ASU • Berkeley • Brown • Cambridge • CMU • Cornell • Georgetown • George Washington • Georgia Tech • Harker • Harvard • JHU • NUS • OSU • Oxford • UC Davis • UCSD • UChicago • Melbourne • Yale Vol 20 | Michaelmas 2013 | University of Cambridge A Production of The Triple Helix The Science in Society Review The International Journal of Science, Society and Law Genetic Modification: Monster or Messiah? Bacteriophages: A Historic Solution to a Modern Problem? The Sense Fusion of Synesthesia Want to write for The Science in Society Review? We need writers and editors for the next edition. Email your ideas to [email protected] www.camtriplehelix.com EXECUTIVE MANAGEMENT TEAM Chief Executive Officer Mridula Nadamuni Chief Operating Officer, Asia Worapol Ratanapan Chief Operating Officer, North America Benjamin Dauber Chief Marketing Officer Arjun Meka Chief Marketing Officer Megana Roopreddy Chief Production Officer Cassie Yeh Chief Technology Officer Lauren Beck Executive Editor-In-Chief, Print Publication Dhruba Banerjee Executive Director, E-Publishing Edgar Pal Executive Director, High School Outreach Kathryn Scheckel Executive Director, Internal Affairs Brittany Hsu Executive Director, Science Policy Yucheng Pan INTERNATIONAL STAFF Senior Literary Editors Harrison Specht Mary Fei Michael Graw Pallavi Basu Titas Banerjee Victoria Phan Senior Production Editors Angela Wan, Cambridge Felice Chan, Cornell Judy Chan, Cornell Matthew Kornfield, Georgetown Dapinder Dosanjh, UC Berkeley Peony Wong, UC Berkeley Andrew Kam, UChicago Senior E-Publishing Editors Venkat Boddapati Fili Bogdanic Irene Ching Jae Kwan Jang Evan Jin Arthur Jurao Prathima Radhakrishnan BOARD OF DIRECTORS Chairman Erwin Wang Vice Chairman Kalil Abdullah Board Members Manisha Bhattacharya Jennifer Ong Zain Pasha Julia Piper James Shepherd Jennifer Yang TRIPLE HELIX CHAPTERS North America Chapters Arizona State University Brown University Cornell University Carnegie Mellon University Georgia Institute of Technology George Washington University Georgetown University The Harker School Harvard University Johns Hopkins University The Ohio State University University of California, Berkeley University of California, Davis University of California, San Diego University of Chicago Yale University Europe Chapter Cambridge University Asia Chapter National University of Singapore Australia Chapter University of Melbourne THE TRIPLE HELIX A global forum for science in society The Triple Helix, Inc. is the world’s largest completely student-run organization dedicated to taking an interdisciplinary approach toward evaluating the true impact of historical and modern advances in science. Work with tomorrow’s leaders Our international operations unite talented undergraduates with a drive for excellence at over 25 top universities around the world. Imagine your readership Bring fresh perspectives and your own analysis to our academic journal, The Science in Society Review, which publishes International Features across all of our chapters. Reach our global audience The E-publishing division showcases the latest in scientific breakthroughs and policy developments through editorials and multimedia presentations. Catalyze change and shape the future Our new Science Policy Division will engage students, academic institutions, public leaders, and the community in discussion and debate about the most pressing and complex issues that face our world today. All of the students involved in The Triple Helix understand that the fast pace of scientific innovation only further underscores the importance of examining the ethical, economic, social, and legal implications of new ideas and technologies — only then can we completely understand how they will change our everyday lives, and perhaps even the norms of our society. Come join us! TABLE OF CONTENTS The curious case of haemophilia © National Portrait Gallery, London 15 Light pollution How does it affect our everyday lives? NASA, CC-BY-2.0 Toby McMaster Comment: Active Denial: The Future of Non-Lethal Weaponry? Cover Article 5 And how it may be changing our brains Wikicommons, CC BY-SA 3.0 Perspectives 4 25 Internet CAMBRIDGE 8 Genetic diseases Alison Madgwick, Cambridge Genetic Modification: Monster or Messiah? Cambridge Articles 8 Lying in the shadow of family trees: family happiness or eugenic selection? Alessio Strano 12 Bacteriophages: A Historic Solution to a Modern Problem? Nathan Smith International Features Michael Yanagisawa, Brown 15 18 Bright Lights: Are they killing us? 22 The Sense Fusion of Synesthesia Terrell Jones, CMU 25 The Technology Scare Revisited: Is the Internet Rewiring Our Brains? Annie Chen, CMU Considering the Potential of Developing Environmental Remediation Technologies Elizabeth Perkins, Brown Front Cover © Victor Emma, September 2013 . Back Cover designed by Adam Esmail, Fitzwilliam College, Cambridge: Blue: To Sign a Contract by shho, stock.xchng. ©sxc.hu. Red: Overpopulation Event. ©The Triple Helix, Cambridge. Green: Explanation by Harrison Keely, stock.xchng. ©sxc.hu. Purple: Woman Using Computer by Ariel da Silva Parreira, stock.xchng. ©sxc.hu. INSIDE TTH Message from the President The Queen of the Triple Helix Cambridge welcomes you to the twentieth anniversary edition of the Science in Society Review! I don’t have any empirical evidence to support the claim that anyone ever reads the Message from the President or the Letter from the EIC. I therefore strongly believe that if I was thus inclined, I could use this space to talk about research into female orgasms or just recount some funny stories from the last social of the Triple Helix Executive Committee, without enraged readers emailing the Literary Team asking them to restrain their president. STAFF AT CAMBRIDGE EXECUTIVE BOARD President: Emilija Emma (Newnham) Founder of TTH Cambridge: James Shepherd (Caius) Junior Treasurer: Daniel Revere (Magdalene) Division leaders also sit on the Executive Board Instead, I’ll let you know what exciting things we’ve got in this twentieth, anniversary edition of our wonderful journal – after all, they do say ‘better safe than sorry’, and for all I know, they might be right! This issue opens with an insight into the ethics of Active Denial, a pain ray being developed by the United States of America, probably as we speak (or not – they are in a different time zone after all). Alison Madgwick will try and clear up the mess that the public opinion on GMOs has been in because of the conflicting media coverage; Alessio Strano will show us what Leo Tolstoy has to do with eugenics, and Nathan Smith will consider bacteriophage therapy - the promising technique of killing little things with even littler things. LITERARY TEAM Editors-in-Chief: Emilija Emma (Newnham) Rok Nežič (Homerton) Managing Editor: Justin Koh (Queens’) Associate Editors: Steph Payne (Homerton) Chris White Michael O’Neill Joe Baxter (Jesus) Pete Davies Emilija Emma (Newnham) OUTREACH Outreach Director: Raghd Rostom (Christ’s) Outreach Team: Francesca Day (St Catharine’s) Nele Dieckmann (Wolfson) Alexandra Kamins (Selwyn) EVENTS Events Director: Tom Williams (Pembroke) Publicity Officer: Angela Wan (Fitzwilliam) PRODUCTION Senior Production Editor: Angela Wan (Fitzwilliam) Managing Production Editor: Rok Nežič (Homerton) As you can see, it’s getting curiouser and curiouser with every issue, and you are very welcome to join our team of writers, editors, events organisers, magicians, advice-givers, wellwishers and cake-bringers. The latter kind are particularly welcome – so drop an email to [email protected] to find out how you can get involved in the curiousest of Cambridge societies! Happy reading, Emilija Emma Queen of the Triple Helix Cambridge GET INVOLVED ... because at the bottom of everything that’s ever been made was once a kernel of an idea ACADEMIC ADVISORY BOARD Dr David Summers Prof Hasok Chang Dr Edward Tanner Dr Peter Wothers Dr Andrew Bell (Senior Treasurer) SENIOR REVIEWERS Dr Ian Furner Dr Damian Crowther Dr Timothy Blower Dr Rita Monson Prof. George Salmond The above image is the rough sketch of the idea which gave rise to the cover image of this issue, created by Emilija Emma and based on this image: http://www.flickr.com/photos/calliope/5963405779 under CC-BY 2.0 license. I (Rok, a.k.a. the Prince Consort) would like to take this opportunity to point out that no royal titles assigned to members of the Triple Helix Cambridge Committee have been approved by any external party whatsoever and therefore may not be the appropriate form of address in official situations. I mean, the Queen doesn’t even have a crown or at least a tiara, so surely it can’t really be completely official - we at least need to have a coronation ceremony first...... 2 THE TRIPLE HELIX Michaelmas 2013 © 2013, The Triple Helix, Inc. All rights reserved. INSIDE TTH Message from the CEO One important mission of the Science and Society Review is to get our readers thinking critically about the ethical impact of emergent technologies on public policy. There are a number of organizations that do this, but our efforts are unique because we are an independent, studentrun publication. We offer an unbiased report on the topics that are the most interesting to us, the young people of this generation. I imagine that years in the future, these articles will serve as a valuable record of the youth perspective on great scientific debates of our time. Even as the Triple Helix continues to grow and expand in new directions, the core of what we do remains the same: creating an open forum for discussion and education. We must embrace the path forward and expand our readership by broadening our reach. Let us harness the power of social media to promote our original works so that more people can participate in the conversation. We are doing well, but I know we can do even better. It has been a privilege to serve with my dedicated team over the past eight months. Together, we have laid the foundations for success to build on in the coming months. To our readers and our Triple Helix Members, I thank you for your continued support and participation. To our graduating alumni, I look forward to hearing of the accomplishments of our TTH family. Please keep in touch so that we may celebrate your successes with you! Finally, I want to thank each of you for a wonderful term. With best wishes, Mridula Message from the EEiC and CPO Welcome to the flagship forum for The Triple Helix organization: the Science in Society Review, a journal produced entirely by a network of undergraduate students spread across the world. We dare you to read on and see what the next generation of thinkers and leaders has identified as the most important issues that require interdisciplinary solutions. We want to remind you that part of what makes our product worthy of the time and effort of dedicated undergraduate TTH members, and worthy of the attention of its readers, is the thoughts behind the words. Consider one of this issue’s international articles: light pollution has usually been only pointed out by astronomers looking for dark skies, but Michael Yanagisawa from Brown University points out that city lights don’t only make nice scenery for overnight flights and a nightmare for the astronomers (as well as a memorable Charlie Chaplin movie) - they might be ruining all our lives, as well as those of animals. Suddenly the matter is relevant for a much broader range of people than one might have initially expected. As the Executive Editor-in-Chief for the past two years, I especially want to thank our TTH members and long time readers for working with me and enjoying the past four issues of the Science in Society Review. It has been a rewarding experience, and I am happy to say that this journal will remain in good hands next year when Harrison Specht will take the reigns. Harrison, a rising senior at Cornell, has been a Senior Literary Editor for various chapters over the past two years. He will continue to help this journal uncover the fascinating intersection of science, society, and law. Cassie Yeh and Dhruba Banerjee Chief Production Officer and Executive Editor-in-Chief © 2013, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2013 3 PERSPECTIVES SCIENCE IN SOCIETY REVIEW | COMMENT Active Denial: The Future of Non-Lethal Weaponry? Toby McMaster T he military field is full of situations in which the lines between civilians and terrorists are unclear. This can have terrible consequences, such as this year’s shooting of two young Afghan boys by NATO forces [1]. The U.S. military has therefore been developing a vehicle mounted non-lethal weapon designed to inflict severe instantaneous pain, disappearing instantaneously upon removal. The system, known as Active Denial, uses low frequency microwaves to penetrate and heat only the very