Latest / Core Memory / Her Multi-Billion Dollar Quest to End Disease - EP 25 Priscilla Chan
Transcript
- 0:00SPEAKER_02: I am a tennis player.
- 0:01SPEAKER_02: So we have one thing in common,
- 0:02SPEAKER_02: at least,
- 0:03SPEAKER_02: which was that we were both the captains of our tennis team.
- 0:07SPEAKER_01: Oh, my God.
- 0:08SPEAKER_01: You were?
- 0:08SPEAKER_02: Yes.
- 0:09SPEAKER_02: And you were the co-captain, I think?
- 0:10SPEAKER_01: I was the co-captain.
- 0:11I played tennis in high school,
- 0:17partially because the tennis coach was my science teacher.
- 0:20SPEAKER_02: I saw.
- 0:20SPEAKER_01: And he was like, you have to do that.
- 0:22SPEAKER_01: I was like, I don't know how.
- 0:25SPEAKER_01: And so he's like, I'll teach you.
- 0:26SPEAKER_01: It's no problem.
- 0:27And I was my senior year co-captain with someone who's far
- 0:32better than I would say
- 0:33SPEAKER_01: co-captain denotes no tennis skill on my on my part.
- 0:37SPEAKER_02: Yeah.
- 0:37SPEAKER_02: Well, I was looking at this because everything I could read.
- 0:41SPEAKER_02: It seemed like you started playing your freshman year.
- 0:44SPEAKER_02: It's a really hard sport to just pick up.
- 0:46SPEAKER_01: It was really hard.
- 0:50SPEAKER_01: It was really hard.
- 0:52SPEAKER_01: I worked hard at it.
- 0:53SPEAKER_01: I was never that good.
- 0:55I will tell you the lasting legacy of my tennis career is I'm
- 1:00now a mediocre pickleball player.
- 1:01SPEAKER_02: Okay.
- 1:02SPEAKER_02: Okay.
- 1:02SPEAKER_02: Yes.
- 1:03SPEAKER_02: So the pickleball people are taking over all our courts.
- 1:05SPEAKER_01: It's true.
- 1:06This is like the side part of my podcast where I hopelessly
- 1:10fight against this
- 1:11SPEAKER_02: because I'm not going to win.
- 1:14SPEAKER_02: Yeah.
- 1:15SPEAKER_02: So the tennis, it didn't stick with you.
- 1:18SPEAKER_01: I still played, but it's the thing.
- 1:20SPEAKER_01: I still do play tennis,
- 1:22SPEAKER_01: but like with tennis,
- 1:22SPEAKER_01: you really need someone who's like pretty well matched to you.
- 1:25SPEAKER_01: Whereas pickleball, like it's like just giant pink.
- 1:28SPEAKER_01: I'm sorry.
- 1:29SPEAKER_01: I don't know if I'm supposed to say that.
- 1:30It's giant ping pong and you can play with your friends and
- 1:32it's a great time.
- 1:35SPEAKER_01: And so I do both.
- 1:35SPEAKER_02: Okay.
- 1:36SPEAKER_02: We're going to talk science now.
- 1:37SPEAKER_01: Okay.
- 1:51SPEAKER_02: Priscilla Chan.
- 1:53SPEAKER_02: Most recent title and current title is co-CEO and co-founder of CZI,
- 1:58SPEAKER_02: the Chan Zuckerberg Initiative.
- 2:01You're a doctor,
- 2:03pediatrician,
- 2:04and obviously I read an academic all-star throughout your life.
- 2:11SPEAKER_02: So super impressive.
- 2:13As always,
- 2:13this podcast is made possible by the fine people at E1
- 2:18Ventures.
- 2:19SPEAKER_02: Thank you.
- 2:19SPEAKER_02: You won ventures.
- 2:21SPEAKER_02: So you started CZI about a decade, well, a decade ago.
- 2:24SPEAKER_00: Yeah, exactly.
- 2:26SPEAKER_02: with huge goals.
- 2:30SPEAKER_02: I don't know if this has always been the same tagline,
- 2:35SPEAKER_02: but supports the science and technology to make it possible to cure,
- 2:39SPEAKER_02: prevent,
- 2:40SPEAKER_02: and manage all disease in the century.
- 2:43SPEAKER_02: Was that from day one?
- 2:44SPEAKER_01: That's us.
- 2:44SPEAKER_01: That's from day one.
- 2:45SPEAKER_02: So this is a lofty, this is an ambitious, ambitious goal.
- 2:49SPEAKER_02: Although in this AI era, I feel like
- 2:54SPEAKER_02: People say things like this quite seriously.
- 2:57SPEAKER_02: Yeah.
- 2:57SPEAKER_01: Yeah.
- 2:59SPEAKER_01: It has always been our goal.
- 3:00SPEAKER_01: We want to cure, prevent, or manage all disease.
- 3:04SPEAKER_01: And 10 years ago,
- 3:07SPEAKER_01: almost exactly 10 years from today,
- 3:11SPEAKER_01: Mark and I were deep in talking to scientists.
- 3:13SPEAKER_01: Like, what's possible?
- 3:14SPEAKER_01: What should we be working on?
- 3:17SPEAKER_01: What's feasible?
- 3:18SPEAKER_01: And we're like, well, can we – we have –
- 3:22SPEAKER_01: we want to set a big audacious goal.
- 3:23SPEAKER_01: Can we just say we're going to cure all disease?
- 3:26SPEAKER_01: And they were like, well, no.
- 3:28SPEAKER_01: And we're like, well, why not?
- 3:30SPEAKER_01: And they were like, well, okay, but what about all these other things?
- 3:34SPEAKER_01: And like, what is even the pathway to doing that?
- 3:38SPEAKER_01: And we sort of pushed through.
- 3:40SPEAKER_01: And I will tell you,
- 3:42A lot of the scientists that we work with could not keep a
- 3:45straight face.
- 3:46SPEAKER_01: They're like, I have like, I have academic credibility to uphold.
- 3:50SPEAKER_02: When you wanted to use this.
- 3:52SPEAKER_01: To have that as our tagline.
- 3:53And they're like,
- 3:55and we're like,
- 3:55I,
- 3:55we had this,
- 3:56we had an announcement,
- 3:57a public announcement.
- 3:59And like,
- 4:00literally what some of the coaching was,
- 4:02well,
- 4:03don't smirk when you're saying it.
- 4:05SPEAKER_01: Yeah.
- 4:06SPEAKER_01: And then what's,
- 4:08SPEAKER_01: Totally crazy and unbelievable is exactly what you just said.
- 4:12SPEAKER_01: Today, people are like, yeah.
- 4:14SPEAKER_01: And probably not to leave.
- 4:15People are saying that it's not even going to take the end of
- 4:17our century.
- 4:18SPEAKER_01: We have given ourselves too much runway.
- 4:21And I think that's how we know that we are in just an
- 4:24incredibly exciting moment in
- 4:27SPEAKER_01: science and in medicine.
- 4:28SPEAKER_02: Yeah, yeah.
- 4:29SPEAKER_02: And so is this good or bad?
- 4:30SPEAKER_02: Now everybody's piggybacking on this.
- 4:33SPEAKER_02: It's great.
- 4:35SPEAKER_01: You think we're going to do this ourselves?
- 4:36SPEAKER_01: Of course not.
- 4:37SPEAKER_01: Like we depend on so many others to be able to do this work.
- 4:40SPEAKER_01: It's fantastic.
- 4:41SPEAKER_02: Yeah.
- 4:42SPEAKER_02: And I mean, we can, we'll get more into sort of CZI and what it's doing.
- 4:46SPEAKER_02: But I mean,
- 4:47obviously a lot of the motivations for this came from you being
- 4:50a doctor and what
- 4:52SPEAKER_02: I,
- 4:52SPEAKER_02: and an interest in science to begin with.
- 4:55SPEAKER_01: Yeah.
- 4:56SPEAKER_01: So I – oh, gosh, where do I start?
- 4:59SPEAKER_01: I'll start – I like to share this actually at our new hire orientation.
- 5:06SPEAKER_01: I am from Quincy, Massachusetts, and I'm the child of immigrants.
- 5:14SPEAKER_01: But I've also like, how do I explain this?
- 5:18SPEAKER_01: I'm 40 years old.
- 5:20SPEAKER_01: I've lived a lot of life.
- 5:21SPEAKER_01: But the most important part of my life was actually before I was born.
- 5:27SPEAKER_01: My grandparents, my two sets of my grandparents were from Saigon.
- 5:33SPEAKER_01: And during the Vietnam War, they needed to flee Saigon.
- 5:36SPEAKER_01: And they couldn't get their kids out.
- 5:38SPEAKER_01: And there's six on one side, nine on the other.
- 5:41SPEAKER_01: And they were buddies.
- 5:42SPEAKER_01: And they were like, okay, we got to get our kids out of this country.
- 5:45SPEAKER_01: There was a war.
- 5:46The only way they could get their kids out were these little
- 5:48boats that would float
- 5:49SPEAKER_01: out into the South China Sea.
- 5:52SPEAKER_01: And they, but these boats would sink.
- 5:55SPEAKER_01: They were just like crap boats.
- 5:56SPEAKER_01: They would sink.
- 5:57SPEAKER_01: And so they would hear stories of whole families sinking and dying.
- 6:02SPEAKER_01: And what they decided to do is pair up their buddies.
- 6:08Like my mom was paired with my aunt and we're like,
- 6:10okay,
- 6:11you guys take care of each other.
- 6:12And I mean,
- 6:13this sounds crazy to say,
- 6:14but if a boat sinks,
- 6:15we would only lose one or two kids.
- 6:17SPEAKER_00: Yeah.
- 6:18SPEAKER_01: And what happened is that,
- 6:22SPEAKER_01: and I try to hope that this is like a little spiritual,
- 6:25SPEAKER_01: a little scientific.
- 6:26SPEAKER_01: I hope that's written into my epigenetics,
- 6:29SPEAKER_01: the belief that there's something better out there and it's audacious,
- 6:33SPEAKER_01: it's big,
- 6:33SPEAKER_01: it's scary,
- 6:34SPEAKER_01: you take a risk and you do it.
- 6:36SPEAKER_01: Like, that's in me.
- 6:38SPEAKER_01: because of my grandparents, my parents, and what they chose to do.
- 6:42SPEAKER_01: So I ended up in Quincy, Massachusetts.
- 6:44SPEAKER_01: And we were refugees.
- 6:46SPEAKER_01: We were immigrants.
- 6:47SPEAKER_01: We didn't know the system.
- 6:49SPEAKER_01: And so many people stepped up to make a difference in my life.
- 6:53SPEAKER_01: And that's when I realized, like, I want to help kids.
- 6:56SPEAKER_01: And I've taught,
- 6:57SPEAKER_01: I went to medical school,
- 7:00SPEAKER_01: and I ended up at UCSF where I trained as a pediatrician.
- 7:04SPEAKER_01: And if you train as a pediatrician at UCSF,
- 7:07SPEAKER_01: it's like a little bit cute and cuddly,
- 7:09SPEAKER_01: but not that cute and cuddly.
- 7:10SPEAKER_02: I read some crazy stories of things you were doing, yes.
- 7:15SPEAKER_01: It's really about taking care of really sick kids with rare diseases.
