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  • Can we, as adults, grow new nerve cells?

  • There's still some confusion about that question,

  • as this is a fairly new field of research.

  • For example, I was talking to one of my colleagues, Robert,

  • who is an oncologist,

  • and he was telling me,

  • "Sandrine, this is puzzling.

  • Some of my patients that have been told they are cured of their cancer

  • still develop symptoms of depression."

  • And I responded to him,

  • "Well, from my point of view that makes sense.

  • The drug you give to your patients that stops the cancer cells multiplying

  • also stops the newborn neurons being generated in their brain."

  • And then Robert looked at me like I was crazy and said,

  • "But Sandrine, these are adult patients --

  • adults do not grow new nerve cells."

  • And much to his surprise, I said, "Well actually, we do."

  • And this is a phenomenon that we call neurogenesis.

  • [Neurogenesis]

  • Now Robert is not a neuroscientist,

  • and when he went to medical school he was not taught what we know now --

  • that the adult brain can generate new nerve cells.

  • So Robert, you know, being the good doctor that he is,

  • wanted to come to my lab

  • to understand the topic a little bit better.

  • And I took him for a tour

  • of one of the most exciting parts of the brain

  • when it comes to neurogenesis --

  • and this is the hippocampus.

  • So this is this gray structure in the center of the brain.

  • And what we've known already for very long,

  • is that this is important for learning, memory, mood and emotion.

  • However, what we have learned more recently

  • is that this is one of the unique structures of the adult brain

  • where new neurons can be generated.

  • And if we slice through the hippocampus

  • and zoom in,

  • what you actually see here in blue

  • is a newborn neuron in an adult mouse brain.

  • So when it comes to the human brain --

  • my colleague Jonas Frisén from the Karolinska Institutet,

  • has estimated that we produce 700 new neurons per day

  • in the hippocampus.

  • You might think this is not much,

  • compared to the billions of neurons we have.

  • But by the time we turn 50,

  • we will have all exchanged the neurons we were born with in that structure

  • with adult-born neurons.

  • So why are these new neurons important and what are their functions?

  • First, we know that they're important for learning and memory.

  • And in the lab we have shown

  • that if we block the ability of the adult brain

  • to produce new neurons in the hippocampus,

  • then we block certain memory abilities.

  • And this is especially new and true for spatial recognition --

  • so like, how you navigate your way in the city.

  • We are still learning a lot,

  • and neurons are not only important for memory capacity,

  • but also for the quality of the memory.

  • And they will have been helpful to add time to our memory

  • and they will help differentiate very similar memories, like:

  • how do you find your bike

  • that you park at the station every day in the same area,

  • but in a slightly different position?

  • And more interesting to my colleague Robert

  • is the research we have been doing on neurogenesis and depression.

  • So in an animal model of depression,

  • we have seen that we have a lower level of neurogenesis.

  • And if we give antidepressants,

  • then we increase the production of these newborn neurons,

  • and we decrease the symptoms of depression,

  • establishing a clear link between neurogenesis and depression.

  • But moreover, if you just block neurogenesis,

  • then you block the efficacy of the antidepressant.

  • So by then, Robert had understood

  • that very likely his patients were suffering from depression

  • even after being cured of their cancer,

  • because the cancer drug had stopped newborn neurons from being generated.

  • And it will take time to generate new neurons

  • that reach normal functions.

  • So, collectively, now we think we have enough evidence

  • to say that neurogenesis is a target of choice

  • if we want to improve memory formation or mood,

  • or even prevent the decline associated with aging,

  • or associated with stress.

  • So the next question is:

  • can we control neurogenesis?

  • The answer is yes.

  • And we are now going to do a little quiz.

  • I'm going to give you a set of behaviors and activities,

  • and you tell me if you think they will increase neurogenesis

  • or if they will decrease neurogenesis.

  • Are we ready?

  • OK, let's go.

  • So what about learning?

  • Increasing?

  • Yes.

  • Learning will increase the production of these new neurons.

  • How about stress?

  • Yes, stress will decrease the production of new neurons in the hippocampus.

  • How about sleep deprivation?

  • Indeed, it will decrease neurogenesis.

  • How about sex?

  • Oh, wow!