outer layer of skin. It is designed to leave no permanent damage or signs of use [2]. A journalist exposed to the weapon described it as “similar to a blast from a very hot oven” [3]. However the lack of an ability to detect the weapon’s use has been a major issue in its uptake by military personnel. The potential for undetectable torture using the device, was likely a big factor in the decision by the U.S. military to withdraw the weapon from Afghanistan [4]. The weapon has never been deployed in Iraq, despite requests from some military personnel on the ground there [5]. Many military technologies eventually find their way into the hands of police forces and so it is also worth discussing the ethical implications of any future handheld version of the device. Could such a firearm eradicate the oxymoron of ‘death by non-lethal weapon’? According to Amnesty International, in the U.S. over 500 people have been killed since 2001 by Tasers used by police officers, a death rate of around 50 people a year, roughly one individual a week [6]. It is hard to establish a Taser as the sole cause of death as individuals are often intoxicated with drugs at the time. However, Tasers were officially recorded as cause of death or contributing to death in at least 50 of the 500 cases quoted by Amnesty International. There are also, though less frequently, deaths caused by rubber bullets another supposedly nonlethal weapon [7]. Active Denial System uses low frequency microwaves to penetrate and heat only the very outer layer of skin Potentially then, a handheld Active Denial system could help eliminate these. However most deaths inflicted by non-lethal weapons arise because of misuse. In the case of rubber bullets this was described as “abuse … in terms of range of fire and anatomical area … targeted” [7]. The Active Denial system, as with any other ‘non-lethal’ weapon would be susceptible to the same human misuse. However the independent assessment of the active denial system conducted in 2008 by the Human Effects Advisory Panel (HEAP) concluded that “Researchers… have found a 4 THE TRIPLE HELIX Michaelmas 2013 wide safety margin between the desired repel response and injuries” [8]. Therefore even if individuals were to use the system recklessly, the likelihood of death or serious injury would be lower than with a Taser or many other non-lethal weapons currently available. Active Denial’s impact on society will depend greatly on how it is used. Naivete and poor judgement could quickly transform the system into yet another symbol of Western oppression. In this age of social media and digital communications news of misuse would quickly enter the public sphere. Potentially sparking a massive international reaction against the U.S. army could arise, providing propaganda material for extremist groups worldwide. However, used with caution and respect for human rights, whilst being carefully monitored, the system has the potential to save many lives each year. Does this justify the risk of releasing a potential torture device likely able to cause severe psychological damage whilst leaving no physical evidence? There is no simple answer, but I believe that with the situation as it currently stands Active Denial is not a system likely to bring net benefits. The undeniable tragedy of death by non-lethal weapons doesn’t justify releasing a weapon that could potentially be used for undetectable torture. Methods of torture, such as sexual or verbal abuses and forced standing positions, may not leave much physical evidence. However, I believe Active Denial has the potential to add a much more powerful option to this horrific arsenal. Whatever our personal opinions, we – the general public – must make them heard, whilst there is still a decision to be made. Research on the system should not stop. Other nations and organisations will eventually develop similar systems and understanding their effects will be valuable. Furthermore, if a method was developed so that the system’s use and its abuse could be detected, it could be a valuable tool in reducing death rates. However for now this futuristic weapon should remain just that; a weapon for the future. Toby McMaster is a second year Biological Natural Sciences student at Jesus College. 1. NATO Accidentally Shoots 2 Afghan Boys, Says Latest Civilian Deaths Were Due To Mistaken Identity [Internet]. Huffington Post; 2013 Mar 2 [cited 2013 Sep 11]. Available from: http://www.huffingtonpost.com/2013/03/02/nato-accidentally-shootsafghan-boys_n_2796184.html 2. Hambling, D. Pain ray: The US military’s new agony beam weapon. NewScientist; 2013 May 16 [cited 2013 Sep 11]. Available from: http://www.newscientist.com/article/mg21829162.300-pain-ray-the-us-militarys-newagony-beam-weapon.html 3. US military unveils heat-ray gun [Internet]. BBC News; 2007 Jan 25 [cited 2013 Sep 11]. Available from: http://news.bbc.co.uk/1/hi/world/americas/6297149.stm 4. Cairns, D. US withdraws ‘heat ray’ gun from Afghanistan [Internet]. BBC Radio 1 Newsbeat; 2010 Jul 27 [cited 2013 Sep 11]. Available from: http://www.bbc.co.uk/ newsbeat/10765863. 5. Weinberger, S. No Pain Ray Weapon for Iraq (Updated and Bumped) [Internet]. Wired.com; 2007 Aug 30 [cited 2013 Sep 11]. Available from: http://www.wired.com/ dangerroom/2007/08/no-pain-ray-for/ 6. Amnesty International Urges Stricter Limits on Police Taser Use as U.S. Death Toll Reaches 500 [Internet]. Amnesty International USA; 2012 Feb 15 [cited 2013 Sep 11]. Available from: http://www.amnestyusa.org/news/press-releases/amnestyinternational-urges-stricter-limits-on-police-taser-use-as-us-death-toll-reaches-500 7. Death following rubber bullet wounds to the chest: case report. East Afr Med J. 2005 Jul;82(7):382-4. [8] Dr Kenny, J. M. et al. A Narrative Summary and Independent Assessment of the Active Denial System. PennState Applied Research Laboratory; 2008 Feb 11 [cited 2013 Sep 11. Available from: http://jnlwp.defense.gov/pdf/heap.pdf © 2013, The Triple Helix, Inc. All rights reserved. PERSPECTIVES CAMBRIDGE Genetic Modification: Monster or Messiah? Alison Madgwick T he world is in a food crisis. Although most Europeans and North Americans have sufficient food, one in seven people globally suffer from malnutrition (1). In 2050 the population will reach over nine billion and to feed these extra people adequately, as well as alleviate the hunger of those who are starving today, current crop productivity must increase by a daunting 70% (2). Genetic modification is the direct and deliberate alteration, insertion or deletion of genes in an organism using biotechnology Much of the farmland used for crops is unsustainable for the monocultures, fields of a single crop species, which they support, and there is little suitable land available on earth to create new fields (3). Land degradation has been caused by soil erosion, leaching of nutrients and soil salinization of irrigated fields. Climate change causes further problems, as unpredictable weather can damage crops which are planted and harvested according to historic weather patterns (4). Feeding the growing population is going to be difficult, but even more so given the resistance of many countries to new technologies that could help substantially, such as genetically modified plants. Genetic modification (GM) is the direct and deliberate alteration, insertion or deletion of genes in an organism using biotechnology. Many genetic modifications are possible in plants which give advantages over unmodified forms, such as disease resistance, drought tolerance or improved nutritional value for humans. Genes for these traits are often obtained from a close relative of the plant to be modified, but can also be obtained from completely different plant species, as well as from organisms in other kingdoms of life, such as fish or bacteria. The most common way in which plants are genetically modified takes advantage of Agrobacterium tumefaciens, a bacterium which, in the wild, causes tumours on many plant species. It carries plasmids that contain genes necessary for infecting the plant (virulence or vir genes), and DNA for insertion into the plant genome (transferred- or T-DNA) (5). This natural system for the insertion of foreign DNA has been exploited by humans to introduce genes into many crop plants (6). Plants such as rice, wheat and maize are difficult to transform using Agrobacterium, but can take up foreign DNA through other techniques such as microinjection, electroporation, and particle bombardment (7). One of the main objections to GM is that the mixing of genes from different species is unnatural. This concern is weakened, however, by the fact that cisgenesis, the movement of genes between closely related species, occurs naturally between plants. When two animal species are crossed the © 2013, The Triple Helix, Inc. All rights reserved. Crop plants such as maize take up foreign DNA through techniques such as microinjection, electroporation and particle bombardment. Image reproduced from [21] offspring produced, if any are produced at all, are usually infertile and poorly suited to their environment (8). For plants, however, hybridisation is something which occurs naturally and is indeed important in maintaining genetic variation within some species (9). Given that plants often transfer genetic information between species completely naturally, what geneticists are doing is not all that “unnatural”. Indeed, humans have been breeding plants such as bread wheat for millennia to give them better characteristics for growth or consumption (10). Artificially adding or removing genes just speeds up the process of domestication that has occurred since humans first started farming. In fact, far from being a dangerous process, GM is safer and more precise than conventional plant breeding by hybridisation or mutagenesis, which uses chemicals or radiation to randomly alter any part of the genome. Inserting genes from more distantly-related species, transgenesis, occurs less frequently in nature than cisgenesis and so might be viewed as more dangerous. However, it too is a natural process, one carried out by viruses all the time. Viruses cannot exist independently and require a host, whose cellular machinery they use to replicate their own genetic material and to synthesise their protein coats. During the process of infection of the host cell and replication of themselves, they often take up small parts of the host’s genetic code into their own genome and pass this DNA on to the next host organism that they infect (11). The most common vectors for virus transferral between plants are small insects which feed on sap, such as aphids, whiteflies and leafhoppers (12). THE TRIPLE HELIX Michaelmas 2013 5 CAMBRIDGE Aphilds (left), whiteflies (middle) and Leafhoppers (right) are common vectors for virus transferral between plants (12). Images reproduced from [22], [23], and [24]. Many oppose GM on ecological grounds, thinking that it will have negative impacts on the environment. However, though the GM plants we produce are not naturally occurring, they can confer advantages over the crops we currently grow in terms of ecosystem services. Land conversion for farming is a great source of greenhouse gasses and habitat loss, so crops that can be grown more efficiently on smaller areas of land, as many GM crops can be, are ecologically and economically advantageous. Plants modified to be droughttolerant reduce use of water for irrigation, benefitting the As well as less fertiliser, fewer pesticides and fungicides are needed by many GM plants people living in areas of water shortage and the often fragile ecosystems which this water supports. Plants modified to metabolise nitrogen more efficiently, or have longer roots in order to obtain more nitrogen from the soil could massively reduce the application of fertilisers. This could decrease the economic inputs required and thus suit poorer farmers, as well as benefitting the environment, as nitrogen leaching from soils into rivers and their resulting stagnation is a source of biodiversity loss in freshwater ecosystems (13). As well as less fertiliser, fewer pesticides and fungicides are needed by many GM plants which have been modified to be resistant to pests and diseases. Another reason that people are opposed to genetic modification is that supplies of GM plant varieties are often monopolised by large companies which can out-compete smaller independent ones. This is worrying, but is no reason to be against GM per se, only against its monopolisation by these companies. Many people are under the false impression that second-generation genetically modified plants are sterile, a deliberate modification put in by seed-suppliers to ensure that farmers must return for more seed, rather than being able to save seed from year to year. In