] Marc begins the interview talking about his childhood and growing up outside of Houston.
[00:03:49] Ken asks if Marc’s later affinity for the real-world scientific problems that he works on today was originally inspired, in part, by his childhood history of hunting and studying animal behavior and anatomy.
[00:05:20] Marcas asks Marc what other hobbies he had as a child.
[00:06:35] Marcas mentions that Marc didn’t go to college with the intention of becoming a scientist and asks Marc what he had in mind when he started his undergraduate studies at the University of Texas.
[00:09:08] Marcas asks Marc if there was anything in particular in his zoology undergrad that sparked an interest in pursuing a master’s degree in exercise physiology.
[00:10:15] Marcas asks Marc to talk about what he enjoyed the most about graduate school, particularly with his Ph.D. at the University of South Carolina.
[00:16:05] Ken asks if Marc had a great deal of independence with his PhD.
[00:17:27] Ken mentions that Marc went to the University of Texas School of Medicine in Houston for his postdoc research, which focused on physiology, cell biology, and pharmacology. Ken asks Marc what that time was like.
[00:19:45] Ken asks Marc to talk about some fundamentals of muscle metabolism that listeners should keep in mind before diving deeper into his current research.
[00:24:58] Marcas shifts to talk about Marc’s 2004 paper “Exercise Physiology vs Inactivity Physiology,” which focused on the enzyme lipoprotein lipase (LPL) and how periods of inactivity impact its regulation.
[00:32:05] Ken mentions that Marc published a string of papers after his previously mentioned 2004 paper, elaborating on the same theme. Ken brings up his 2008 paper, titled “Too Little Exercise and Too Much Sitting,” in particular. Ken asks Marc to talk about his conclusion in that paper, that excessive sitting should be viewed as a serious health hazard. Ken also asks Marc if there is any efficacy to standing desks and balance boards that one sees in many workplaces now.
[00:36:48] Marcas wonders if over the course of Marc’s research if he has seen any differences in the effects of inactivity across the sexes and asks Marc if the effects are roughly equivalent for men and women.
[00:39:15] Marcas asks Marc what his opinion is on the movement to have benchmarks and reminders built into most smartwatches, considering that these goals aren’t very personalized.
[00:42:27] Marcas shifts to talk about Marc’s 2014 paper “Sedentary Behavior is a Mediator for Type 2 Diabetes,” which looked at the use of moderate to vigorous physical activity, as typically recommended to mediate type-2 diabetes, but found that this did not fully counter the negative effects of too much sitting. Marcas asks Marc to explain why the metabolism in a slow-twitch oxidative muscle is so key in this respect for understanding the healthy response to load or moderate activity.
[00:49:11] Ken shifts to discuss Marc’s 2022 article, titled “A Potent Physiological Method to Magnify and Sustain Soleus Oxidative Metabolism Improves Glucose and Lipid Regulation,” in which Marc introduces the idea of a soleus push-up. Ken asks Marc to give an overview of the soleus muscle and what proper activation of it looks like for achieving the potent benefits described in the paper.
[00:55:32] Marcas asks about the design of the study, both with respect to the characteristics of the participants, as well as the research protocol.
[00:59:43] Marcas asks how many contractions per minute can be expected when doing the soleus push-up correctly.
[01:01:06] Ken asks Marc to briefly describe the primary findings of the paper.
[01:05:38] Ken asks if there were any findings from that study that Marc really didn’t expect and hadn’t hypothesized.
[01:07:10] Marcas explains that even though, on average, the soleus muscle is about 80 to 90 percent type 1 muscle fiber, there are differences in the ratio of composition across individuals. Given this, Marcas asks whether or not Marc has observed any individual differences between the participants’ responses from the muscle biopsies.
[01:08:23] Since higher intensity exercise has lower energy economy and thus a higher metabolic boost both during exercise and during recovery, Marcas asks if Marc considered it to be an alternative to the sitting soleus push-up.
[01:10:13] Marcas reiterated the importance of not viewing the soleus push-up as a replacement for other forms of exercise.
[01:15:04] Ken asks Marc to explain how one performs a soleus push-up properly.
[01:19:36] Ken mentions that the soleus push-up could be useful for people who often embark on long airline flights.
[01:25:19] Ken follows up the discussion of Marc’s study on the soleus push-up by asking about his more recent study which also generated a lot of interest.
[01:36:12] Marcas closes the interview asking Marc about an upcoming bow- hunting trip.
Links:
Hamilton lab’s YouTube channel
Hamilton lab’s website about the soleus push-up
Free copy of one original scientific article in the journal iScience (Cell Press).
Episode 72: Peter Norvig talks about working at Google, digital privacy, fake news, killer robots and AI’s future
Saison 3 · Épisode 72
mardi 11 septembre 2018 • Durée 01:15:04
Episode 71: Elizabeth Nance talks about using nanotechnology to understand and treat brain diseases
Saison 3 · Épisode 71
mardi 28 août 2018 • Durée 01:16:08
Episode 70: David Sabatini on the discovery of mTOR and its role in disease, longevity & healthspan
Saison 3 · Épisode 70
mardi 14 août 2018 • Durée 01:16:18
Episode 69: David LeMay talks about countering inflammation with SPMs
Saison 3 · Épisode 69
mardi 31 juillet 2018 • Durée 01:16:43
Episode 68: Steve Anton talks about diet, exercise, intermittent fasting and lifestyle interventions to improve health
Saison 3 · Épisode 68
mardi 17 juillet 2018 • Durée 01:07:34
Episode 67: Doug Wallace talks about mitochondria, our human origins and the possibility of mitochondria-targeted therapies
Saison 3 · Épisode 67
mardi 3 juillet 2018 • Durée 01:44:01
Episode 66: Peter Neuhaus talks about exoskeletons, robotics, and the development of exercise technologies for space and Earth
Saison 3 · Épisode 66
mardi 19 juin 2018 • Durée