- 7:20SPEAKER_01: And most of the time you're like, I don't know what that is.
- 7:24Or a parent slips you a PDF and they're like,
- 7:27this is everything that's known about our disease.
- 7:30SPEAKER_01: And you're scouring the paper and you're like,
- 7:32SPEAKER_01: Like, what do we even know?
- 7:34SPEAKER_01: What can I do to help this child and this family?
- 7:38SPEAKER_01: And like,
- 7:39that is how I learned that basic science is where hope comes
- 7:43from for medicine and
- 7:45SPEAKER_01: for patients.
- 7:46And if we don't invest in basic science,
- 7:49like there is no sort of hope for better in medicine.
- 7:53And sort of that's sort of like the really short version of
- 7:57sort of how I got to
- 7:58SPEAKER_01: really making CZI focused on basic science.
- 8:01SPEAKER_02: I mean, I read, well, okay, so totally appreciate that sentiment.
- 8:05SPEAKER_02: And then,
- 8:05SPEAKER_02: yeah,
- 8:05SPEAKER_02: I mean,
- 8:05SPEAKER_02: I read,
- 8:06SPEAKER_02: I mean,
- 8:07SPEAKER_02: this is more specific,
- 8:08SPEAKER_02: but a story about two premature children that you,
- 8:15SPEAKER_02: got in the parking lot and yeah, they were breathing and you had to.
- 8:19SPEAKER_01: What internet are you on?
- 8:23SPEAKER_01: This is true.
- 8:26SPEAKER_01: We would train at San Francisco General Hospital and UCSF.
- 8:31SPEAKER_01: And in San Francisco General Hospital,
- 8:33SPEAKER_01: you would take care of anything sort of,
- 8:36SPEAKER_01: we call it like that comes off the street life.
- 8:39SPEAKER_01: And at UCSF,
- 8:40SPEAKER_01: you did the super high-end sort of like bone marrow transplant,
- 8:44SPEAKER_01: specific genetic diagnoses.
- 8:47SPEAKER_01: And at the general,
- 8:49SPEAKER_01: when you were on call,
- 8:52SPEAKER_01: you would take care of any kid that sort of came off the street.
- 8:56And one of the most memorable cases I ever took care of was a
- 9:01mom who was really
- 9:02SPEAKER_01: sick and pregnant.
- 9:03SPEAKER_01: And we couldn't even get her past the emergency room.
- 9:07SPEAKER_01: They sort of...
- 9:09did a emergency c-section right there in the middle of the
- 9:13emergency room and i had
- 9:15to grab a baby not knowing how old the baby was and revive the
- 9:19baby um right
- 9:22everything all of my skills had to come into play yeah yeah um
- 9:26i'm making you teary
- 9:27SPEAKER_02: at the beginning i feel bad it's
- 9:31SPEAKER_02: And I know I'm going to take us forward for a second.
- 9:34There was something just from when you were growing up that I
- 9:36was so curious about.
- 9:37SPEAKER_02: I mean,
- 9:39SPEAKER_02: could you paint a picture of,
- 9:40SPEAKER_02: because I read some of these stories that you were talking about,
- 9:43SPEAKER_02: like what your house looked like.
- 9:45SPEAKER_02: Do you have two sisters?
- 9:46SPEAKER_01: I have two younger sisters.
- 9:47SPEAKER_01: Two younger sisters.
- 9:48SPEAKER_02: And so there's the grandparents, the parents in the house.
- 9:53SPEAKER_02: People are speaking Cantonese in the house.
- 9:56SPEAKER_02: And you're this kind of bridge between the outside world and the house.
- 10:00SPEAKER_02: But yeah, I was trying to picture what it looked like in my head.
- 10:03SPEAKER_01: Okay.
- 10:03SPEAKER_01: I grew up in a yellow house.
- 10:06SPEAKER_01: It had three bedrooms and one and a half baths.
- 10:09SPEAKER_00: Okay.
- 10:11SPEAKER_01: And my grandparents shared a room.
- 10:17SPEAKER_01: My three sisters and I shared a room.
- 10:19SPEAKER_01: And my parents shared a room.
- 10:21SPEAKER_01: And we only had one bathroom.
- 10:23SPEAKER_01: We took turns.
- 10:25SPEAKER_01: And all of my cousins on my dad's side of the family lived within a mile.
- 10:30SPEAKER_01: And my grandparents have 11 grandchildren.
- 10:33SPEAKER_01: So that little house, I think I've looked up recently.
- 10:36SPEAKER_01: It's something like 1,800 square feet.
- 10:39SPEAKER_01: would packed with all my aunts and uncles and all my cousins.
- 10:43SPEAKER_01: And so we didn't have much.
- 10:46SPEAKER_01: But we had a big extended family.
- 10:51SPEAKER_01: And my parents each worked two plus jobs my entire childhood.
- 10:56SPEAKER_02: Yeah, were you there from grade school through high school?
- 10:59SPEAKER_01: I was born there.
- 11:00SPEAKER_01: And then we moved when I was like a sophomore or a junior.
- 11:06SPEAKER_01: But there was something awesome about this house.
- 11:09SPEAKER_01: I don't know how this happened because it's kind of on a big street.
- 11:14But the bookmobile came every like...
- 11:16Now,
- 11:16this is new information,
- 11:17I think.
- 11:18SPEAKER_01: I don't think you found this on your internet.
- 11:19SPEAKER_02: I haven't seen this.
- 11:21SPEAKER_01: But the bookmobile came every like Tuesday or Wednesday.
- 11:26SPEAKER_01: And that was my access to books and the world.
- 11:30SPEAKER_01: And it literally stopped right in front of my house.
- 11:33SPEAKER_02: What were you – I mean, were you fiction?
- 11:36SPEAKER_02: Were you nonfiction?
- 11:37SPEAKER_01: Were you – I would read everything, but mainly nonfiction.
- 11:45SPEAKER_01: And then I went to a vo-tech high school.
- 11:49SPEAKER_01: And about half the kids in my high school went to college.
- 11:53SPEAKER_01: But you could also be a plumber, a carpenter, an electrician.
- 11:57SPEAKER_01: I'm very handy, I think, because of that.
- 12:00SPEAKER_01: And I took every single science class that was available.
- 12:04SPEAKER_01: And when I was done, I got permission.
- 12:07I bought myself a cancer biology textbook and I taught myself
- 12:11cancer biology.
- 12:13SPEAKER_02: So you were always...
- 12:15SPEAKER_02: I saw you did the robotics club.
- 12:17SPEAKER_02: Okay, you struck me as a very high achiever.
- 12:20SPEAKER_02: With science,
- 12:22I have to assume that was what you were most interested in and
- 12:26called to you,
- 12:27SPEAKER_02: or were you seeing that as this path to success and changing your life,
- 12:35SPEAKER_02: I guess?
- 12:37SPEAKER_01: It was my passion.
- 12:39The cancer biology textbook was because I lost my grandfather
- 12:42to cancer when I was
- 12:43SPEAKER_01: in middle school.
- 12:45SPEAKER_01: And so I just wanted to understand and learn more.
- 12:47SPEAKER_01: But I loved sort of learning about how the world works.
- 12:51SPEAKER_01: And so I had two passions.
- 12:54SPEAKER_01: I loved kids.
- 12:55I always loved kids because I felt like so many people growing
- 12:58up had given me a chance.
- 13:00SPEAKER_01: And like my way of paying it forward was going to be to work with kids.
- 13:05um and i love science i was really really nerdy and like i love
- 13:10the logic and the
- 13:11beauty of how biology and science works did you think you'd be
- 13:15a doctor or a
- 13:16scientist what did you picture in your head well i actually
- 13:19taught um elementary
- 13:21school science before i went to medical school at harker at
- 13:24harker yeah um and like
- 13:26SPEAKER_02: when you were growing up what were you picturing you would
- 13:29SPEAKER_01: I probably thought I would be a doctor,
- 13:34SPEAKER_01: but it was really most important to me that I work with kids.
- 13:36SPEAKER_02: Okay.
- 13:37SPEAKER_02: Okay.
- 13:39SPEAKER_02: I always wonder about Harker.
- 13:41SPEAKER_02: Do you have thoughts on Silicon Valley schools?
- 13:44SPEAKER_01: Oh, I have.
- 13:46SPEAKER_01: You know why I did Harker?
- 13:48I,
- 13:49well,
- 13:50intersecting into the part of my life that more people know
- 13:52about.
- 13:53SPEAKER_01: I met Mark in 2003, 22 years ago.
- 13:59SPEAKER_01: And he moved out to Silicon Valley in 2004.
- 14:04SPEAKER_01: And I was still just finishing my freshman year of college.
- 14:09SPEAKER_01: And we were like, we continued dating long distance.
- 14:15SPEAKER_01: Thank you, JetBlue.
- 14:17SPEAKER_01: And then we're like, okay, are we going to make this work?
- 14:21SPEAKER_01: We're going to try to live in the same place.
- 14:23SPEAKER_01: And what I really wanted to do was teach for America.
- 14:27SPEAKER_01: And they couldn't guarantee that I could come to the Bay Area.
- 14:31SPEAKER_01: So I ended up at Harker instead.
- 14:33SPEAKER_02: Okay, great.
- 14:34SPEAKER_02: Okay.
- 14:34SPEAKER_02: I mean, it's a fantastic school.
- 14:36SPEAKER_02: Well, at least it has a fantastic reputation.
- 14:38SPEAKER_01: Yeah.
- 14:38SPEAKER_02: Yeah.
- 14:39SPEAKER_02: Okay.
- 14:40SPEAKER_02: All right.
- 14:40SPEAKER_02: Sorry.
- 14:40SPEAKER_02: I want to,
- 14:41these are all things I've shared a picture in my head when I
- 14:43was reading some of
- 14:45SPEAKER_02: your background.
- 14:45SPEAKER_02: So that's, that's really helpful.
- 14:48SPEAKER_02: When you, when you start something like CZI, um,
- 14:53SPEAKER_02: You know,
- 14:54SPEAKER_02: we have seen in the past,
- 14:55SPEAKER_02: I mean,
- 14:55SPEAKER_02: going back even to,
- 14:57SPEAKER_02: well,
- 14:57SPEAKER_02: probably even further back,
- 14:58SPEAKER_02: but like Howard Hughes,
- 14:59SPEAKER_02: you know,
- 14:59SPEAKER_02: has,
- 15:00has gave all this money to science and medicine has had this
- 15:04tremendous legacy.
- 15:05SPEAKER_02: More recently,
- 15:06SPEAKER_02: we've seen some things that came after CZI,
- 15:09SPEAKER_02: like arc institutes where,
- 15:11SPEAKER_02: um,
- 15:12it's a group of wealthy people trying to go after science in
- 15:15their particular way.
- 15:18SPEAKER_02: And I know you consulted with people before you started CZI,
- 15:21SPEAKER_02: but like,
- 15:22how would you define how your model is different to other
- 15:26people trying to approach
- 15:28SPEAKER_02: furthering science?
- 15:30SPEAKER_01: Yeah, for me, I'll start with me personally.
- 15:33SPEAKER_01: Like I was going to be doing this work regardless.
- 15:39I was ready to practice and serve and giving back was not a
- 15:47career shift for me.
- 15:48SPEAKER_01: This was my career.