fact, although “terminator technology” has been developed, it has never been commercialised, due to these very concerns (14). Hybrid 6 THE TRIPLE HELIX Michaelmas 2013 plants, however, which have been bred traditionally for centuries and are considered acceptable by those who dislike GM, show undesirable variation when crossed, due to the random segregation of genes, and so can prevent farmers from saving quality seed. A further objection to breeding GM plants is that they could be unintentionally introduced into the wild, disrupting ecosystems. “Super plants” outcompeting wild species are in many most cases unlikely to occur, as genes that are advantageous in agricultural environments will often not particularly cause plants to prosper in the wild. Herbicideresistant crops, for example, are only at an advantage in the presence of herbicide. Plants which have been modified to be resistant to drought or pathogens, however, may be selected for in the wild, so this objection to GM could hold some weight (15). The way in which GM plants can indisputably have an effect on biodiversity is by genes that confer pesticidal properties on plants having a negative impact on non-target species. An example of this is that of the monarch butterfly, the larvae of which feed on milkweed, a species often found near corn fields. Corn transformed with genetic material from the bacterium Bacillus thuringiensis, known as Bt corn, is toxic to corn rootworm larvae and is used to control this pest. This GM corn is not problematic for the pest, which can survive on other plants, yet hybrid plants often express the Bt toxin in their pollen, which is transported large distances by the wind. This toxic pollen, when deposited on milkweed leaves can cause problems for populations of monarch butterfly, the larvae of which have been shown to eat less, grow more slowly and suffer higher mortality rates on milkweed plants dusted with Bt pollen than on undusted milkweed (16). It might be concluded that if GM plants can be toxic to insects, they can also impact human health. As each GM plant has different genes inserted, each is tested individually for effects on human health, as these could vary substantially. All genetically modified foods currently available on the international market are considered completely safe for humans. Also, no adverse effects on human health have been shown as a result of the consumption of GM foods by the populations of countries where they are freely sold (17). © 2013, The Triple Helix, Inc. All rights reserved. CAMBRIDGE drought tolerance and greater nutritional value to plants, crops can be grown more efficiently, as well as being healthier to humans. More people can be fed with genetically modified crops than conventional crops using the same amount of land, giving us the potential to overcome the hunger rampant in the world today and take a step towards feeding the nine billion people of 2050. GM plants, rather than being the evil destroyer of humans and nature that many people make them out to be, could help us feed millions of people, as well as be the saviour of many species whose habitats would otherwise be destroyed to make way for inefficient non-GM farmland (20). “Golden Rice”, a genetically modified strain of rice containing β-carotene, has the potential to cure millions from vitamin A deficiency related illnesses. Image reproduced from [25]. Indeed, foods are often genetically modified to be healthier than natural foods, an example being golden rice. This rice has been modified to contain β-carotene, a source of vitamin A, and was trialled on volunteer adults and children (18). Despite the fact that it was proved to be a valuable source of vitamin A and showed no adverse side effects, there was a public outcry led by Greenpeace More people can be fed with genetically modified crops than conventional crops at the research into the crop (19). They argued that the rice could be dangerous, but failed to mention the fact that it has the potential to cure millions of people from vitamin A deficiency-related blindness and death. As well as curing specific vitamin deficiencies, GM food plants have the potential to help alleviate the starvation of the 868 million people that go to bed hungry every night. By addition of genes that confer disease resistance, References: 1. The State of Food Insecurity in the World; Food and Agricultural Organisation 2012 2. Food and Agricultural Organisation Progress Report, Rome 2009 3. Agro-Ecological Zones Assessment; G. Fischer, M. Shah, H. van Velthuizen, F. Nachtergaele; RP-06-003, April 2006 4. Vulnerability to Climate Change Hazards and Risks: Crop and Flood Insurance; R. Mcleman, B. Smit; The Canadian Geographer Volume 50, Issue 2, Pages 217–226, June 2006 5. The Integration of T-DNA into Plant Genomes; B. Tinland; Trends in Plant Science Volume 1, Pages 178-184, 1996 6. An Introduction to Genetic Engineering; D.S.T. Nicholl; Science 2002 7. Transforming Plants - Basic Genetic Engineering Techniques; P. Peters; Wm. C. Brown Publishers, 1993 8. Hybrid Incompatibility and Speciation; N.A. Johnson; Nature Education 2008 9. Speciation, Hybridization and Introgression in Plants; Louise Hathaway; Introductory Literature Review 2004 10. The Evolution of Wheat; M. Winfield; WheatBP website 11. Integrated Pararetroviral Sequences Define a Unique Class of Dispersed Repetitive DNA in Plants; J. Jakowitsch, M. F. Mette, J. van der Winden, M. A. Matzke, A. J. M. Matzke; PNAS Volume 96, Issue 23, Pages 13241-13246, 1999 12. Insect Vector Interactions with PersistentlyTransmitted Viruses; S.A. Hogenhout, E. Ammar, A.E. Whitfield, M.G. Redinbaugh; Annual Review of Phytopathology, Issue 46, Pages 327–59, 2008 13. Eutrophication: Impacts of Excess Nutrient Inputs on Freshwater, Marine, and Terrestrial Ecosystems; V.H. Smith, G.D. Tilman, J.C. Nekola; Environmental © 2013, The Triple Helix, Inc. All rights reserved. Due in part to the false image of genetic modification propagated in the public eye, new GM crops must pass through miles of red tape before they are allowed to reach the market. This makes an already expensive technology even more costly, such that only incredibly large corporations can afford it, those which ideally would not have a monopoly over our food supply. The unfounded anxiety about GM food and distrust in scientists that the general public of most countries harbours has effectively prohibited a technology that has so many potential advantages. There is no disputing that organisations do exploit GM for profit, but this is true of any market. Genetic modification itself is not evil and there are many people out there who are trying to develop plants that could save us from destroying ourselves and our environment. We must rid ourselves of the sad habit of dismissing anything that is not “natural” without reviewing the facts. It is true that we should proceed with caution, but ultimately we have a duty to the planet and the people living on it and if we do not consider genetic modification just because it is “unnatural”, then we are shooting ourselves in the foot. Alison Madgwick is a third year at Sidney Sussex college. She is reading Natural Sciences, specialising in Plant Sciences, and became interested in genetic modification through one of her second year Plant and Microbial Sciences modules. She decided to write about the technology and its implications to society both to provide scientific information and and to encourage the reader to reach an objective conclusion on this contentious issue. Pollution Volume 100, Issues 1–3, Pages 179–196, 1999 14. International Seed Federation Position Paper on Genetic Use Restriction Technologies; Bangalore, June 2003 15. ICSU, GM Science Review Panel 16. Transgenic Pollen Harms Monarch Larvae; J.E. Losey, L.S. Rayor, M.E. Carter; Nature Volume 399, Issue 214, Pages 1038-20338, 20 May 1999 17. 20 Questions on Genetically Modified Foods; World Health Organisation website: 18. β-Carotene in Golden Rice is as good as β-carotene in oil at providing vitamin A to children; G. Tang, Y. Hu, S. Yin, Y. Wang, G.E. Dallal, M.A. Grusak, R.M. Russell; The American Journal of Clinical Nutrition 19. 24 Children used as Guinea Pigs in Genetically Engineered “Golden Rice” Trial; Blogpost by M. Tan; August 2012 20. The Costs and Benefits of GM Crops on the Environment and Ecology: Is GM Good for the Environment?; Ash Welch; Eco Piece website, November 2012 21. illuminating9_11 [image on the internet]. http://www.flickr.com/photos/ illuminating9_11/3553723626/ under CC-BY-ND 2.0 licence. 22. Michel Vuijlsteke[image on the internet]. http://en.wikipedia.org/wiki/ File:Aphids_on_Helleborus_niger.jpg under CC-BY-SA 3.0 licence 23. Gaucho. [image on the internet]. http://en.wikipedia.org/wiki/File:WeisseFliege.jpg under CC-BY-SA 3.0 licence 24. Gbohne [image on the internet]. http://www.flickr.com/photos/ gbohne/7328409148/ under CC-By-SA 2.0 licence. 25. International Rice Research Institute (IRRI) [image on the internet]. http:// www.flickr.com/photos/ricephotos/5516789000/in/set-72157626241604366 under CC-By-SA 2.0 licence. THE TRIPLE HELIX Michaelmas 2013 7 CAMBRIDGE Lying in the shadow of family trees: family happiness or eugenic selection? Alessio Strano “Happy families are all alike; every unhappy family is unhappy in its own way”. R ussian writer Leo Tolstoy used these as the opening words of Anna Karenina, a novel centred on the values of families and society in 19th century Russia. This proposition, later renamed Anna Karenina’s principle, can also lend itself to a biological interpretation: heritability of traits can make families unhappy in their own way by causing successive generations to be affected by a familial disease. This interpretation may have ceased to hold true due to advances made in the last two decades in preimplantation genetic diagnostics (PGD), a procedure that allows embryo selection based on genetic screening. However, as more and more genes are linked to human traits, ethical monitoring of PGD becomes an increasingly pressing task, for scientists, doctors, and society as a whole. Genetic disorders are rare, with some having been described in only a handful of families (1). Monogenic genetic disorders are conditions associated with mutated forms of one gene which is passed to each new generation according to a Mendelian pattern of inheritance. Like heritable traits, genetic diseases are classified as dominant or recessive, autosomal or X-linked. A recessive trait is manifested only Queen Victoria and members of the royal family. Image reproduced from [21] 8 THE TRIPLE HELIX Michaelmas 2013 if both copies of a gene are mutated, whereas one mutated copy is sufficient to give rise to a dominant trait. X-linked disorders are caused by mutations in the X chromosome, whereas autosomal disorders are associated with mutations in non-sexual chromosomes. X-linked recessive disorders are more common in males, since they have only one X chromosome. Haemophilia is one such X-linked recessive condition. Famously present in Queen Victoria’s blood line (2), this disease is characterized by impaired blood clotting and results in a life-long predisposition for spontaneous haemorrhages. Prince Leopold, Victoria’s fourth son, often suffered from severe haemorrhages and died aged 31 after a fall (2). The pedigrees of Princesses Alice and Beatrice show that they also carried the disease-causing mutation, as evidenced by their sons and some of their grandsons suffering from the disease (2). Due to intermarrying between Royal Houses, the mutated gene spread to the royal families of Spain, Russia and Prussia and haemophilia came to be known as “the Royal disease” (2). Recently, the specific royal mutation was sought by analysing DNA from skeletal bone specimens of the Romanov family. It was discovered that the mutation occurred in F9, a gene coding for blood coagulation factor IX, and that therefore the royal disease was a severe form of haemophilia known as haemophilia B (3). Reproduced from [13] © 2013, The Triple Helix, Inc. All rights reserved. CAMBRIDGE The royal pedigree tracing haemophilia. Image reproduced from [22] Several European noble families, including the Habsburg, Medici and Bourbons, are known to have been affected by another condition known as the Habsburg jaw (4,5). This condition is characterised by protrusion of the mandible, often associated with an overlap of lower and upper incisors and a variety of other symptoms such as thickened lower lips and a prominent nose. These facial malformations can be observed in paintings of European royalty, which reveal an inheritance pattern consistent with an autosomal dominant trait with incomplete penetrance (4). However, the precise genetic determinant for this trait is not known and in most cases several genes are