  • (Laughter)

  • Yes, you are right, it will increase the production of new neurons.

  • However, it's all about balance here.

  • We don't want to fall in a situation --

  • (Laughter)

  • about too much sex leading to sleep deprivation.

  • (Laughter)

  • How about getting older?

  • So the neurogenesis rate will decrease as we get older,

  • but it is still occurring.

  • And then finally, how about running?

  • I will let you judge that one by yourself.

  • So this is one of the first studies

  • that was carried out by one of my mentors, Rusty Gage from the Salk Institute,

  • showing that the environment can have an impact

  • on the production of new neurons.

  • And here you see a section of the hippocampus of a mouse

  • that had no running wheel in its cage.

  • And the little black dots you see are actually newborn neurons-to-be.

  • And now, you see a section of the hippocampus of a mouse

  • that had a running wheel in its cage.

  • So you see the massive increase

  • of the black dots representing the new neurons-to-be.

  • So activity impacts neurogenesis, but that's not all.

  • What you eat will have an effect

  • on the production of new neurons in the hippocampus.

  • So here we have a sample of diet --

  • of nutrients that have been shown to have efficacy.

  • And I'm just going to point a few out to you:

  • Calorie restriction of 20 to 30 percent will increase neurogenesis.

  • Intermittent fasting -- spacing the time between your meals --

  • will increase neurogenesis.

  • Intake of flavonoids,

  • which are contained in dark chocolate or blueberries,

  • will increase neurogenesis.

  • Omega-3 fatty acids,

  • present in fatty fish, like salmon,

  • will increase the production of these new neurons.

  • Conversely, a diet rich in high saturated fat

  • will have a negative impact on neurogenesis.

  • Ethanol -- intake of alcohol -- will decrease neurogenesis.

  • However, not everything is lost;

  • resveratrol, which is contained in red wine,

  • has been shown to promote the survival of these new neurons.

  • So next time you are at a dinner party,

  • you might want to reach for this possibly "neurogenesis-neutral" drink.

  • (Laughter)

  • And then finally, let me point out the last one --

  • a quirky one.

  • So Japanese groups are fascinated with food textures,

  • and they have shown that actually soft diet impairs neurogenesis,

  • as opposed to food that requires mastication -- chewing -- or crunchy food.

  • So all of this data,

  • where we need to look at the cellular level,

  • has been generated using animal models.

  • But this diet has also been given to human participants,

  • and what we could see is that the diet modulates memory and mood

  • in the same direction as it modulates neurogenesis,

  • such as: calorie restriction will improve memory capacity,

  • whereas a high-fat diet will exacerbate symptoms of depression --

  • as opposed to omega-3 fatty acids, which increase neurogenesis,

  • and also help to decrease the symptoms of depression.

  • So we think that the effect of diet

  • on mental health, on memory and mood,

  • is actually mediated by the production of the new neurons in the hippocampus.

  • And it's not only what you eat,

  • but it's also the texture of the food, when you eat it

  • and how much of it you eat.

  • On our side -- neuroscientists interested in neurogenesis --

  • we need to understand better the function of these new neurons,

  • and how we can control their survival and their production.

  • We also need to find a way to protect the neurogenesis of Robert's patients.

  • And on your side --

  • I leave you in charge of your neurogenesis.

  • Thank you.

  • (Applause)

  • Margaret Heffernan: Fantastic research, Sandrine.

  • Now, I told you you changed my life --

  • I now eat a lot of blueberries.

  • Sandrine Thuret: Very good.

  • MH: I'm really interested in the running thing.

  • Do I have to run?

  • Or is it really just about aerobic exercise,

  • getting oxygen to the brain?

  • Could it be any kind of vigorous exercise?

  • ST: So for the moment,

  • we can't really say if it's just the running itself,

  • but we think that anything that indeed will increase the production --

  • or moving the blood flow to the brain,

  • should be beneficial.

  • MH: So I don't have to get a running wheel in my office?

  • ST: No, you don't!

  • MH: Oh, what a relief! That's wonderful.

  • Sandrine Thuret, thank you so much.

  • ST: Thank you, Margaret.

  • (Applause)

Can we, as adults, grow new nerve cells?

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