- 15:51And I think we're at a really cool moment where my interests
- 15:58and Mark's interests
- 15:59SPEAKER_01: and my skills and his skills came to a really interesting intersection.
- 16:04SPEAKER_01: We started from that.
- 16:06SPEAKER_01: We were like 10 years ago, we want to give back.
- 16:09SPEAKER_01: But like, you know, we have resources.
- 16:11SPEAKER_01: Money is obviously part of this.
- 16:13SPEAKER_01: But what else can we bring to the table?
- 16:15SPEAKER_01: And for me,
- 16:15SPEAKER_01: it was my experience as a practitioner of medicine,
- 16:19SPEAKER_01: from biology,
- 16:21SPEAKER_01: and for Mark,
- 16:22SPEAKER_01: was about building technology.
- 16:24SPEAKER_01: And we were like, okay, those are the three things that we have.
- 16:29SPEAKER_01: And so it was never just resources.
- 16:31It was about sort of other skills,
- 16:34knowledge that we could bring to the table.
- 16:36SPEAKER_01: And we looked at the problem of basic science.
- 16:38SPEAKER_01: We were like, okay, what can we do?
- 16:40SPEAKER_01: And I think we were the first to really,
- 16:42SPEAKER_01: in a serious way,
- 16:43SPEAKER_01: bring together biology and technology.
- 16:46And we said,
- 16:48okay,
- 16:49there's a few core principles we want to really focus on.
- 16:51SPEAKER_01: One, we want to fund unmet needs.
- 16:55SPEAKER_01: Two,
- 16:55SPEAKER_01: we want to really build a way for people from different disciplines,
- 17:01SPEAKER_01: starting,
- 17:01SPEAKER_01: you know,
- 17:02SPEAKER_01: like from our two different backgrounds.
- 17:04SPEAKER_01: Bring people from different disciplines together to solve heart problems.
- 17:09SPEAKER_01: And three, we want to build technology.
- 17:12SPEAKER_01: Like there's got to be cool, interesting things to build.
- 17:15SPEAKER_01: that can help accelerate science.
- 17:17SPEAKER_01: All of this,
- 17:18SPEAKER_01: when we say we want to cure,
- 17:19SPEAKER_01: prevent,
- 17:20SPEAKER_01: and manage all disease,
- 17:21SPEAKER_01: our strategy is not disease by disease.
- 17:23SPEAKER_01: Our strategy is how do we make all of science faster,
- 17:28SPEAKER_01: accelerate the path to impact so that we actually can get to that goal.
- 17:34Okay,
- 17:34so then when we started,
- 17:35we were like,
- 17:35okay,
- 17:36well,
- 17:36we're going to build a biohub.
- 17:38SPEAKER_01: Biohub is super cool.
- 17:39SPEAKER_01: And our first one was in San Francisco,
- 17:41SPEAKER_01: where it was a collaboration between UCSF,
- 17:43SPEAKER_01: UC Berkeley,
- 17:44SPEAKER_01: and Stanford.
- 17:45SPEAKER_01: And we got these universities to partner together,
- 17:49bring their best and brightest to work on a problem that's
- 17:55going to take 10 years
- 17:56SPEAKER_01: to solve.
- 17:56SPEAKER_01: We gave them a long runway.
- 17:58SPEAKER_02: Which is?
- 17:58SPEAKER_02: Sorry.
- 18:01SPEAKER_02: Just the particular problem.
- 18:03SPEAKER_01: Oh,
- 18:03SPEAKER_01: in San Francisco,
- 18:05the particular problem was really understanding the cell at the
- 18:08single cell level,
- 18:10SPEAKER_01: both sort of in its innate state and under sort of perturbations,
- 18:14SPEAKER_01: including infectious disease.
- 18:17SPEAKER_01: And so there's the biohub.
- 18:18SPEAKER_01: And the reason why that collaboration is so cool,
- 18:21SPEAKER_01: like UC Berkeley,
- 18:23SPEAKER_01: fantastic biology bioengineering department,
- 18:28SPEAKER_01: home to Jennifer Doudna.
- 18:30SPEAKER_02: Pomoda College grad.
- 18:31SPEAKER_01: Yeah.
- 18:31SPEAKER_02: There we go.
- 18:32SPEAKER_01: And then we have UCSF, one of the best medical systems in the world.
- 18:36SPEAKER_01: Like, we were able to bring those groups together.
- 18:39SPEAKER_01: Stanford Engineering came together to work on that problem.
- 18:42SPEAKER_01: Super cool.
- 18:44SPEAKER_01: We wanted to fund unmet needs, so we did grant funding.
- 18:48SPEAKER_01: And we funded things.
- 18:49SPEAKER_01: We knew that...
- 18:51SPEAKER_01: The academic system is really good at funding the first,
- 18:53SPEAKER_01: getting that first cool paper in,
- 18:55SPEAKER_01: nature,
- 18:56SPEAKER_01: science,
- 18:56SPEAKER_01: cell,
- 18:57SPEAKER_01: like that works and it's rewarded.
- 19:00SPEAKER_01: But no one was really rewarding finishing complex problems.
- 19:04SPEAKER_02: I see.
- 19:04SPEAKER_02: Okay.
- 19:04SPEAKER_02: Okay.
- 19:05SPEAKER_01: And so human cell atlas falls into that category.
- 19:08SPEAKER_01: The methodologies were out there,
- 19:11SPEAKER_01: but no one was excited to fund or incentivize completing an atlas,
- 19:16SPEAKER_01: which is like millions and millions of cells.
- 19:20And how could we support a burgeon community to complete these
- 19:26atlases so they can
- 19:27SPEAKER_01: be useful artifacts for everyone to use?
- 19:32SPEAKER_01: We funded patients to help make biologists better.
- 19:35SPEAKER_01: And then we built tools.
- 19:38SPEAKER_01: We built a sort of industry standard software engineering team,
- 19:44SPEAKER_01: and we built tools like Cell by Gene,
- 19:47and we supported open source tools that help scientists do
- 19:51their work faster and
- 19:52SPEAKER_01: better.
- 19:52And then we learned that,
- 19:55first of all,
- 19:55the biohubs were awesome,
- 19:57and now we have three more.
- 19:59SPEAKER_02: Chicago, New York.
- 20:00SPEAKER_01: Chicago,
- 20:01SPEAKER_01: New York,
- 20:01SPEAKER_01: and then imaging,
- 20:02SPEAKER_01: which is sort of not,
- 20:05SPEAKER_01: it sort of supports the other endeavors.
- 20:09SPEAKER_01: We learned that we could build cool, big data sets.
- 20:13Cell by Gene was both a useful tool used by thousands of
- 20:16scientists on a weekly basis.
- 20:19And it has a data set that people used to build a lot of these
- 20:22models on top of now.
- 20:26SPEAKER_01: And we could build useful technology.
- 20:29SPEAKER_01: So we're like, okay, there's a little bit of flywheel going here.
- 20:33SPEAKER_01: And then we're like, LLMs come on the scene.
- 20:37SPEAKER_01: And we're like, holy cow.
- 20:39SPEAKER_01: That was the moment where people went from being like,
- 20:42SPEAKER_01: we can't even say your mission with a straight face,
- 20:45SPEAKER_01: to being like,
- 20:45SPEAKER_01: well,
- 20:46SPEAKER_01: probably 20 years,
- 20:47SPEAKER_01: you think?
- 20:48SPEAKER_01: Why are we dilly-dallying?
- 20:51SPEAKER_01: And we're like, OK, OK now.
- 20:53And then we realized that between our ability to do science in
- 20:57our biohubs,
- 20:58SPEAKER_01: our ability to bring the community together to build assets,
- 21:01SPEAKER_01: we could build data sets.
- 21:03SPEAKER_01: We could build the compute that's necessary.
- 21:06SPEAKER_01: We have one of the largest compute clusters for the life sciences.
- 21:13SPEAKER_01: And we also had the scientists,
- 21:15SPEAKER_01: the patients,
- 21:16the doctors to make sure that what are the models that we're
- 21:19building using large
- 21:21SPEAKER_01: language models to elucidate
- 21:23interesting questions and answers in biology apply and have
- 21:28human impact.
- 21:29SPEAKER_01: And so that's sort of where we are today.
- 21:31SPEAKER_01: And,
- 21:32SPEAKER_01: you know,
- 21:33SPEAKER_01: in science,
- 21:34SPEAKER_01: there's all sorts of the fact that there are weak,
- 21:38SPEAKER_01: you know,
- 21:39SPEAKER_01: we're not an entirely original idea.
- 21:41We sort of come from inspiration from others and that there's
- 21:43others following us.
- 21:45SPEAKER_01: Like, that's awesome.
- 21:46SPEAKER_01: Yeah.
- 21:46SPEAKER_01: Yeah.
- 21:46SPEAKER_02: Yeah,
- 21:47SPEAKER_02: I think,
- 21:47SPEAKER_02: I mean,
- 21:47I don't really want to create like a science on science war or
- 21:51anything like that.
- 21:51And I think you're probably at least vaguely friends with
- 21:55Patrick Collison and some
- 21:57SPEAKER_02: of the people behind the Ark Institute.
- 21:59SPEAKER_02: I mean, there's some similarities, right?
- 22:00SPEAKER_02: Because they were trying to...
- 22:02SPEAKER_02: They came after you guys,
- 22:03but now they're trying to create this link between the
- 22:06universities and apply AI
- 22:08SPEAKER_02: to,
- 22:08SPEAKER_02: to.
- 22:09SPEAKER_00: Well, you know, Silvana was a biohub investigator.
- 22:11SPEAKER_02: Okay.
- 22:11SPEAKER_02: Okay.
- 22:12SPEAKER_00: Um, and.
- 22:13You don't feel,
- 22:14you don't feel like they,
- 22:16you guys,
- 22:16you're not upset or anything.
- 22:17SPEAKER_01: No, no.
- 22:19SPEAKER_01: Well,
- 22:19SPEAKER_01: Silvana was a biohub investigator and I think a lot,
- 22:22SPEAKER_01: she's like,
- 22:23she's able to take things that she like feels like works well
- 22:26and build upon that.
- 22:28SPEAKER_01: And like, we're, we are friends actually.
- 22:30SPEAKER_01: Okay.
- 22:31SPEAKER_01: Yeah.
- 22:31SPEAKER_01: Right.
- 22:31Well,
- 22:31and then I talked to the people behind Convergent Research a
- 22:35couple weeks ago.
- 22:38They sort of have this – they saw these gaps where things that
- 22:44might – research
- 22:45SPEAKER_02: that might not be clear enough to become a startup.
- 22:47SPEAKER_02: It may or may not have a business model around it.
- 22:49SPEAKER_02: And it's also maybe like too expensive for a university to keep funding.
- 22:53SPEAKER_02: I mean you outlined very clearly your attack.
- 22:57SPEAKER_02: I was just wondering if you also saw these gaps where –
- 23:01SPEAKER_02: Something like NIH funding gets you,
- 23:03SPEAKER_02: like,
- 23:03SPEAKER_02: so far,
- 23:04but there's always going to be these massive projects that just
- 23:09require more
- 23:09SPEAKER_02: capital than probably makes sense unless that's just what you want to do.