thought to contribute to its development (4). Indeed, susceptibility to most diseases is thought to be influenced by several genes, making association between genes and disease more challenging than in monogenic disorders. Through large-scale genome-wide association studies, it is possible to associate gene variants with an increased risk of developing a particular disease (6). Once these associations are made, sequencing the DNA of individuals with a family history of a particular disease can help as- Knowledge of predisposition to a disease can have a profound impact on an individual’s lifestyle and the choices he makes Charles II of Spain showing a visible Habsburg’s jaw phenotype. Image reproduced from [23] © 2013, The Triple Helix, Inc. All rights reserved. sess the likelihood that they will develop the same disease in a practice known as genetic counselling. Knowledge of predisposition to a disease can have a profound impact on an individual’s lifestyle and the choices he makes. A recent and much publicised example is that of Angelina Jolie’s decision to undergo preventive double mastectomy after discovering that she carried a mutated copy of BRCA1, a tumour-suppressor gene (7). Family studies have shown that women carrying a mutated copy of BRCA1 have an 85% risk of developing breast cancer and a 60% risk of developing ovarian cancer (8). Having lost her mother to cancer, the THE TRIPLE HELIX Michaelmas 2013 9 CAMBRIDGE actress and film director decided she was going to minimise the chances that her children would have to go through the same experience (7). Preventing one’s children from suffering requires careful consideration when the children have not yet been born. When planning a family, parents with a history of heritable conditions traditionally faced an ethical dilemma arising from the knowledge that their children would inherit the same trait. However, modern biomedical science has developed PGD involves egg fertilisation by intracytoplasmic sperm injection (top panel), removal of a single cell after a number of cell divisions (middle panel, 8 cell stage embryo) and genetic analysis (middle panel, FISH for chromosomal rearrangement). Images reproduced from [24], [25], [26]. 10 THE TRIPLE HELIX Michaelmas 2013 ways to prevent a couple’s offspring from developing such conditions. Prenatal screening was for a long time the only option available, consisting of the detection of abnormalities after several weeks of gestation and the possibility to terminate the pregnancy. However, in 1990 Handyside et al. introduced a new method that would avoid the invasive diagnostic procedures and termination of pregnancy involved in prenatal screening (9). Preimplantation genetic diagnosis (PGD) is based on the genetic analysis of embryos fertilised in vitro before they are implanted in the uterus; healthy embryos that will not be affected by a heritable disease can thus be selected. A single cell is removed for genetic analysis from each fertilised egg once it has multiplied, usually at the eight cell stage. Alternatively, polar body biopsy before oocyte fecundation can be used in the case of maternally inherited diseases or in countries where the selection of embryos is forbidden (polar bodies are the “by-products” of meiosis during oocyte maturation) (9,10). The removed cell can then be analysed for the presence of a mutated gene or a chromosomal abnormality that affected the parent(s). This was traditionally performed by amplifying the mutated gene or by analysis of the number and integrity of specific chromosomes (with a technique called fluorescence in situ hybridisation or FISH). However, in recent years it has become feasible to read every base of genomic DNA within the time frame imposed by PGD cycles. In July 2013, the first child who had his entire genome sequenced preimplantation was born (11). This milestone birth is likely to heat up the ethical debate around PGD. Although IVF and manipulation of embryos are not controversy-free topics, it is selection that shapes family trees and this alone offers plenty of ethical dilemmas (12). PGD is based on the concept that one gene or trait is more desirable than another, and this seems altogether acceptable when the gene in question causes a disease. The most common applications of PGD, such as avoiding haemophilia, sickle cell anaemia, cystic fibrosis or chromosomal aberrations are thus largely considered to be ethically justifiable in order to provide a better-quality life for a couple’s offspring (12). However, a robust definition of disease is still to be formulated. For instance, most hearing individuals regard deafness as an obvious handicap whereas many in the deaf community do not see deafness as a disability but regard themselves as a linguistic and cultural minority (13). Coherently with this view, in 2002 a deaf lesbian couple from Maryland succeeded in having a deaf child by selecting a sperm donor with a heritable form of deafness (13). PGD can be used just as well to select for the presence of a trait that is commonly perceived as a disability, and in a 2006 survey on 190 American PGD clinics 3% reported having done so upon patients’ request (14). These episodes seem to call upon society to reassess the definition of disease and disability; in particular, it would be worth considering to what extent these definitions are influenced by deviation from a perceived normality and dependent on disadvantages created by the way society is organized to address the needs of ‘normal’ individuals. Moreover, genetic diversity is essential for selection and evolution to occur and even disease-associated traits can prove to be advantageous in particular environmental conditions. For © 2013, The Triple Helix, Inc. All rights reserved. CAMBRIDGE instance, individuals who are homozygous for sickle cell anaemia or alpha thalassemia will develop severe blood disorders but heterozygous individuals, while experiencing minor symptoms, will be protected against infection by the malaria parasite (15,16). For this reason, the genetic mutations associated with these disorders have been positively selected in areas where malaria was or still is a prominent cause of death, such as the Mediterranean region and large parts of Africa (15,16). In complex diseases there are many genes that contribute, sometimes very marginally, to an individual’s predisposition (6). PGD has already been employed to select embryos with low predisposition to cancer (17), but an ‘acceptable’ level of risk is a difficult concept to define. Predisposition is a continuous variable, so it is hard to separate what is ethically justifiable from what may not be; perhaps it is sufficient to consider this type of intervention increasingly less justifiable as lifestyle factors, rather than genetic ones, become genetic diversity is essential for selection and evolution to occur already have children and would like to experience raising a child of the opposite sex, so that they would only have another child if this were of the selected sex (12). As the human genome is annotated, we start to understand the function of more genes and could soon be able to select for or against a long list of traits. This has sparked concerns for the possible rise of ‘designer babies’. Would selection be ethically justifiable for genes associated with height, eye colour, intelligence or sexual orientation? Some propose that couples should select the embryo or foetus most likely to have the best life, regardless of whether the advantageous trait is medical or not and even if this increases social inequality (18). This scenario is reminiscent of eugenic selection programs such as those carried out in Nazi Germany or post-WWII Sweden, and generally in vogue in numerous countries during the 20th century (19, 20). Crucially, the use of PGD differs from them in that selection is not enforced by the state but voluntarily sought by parents (18). However, the underlying basis of selection (a trait being more desirable or advantageous than another) may in some cases still be traced back to cultural prejudices that are blind to human diversity. Hence, although PGD is undoubtedly a remarkable procedure allowing the eradication of hereditary diseases from family trees, in the future we should perhaps try to prove Tolstoy wrong and let all families be happy, but not all alike. increasingly important in determining the development of a disease. Furthermore, selection for non-medically-relevant traits is already in place in some countries. An embryo can be selected to be a compatible donor for an elder sibling in need of stem cell transplantation (a procedure known as HLA typing) and sex selection can be performed in the US even in absence of sex-linked diseases (14). The latter application appears to be based on sexist attitudes but it has been argued that it may not be so in the case of a couple who Alessio Strano is a fourth year Biochemist at Magdalene. When he was first taught about Mendel’s genetic experiments he was fascinated by the heritability of traits and tried to work out whether his sister had been adopted based on her eye colour; more recently, he was motivated to write this piece on family history after several of his relatives were diagnosed with cancer. The article reflects and draws upon his long-standing interests in human genetics and bioethics. References: 1. “Prevalence of rare diseases: Bibliographic data”. Orphanet Report Series, Rare Diseases collection June 2013. [Internet] Available from: http://www.orpha.net/ orphacom/cahiers/docs/GB/Prevalence_of_rare_diseases_by_decreasing_prevalence_or_cases.pdf 2. Aronova-Tiuntseva Y, Herreid CF. Hemophilia: “The Royal Disease”. National Center for Case Study Teaching in Science [Internet] Available from: http://sciencecases.lib.buffalo.edu/cs/files/hemo.pdf 3. Rogaev EI, Grigorenko AP, Faskhutdinova G, Kittler ELW, Moliaka YK. Genotype Analysis Identifies the Cause of the Royal Disease. Science 6 November 2009: Vol. 326 no. 5954 p. 817 4. Wolff G, Wienker TF, Sander H. On the genetics of mandibular prognathism: analysis of large European noble families. J Med Genet 1993; 30:112-116 5. Chudley AE. Genetic landmarks through philately – The Habsburg jaw. Clin Genet 1998; 54: 283-284 6. Manolio TA, Collins FS, Cox NJ, Goldstein DB, Hindorff LA, Hunter DJ, McCarthy MI, Ramos EM, Cardon LR, Chakravarti A, Cho JH, Guttmacher AE, Kong A,Kruglyak L, Mardis E, Rotimi CN, Slatkin M, Valle D, Whittemore AS, Boehnke M, Clark AG, Eichler EE, Gibson G, Haines JL, Mackay TF, McCarroll SA, Visscher PM. Finding the missing heritability of complex diseases. Nature 8 October 2009; 461(7265):747-53 7. Jolie A. My Medical Choice. The New York Times 2013 May 14: A25. 8. Brose MS, Rebbeck TR, Calzone KA, Stopfer JE, Nathanson KL, Weber BL. Cancer risk estimates for BRCA1 mutation carriers identified in a risk evaluation program. J Natl Cancer Inst 2002 Sept 18; 94(18): 1365-72 9. Basille C, Frydman R, El Aly A, Hesters L, Fanchin R, Tachdjian G, Steffann J, LeLorc’h M, Achour-Frydman N. Preimplantation genetic diagnosis: state of the art. Eur J Obstet Gynecol Reprod Biol. 2009 Jul;145(1):9-13 10. Kuliev A, Verlinsky Y. Place of preimplantation diagnosis in genetic practice. Am J Med Genet A. 2005 Apr 1;134A(1):105-10 11. Long H. ‘Designer babies’: the ultimate privileged elite? The Guardian [Internet] 2013 Jul 9. Available at: http://www.theguardian.com/commentisfree/2013/ jul/09/ivf-baby-born-genetic-selection-ultimate-elite. 12. Robertson JA. Extending preimplantation genetic diagnosis: the ethical debate. Hum. Reprod. (2003) 18 (3): 465-471. 13. Scully JL. What is a disease? EMBO Reports (2004) 5, 650-653 14. Baruch S, Kaufman D, Hudson KL. Genetic testing of embryos: practices and perspectives of US in vitro fertilization clinics. Fertil Steril. 2008 May;89(5):1053-8. Accessed at: http://www.dnapolicy.org/resources/PGDSurveyReportFertilityandSterilitySeptember2006withcoverpages.pdf 15. Mockenhaupt FP, Ehrhardt S, Gellert S, Otchwemah RN, Dietz E, Anemana SD, Bienzle U. α+thalassemia protects African children from severe malaria. Blood 2004 Oct 1; 104(7). 16. Wellcome Trust. Malaria and sickle cell trait. Wellcome Trust website 31/05/2005. Available at: http://malaria.wellcome.ac.uk/doc_WTD023878.html 17. Spits C, De Rycke M, Van Ranst N, Verpoest W, Lissens W, Van Steirteghem A, Liebaers I, Sermon K. Preimplantation genetic diagnosis for cancer predisposition syndromes. Prenat Diagn. 2007 May;27(5):447-56 18. Savulescu J. Procreative Beneficence: Why We Should Select the Best Children. Bioethics. 2001 Oct;15(5-6):413-26 19. Spektorowski A. The Eugenic Temptation in Socialism: Sweden, Germany, and the Soviet Union. Comparative Studies in Society and History, 46, pp 84-106. 20. Black E. Eugenics and the Nazis—the California connection. San Francisco Chronicle [Internet] 2003 Nov 9. Available from: http://www.sfgate.com/opinion/ article/Eugenics-and-the-Nazis-the-California-2549771.php 21. M.W. Ridley [Image on the Internet] http://www.loc.gov/pictures/resource/ pga.02489/ under public domain. 22. Wikipedia [Image on the internet] http://en.wikipedia.org/wiki/ File:Haemophilia_family_tree.GIF under public domain. 23. Claudio Coello [Image on the Internet] http://www.google.com/culturalinstitute/asset-viewer/charles-ii/vgES3iV82XhpoQ?projectId=art-project Image under public domain. 24. Ekem [Image on the Internet] http://en.wikipedia.org/wiki/File:Icsi.JPG under public domain. 25. Ekem [Image on the Internet] http://commons.wikimedia.org/wiki/ File:Embryo,_8_cells.jpg under public domain. 26. Wikipedia [Image on the Internet] http://en.wikipedia.org/wiki/File:Bcrablmet. jpg under CC-BY-SA 3.0 licence © 2013, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2013 11 CAMBRIDGE Bacteriophages: A Historic Solution to a Modern Problem? Nathan Smith W e are on the verge of a new era in antibiotic treatment. Whilst the majority of bacterial infections still respond to some form of antibiotic treatment, a growing number of bacterial strains are no longer sensitive to mainstream antibiotics due to the horizontal transfer of antibiotic-resistance genes. Some chemical alterations to existing antibiotics have been successful in extending their lifetime. Additionally, the development of beta-lactamase inhibitors (such as Clavulanic acid), which irreversibly bind to and inactivate antibiotic degrading enzymes, has resulted in prolonging the use of other antibiotics (1). However, it is still true that the rate of antibiotic discovery has declined rapidly since the heyday of the 1950’s, where one-half of the drugs frequently used today were discovered (2). To make matters worse, some companies have stopped investing in antibiotic research— though recently, the US government has provided financial incentives for GlaxoSmithKline to continue its research (3). There are some new drugs in development, such as Type IIA topoisomerase inhibitors (4), Heteroaromatic Polycycle Antibacterials (5), and anthracimycin (6). However, despite these novel targets and/or structures of these drugs, if and when released, they will be faced with the same pitfall as previous antibiotics— that somewhere a mutation will occur in the target of a previously susceptible bacterium, rendering it resistant or that resistance already exists somewhere within the global bacterial population. This resistance will be amplified through selective pressure via drug use and spread throughout the bacterial world. In short, more time will have been gained but humanity will eventually be back to square one. A major problem with phage therapy is that much of the literature is out of reach of the western world. Interest in future novel treatments seems to be diverging into two main (though not mutually exclusive) camps — those that favour antimicrobial peptides (AMPs), and those that favour bacteriophages. Antimicrobial peptides-— found throughout the natural world— are components of the innate immune system. Usually cationic in nature, they are believed to work by disrupting the bacterium’s membrane to gain entry into the cell before eliciting a variety of effects. Whilst they may seem promising, evidence of resistance is already being seen and its mechanisms characterised (such as the alteration of bacterial cell surface charge (7)) and so, at best, they represent merely a pause to the seemingly inevitable victory of pathogens against our chemical arsenal. Bacteriophages (or phages) are the second area being 12 THE TRIPLE HELIX Michaelmas 2013 Bacteriophage infecting a bacterial cell. Image reproduced from [24] explored. These are viruses that exclusively infect bacteria, and come in two main forms: virulent and temperate (although there are always exceptions to the rule— such as the M13 bacteriophage). Virulent bacteriophages enter the lytic lifecycle, where they replicate inside a bacterium and cause the lysis of their host as a necessary part to complete their lifecycle. Temperate phages can either go through the lytic lifecycle or enter what is known as the lysogenic lifecycle by going into a state of dormancy within the cell and (usually) integrating themselves into the host chromosome (8). It is solely virulent phages that are used in bacteriophage therapy. Far from being a recent discovery, bacteriophages have been known about and used clinically for nearly a century. Bacteriophages were independently discovered by Frederick Twort in 1915 and Felix d’Herelle in 1917, the latter of whom pioneered their use against infectious diseases. Human phage therapy began in earnest during 1919 and the next two decades where somewhat of a golden era for the treatment (9), even though the nature of bacteriophages was not conclusively determined until 1940 (10-11). Many of © 2013, The Triple Helix, Inc. All rights reserved. CAMBRIDGE Clavulanic acid, a beta-lactamase type antibiotic. Image reproduced from [25] those involved in production lacked experience or did not enforce strict biological controls, and it was not uncommon for preparations to have little to no activity (12). This irrevocably damaged the practice and the view of the therapy even to this day. Prompted by this, d’Herelle opened his own laboratory, providing commercial preparations of phage and advising others on how to prepare phage (9). Despite the efforts of d’Herelle and others, the practice largely fell into disrepute in the western world (with the exception of France), in part due to two damming reviews by the Journal of the American Medical Association (JAMA) in 1934 (13-15) and 1941 (16-17)and also due to the appearance of penicillin and other chemical antibiotics. A major problem with phage therapy is that much of the literature is out of reach of the western world. This is principally for two reasons, the first of which is the language barrier. With much of the research being carried out in France, Russia, Georgia, and Poland, publications were rarely written in English and their translation has been a slow process (9). when they did occur (8-9). One obstacle that may hinder phage therapy being introduced in the UK is the opposition to “living” biological compounds being used in treatment and through a fear that, as bacteriophages are viruses, they may cause infection. However, viruses are already being used in other therapies within medicine. An example is their use as vectors in gene transfer in treating cystic fibrosis (18). In any case, as bacteriophages (by definition) are capable only of infecting bacteria (which differ markedly in structure from any form of human cell), any fear of a direct infection is entirely misplaced. On the other hand, public anxiety of using bacteriophages medically does have some scientific grounding. Phages in the lysogenic lifecycle may integrate into the chromosome of its host bacterium and confer new properties to the host (now termed a lysogen (19)). This is by no means a small matter— diphtheria (20), cholera (21), and botulism (22) are all diseases caused by phage-infected bacteria. One could imagine the consequences if a new virulent bacterial strain were to be produced through inappropriate phage therapy. However, temperate phages are not used therapeutically, and so, this potential issue would not be clinically relevant. This being stated, virulent phages are not entirely without risk. Due to the inaccurate loading of phage DNA, it is possible for small fragments of host DNA to enter a phage particle and be transferred to a new cell. Whilst the DNA is usually destroyed upon entering the new host, there is a chance that it may be integrated into the host. This is called generalised gene transduction, and while there exists a near negligible chance of transferring genes for toxicity or antibacterial resistance, care should still be taken to only use virulent phages incapable of general transduction. Another issue is that bacteriophages, though inherently non-toxic, have the ability to elicit an immune response (8, 19). This may lead to phage inefficacy in a patient upon multiple uses, especially if used intravenously. Local (topical) application largely circumvents this issue. phages are inherently replicative ...effectively becoming self-dosing Diagram of the phage lyctic cycle. Image reproduced from [26]. Also, as much of the research into phages was considered to have military application (i.e. treatment of soldiers); many of the findings were only privately distributed. The second issue is that much of the previous research fails to meet the standards of modern medical trials. As a result, many will be inclined to treat the evidence gained as invalid. This is because phages were often used where chemotherapeutic agents failed to work and were often considered the standard of care, resulting in blind or double blind trials being a rarity.though results tended to show bacteriophage therapy as equally if not more effective than traditional antibiotics © 2013, The Triple Helix, Inc. All rights reserved. So what are the benefits of phages? First of all, there are a plethora of varieties—and they can be found nearly anywhere that their bacterial hosts are found. Indeed, d’Herelle used to isolate phages from stools and sewage. This is beneficial because the major problem with bacteria is their adaptability, and whilst resistance to phage occurs, it is known that the phages—being dynamic in nature— would also be able to adapt. They also have high specificity, meaning that disruption to normal flora during treatment is minimised; this in turn makes the risk of subsequent infections by opportunistic pathogens, such as Clostridium difficile, significantly lower. It also reduces the increase in resistance, as one species of phage affects at most several closely related genera of bacteria, and can have specificity up to being able to differentiate between two different strains THE TRIPLE HELIX Michaelmas 2013 13 CAMBRIDGE of the same species. Finally, phages are inherently replicative and as such they will increase in number at the site(s) of infection— effectively becoming self-dosing. This is in contrast to traditional antibiotics and AMPs that will never exceed the concentration administered and that will diffuse to all areas possible regardless of location of infection. Phage therapy has the potential to could be a strong candidate for a legitimate alternative to antibiotics. Whilst a lack of production quality, particularly in the early years, damaged the treatment’s reputation— when properly prepared, it has shown remarkable effects. Whilst new antibacterials and antimicrobial peptides are only now reaching human testing, phage therapy has a long history of human trials (totalling at just under one hundred years). Treatment at current is a combination of general cocktails containing a variety of phage aimed at treating certain bacteria or conditions, such as the product “Intestiphage” that is designed to target 20 different pathogenic gastrointestinal bacteria (9), with specifically produced phage to tackle the more resilient bacteria. In a world where methicillin-resistant Staphylococcus aureus (MRSA) and other multi-resistant bacteria are increasing in occurrence, bacteriophages provide an attractive and well tested solution. Care must be taken to not overstate the effects of the therapy, and the mistakes of the past must be learned from, but bacteriophages may help us turn the tide in our losing war against infection. Nathan Smith is a second year natural scientist at Churchill. He has a slightly disproportionate passion for all things antimicrobial and wrote this piece in order to share his love of the scientifically and historically interesting bacteriophages. Frederick Twort, one of the co-discoverers of bacteriophage. Image reproduced from [27]. References: 1. Livermore DM. b-Lactamases in Laboratory and Clinical Resistance. Clinical Microbiology Reviews, Oct. 1995, p. 557–584 2. J Davies. Where have all the antibiotics gone? Can J Infect Dis Med Microbiol 2006;17(5):287-290. 3. The Wall Street Journal. U.S. to Fund Glaxo’s Research on Antibiotics (Internet) 2013 22 May (cited: 2013 August 2) Available from: http://online.wsj. com/article/SB10001424127887323975004578499324161473326.html 4. Bax, BD. Et al. Type IIA topoisomerase inhibition by a new class of antibacterial agents. Nature. 2010 Aug 19;466(7309):935-40. DOI:10.1038/nature09197. Epub 2010 Aug 4. 