- 23:13SPEAKER_01: Well,
- 23:13SPEAKER_01: I think the point at which biology is at,
- 23:16SPEAKER_01: like,
- 23:16SPEAKER_01: there is a lot more sort of open discovery science that needs to happen.
- 23:22SPEAKER_01: But biology is actually kind of merging towards where physics is.
- 23:26And you start needing sort of larger scale teams,
- 23:30interdisciplinary teams.
- 23:32SPEAKER_01: The equipment is getting very serious.
- 23:35SPEAKER_01: We're not at the point of like LIGO,
- 23:38SPEAKER_01: but I think we're getting closer and closer to being a team science,
- 23:42SPEAKER_01: shared resources.
- 23:43SPEAKER_01: And so my sense is our group, other groups that you're talking about,
- 23:50SPEAKER_01: are trying different ways to attack that problem.
- 23:53SPEAKER_01: Like,
- 23:54what does biology look like beyond the individual wet lab to
- 23:58solve modern biology
- 24:00SPEAKER_01: questions?
- 24:01SPEAKER_02: Okay.
- 24:02SPEAKER_02: And you... I think it's about $7 billion to date that have gone into CZI.
- 24:07SPEAKER_02: And I ask this next question with all due respect.
- 24:11SPEAKER_02: I mean, you guys have pledged, I think, 99% of your wealth to this.
- 24:15SPEAKER_02: How do you...
- 24:18SPEAKER_02: Sometimes I look at something like the connectome,
- 24:20which is this quest to make a map of the brain on this very
- 24:25detailed level,
- 24:26SPEAKER_02: every neuron,
- 24:26SPEAKER_02: synapse,
- 24:27SPEAKER_02: axon,
- 24:27SPEAKER_02: and something I've been fascinated by for many years.
- 24:30SPEAKER_02: I think there's open,
- 24:33SPEAKER_02: fair debate as to how useful it may or may not be,
- 24:36SPEAKER_02: which is maybe part of the problem.
- 24:37SPEAKER_02: But,
- 24:38SPEAKER_02: you know,
- 24:38I go to these labs and I'm at Harvard and I'm with this Jeff
- 24:41Lickman and he's got
- 24:43SPEAKER_02: one brain slicer.
- 24:44SPEAKER_01: Do you know I worked in Jeff Lickman's lab?
- 24:46SPEAKER_01: In Jeff's lab?
- 24:46SPEAKER_02: Oh, my God.
- 24:47SPEAKER_02: He's one of my favorite people.
- 24:49SPEAKER_01: As an undergrad.
- 24:50SPEAKER_01: Did you?
- 24:50SPEAKER_02: Okay.
- 24:51SPEAKER_02: So did you work?
- 24:52SPEAKER_02: Was he doing?
- 24:53SPEAKER_02: Yeah, he would have been doing...
- 24:55SPEAKER_01: I mean, I don't know.
- 24:56SPEAKER_01: I was 19 years old.
- 24:58SPEAKER_01: My job was to dissect individual fluorescent axons in mice.
- 25:03SPEAKER_02: In mice.
- 25:04SPEAKER_02: Okay.
- 25:04SPEAKER_02: Okay.
- 25:04SPEAKER_02: Well, so, you know, he's one of my favorite people.
- 25:07SPEAKER_02: He's got this brain slicer.
- 25:10SPEAKER_02: I think he has two maybe.
- 25:12SPEAKER_02: And I'm like,
- 25:12SPEAKER_02: Jeff,
- 25:12SPEAKER_02: what would it take to like,
- 25:14SPEAKER_02: you know,
- 25:15we've done a worm's brain and we just did a fly and the quest
- 25:19is to get to a human.
- 25:20SPEAKER_02: And I'm like, what would it take?
- 25:22SPEAKER_02: You know, he's like, well...
- 25:24We'd have to have like a thousand of these brain slicers and
- 25:27then just a ton of computing.
- 25:29SPEAKER_02: And like at some point it's a resource problem.
- 25:31SPEAKER_02: And then I'm like, well, it's the brain.
- 25:34SPEAKER_02: Why don't, there's so many rich people in the world.
- 25:36Like how do we not want to know like what the,
- 25:39somebody must want to fund this.
- 25:41SPEAKER_02: And so,
- 25:41SPEAKER_02: yeah,
- 25:41SPEAKER_02: I'm just,
- 25:41SPEAKER_02: this is a very long winded question of like,
- 25:44SPEAKER_02: how do you decide how much you're going to give away when,
- 25:48SPEAKER_02: and some of these things might be like $10 billion projects on their own.
- 25:52SPEAKER_02: Yeah.
- 25:53SPEAKER_01: You know, we, for us, we started with a big portfolio.
- 26:01SPEAKER_01: And I don't have a metric that tells me, like, that's a winner, right?
- 26:05SPEAKER_01: But what you do is you look at, like, why us?
- 26:09And,
- 26:09like,
- 26:10resources,
- 26:11money itself is not enough to be,
- 26:13like,
- 26:13we are differentiated to do this.
- 26:15We have to look at what else do we bring to the table and how
- 26:19does it make the sum
- 26:20SPEAKER_01: of the work better?
- 26:21SPEAKER_01: And so we started really broad and we've been looking at like,
- 26:25SPEAKER_01: okay,
- 26:25SPEAKER_01: some of the stuff is like,
- 26:26SPEAKER_01: you know,
- 26:27SPEAKER_01: pushing a rock uphill that's like not going well.
- 26:29SPEAKER_01: You've got to be real.
- 26:30SPEAKER_01: And it's good work and good work that we care about.
- 26:34SPEAKER_01: But it's like, we are not winning at this.
- 26:36SPEAKER_01: And then some stuff you're like,
- 26:38SPEAKER_01: oh my God,
- 26:38SPEAKER_01: this flywheel,
- 26:39SPEAKER_01: like the human cells,
- 26:40SPEAKER_01: that flywheel just went.
- 26:42And so that's a consortium of people that have been trying to
- 26:45build a – it's like a virtual –
- 26:51SPEAKER_02: Like a complete body at the cellular level, right?
- 26:54SPEAKER_02: Of a map.
- 26:56SPEAKER_02: I mean, sort of like the connectome, but for all cells.
- 26:59SPEAKER_01: And yeah, that worked.
- 27:02SPEAKER_01: And so when we see things that work, we should do more of them.
- 27:04SPEAKER_01: Can I take an aside on human cell atlas?
- 27:06SPEAKER_02: Yeah, 100%.
- 27:08SPEAKER_01: So I'm going to knock it down to pretty basic for a second.
- 27:13SPEAKER_01: So we've understood the human genome for decades now.
- 27:16The human genome,
- 27:17you know,
- 27:18the way to think about it is that it's like you have kids.
- 27:23SPEAKER_01: You're familiar with Legos.
- 27:24SPEAKER_02: Yes.
- 27:25SPEAKER_02: Yeah.
- 27:25SPEAKER_02: In my foot.
- 27:27SPEAKER_01: Yeah.
- 27:27SPEAKER_01: Yeah.
- 27:27SPEAKER_01: Deeply familiar.
- 27:28SPEAKER_01: All the shapes by touch.
- 27:30SPEAKER_01: So the human genome basically tells you,
- 27:33SPEAKER_01: like,
- 27:33SPEAKER_01: for you,
- 27:34SPEAKER_01: what are all the possible Lego pieces that are available to create you?
- 27:38SPEAKER_01: And we have been able to map that for a long time.
- 27:42But we have never been able to say,
- 27:44how do these pieces come together to create you?
- 27:48SPEAKER_01: And that is actually really important because when you get sick,
- 27:51SPEAKER_01: it's because some parts of you,
- 27:52SPEAKER_01: some Lego pieces are broken,
- 27:54SPEAKER_01: missing in the wrong places.
- 27:56And what the Human Cell Atlas does,
- 27:59we have trillions of cells in our body.
- 28:01And it turns out each cell expresses a different subset of the
- 28:06Lego pieces.
- 28:08SPEAKER_01: And that makes a certain pack of Legos will create a heart cell.
- 28:14SPEAKER_01: A certain pack will create a kidney cell, a skin cell.
- 28:17SPEAKER_01: And then you can start seeing,
- 28:19SPEAKER_01: oh,
- 28:19SPEAKER_01: this is what makes each one of these cells unique and different.
- 28:23SPEAKER_01: And then the next step will be to look at those spatially.
- 28:25SPEAKER_01: Where are they in the cell?
- 28:27SPEAKER_01: How do they come together?
- 28:28SPEAKER_01: And then you start getting hopefully video too in live cells.
- 28:33Then you start understanding sort of what the molecular
- 28:37machinery inside of you and
- 28:39SPEAKER_01: how all of that works.
- 28:41SPEAKER_01: Then you can start understanding like,
- 28:43SPEAKER_01: sometimes what is even that cell?
- 28:45SPEAKER_01: What does it do?
- 28:46SPEAKER_01: And where has it broken down?
- 28:48And how can we design a therapeutic,
- 28:50a drug,
- 28:52a protein to actually change that cell state?
- 28:56So suddenly we went from static to more and more dynamic
- 29:02through the cell atlas.
- 29:04SPEAKER_01: And sometimes the question I get about the human cell is just like,
- 29:09SPEAKER_01: is this a stamp collecting activity?
- 29:11SPEAKER_01: Is it worthwhile?
- 29:12SPEAKER_01: Like, what is the impact on this?
- 29:15And I think the thing that unlocks the power of these bodies
- 29:22are the large language models.
- 29:24SPEAKER_01: And we can start looking at differences.
- 29:26SPEAKER_01: And turns out all your cells are kind of different.
- 29:29SPEAKER_01: And you want to know what cells are doing related activities.
- 29:34SPEAKER_01: For instance, CD47, very active in a number of cancers.
- 29:39SPEAKER_01: And you can try to drug and target CD47, right?
- 29:44SPEAKER_01: But the problem is, who else expresses CD47 and is necessary?
- 29:49And the cool thing someone figured out by looking at these
- 29:54atlases is that
- 29:56SPEAKER_01: It's true.
- 29:57SPEAKER_01: There are normal cells that need CD47, and there's the hijacked cells.
- 30:02But the normal cells are expressing a variant that looks
- 30:05slightly different.
- 30:06So can you take advantage of that difference and design a
- 30:09cancer drug that is
- 30:11SPEAKER_01: specific with lower side effects than,
- 30:15SPEAKER_01: you know,
- 30:15SPEAKER_01: a molecule that is looking at the CD47 in a more general way?
- 30:20SPEAKER_01: So that's sort of how to think about the human cell atlas.
- 30:26And I was just looking,
- 30:27because you have a software tool that does exactly that,
- 30:30right?
- 30:30SPEAKER_02: I thought I found the name here somewhere.
- 30:32SPEAKER_01: Yeah, it's SellbyGene.
- 30:33SPEAKER_02: SellbyGene.
- 30:34SPEAKER_02: I was looking at,
- 30:34SPEAKER_02: oh,
- 30:34there was a different thing that I was checking last night that
- 30:37I wanted to ask you
- 30:38SPEAKER_02: about.
- 30:40SPEAKER_02: Okay, I'll find it.
- 30:41SPEAKER_02: We'll come back.
- 30:42SPEAKER_01: Well, are you talking about some of the models?
- 30:45SPEAKER_01: Yeah.
- 30:45SPEAKER_02: It was, oh, here it is, transcriptformer.