5. Gross M. et al. Pharmacology of Novel Heteroaromatic Polycycle Antibacterials. Antimicrobial Agents and Chemotherapy, Nov. 2003. DOI:10.1128/ AAC.47.11.3448-3457.2003 6. BBC. New antibiotic that attacks MRSA found in ocean microbe (Internet) 2013 31 July (cited: 2013 August 1) Available from: http://www.bbc.co.uk/news/scienceenvironment-23523507 7. Nizet V. Antimicrobial Peptide Resistance Mechanisms of Human Bacterial Pathogens. Curr. Issues Mol. Biol. 8:11-26 8. Harper D. Viruses Biology Application Control. Garland Sciences, 2012 9. Kutter EM. et al. Phage treatment of human infections. Landes Bioscience, March/April 2011. DOI: 10.4161/BAC.1.2.15845 10. Ruska H. Die Sichtbarmachung der bakteriophagen Lyse im Übermikroskop. Naturwissenschaften 1940; 28:45–6 11. Pfankuch E., Kausche GA. Isolierung und übermikroskopische Abbildung eines Bakteriophagen. Naturwissenschaften 1940; 28:46 12. d’Hérelle, F. Preparation of Therapeutic Bacteriophages, Appendix 1 from: Le Phénomène de la Guérison dans les maladies infectieuses: Masson et Cie, 1938, Paris—OCLC 5784382 13. Eaton MD., Bayne-Jones S. Bacteriophage therapy: Review of the principles and results of the use of bacteriophage in the treatment of infections (I). J Am Med Assoc 1934; 103:1769-76. 14. Eaton MD., Bayne-Jones S. Bacteriophage therapy: Review of the principles and results of the use of bacteriophage in the treatment of infections (II). J Am Med Assoc 1934; 103:1847-53. 14 THE TRIPLE HELIX Michaelmas 2013 15. Eaton MD., Bayne-Jones S. Bacteriophage therapy: Review of the principles and results of the use of bacteriophage in the treatment of infections (III). J Am Med Assoc 1934; 103:1934-9. 16. Krueger AP., Scribner EJ. The bacteriophage: Its nature and its therapeutic use (I). J Am Med Assoc 1941; 116:2160-7. 17. Krueger AP., Scribner EJ. The bacteriophage: Its nature and its therapeutic use (II). J Am Med Assoc 1941; 116:2269-77. 18. Science Daily Common Cold Virus Efficiently Delivers Corrected Gene To Cystic Fibrosis Cells. (Internet) 2009 22 July (cited: 2013 August 2) Available from: http://www.sciencedaily.com/releases/2009/07/090720202603.htm 19. Loc-Carrillo C., Abedon ST. Pros and cons of phage therapy. Landes Bioscience, March/April 2011. DOI: 10.4161/BAC.1.2.14590 20. Mokrousov I. Corynebacterium diphtheriae: Genome diversity, population structure and genotyping perspectives, 2009. Infection, Genetics and Evolution 9 1–15. 21. CNRS. Cholera : how can a parasite turn bacteria into pathogens ? (Internet) 2005 6 September (cited: 2013 August 2) Available from: http://www2.cnrs.fr/ en/366.htm?debut=24 22. Sakaguchi Y. et al. The genome sequence of Clostridium botulinum type C neurotoxin-converting phage and the molecular mechanisms of unstable lysogeny, 2005. 23. Brüggemann, H., Lood, R. Bacteriophages Infecting Propionibacterium acnes. BioMed Research International, vol. 2013, Article ID 705741, 10 pages, 2013. DOI:10.1155/2013/705741 24. Beards, C. [image from the internet] http://en.wikipedia.org/wiki/File:Phage. jpg public domain licence 25. Mills, B. [image from the internet] http://en.wikipedia.org/wiki/File:Clavulanicacid-Spartan-HF-3-21G-3D-balls.png under public domain licence 26. DZadventiste [image from the internet] http://commons.wikimedia.org/wiki/ File:Phage_Reproduction_Cycle.jpg under CC BY-SA 3.0 licence 27. Obituary Notices of Fellows of the Royal Society, Vol. 7, No. 20. (Nov., 1951), pp. 504-517. under public domain licence. © 2013, The Triple Helix, Inc. All rights reserved. CAMBRIDGE BROWN Bright Lights: Are they killing us? Michael Yanagisawa S Image reproduced from [21] ome view the light emanating from a big city as a magical aura, the glow and buzz of a thriving metropolis. But anyone who has ever seen a pitch-black sky bespeckled with thousands of glimmering gems knows it by another name: light pollution. Pollution seems like a strong word for our everyday lighting habits. We tend to think of pollution as trash suffocating marine life, debris collecting on highway shoulders, car horns piercing a symphony of birds, chemicals spilling into a local river, etc. – light does not seem to fit in. It is the least tangible of the pollutions, impossible to touch or see. In recent human memory, light has been a fundamental part of life; to think that something as basic as light could constitute pollution is hard to believe. Before electricity, candles illuminated cities; now, neon signs and streetlights burn throughout the night. The mushy orange night sky is one that is natural to modern man, but not to nature. Never before has daylight shone all night long. ...when whole cities can be seen from space, we have to wonder: are all these lights necessary? Only in the past decades have scientists begun to measure the effects of light on the larger environment. Most studies agree that excessive artificial lighting poses a threat to animal habitats and health, but such harmful effects may also extend into human health. While these studies are not yet widely accepted, the possibility of artificial light harming us is particularly frightening – a popular, trusted technology with ulterior motives. Should we fear persistent illumination, or simply accept it as a cost of modernity? © 2013, The Triple Helix, Inc. All rights reserved. A BRIEF HISTORY OF LIGHTING Before the dawn of electric lighting, there were two sources of light: the sun and fire. Once the sun went down, people for the most part remained enveloped in darkness, prompting a desire for convenient lighting. The Industrial Revolution ushered gaslights into the public domain, albeit slowly; the simple lighting allowed the theater to hold evening performances and the Smithsonian to host evening lectures [1]. The true thirst for nighttime lighting would soon become apparent. In 1879, Thomas Edison lit up the first light bulb. While at first a novelty, the light bulb quickly became an imperative, a part of America’s vision of the future [1]. As cities competed to light their streets, the need for lighting became insatiable and electric companies responded with bigger and brighter lights. Soon enough, every community had its own “White Way,” a brightly-lit stretch of town. When the Great Depression struck, citizens refused to turn off their lights for fear of crime, despite the financial savings that would result [2]. Lighting had become a fundamental part of urban life, even more valuable than money itself. The craze for artificial lighting continued to spread. Lights now illuminate empty parking lots, line driveways, and illuminate storefronts, amongst infinite other purposes. The end result: suburban towns feel like ghost towns without artificial lighting, and cities like Las Vegas and Hong Kong have become swirls of neon signs. When a street corner is hardly different by night than by day, when the light spills beyond its intended target, when whole cities can be seen from space, we have to wonder: are all these lights necessary? And, more importantly, are they hurting us? THE IMPACT OF LIGHT ON ANIMALS The most obvious harm of lit-up cities is the loss of stars. Country dwellers lament that the city lights drown them out; the twinkles in a black sky becomes imperceptible THE TRIPLE HELIX Michaelmas 2013 15 BROWN in the fog of light. Scientists call this astronomical light pollution. In effect, the stars are a luxury that city inhabitants can no longer afford. However, the unintended side effects of artificiallylit night skies may be larger than we think. There is another form of light pollution – ecological – that scientists have identified. The damage that light causes makes intuitive sense. Anyone who has experienced a warm midsummer night in New England knows that the lights inevitably attract moths, beetles, mosquitoes etc. These insects then attract their predators; a patio lamp becomes a new environmental microcosm. Without patio lights, these micro-environments would never form; a small amount artificial lighting, it seems, can create a slightly altered local ecology. It is not hard to imagine that the compounded effects of global nighttime lighting may amount to larger problems. Indeed, a review of the current research suggests that the excessive light causes a countless species of animals to fall victim not only to problems such as confusion and disorientation [3]. The studied effects of ecological light pollution may in fact be fatal. Some birds crash into brightly lit buildings, and others circle searchlights until they die of exhaustion, showing the disorientation that city lights may cause [4]. Lighting along beachfronts has also devastated the already endangered sea turtle. Some turtles cannot find a suitably dark beach on which to lay their eggs; many of the hatchlings, attracted to the light, never make it back to sea [6]. The sea turtles’ confusion and deaths are well-known consequences of light pollution. In another study, the túngara frog’s mating patterns were studied in dim and dark conditions. The results showed that the female frogs became less selective about their mate choices in artificially-lit conditions, presumably to hasten the dangerous act of mating [7]. In short, our unnaturallylit nights have a sizeable if subtle effect on other animals around us [3]. we must critically weigh the hazardous effects of light and its necessary uses The effects of light pollution on a single species may even cascade into effects on a local ecology. Aquatic invertebrates, such as zooplankton, rise to the ocean surface in dark conditions to avoid predation [8]. Thus unnatural lighting – from oil rigs, fishing boats, etc. – throws off the natural flow of zooplankton, disrupting not just the single species but all that depend on it. For example, zooplankton feed on algae, so with excessive artificial light, algae populations can grow exponentially [9]. Thus the effects of light pollution may have effects not only on single species, but on a larger environment. This domino effect makes the full scope of light pollution harder to study. THE HIDDEN HUMAN COST Artificial lighting is a distinctly human invention created for our betterment, but recent research has begun to suggest a possible detrimental side effect of excessive light. After all, we surround ourselves in light: one study estimates that only 40% of Americans live where it gets 16 THE TRIPLE HELIX Michaelmas 2013 Image reproduced from [22] sufficiently dark at night for the human eye to completely transition from cone to rod vision, and that 18.7% of the world’s land is polluted by astronomical standards [10]. These findings suggest that light pollution is both global and omnipresent. While the research is not yet conclusive, it points to a hidden human cost of light pollution. The light that is hurting our environments and animals may harm us humans, too. This is not to say that light pollution is the sole cause of human illnesses. Rather, controlled laboratory studies have shown that exposure to light can cause health problems. For example, exposure to light is thought to disrupt circadian rhythms, which control the human sleep cycle. This disruption may then affect the balance of hormones in our body, accelerating tumor growth [11]. Artificial light inhibits the production of melatonin, a hormone that is known to regulate the sleep cycle. A recent study has also linked melatonin and the organ that produces it, the pineal gland, with cancer-suppressing properties; it posits that one large factor in the recent epidemic of cancer is excessive lighting [12]. Thus, light pollution disrupts the human sleep cycle, which contributes to more serious health concerns [13]. Some studies have explicitly linked nighttime illumination, both intentional and occupational, with various cancers. One group reported a 35% increase in risk of colorectal cancer for nurses who worked night shifts at least three times a month for 15 years or more [14]. In a similar study, there was a slight increase in risk of breast cancer for nurses with 20 or more years of night shift work [15]. Some researchers even suggest that the coinciding increases in cancer and light pollution are no accident, that these two phenomenon are somehow intertwined [13,16]. The research continues to unearth new connections, linking light pollution with other health problems such as depression, insomnia, and cardiovascular disease. Important to note, though, is that the conclusions reached by such studies are not yet widely accepted. Nevertheless, new studies continue to point to the potential harm of light pollution. For example, a 2006 study showed that infant mice exposed to constant artificial light could not establish © 2013, The Triple Helix, Inc. All rights reserved. BROWN the effects of light pollution. Such small adjustments will allow us to see the stars, help animals navigate, and may even help decrease the human cancer risk. One proposed solution is to use “smart” light sensors that decrease wasted light [19]. Office buildings waste energy and light when they are kept lit after hours. Setting the lights to turn off when the office closes is a first step towards eliminating the glow-stick effect skyscrapers have on the nightscape. In the same vein, sensors can be used in low These small, simple, and measureable changes to our daily lives may be able to decrease light pollution Image reproduced from [23]. a regular sleep cycle [17]. The present dearth of research should serve not as reassurance of the safety of light pollution, but as an imperative to do more. As we continue to piece together the growing body of research, we more clearly see a looming danger that we have the power to prevent. A SOLUTION? The solution to light pollution involves balancing the hazardous effects of light and its necessary uses. This balance hinges on so many parties – politics, money, ecology, health, safety – that a solution seems unlikely. Yet the cost of light pollution in the U.S. alone is estimated at 7 billion dollars a year [18]. Thus environmental and health gains could be linked with financial savings – that is, more money – perhaps spurring sensible and immediate action. In looking for a solution to light pollution, we must realize that there is no quick fix. Indeed, small changes can go a long way in diminishing References: 1. Holden A. Lighting The Night: Technology, Urban Life and the Evolution of Street Lighting. Places Journal. 1992; 8(2): 56-63. 2. Municipal Lighting Operators Point Out Folly of Street Lighting Cuts. The American City. 1932 Oct; 47(4): 110. 3. Longcore T, Rich C. Ecological Light Pollution. Frontiers in Ecology and the Environment. 2004 May; 2(4):191-198. 4. Klinkenborg V. Our Vanising Night. National Geographic. Nov 2008. [cited 2013 Feb 13]. Available from: http://ngm.nationalgeographic.com/2008/11/lightpollution/klinkenborg-text 5. Derrickson KC. Variation in repertoire presentation in northern mockingbirds. Condor. 1988 Aug; 90:592-606. 6. Witherington BE, Martin RE. Understanding, Assessing, and Resolving LightPollution Problems on Sea Turtle Nesting Beaches. St. Petersberg, FL, Florida Marine Research Institute. 2000. 7. Rand AS, Bridarolli ME, Dries L, Ryan MJ. Light levels influence female choice in Tungara frogs: predation risk assessment? Copeia. 1997; 1997:477-450. 8. Gliwicz ZM. A lunar cycle in zooplankton. Ecology. 1986; 67:883-897. 9. Moore MV, Pierce SM, Walsh HM, et al. Urban light pollution alters the diel vertical migration of Daphnia. Verh Internat Verin Limnol. 2000; 27:779-782. 10. Cinzano P, Falchi F, Elvidge CD. The first world atlas of the artificial night sky brightness. Mon Not R Astron Soc. 2000; 328:689-707. 11. Chepesiuk R. Missing the Dark: Health Effects on Light Pollution. Environmental Health Perspectives. 2009 Jan; 117:A20-A27. 12. Kerenyi NA, Pandula E, Feuer G. Why the incidence of cancer is increasing: the role of ‘light pollution’. Medical Hypotheses. 1990 Oct; 33(2):75-78. © 2013, The Triple Helix, Inc. All rights reserved. traffic areas so that streets illuminate only when in use. Small changes in lighting design can mitigate light pollution. Streetlight bulbs usually have a bulge hanging below the metal housing, allowing light to disperse in all directions, including upwards, sending wasted light into the night sky. If the bulge were eliminated, light could be directed to where it is needed. Many outdoor lights are also too powerful. For example, 500-watt “Rottweiller lights” line gardens and houses where 100-watts would suffice [19]. By aligning designated use with intensity of light, we can select appropriate lighting, eliminating the excess light that accompanies poor design. The solution requires us to think about what we really need light for, and where it is used frivolously and carelessly. Excessive lighting is what spills over into the surrounding environment, encroaching on a diverse cross section of ecosystems, including ours. To this end, one dictum for proper lighting proclaims: “Use the ‘correct’ lighting level, not too little, not too much” [20]. Perhaps we have been erring on the side of too much. Michael Yanagisawa is a graduating senior at Brown University concentrating in chemistry and biology. He is interested in almost anything science-related, or anything you can make sound interesting. 13. Anisimov VN. Light pollution, reproductive function and cancer risk. Neuro Endocrinology Letters. 14. Schernhammer ES, Laden F, Speizer FE, et al. Night-Shift Work and Risk of Colorectal Cancer in Nurses’ Health Study. Journal of the National Cancer Institute. 2003 Jun; 95(11): 825-828. 15. Schernhammer ES, Kroenke CH, Laden F, Hankinson, SE. Night Work and Risk of Breast Cancer. Epidemiology. 2006 Jan; 17(1): 108-111. 16. Stevens R, Blask DE, Brainard GC, et al. Meeting report: the role of environmental lighting and circadian disruption in cancer and other diseases. Environmental Health Perspectives. 2007 Sept; 115(9):1357-1362. 17. Ohta H, Mitchell AC, McMahon DG. Constant light disrupts the developing mouse biological clock. Pediatric Research. 2006; 60(3):304-308. 18. Gallway T, Olsen RN, Mitchell DM. The economics of global light pollution. Ecological Economics. 2010; 69:658-665. 19. Winterman D. Light pollution: Is there a solution? BBC News Magazine. 2012 Jan 17. Available from: http://www.bbc.co.uk/news/magazine-16470744 20. Crawford, DL. Light pollution, an environmental problem for astronomy and for mankind. Memorie della Società Astronomia Italiana. 2000; 71:11-40. 21. NASA Goddard Photo and Video [image on the internet] http://www. fotopedia.com/items/flickr-8247975848 under CC-BY-2.0 licence 22. City lights public domain image picture [image on the Internet]. http://www. public-domain-image.com/objects-public-domain-images-pictures/lamps-publicdomain-images-pictures/city-lights.jpg.html under PD 23. Cestomano [image on the internet] http://www.flickr.com/photos/ cestomano/2222529405/ under CC BY-NC-SA 2.0 THE TRIPLE HELIX Michaelmas 2013 17 BROWN Considering the Potential of Developing Environmental Remediation Technologies Elizabeth Perkins I n 2010, approximately 205.8 million gallons of gasoline were released into the Gulf of Mexico after the explosion of the Deepwater Horizon oil rig. Two decades earlier, the 1989 Exxon oil spill had been similarly devastating, due largely to its location in the Prince William Sound of Alaska. This rocky inlet provided a habitat for a diverse array of wildlife and made it difficult for our traditional technologies such as the skimmer, designed to skim oil from the surface of water, to remediate the sight efficiently. (1) consequences of inaction now will become harder to ignore in the approaching future For decades, most wastes, from disposed foods to industrial factory metals, have been sent to landfills. Today, landfills tower all over the world and grow in size and number along with the global population. The biggest one in the US sits in L.A. County, California and accumulated more than 12,000 tons of waste in 2007. These landfills, home to disposed industrial metals and petroleum hydrocarbons such as benzene (a known carcinogen), release gaseous emissions and leachate. Leachate is contaminated run-off from landfills that seeps into the ground and can contaminate the groundwater and public water supplies if not adequately prevented from doing so. The build up of trash in these landfills is too large to be controlled without the use of contemporary technologies. Not to mention that many of these landfills are old and thus not lined below or covered above to stop the movement of wastes, as is often done in landfills today. Although emerging technologies are auspicious, more traditional methods of landfill management may become less capable of countering the growth in global waste and pollution. For example, despite the practiced and improving efforts of landfill management by many countries, people that live closer to landfills have higher instances of cancer. As landfills increase in number, an even greater number of people may become affected (2,3,4). While society is generally aware of these environmental concerns, it is difficult to determine to what extent society is currently both causing and countering these problems. While some of the most serious of our concerns about the The Golf of Mexico oil spill. Image reproduced from [26] 18 THE TRIPLE HELIX Michaelmas 2013 © 2013, The Triple Helix, Inc. All rights reserved. BROWN Panellus stipticus, a species of fungi capable of breaking down toxic polyphenols. Image reproduced from [27] environment may not manifest for a few more decades, some of the consequences of inaction now will become harder to ignore in the approaching future. However, the burden of proof slows the advancements of technologies designed for this purpose, as many hesitate in face of the possibly unknowable long-term effects of many modern environmental remediation technologies. The development of environmental remediation technologies and research endeavors, many of which indicate potential environmental benefits, are encumbered by a lack of money, resources, political attention, and expertise, as well as slow moving policy procedures. This stagnancy is also propagated by disinterest, distractedness and skepticism (e.g. the percent of Americans that deny global warming has actually increased within the past few years) (5,6). The U.S. Environmental Protection Agency has general criteria for approving the use of environmental One commonly practiced remediation method is composting, a timeless staple of waste management, now practiced by many individuals and families. Composting is a biotechnology: a technology that involves biological processes. Recently, bioremediation technologies (biotechnology designed for environmental remediation purposes) have advanced due to increased emphasis on environmental sciences, and an increased understanding of biological variety and function. Industrial environmental technologies in particular, require the collaboration of different disciplines, due to the complexity of the environment and its intimacy with society. Hence, increased research in other fields such as genetics, biology and engineering has supplemented the advancement of bioremediation technologies. (5) Within the past few decades, bioremediation has been of increasing interest to scientists and environmental efforts due in part to its successful and important role in environmental remediation efforts after the BP and Exxon Oil Spills. Bioremediation is grounded in the naturally occurring process of biodegradation. Biodegradation refers to the process by which microorganisms (such as bacteria) break down or consume a substance. In many cases, bioremediation takes advantage of pre-existing microorganisms that have naturally evolved in the environment. In the type of composting done by many people, food wastes are covered in soil and dried leaves to be broken down by microorganisms inhabiting the soil. Individual composting reduces leachate and methane gas emissions from landfills, by reducing the amount of organic wastes that are sent to landfills. (8) But when it comes to waste management, certain organic and inorganic wastes (such as metals, plastics, laboratory chemicals, etc.) pose a greater challenge to biodegradation. These types of wastes may eventually biodegrade as well, but at an extremely slow rate (depending on the material, it may take hundreds or thousands of years). More recently however, bioremediation science has been successful in hastening this process under certain conditions (9). There are numerous bioremediation technologies, many of them recently developed: from simple techniques such as composting and tree planting, to the engineering of genetically modified microbes designed to exploit certain metabolic functions. Bioremediation has typically involved In many cases, bioremediation takes advantage of preexisting microorganisms... remediation technologies. These include above all: the efficiency, cost effectiveness, and the risk to the handlers and communities associated with their use (7). However, in cases that require an immediate response such as oil spills, modern technologies are much more likely to be approved for use due to the acute threat that arises with accidents like these. Provable technologies are more regularly used for on-going environmental maintenance, such as waste management and soil de-contamination. © 2013, The Triple Helix, Inc. All rights reserved. Image reproduced from [28] THE TRIPLE HELIX Michaelmas 2013 19 BROWN Soil based microbial fuel cell the sight of contamination is not difficult. If the microorganisms are pre-existing in a contaminated environment, they may be attracted to the nutrients provided by the wastes. For this reason, many of these microorganisms are first discovered at the sight of contamination (13). In a case like this, the task that remains for humans is to