- 30:48SPEAKER_01: Oh, yes.
- 30:48SPEAKER_02: Is that?
- 30:49SPEAKER_01: Transcriptformer is great.
- 30:51SPEAKER_01: And our ultimate goal at CZI is to build a virtual cell.
- 30:56SPEAKER_01: And I'm super passionate about that.
- 30:58SPEAKER_01: We can talk about that in general in a sec.
- 31:00But the thing that transcriptformer does is that it allows you
- 31:03to look at the
- 31:04SPEAKER_01: transcripts,
- 31:04SPEAKER_01: which are the mRNAs that we're looking at,
- 31:07SPEAKER_01: and compare across species.
- 31:10SPEAKER_01: And look, there's lots of model organisms you were talking about.
- 31:14SPEAKER_01: Worms, flies, mice.
- 31:16SPEAKER_01: How many times have we solved diabetes in mice?
- 31:19SPEAKER_01: So many.
- 31:20SPEAKER_01: They are diabetes free.
- 31:23SPEAKER_01: But we are not.
- 31:24SPEAKER_01: So what's the gap?
- 31:25And so you can use a tool like TranscriptFormer to start
- 31:29mapping model organisms,
- 31:31SPEAKER_01: their cell activity,
- 31:33SPEAKER_01: to understand,
- 31:33SPEAKER_01: like,
- 31:34SPEAKER_01: does that really map to the human?
- 31:36SPEAKER_01: And actually vice versa.
- 31:38SPEAKER_01: So only two species in the world get leprosy.
- 31:42SPEAKER_01: Humans and armadillos.
- 31:45SPEAKER_02: Oh, right.
- 31:45SPEAKER_02: Yeah, okay.
- 31:46SPEAKER_01: Okay.
- 31:46SPEAKER_01: So how can we, what is it about these two that make them in common?
- 31:51SPEAKER_01: And how do you use, say, armadillo as a model organism?
- 31:55So the transcript form allows you to map across species because
- 32:01it's obviously not
- 32:02SPEAKER_01: always the best to study in humans.
- 32:04So how do you map across species and make sure that you're
- 32:07doing science that is
- 32:08SPEAKER_01: meaningful and applicable to humans later on?
- 32:12And so it's some sort of tool that is like taking in these
- 32:14databases and then
- 32:16SPEAKER_02: letting you,
- 32:16SPEAKER_02: I mean,
- 32:17SPEAKER_02: it seemed like it was playing off LLMs.
- 32:19SPEAKER_01: It's based on an LLM architecture.
- 32:21SPEAKER_01: It is a large language model.
- 32:23And in the sense that it's also letting you ask like natural
- 32:26language queries of
- 32:27SPEAKER_02: this stuff,
- 32:28SPEAKER_02: or do you have to know what you're doing when you...
- 32:31SPEAKER_01: I think you can use it as sort of a biologist.
- 32:36SPEAKER_01: I would say I'm not prepared to ask it specific questions,
- 32:41SPEAKER_01: but in the context of biology,
- 32:43SPEAKER_01: you don't need to be a computer scientist to use the tool.
- 32:46SPEAKER_01: It's meant for biologists to use it.
- 32:49SPEAKER_02: How much,
- 32:49SPEAKER_02: like,
- 32:49SPEAKER_02: on the LLM stuff,
- 32:50SPEAKER_02: because it is so exciting,
- 32:52SPEAKER_02: and I think there was,
- 32:54SPEAKER_02: like,
- 32:54SPEAKER_02: a thing last week,
- 32:55SPEAKER_02: this Chai 2 came out,
- 32:57SPEAKER_02: where they were coming up with antibodies on these,
- 33:01SPEAKER_02: like,
- 33:01SPEAKER_02: one-shot runs.
- 33:02SPEAKER_02: I mean, stuff that, like, seems almost hard to believe.
- 33:05You know,
- 33:06I looked at what happened when Greg Brockman had his sabbatical
- 33:10from OpenAI.
- 33:11He went to Arc Institute,
- 33:13and he helped fix some of their models,
- 33:15which was awesome.
- 33:16SPEAKER_02: But the one thing that was, like...
- 33:18SPEAKER_02: Triggering in my head is like,
- 33:19SPEAKER_02: you have this massive bidding war for talent among all these companies,
- 33:24SPEAKER_02: as you would know,
- 33:26SPEAKER_02: for AI talent.
- 33:27And,
- 33:28you know,
- 33:29they're getting gobbled up by like all the big foundational
- 33:33model companies.
- 33:34Like,
- 33:34are the science people going to be able to get the quality of
- 33:39AI technology?
- 33:40SPEAKER_02: talent to push all this forward.
- 33:42SPEAKER_02: You know what I mean?
- 33:42Like we're kind of using all our brain power on this language
- 33:46coding quest over here.
- 33:48SPEAKER_01: Well, I see what you're saying.
- 33:50SPEAKER_01: So I look at the market.
- 33:51SPEAKER_01: First of all, it's not easy.
- 33:52SPEAKER_01: I'm not going to pretend like I have the answer.
- 33:55SPEAKER_01: And there are folks who want to build things like superintelligence.
- 33:59SPEAKER_01: And we're not that.
- 34:01We're not even sort of building these large language models
- 34:03from scratch,
- 34:04right?
- 34:05SPEAKER_01: And so we are using fine-tuning.
- 34:09SPEAKER_01: We're building off of other models.
- 34:11SPEAKER_01: We're building upon those that have done the work ahead of us.
- 34:15SPEAKER_01: So what we do have is mission.
- 34:20So people who want to work on biology,
- 34:22there's a much smaller subset of places to go.
- 34:25SPEAKER_01: So if you want to work on biology,
- 34:27there are a smaller group that we're really discussing and
- 34:31competing with on
- 34:32SPEAKER_01: talent.
- 34:33SPEAKER_01: And then the other thing is there's compensation,
- 34:36SPEAKER_01: which is obviously important,
- 34:38SPEAKER_01: and we cannot compete with the tech companies on this.
- 34:42SPEAKER_01: But the other thing researchers really care about is access to GPUs.
- 34:47Like you're not going to make the most of someone if you don't
- 34:50actually have the
- 34:51SPEAKER_01: GPUs for them to work from.
- 34:53SPEAKER_01: So we have that at CCI.
- 34:56SPEAKER_01: Our cluster is about 1,000.
- 34:59SPEAKER_01: And we have goals to grow it larger.
- 35:00SPEAKER_01: And that's what we have.
- 35:05Like come work with us on biology and come work with us because
- 35:08we're going to have
- 35:09SPEAKER_01: the compute to sort of support the research that you want to do.
- 35:13We should be forcing Jensen to keep 50,000 GPUs for science
- 35:17every year or something like that.
- 35:23SPEAKER_02: Okay.
- 35:24SPEAKER_02: I noticed the areas that
- 35:28And this was taken from my rushing,
- 35:32not rushing,
- 35:32but going through your website.
- 35:33SPEAKER_01: I don't think you rushed.
- 35:35SPEAKER_01: You know about my tennis team.
- 35:36SPEAKER_02: At the different spots you're investing in.
- 35:38I mean,
- 35:38I spend so much of my time on brain-computer interface stuff,
- 35:43on...
- 35:45SPEAKER_02: epigenetic reprogramming.
- 35:47SPEAKER_02: I don't know.
- 35:47SPEAKER_02: These are just two of the things that have really grabbed me lately.
- 35:51And so my worldview is a little skewed just because I've been
- 35:55in those two worlds so much.
- 35:57SPEAKER_02: I didn't see a lot of BCI stuff that you guys were looking at.
- 36:01I mean,
- 36:01it seemed a lot around building these foundational models of
- 36:07the body.
- 36:08I think in Chicago,
- 36:09the focus is on inflammation or maybe that's just part of the
- 36:13quest.
- 36:13SPEAKER_02: Yeah, so...
- 36:16SPEAKER_02: Yeah.
- 36:16SPEAKER_02: I mean,
- 36:17SPEAKER_02: this was,
- 36:17SPEAKER_02: it's a long,
- 36:18SPEAKER_02: another long winded question,
- 36:19SPEAKER_02: but,
- 36:19SPEAKER_02: but it felt to me like you guys were not following the,
- 36:24SPEAKER_02: um,
- 36:25SPEAKER_02: some of these areas that the rest of the world longevity,
- 36:28SPEAKER_02: all these things that people seem to be chasing.
- 36:30SPEAKER_02: And you were,
- 36:31you were kind of doing your own thing on these very like deep
- 36:34foundational
- 36:35SPEAKER_02: technologies that unlock,
- 36:36SPEAKER_02: um,
- 36:37SPEAKER_02: like unlock things.
- 36:39SPEAKER_01: Yeah.
- 36:39So that comes back to the strategy of we're not trying to solve
- 36:44one particular health problem.
- 36:47We are really trying to build tools that makes everyone better
- 36:49at their work.
- 36:50SPEAKER_01: And so if you look at the things we're trying to do,
- 36:53it really is about tool building that's going to be open to the
- 36:56entire scientific
- 36:57SPEAKER_01: community to build.
- 36:58SPEAKER_01: On the virtual cell model,
- 37:00we really believe that biology is going to be more creative and
- 37:04faster if you build
- 37:06SPEAKER_01: an in silico cell that biologists can flip the ratio on.
- 37:09SPEAKER_01: Right now, it's 90% wet lab, 10% computational.
- 37:13SPEAKER_01: And it's slow and it's hard.
- 37:15SPEAKER_01: And it makes people risk averse.
- 37:18SPEAKER_01: It's going to take so long to do that.
- 37:20SPEAKER_01: I'm not going to test it unless I'm really convinced.
- 37:23If you can build an in silico model and flip the ratio,
- 37:26they're 90% computational,
- 37:2610% wet lab.
- 37:28SPEAKER_02: So you want to make a cell model that is so rich,
- 37:33SPEAKER_02: a virtual cell that I can run experiments on it.
- 37:36SPEAKER_02: I can test molecules.
- 37:38SPEAKER_01: Exactly.
- 37:39SPEAKER_01: I want to be able to de-risk that,
- 37:41SPEAKER_01: do that in silico so that in the wet lab,
- 37:45SPEAKER_01: I can just confirm it.
- 37:46SPEAKER_01: That's going to make science faster.
- 37:48SPEAKER_01: That's going to make people willing to test riskier ideas faster.
- 37:53SPEAKER_01: And that is going to be something that accelerates a lot of science.
- 37:58SPEAKER_01: It's going to change the paradigm.
- 38:00SPEAKER_01: And it's actually going to very directly impact human health.
- 38:05SPEAKER_01: And then at our biohubs,
- 38:08we do a lot of work around engineering tools in addition to
- 38:13sort of the large
- 38:15SPEAKER_01: language models and modeling work that we're doing.
- 38:18SPEAKER_01: In Chicago,
- 38:20SPEAKER_01: what Shana is doing,
- 38:22SPEAKER_01: which is incredible,
- 38:23SPEAKER_01: is that she wants to understand inflammation at the tissue level,
- 38:27SPEAKER_01: at the organ level.
- 38:28SPEAKER_01: And,
- 38:29SPEAKER_01: you know,
- 38:30SPEAKER_01: right now,
- 38:30SPEAKER_01: you tell a doctor,
- 38:32SPEAKER_01: you're like,
- 38:33SPEAKER_01: I don't know,
- 38:34SPEAKER_01: like something my grandma would say,
- 38:36SPEAKER_01: you know,
- 38:36SPEAKER_01: my joints hurt when I eat cucumbers.
- 38:37SPEAKER_01: And you're like, what?
- 38:40SPEAKER_01: And like, you know, I'm a doctor.
- 38:41SPEAKER_01: I'm like, I don't know what to do with that.
- 38:43SPEAKER_01: But, you know, everyone's body works differently.
- 38:46And there's probably truth in a lot of these things that cause
- 38:50inflammatory states,
- 38:51SPEAKER_01: whether it's arthritis like my grandmother,
- 38:54SPEAKER_01: neurodegeneration,
- 38:55SPEAKER_01: cardiac health,
- 38:57SPEAKER_01: aging.
- 38:58SPEAKER_01: And you want to be able to understand what the inflammatory patterns are.
- 39:02But a lot of these changes are in a time scale that aren't
- 39:06captured by blood tests
- 39:07SPEAKER_01: that you get,
- 39:08SPEAKER_01: however frequently you're taking them.
- 39:10You're just not capturing these more fine changes that impact
- 39:15your health in the way you feel.
- 39:18Shayna developed a sensor that can be eventually used very
- 39:22similar to a glucose
- 39:23monitor that folks are using to actually look at these spikes
- 39:27in inflammatory
- 39:28SPEAKER_01: states and to be able to pick up super early signs of autoimmune flare,
- 39:35SPEAKER_01: cancer recurrence,
- 39:36SPEAKER_01: whatever it might be,
- 39:38SPEAKER_01: and to be able to look at it with a fine temporal pattern.
- 39:43SPEAKER_01: When you do this, this happens.
- 39:45SPEAKER_02: I mean, I saw photos.
- 39:47SPEAKER_02: It looked quite small in the photos.
- 39:49SPEAKER_02: It's teeny tiny.
- 39:50Does it get placed like an insulin sensor in one spot or you're
- 39:55putting it near where you're?
- 39:57SPEAKER_01: So right now it's mainly only in animals.
- 40:00But the idea is that you could put it in your skin just like an
- 40:03insulin sensor.
- 40:04SPEAKER_01: But you can also in animal models use it,
- 40:07SPEAKER_01: put it in the brain and look at inflammatory states in the brain.
- 40:12And the novel part of that technology is that they use sort of
- 40:15a physical vibration
- 40:16SPEAKER_01: to be able to attract,
- 40:19SPEAKER_01: record,
- 40:20SPEAKER_01: and flick off the molecule so you get that fine pattern.
- 40:25SPEAKER_01: Like when we tested it in mice,
- 40:27SPEAKER_01: we could actually see when you poked,
- 40:30SPEAKER_01: the animal did not like it when you used a needle to inject it.
- 40:35SPEAKER_01: you could see the immune response just from that.
- 40:38So you can start looking at much more clearer patterns and look
- 40:42at immune profiles
- 40:44SPEAKER_01: of different states of health.
- 40:47SPEAKER_01: So that's Chicago.
- 40:48SPEAKER_01: In New York, this is like the fantastic voyage.
- 40:52SPEAKER_01: In New York,
- 40:53what Andrea is trying to do is to be able to engineer immune
- 40:59cells to say,
- 41:01SPEAKER_01: go to Ashley's pancreas and tell me what's up.
- 41:04SPEAKER_01: And you can give it instructions,
- 41:06SPEAKER_01: and it can go to your pancreas,
- 41:09SPEAKER_01: observe,
- 41:10SPEAKER_01: and write into its own DNA what it observed,
- 41:14SPEAKER_01: yes,
- 41:15SPEAKER_01: no,
- 41:15SPEAKER_01: of whatever signal you're looking for.
- 41:18SPEAKER_01: And then it would lice and release cell-free DNA into your bloodstream.
- 41:22SPEAKER_01: And then I could draw your blood,
- 41:25actually much like a lot of the cell-free DNA that's used
- 41:27around pregnancy now.
- 41:29SPEAKER_01: And I could read out what that cell saw.
- 41:32And then the next step would be to engineer immune cells to be
- 41:35able to take an action.
- 41:39SPEAKER_01: And so these are all, they're tools.
- 41:42And they're tools that you can imagine using in a lot of
- 41:45different contexts to
- 41:47SPEAKER_01: accelerate science and biology.
- 41:48SPEAKER_02: And so in each biohub just has a slightly different focus.
- 41:52SPEAKER_01: Yeah.
- 41:52SPEAKER_01: And then they come together.
- 41:54SPEAKER_01: You know,
- 41:55SPEAKER_01: there's sort of like an immune system theme because in San Francisco,
- 41:59SPEAKER_01: we do a lot of transcriptomics and imaging and infection,
- 42:05SPEAKER_01: which is another way to perturb the immune system.
- 42:08And they're all generating interesting observations and data
- 42:12sets that feed into
- 42:14SPEAKER_01: our AI modeling work.
- 42:15SPEAKER_02: Okay.
- 42:16SPEAKER_02: I mean, it seemed overwhelming.
- 42:17SPEAKER_02: You guys must be bombarded with so much information.
- 42:20SPEAKER_02: And then,
- 42:21SPEAKER_02: I mean,
- 42:23SPEAKER_02: look,
- 42:23I worked at Bloomberg for a while and I used to sit in the room
- 42:26with some of the
- 42:27people in charge of investing Mike's money from a philanthropic
- 42:32perspective.
- 42:32And I know he was always so concerned with doing it efficiently
- 42:35and actually having
- 42:36SPEAKER_02: the money do good.
- 42:37SPEAKER_02: I mean...
- 42:38SPEAKER_02: It's like,
- 42:38SPEAKER_02: you know,
- 42:39SPEAKER_02: it's like everybody's like,
- 42:41SPEAKER_02: oh,
- 42:41SPEAKER_02: I wish I had all the money I would fund this and this.
- 42:43SPEAKER_02: You know, it's like a logistically hard thing to do.
- 42:46How do you like what is your normal day like as you're trying
- 42:50to triage both the
- 42:52SPEAKER_02: science and then what you're going to back?
- 42:56I spend a lot of time with the scientists to understand what
- 43:01they're excited about,
- 43:03SPEAKER_01: what's feasible,
- 43:04SPEAKER_01: and what is the plan to do there.
- 43:06SPEAKER_01: And the most common question I ask is, are we being ambitious enough?
- 43:11SPEAKER_01: And where is the risk?
- 43:12SPEAKER_01: How could we make this go faster?
- 43:13SPEAKER_01: And I want to invest in a way that...
- 43:21SPEAKER_01: optimizes our chance of doing something truly incredible.
- 43:23SPEAKER_02: Yeah, so the big stuff, yeah.
- 43:25SPEAKER_02: I'm just keeping an eye on time,
- 43:27because there were actually a couple of things that have just
- 43:29happened that I want
- 43:30SPEAKER_02: to talk about.
- 43:31SPEAKER_02: Yeah, I mean, so I've covered rare disease for a really long time.
- 43:37SPEAKER_02: quite often children and it's just terrible on all fronts.
- 43:41SPEAKER_02: I mean,
- 43:42SPEAKER_02: often these genetic diseases that,
- 43:44SPEAKER_02: um,
- 43:45SPEAKER_02: are devastating children,
- 43:46SPEAKER_02: you know,
- 43:47SPEAKER_02: might,
- 43:48SPEAKER_02: we'll have very often quite short lifespans.
- 43:50SPEAKER_02: It's,
- 43:50SPEAKER_02: uh,
- 43:52SPEAKER_02: part of medicine where,
- 43:53SPEAKER_02: um,
- 43:54pharmaceutical companies tend not to be incented to pursue
- 43:58something cause the
- 43:59SPEAKER_02: market's not big enough.
- 44:00SPEAKER_02: But then when you add up all the people with rare diseases,
- 44:03SPEAKER_02: it's actually quite a large population.
- 44:05SPEAKER_02: They just,
- 44:06SPEAKER_01: Hundreds of millions.
- 44:06SPEAKER_02: Right, but they just all happen to be quite different.
- 44:08SPEAKER_02: And so we talked about Jennifer Doudna before.
- 44:11SPEAKER_02: And what was it?
- 44:13SPEAKER_02: It was like two months ago, I think, there was this baby.
- 44:16SPEAKER_02: Is it KJ?
- 44:17SPEAKER_01: Baby KJ.
- 44:17SPEAKER_02: Baby KJ.
- 44:18SPEAKER_02: So had one of these rare genetic diseases.
- 44:21SPEAKER_02: We actually created a therapy after KJ was born to treat it.
- 44:26SPEAKER_02: I think it was liver or kidney?
- 44:28SPEAKER_02: Liver.
- 44:28SPEAKER_02: Liver.
- 44:29SPEAKER_02: And so this is just a little context of we just had this momentous
- 44:34thing with this baby where regulators and the therapies all
- 44:39came together quickly
- 44:40SPEAKER_02: to help the child.
- 44:42SPEAKER_02: And now it sounds like you guys are going to kind of broaden this out.
- 44:46SPEAKER_01: Yeah.
- 44:47SPEAKER_01: This is one I'm super excited about.
- 44:49And it brings together all the different threads that we've
- 44:51been talking about.
- 44:52SPEAKER_01: Baby KJ had what's called a urea cycle disorder,
- 44:56SPEAKER_01: which means that his liver is unable to process a byproduct of protein.
- 45:04SPEAKER_01: And the byproduct is toxic.
- 45:06And so every time his liver is unable to keep up with the
- 45:10protein that he's
- 45:11SPEAKER_01: ingested,
- 45:12SPEAKER_01: he accumulates toxins.
- 45:14SPEAKER_01: He would have.
- 45:14SPEAKER_01: Sorry, he does not, which is the cool part.
- 45:17SPEAKER_01: He would have accumulated toxins that led him to have brain damage.
- 45:22And eventually this accumulates in a child to can be pretty
- 45:27severe intellectual disability.
- 45:30SPEAKER_01: And from there...
- 45:34SPEAKER_01: When he was diagnosed,
- 45:37SPEAKER_01: a team at CHOP,
- 45:38SPEAKER_01: between CHOP,
- 45:39SPEAKER_01: IGI,
- 45:40SPEAKER_01: Jennifer Downis Group at Berkeley,
- 45:42SPEAKER_01: and Danaher,
- 45:43actually had all the parts already ready to go to understand
- 45:48his specific mutation
- 45:50SPEAKER_01: and to use CRISPR to go in and correct that mutation.
- 45:53SPEAKER_01: Yeah.
- 45:53SPEAKER_01: And he was given,
- 45:55SPEAKER_01: within seven months of his life,
- 45:56SPEAKER_01: he was given three doses of CRISPR,
- 45:59SPEAKER_01: a CRISPR-powered therapeutic,
- 46:02SPEAKER_01: to change that gene.
- 46:05And he is now able to normally process protein with no fear of
- 46:10going into these
- 46:10SPEAKER_01: metabolic crises.
- 46:12SPEAKER_01: That's incredible.
- 46:13SPEAKER_02: Right.
- 46:13SPEAKER_02: I mean,
- 46:14SPEAKER_02: yes,
- 46:14SPEAKER_02: because gene therapies are expensive,
- 46:16SPEAKER_02: rare,
- 46:16SPEAKER_02: and we hadn't tried these new techniques.
- 46:19SPEAKER_01: KJ was the first.
- 46:21SPEAKER_01: We've had gene therapies, and we have also used CRISPR.
- 46:24KJ was the first one where we looked at his specific mutation
- 46:27and designed a
- 46:28SPEAKER_01: bespoke drug for him.
- 46:31SPEAKER_01: And what we're excited to do is how do we...
- 46:36continue going down this path and use the CRISPR-Cas9 platform
- 46:41to use the molecules
- 46:42that have been designed and to partnership with the FDA to
- 46:46build this into a
- 46:47platform where it becomes easier and faster to be able to
- 46:53design a bespoke gene
- 46:56SPEAKER_01: therapy to a patient,
- 46:58SPEAKER_01: most often a baby,
- 47:00and to correct a mutation that would have dramatically altered
- 47:03their life.
- 47:04And what we're doing in partnership with Jennifer and the IGI
- 47:10is to create a center at UCSF.
- 47:13SPEAKER_01: It's like this one I feel so passionate and sort of makes my heart.
- 47:20SPEAKER_01: I don't know.
- 47:21It's both excitement and sort of,
- 47:25I don't know,
- 47:26passion,
- 47:27I guess is what I call it.
- 47:28It's because we are literally going back to the teams that I
- 47:31trained with as a pediatrician.
- 47:34SPEAKER_01: that motivated me to invest in basic science.
- 47:38And with this program to gene edit children who are born
- 47:45without immune systems and
- 47:47SPEAKER_01: without functioning livers to be able to process their food.
- 47:53And these kids otherwise would have had progressive illnesses
- 47:58and problems.
- 47:59SPEAKER_01: really severe,
- 48:01SPEAKER_01: unpleasant,
- 48:02long-term years in the hospital and sort of never going back to
- 48:07a normal baseline.
- 48:09And so we're going to be able to really closely tie together
- 48:13what we know from the
- 48:14SPEAKER_01: basic science and deliver a therapeutic to impact people's lives.
- 48:19SPEAKER_02: I don't want to give people...
- 48:22SPEAKER_02: false hope or even set timelines on some of the stuff.
- 48:25SPEAKER_02: Cause it's such difficult,
- 48:26SPEAKER_02: but like,
- 48:26SPEAKER_02: do we,
- 48:26SPEAKER_02: so you've,
- 48:27SPEAKER_02: we feel like what we saw with baby KJ,
- 48:31SPEAKER_02: um,
- 48:35It proved enough stuff out that we feel like we will be able to
- 48:38do this for
- 48:39SPEAKER_02: multiple other conditions on a – none of this is easy,
- 48:43SPEAKER_02: but,
- 48:43SPEAKER_02: like,
- 48:44SPEAKER_02: I'm trying to find the right word.
- 48:45SPEAKER_02: Feasible?
- 48:46SPEAKER_02: Yeah, yeah.
- 48:47SPEAKER_01: So, yes.
- 48:48And I think you have to be super careful about the cases that
- 48:51you choose because
- 48:52SPEAKER_01: there are unknowns and there are risks.
- 48:55SPEAKER_01: And so you want to choose a case in which it would be the risks –
- 49:02SPEAKER_01: sort of are outweighed by the potential upside that the patient has.
- 49:05And so we're going to be working with a clinical advisory group
- 49:07to work on that.
- 49:09You choose the cases carefully and you work with the families
- 49:13and you work with the
- 49:14physicians to figure out how to deploy this and you monitor
- 49:18what's going on.
- 49:19SPEAKER_01: But the interesting thing is, as you get to more and more...
- 49:25SPEAKER_01: you understand sort of how long it lasts.
- 49:27SPEAKER_01: What are the downstream effects?
- 49:29SPEAKER_01: Like, what are we seeing?
- 49:30SPEAKER_01: Because you're worried about off-target effects.
- 49:33And this is where actually some of the cell modeling work comes
- 49:36into play as well.
- 49:37SPEAKER_01: Because you want to know, you know, in the case of baby KJ,
- 49:42we edited his liver,
- 49:45what are the other effects that this edit will have?
- 49:49SPEAKER_01: And you test this in mice,
- 49:51SPEAKER_01: you test this in non-human primates,
- 49:54but what you ultimately would be incredibly helpful is to be
- 49:58able to look at this
- 50:00edit in a virtual setting and look at the downstream effects to
- 50:05be able to predict
- 50:06SPEAKER_01: what sorts of consequences,
- 50:08SPEAKER_01: intended or not intended,
- 50:10SPEAKER_01: you would have.
- 50:11And is it going to be all monogenetic single gene conditions
- 50:15for the foreseeable future?
- 50:16SPEAKER_01: Yeah.
- 50:16We're planning,
- 50:18in this model and this investment,
- 50:19we're targeting about eight patients.
- 50:21SPEAKER_01: Okay.
- 50:22SPEAKER_01: And we'll learn a lot from these eight patients,
- 50:25SPEAKER_01: both from the regulatory perspective and the scientific perspective.
- 50:28SPEAKER_01: But you really want to know the exact mutation.
- 50:31So we're going after really well-characterized Mendelian
- 50:36monogenetic diseases where
- 50:37SPEAKER_01: we understand the pathway.
- 50:39But the really cool thing and the other thing that's happening
- 50:42for us this week is
- 50:44SPEAKER_01: that we're releasing an AI model called Gremlin.
- 50:48And the thing that Gremlin does is Gremlin looks at
- 50:52non-monogenetic diseases.
- 50:55It is looking at the protein expression of a constellation of
- 50:59your gene profile and
- 51:01looking at where a disease has sort of a lever or a sort of key
- 51:08intersection that
- 51:10SPEAKER_01: would help in sort of a lot of other diseases like ALS,
- 51:14SPEAKER_01: Parkinson's,
- 51:16SPEAKER_01: autoimmune disease.
- 51:18A lot of factors come into play and you want to understand
- 51:20where the linchpin is.
- 51:22SPEAKER_01: So the one I find helpful to think about is, say, autoimmune disease.
- 51:28SPEAKER_01: In autoimmune disease,
- 51:30you have usually a genetic predisposition and the dreaded
- 51:35variant of unknown
- 51:36SPEAKER_01: significance.
- 51:37It's great when it's a slam dunk,
- 51:39but then there's usually a variant of unknown significance.
- 51:42There's usually sort of an environmental factor,
- 51:45whether it's an infection or pregnancy.
- 51:48And then something happens where it triggers some people to
- 51:52flip into illness and
- 51:53SPEAKER_01: some people don't.
- 51:55SPEAKER_01: And what Gremlin could do is look at all these pathways
- 51:59SPEAKER_01: And instead of looking at a single pathway that you can correct,
- 52:01SPEAKER_01: like we were talking about with the work that we'll do with Jennifer,
- 52:05SPEAKER_01: Gremlin looks at the multiple pathways.
- 52:08And individually,
- 52:09it's unclear sort of at what point you should intervene.
- 52:12SPEAKER_01: But together,
- 52:13SPEAKER_01: you can look at the intersection and say,
- 52:15SPEAKER_01: ah,
- 52:15SPEAKER_01: it's this protein that goes wrong when that happens.
- 52:18SPEAKER_01: And Gremlin is aimed to really help you understand these non-Mendelian
- 52:24SPEAKER_01: multifactorial illnesses that so many of us deal with.
- 52:27SPEAKER_02: And so it's – and I have that in my notes, but it's an application.
- 52:30SPEAKER_02: I mean, what's the best way to describe it?
- 52:32SPEAKER_02: A tool?
- 52:34SPEAKER_01: It's like an AI-agentic model.
- 52:36SPEAKER_02: It's a model.
- 52:36SPEAKER_02: Right.
- 52:36SPEAKER_02: Okay.
- 52:37SPEAKER_02: And you guys open source like a ton of this stuff.
- 52:39SPEAKER_01: All of it, yeah.
- 52:40SPEAKER_02: I'm keeping an eye on time.
- 52:42SPEAKER_02: I'm sorry to do this.
- 52:43SPEAKER_02: I have to ask you a couple other questions.
- 52:45SPEAKER_02: Sure.
- 52:45SPEAKER_02: There's been a couple stories about you guys lately.
- 52:48SPEAKER_02: And so you've been at this for 10 years.
- 52:51SPEAKER_02: I think when you started, it was –
- 52:53SPEAKER_02: It was health, well, science and education.
- 52:57SPEAKER_02: And there were a couple of buckets.
- 52:59SPEAKER_02: And as time has gone on,
- 53:01SPEAKER_02: it feels very science is the priority,
- 53:05SPEAKER_02: or at least that's my interpretation.
- 53:07SPEAKER_02: And I think you wrote a newsletter to this effect.
- 53:11SPEAKER_02: So the standard did a story, and then a couple of people followed.
- 53:14SPEAKER_02: And I guess they were arguing in these pieces
- 53:17SPEAKER_02: They felt like politics has come into play on some of CZI's mission and,
- 53:22SPEAKER_02: um,
- 53:23and that you guys had gotten rid of some of these other things
- 53:26and then emphasized
- 53:27SPEAKER_02: science.
- 53:28SPEAKER_02: I mean, I don't actually care.
- 53:30SPEAKER_02: Um, I'm pretty pro science and money going towards science.
- 53:33Um,
- 53:34but I,
- 53:34you know,
- 53:34I can see why some people would,
- 53:36I know you wrote a newsletter of this.
- 53:37SPEAKER_02: I just wanted,
- 53:38SPEAKER_02: you know,
- 53:38SPEAKER_02: if there was something you wanted to address on this,
- 53:42SPEAKER_02: this front and,
- 53:43and sort of how you guys are thinking about it and then some of
- 53:46that criticism,
- 53:46SPEAKER_02: I guess.
- 53:47SPEAKER_01: Yeah.
- 53:48SPEAKER_01: You mentioned this,
- 53:49SPEAKER_01: but over the past 10 years,
- 53:51SPEAKER_01: we've invested $7 billion in science,
- 53:55SPEAKER_01: in the community,
- 53:56SPEAKER_01: in all these different efforts.
- 53:58SPEAKER_01: And a lot of good work has happened, and we're proud of that good work.
- 54:02SPEAKER_01: And also, not all of it has gone the way we expected.
- 54:08SPEAKER_01: And some of it has been sort of, it just hasn't hit that flywheel.
- 54:12SPEAKER_01: And meanwhile,
- 54:15SPEAKER_01: In science,
- 54:16SPEAKER_01: we have hit an incredible,
- 54:17interesting inflection point where putting more resources we
- 54:22think actually can
- 54:23SPEAKER_01: produce outside results.
- 54:26SPEAKER_01: And it's something I care deeply about.
- 54:29SPEAKER_01: This is not, I didn't stumble upon science yesterday.
- 54:33SPEAKER_01: This is something, you know, I've been reading that biology textbook.
- 54:36SPEAKER_01: I've been in medicine and I'm thrilled to be able to,
- 54:40SPEAKER_01: with the work with Jennifer,
- 54:42SPEAKER_01: to go back to thinking about patients.
- 54:44SPEAKER_01: Like this is ultimately...
- 54:46SPEAKER_01: my life's work.
- 54:47And so when given the opportunity to focus our efforts and
- 54:52invest more in something
- 54:53SPEAKER_01: that is going to improve the lives of a lot of people,
- 54:56SPEAKER_01: like I'm excited to do it.
- 54:59SPEAKER_02: So when you,
- 55:00SPEAKER_02: when you see criticism like that,
- 55:01SPEAKER_02: I mean,
- 55:01SPEAKER_02: does it,
- 55:02SPEAKER_02: um,
- 55:03SPEAKER_02: I don't know,
- 55:04SPEAKER_02: does it,
- 55:05SPEAKER_02: does it bother you?
- 55:06SPEAKER_02: Does it not?
- 55:06SPEAKER_02: Is it just the reality of the situation?
- 55:08SPEAKER_02: Um, yeah, I don't know how you process it.
- 55:12SPEAKER_01: Uh,
- 55:14SPEAKER_01: I think in scenarios like that,
- 55:16SPEAKER_01: you just,
- 55:17SPEAKER_01: well,
- 55:17SPEAKER_01: everyone's entitled to their opinion,
- 55:19SPEAKER_01: especially when you do something so publicly.
- 55:21SPEAKER_01: And I think the parts where I want criticism to make us better.
- 55:28SPEAKER_01: And so when I get criticism, like, have they thought about this?
- 55:31SPEAKER_01: What will this look like?
- 55:32SPEAKER_01: Yeah, that's great.
- 55:33SPEAKER_01: And I'm going to take that and internalize it and make the work better.
- 55:36And then sometimes people are expressing their opinions and you
- 55:39just have to
- 55:40SPEAKER_01: respect it for that.
- 55:40SPEAKER_02: I mean, I get some, it's like, you know,
- 55:44Wealthy,
- 55:45powerful people doing big things are always going to be under
- 55:48the microscope.
- 55:49You're doing big stuff in the world,
- 55:51you know,
- 55:51like in the arena,
- 55:52I guess,
- 55:53as people say.
- 55:54SPEAKER_02: But then there's an element to some of this.
- 55:59It's like,
- 55:59God,
- 56:00I mean,
- 56:00you're putting like billions of dollars in the science.
- 56:02SPEAKER_02: It's like, I don't know.
- 56:05SPEAKER_02: I don't know.
- 56:06seems like a decent thing to do um yeah the uh so you you just
- 56:11came out with these
- 56:12two big announcements um that'll probably be coming out just
- 56:16like a couple days
- 56:17before this podcast airs um what else are like i mean there's
- 56:21it seems like there's
- 56:21tons of priorities but um is there like one big project you're
- 56:26really eyeing within
- 56:28SPEAKER_02: the next year
- 56:29SPEAKER_01: Yeah,
- 56:30SPEAKER_01: I mean,
- 56:31we're lining up all of our ducks to really accelerate science
- 56:36at the intersection
- 56:38SPEAKER_01: of AI and biology.
- 56:40SPEAKER_01: Like, that's what we're going for.
- 56:42We want to be able to build useful tools to make work like
- 56:47Jennifer's better.
- 56:49SPEAKER_01: We want to build tools that help us understand complex diseases.
- 56:53SPEAKER_01: We want scientists to be using our tools,
- 56:56SPEAKER_01: whether it's,
- 56:57SPEAKER_01: you know,
- 56:57SPEAKER_01: Shana's sensor or the engineered cells coming out of New York.
- 57:00And we actually have a bunch of stuff that we're building out
- 57:03of San Francisco that
- 57:04SPEAKER_01: we didn't get to.
- 57:04But,
- 57:05like,
- 57:06we want all those tools to come together to make science go
- 57:10faster.
- 57:10SPEAKER_02: Is there, like, any worry that we...
- 57:15SPEAKER_02: I am bombarded by AI meets science startups, and everyone's so excited.
- 57:22SPEAKER_02: And a lot of the medical stuff, this technology definitely seems to work.
- 57:25SPEAKER_02: I don't know.
- 57:26SPEAKER_02: Is there any worry we put too many eggs in this basket?
- 57:30SPEAKER_02: Because,
- 57:30SPEAKER_02: you know,
- 57:30SPEAKER_02: there's still the fear that,
- 57:31SPEAKER_02: like,
- 57:32SPEAKER_02: oh,
- 57:32SPEAKER_02: these LLMs are amazing,
- 57:34SPEAKER_02: but,
- 57:34SPEAKER_02: you know,
- 57:35SPEAKER_02: we may be hitting a wall.
- 57:36SPEAKER_02: We may...
- 57:38There might be limits to this and that we go sort of too far
- 57:41that direction.
- 57:42And then it turns out these things can't do what we thought
- 57:45they could do.
- 57:47SPEAKER_01: I would,
- 57:48SPEAKER_01: you know,
- 57:48SPEAKER_01: my approach here and Mark's approach here is like,
- 57:51SPEAKER_01: let's go all in to know whether or not it was possible and we'll learn.
- 57:55And even if it wasn't possible,
- 57:57great tools and great things will come out of it.
- 58:00SPEAKER_01: And if, you know, if we actually get to the moon, that's awesome.
- 58:04SPEAKER_02: Yeah.
- 58:05SPEAKER_01: But it's better than sort of giving it a half-hearted,
- 58:07SPEAKER_01: hedged effort because we'll never really know.
- 58:10SPEAKER_02: Yeah.
- 58:11SPEAKER_02: Yeah.
- 58:11And I don't know if you get too into this stuff,
- 58:13but like the state of U.S.
- 58:16I mean,
- 58:16obviously there has been some cuts to NIH,
- 58:18like drastic cuts at some of these labs.
- 58:21SPEAKER_02: Yeah, I don't know.
- 58:22I mean,
- 58:22how do you feel about the state of American science at the
- 58:24moment?
- 58:26SPEAKER_01: I think...
- 58:28SPEAKER_01: The foundation,
- 58:29the bedrock that we all get to build from in American science
- 58:32is incredible because
- 58:34SPEAKER_01: of the investment that our government has made.
- 58:36SPEAKER_01: It's so important.
- 58:39SPEAKER_01: And the reason why we're able to take these sort of high risk,
- 58:42SPEAKER_01: high reward projects with it is because the broader ecosystem exists.
- 58:48And I think we need to continue ensuring that like American
- 58:53science is fantastic.
- 58:56And I think sometimes we sort of lose the thread because the
- 59:00time between like a
- 59:01SPEAKER_01: basic science discovery and impact in medicine,
- 59:03SPEAKER_01: for instance,
- 59:04SPEAKER_01: is decades and decades.
- 59:05SPEAKER_01: People just lose the thread.
- 59:07SPEAKER_01: That's partially why this case CHOP with baby KJ is so inspirational.
- 59:11SPEAKER_01: Because, you know, Jennifer got the Nobel Prize in 2015, or 2020.
- 59:14SPEAKER_01: She won the Breakthrough Prize in 2015.
- 59:18SPEAKER_01: She won the Nobel Prize in 2020.
- 59:19SPEAKER_01: And today, in 2025, a baby has had its lives changed.
- 59:21SPEAKER_01: His life changed.
- 59:22SPEAKER_01: And so I think we've...
- 59:32We've got to reignite people's imagination about how impactful
- 59:36and cool science is.
- 59:39SPEAKER_01: And I'm not saying the system's perfect.
- 59:42There are imperfections in the system that I think we would all
- 59:46like to see improved.
- 59:47SPEAKER_01: Like right now we're funding scientists way too late in their career.
- 59:51SPEAKER_01: You know this, but the average R01 goes to a 45-year-old.
- 59:55And I would venture to say our younger people are more
- 59:59creative,
- 59:59bolder,
- 1:00:00and want to take risks.
- 1:00:03SPEAKER_01: The system is imperfect,
- 1:00:04SPEAKER_01: and so we need to sort of give it a boost,
- 1:00:08SPEAKER_01: but it's what incredible breakthroughs are built off of.
- 1:00:12SPEAKER_02: Okay.
- 1:00:12SPEAKER_02: Well, I know, I think you've got to go.
- 1:00:16SPEAKER_02: And I know you're on a busy schedule.
- 1:00:18SPEAKER_02: Thank you so much for coming.
- 1:00:19SPEAKER_02: We have a story coming on baby KJ Ashley, written by a doctor.
- 1:00:23SPEAKER_02: I don't know when it's going to publish,
- 1:00:25but it's kind of the story behind the story on the regulatory
- 1:00:29journey that
- 1:00:30SPEAKER_02: happened.
- 1:00:31SPEAKER_02: And then I know I'm determined.
- 1:00:35SPEAKER_02: Well,
- 1:00:35SPEAKER_02: I live here,
- 1:00:35SPEAKER_02: so we'll do some UCSS stuff,
- 1:00:37SPEAKER_02: but I want to go to Chicago and check out the inflammation work for sure.
- 1:00:42And our imaging institute where we have our cryo-EM is actually
- 1:00:47just in Redwood City.
- 1:00:49And I'm super into that because it feels like we're on the
- 1:00:51verge of so many
- 1:00:52SPEAKER_02: breakthroughs on imaging.
- 1:00:54SPEAKER_01: Imaging is going to be huge.
- 1:00:57SPEAKER_01: And they'll show, I mean, they'll nerd out with you.
- 1:01:00SPEAKER_01: With Holger Mueller from UC Berkeley,
- 1:01:02SPEAKER_01: they just built the laser face plate and lots of really tiny mirrors.
- 1:01:06SPEAKER_01: Yeah.
- 1:01:07SPEAKER_01: That has sort of blown the contrast in resolution.
- 1:01:10SPEAKER_01: through the roof, even for the latest cryos.
- 1:01:12SPEAKER_02: Okay.
- 1:01:12SPEAKER_02: Well, I'm into optics.
- 1:01:13SPEAKER_02: All right.
- 1:01:14SPEAKER_02: My very last question is a very quick one.
- 1:01:15SPEAKER_02: On these famous 4th of July videos,
- 1:01:18SPEAKER_02: I mean,
- 1:01:19SPEAKER_02: is that like just a dude's thing or are you behind the scenes?
- 1:01:24SPEAKER_01: I'm there.
- 1:01:25SPEAKER_01: There's shenanigans available for everyone.
- 1:01:28SPEAKER_01: We even just filmed the Avengers video with our kids.
- 1:01:33SPEAKER_01: So it's a whole family affair.
- 1:01:35SPEAKER_02: Okay.
- 1:01:35SPEAKER_02: Okay.
- 1:01:36SPEAKER_02: All right.
- 1:01:36SPEAKER_02: I thought it might be.
- 1:01:37SPEAKER_02: I was just checking.
- 1:01:38SPEAKER_02: Well, thank you so much for coming in.
- 1:01:39SPEAKER_02: It was such a pleasure.
- 1:01:40SPEAKER_02: And thank you.
- 1:01:42SPEAKER_01: Thank you for having me.
- 1:01:46core memory is hosted by me ashley vance the show is produced
- 1:01:51by david nicholson
- 1:01:53and me our theme music is by james mercer and john sortland and
- 1:01:58the show is edited
- 1:02:00by the john sortland thank you all for listening as mentioned
- 1:02:06the show is sponsored
- 1:02:07SPEAKER_02: by you on ventures thanks