encourage these microorganisms to thrive. This is achieved by providing and maintaining specific environmental conditions, which encourages population growth and maximizes the metabolic processes of organisms, thus maximizing the speed and efficiency of waste reduction a microbial fuel cell can convert protons and electrons from chemical into electrical energy (14,15). In the Exxon oil spill for example, workers added a dispersant to the oiled water in order to increase the available surface area for biodegradation, as well as a fertilizer to attract and nourish native microorganisms (1). Image reproduced from [29] the use of microorganisms (such as bacteria) in waste management or remediation of contaminated environments. Bioremediation efforts have generally been more successful at harnessing the metabolic abilities of indigenous microbes (vs. genetically engineered microbes). (5) The reduction of waste by the organism occurs in varying and specific ways. In a process called catabolism, the microbe does not benefit from metabolizing the waste. The microorganism produces enzymes as metabolites (substances involved in metabolism) or bi-products, which in turn catalyze the decomposition or re-arrangement of pollutant molecules into less harmful or more easily managed molecules or compounds. On the other hand, sometimes the waste provides metabolic energy to the active microbe. This is the case with composting, in which both micro and macro organisms (such as worms) obtain nutrients such as carbon and nitrogen from organic food wastes. The organisms use the nutrients for energy, to build proteins and fuel metabolic processes. (10) Depending on the type of microorganism and the environmental conditions, microorganisms are capable of breaking down many different types of waste materials. For instance, it was recently determined that certain types of bacteria and fungi can use mono-aromatic hydrocarbons (such as benzene) as a source of carbon. The extent to which manipulation by humans is required to make these outcomes possible varies and is specific to each particular circumstance (11,12). Often, the initial recruitment of the microorganisms to 20 THE TRIPLE HELIX Michaelmas 2013 Bioremediation technologies have advanced far beyond just the simple methods used in the Exxon oil spill. For example, research revealing the potential of microbial fuel cells is significant due to the ability of this remediation method to both reduce waste and function as an energy source. Microbial fuel cells are devices that can generate electricity from the anaerobic degradation of organic wastes. As the microorganism generates CO2, protons and electrons through metabolic activity, a microbial fuel cell can convert protons and electrons from chemical into electrical energy. (18) In addition to treating contaminated sights, microorganisms can be used to detect pollution. For example, the fungus Thelephora caryophella can accumulate arsenic in its membranes. By measuring arsenic levels of this fungus, arsenic in the environment can be determined (19). Besides being efficient and promising, compared to more traditionally used methods, bioremediation is often less invasive and thus poses fewer risks to handlers. (5) One task associated with bioremediation is determining the appropriate environmental conditions for the desired outcome, which are very specific to each microbe, and the amount and type of targeted waste. Many factors must be considered, such as pH level, temperature, availability of limiting nutrients and the moistness of the environment in which the remediation is occurring. Another challenge is to ensure that any intervention on our part (such as the addition of a fertilizer) is minimally risky to the environment or society (15,16,17). Another important concern regarding bioremediation technologies is the release of metabolic byproducts by microorganisms that may be harmful to the environment or people in high concentrations or with long periods of exposure. Usually, scientists believe these bi-products to be minimally risky, and the biggest concern is about the release of methane by microorganisms. Moreover, research may allow us to increasingly identify and counter the risks associated with bioremediation while prospering from the benefits. For example, anaerobic degradation of organic wastes produces large amounts of methane in landfills. By © 2013, The Triple Helix, Inc. All rights reserved. BROWN drilling wells into the soil in order to expose it to oxygen, destroying anaerobic microbes and replacing them with native aerobic microorganisms, which eliminates methane and reduces leachate (20,21). The extent of the diversity of microorganisms in the soil is only starting to be appreciated. Scientist believe that one third of all living organisms inhabit the soil, although we have most likely only identified about one percent of existing microorganisms (22). A further exploration of the abundant variety of yet unidentified microorganisms is an incentive provided by the increasing amount of discoveries of microbes that can consume various problems wastes, and may continue to heighten the potential of bioremediation (19). There have been most recently, discoveries of different, previously unknown microbes that can reduce problem pollutants including radioactive waste and industrial metals (23,24,25). Despite all of the potential for success implied by bioremediation research, and the slow decrease in regulations restricting the use of microorganisms, bioremediation still lacks qualified labor, funds, and educational emphasis. All of this requires money, but given that the most of the engineering and labor involved in bioremediation is already done by nature, a lot of money could be saved in the long run by increasing reliance on bioremediation. Moreover, those in control of References: 1. Yarris L. Lessons Learned from the Two Worst Oils Spills in U.S. History. (homepage on the Internet). 2011 Aug 18. (cited 2013 May 10). Available from:, U.S. Department of Energy Web site: http://newscenter.lbl.gov/featurestories/2011/08/18/two-worst-oils-spills/ 2. Gunther S, Huge American Landfills and The People Who Live Nearby. Huge American Landfills and the People Who Live Nearby.(homepage on the internet) 2011 Aug 12. (cited 2013 Apr 20) Available from : http://www.mnn.com/earthmatters/wilderness-resources/stories/6-huge-american-landfills-and-the-peoplewho-live-nearby 3. Helman C, America’s Biggest Landfills. Forbes. 2010 Oct 10. (cited 2013 April 20) Available from: http://www.forbes.com/2010/10/13/los-angeles-las-vegas-business -energy-biggest-landfills.html 4. Oyster, (Internet). 2011 (cited 2013 May 10). Available from: http:// hamptonroads.com/2008/10/toxic-chemicals-landfills-seep-creek-near-oyster 5. Boopathy R. Factors limiting bioremediation technologies (Internet). Biosource Technology; 2000 (cited 2013 May 11). Available from: http://www.dms.ufsc.br / mip7013/arquivos/5316_Biorremediacao-1.pdf 6. Hanley C. Global warmin: Why americans are in denial, (Internet). 2011 Sep 24 (cited 2013 May 11). Available from: http://www.huffingtonpost.com /2011/09/24/ global-warming-why-americans-deny_n_979177.html 7. Louis Maccarone. Senior Sanitary Engineer, RI Dept. of Environmental Management. Office of Waste Management. (email correspondance). 20 March 2013. Cited 3 April 2013. 8. U.S. Environmental Protection Agency C. Resource conservation-Composting for facilities Basics, (homepage on the Internet). 2013 Jan 8 (cited 2013 May 7). Available from: U.S. Environmental Protection Agency, Web site: http://www.epa. gov/compost/basic.htm 9. Burkart, K. Boy Discovers Microbe That Eats Plastic. (Internet). Mother nature network. 2009. June 12. (cited 2013 March 16) Available from : http://www.mnn. com/green-tech/research-innovations/blogs/boy-discovers-microbe-that-eatsplastic 10. University of Illinois Extension C. The science of composting-Composting for the homeowner. (Internet). No date (cited 2013 May 7). Available from: University of Illinois, Web site: http://web.extension.illinois.edu/homecompost/science.cfm 11. Adeniji, A. Bioremediation of Arsenic, Chrominum, Lead and Mercury. (Internet). US Environmental Protection Agency. 2004 August. (cited 2013 May 4) Available from: http://www.cluin.org/ download/studentpapers/bio_of_metals_ paper.pdf 12. Farhadian, M. Vachelard, C. Duchez, D. Larroche, C. In Situ In Situ bioremediation of monoaromatic pollutants in groundwater. (Internet). Biosource Technology. 5296-5298. Available from :http://www.sciencedirect.com/science/ article/pii/S0960852407008620 13. Daniel Burd. Plastic Not Fantastic. (lab report). 2008 April 20. 6 p. (cited 2013 Feb 17). Available from: http://wwsef.uwaterloo.ca/archives/2008/08BurdReport. pdf. 14. United States Environmental Protection Agency. Bioremediation of hazardous wastes: Research, development and field evaluations. (Internet) United States © 2013, The Triple Helix, Inc. All rights reserved. government spending might be more willing to spend on bioremediation technologies, if the market opportunities in bioremediation were considered. For example, in 2000 Elsevier estimated that 1.5 billion of the predicted 30 billion dollars spent in Europe on soil remediation for the following year, could be saved if 10% of the soil was treated through bioremediation. This exceeds the estimated cost of 1 billion dollars spent in 2011 by the US on soil treatment. (5) In all likelihood, new environmental remediation technologies will be necessary in order to maintain both the health and safety of everyone, as well as the well-established comforts of consumerism and waste of modern societies. These technologies will also need to be minimally risky to the environment or society. With this in mind, society should encourage political and economic support of technologies that are both efficient and cost effective in the long run, even if that requires allocating more money for research now. Society should also support the development of high-potential environmental remediation technologies by promoting these areas of research in jobs, education, and political discussions. Elizabeth is a Junior at Brown studying Science and Society. Environmental Protection Agency. 1995 September. (cited 2013 Mar 20) . Available from: http://www.ep a.gov/tio/d ownload/rem ed/biosym.pdf 15. United States Environmental Protection Agency. A citizen’s guide to bioremediation.(Internet). United States Environmental Protection Agency. 2012 September. 1-2. (cited 2013 Mar 20) Available from: http://www.epa.gov/ superfund/community /pdfs/suppmaterials/ treat mentt ech/bioremediation.pdf 16. Regenises. Bioaugmentation. (Internet). Regenises. 2009. Available from: http:// www.regenesis.com/contaminated-site-remediation-products/bioaugmentation/ 17. Vidali, M. Bioremediation. An overview. (Internet). IUPAC. 73(7). 11631171. 2001. Available from: http://pac.iupac.org/publications/pac/pdf/2001/ pdf/7307x1163.pdf 18. Greenman J, Galvez A, Giusti L, Ieropoulos I. Electricity from landfill leachate using microbial fuel cells: Comparison with a biological aerated filter. (Internet). Elsevier. 2009. 44. 112-119. (cited 2014 May 9). Available from: http://www. microbialfuelcell.org/publications/ecobot/317.pdf 19. Baker Environmental Inc. Treatability study work plan. (Internet). Department of the Navy. 09 January 1995. (cited 2013 May 8) Available from: http://www.tftptf. com/CERCLA/01534.pdf 20. Maurice C. Bioindication and bioremediation of landfill emissions, (Internet). No date (cited 2013 May 10). Available from: Lulea University of Technology, Department of Environmental Engineering Web site: http://epubl.ltu.se/14021544/2001/29/LTU-DT-0129-SE.pdf 21. Global Earth Products. Global earth products: Aerobic landfill solutions, (Internet). No date (cited 2013 May 10). Available from:, Web site: http://www. globalearthproducts.com/aerobic-landfill.html 22. Dey, U. Mondal N. K., Das K., D. Shampa. An approach to polymer degradation through microbes. Journal of Pharmacy.(Internet) 2012 May-June. 2 (3). 1-3. (cited 8 May 2013). Available from : http://www.iosrphr.org/papers/v2i3/ G023385388.pdf 23. Robbins J. The hidden world of soil under our feet. (Internet). 2013 May 11 (cited 2013 May 12). Available from: http://www.nytimes.com/2013/05/12/opinion/ sunday/the-hidden-world-of-soil-under-our-feet.html?pagewanted=1&ref=opinion 24. Emery, C. Genetic diversity of cleanup microbes. (Internet). Frontiers in Ecology and Evolution. 2009 October. 7(8). 403. (cited 6 May 2013) Available from: http://www.jstor.org/stable/25595188 25. Gadd, G.M. Microbial influence on metal mobility and application for bioremediation.(Internet).Elsevier 2004; 122(2-4):109-119 (cited 2013 May 11). Available from : http://www.scienc edirect.com/science/ar ticle/pii/S0 016706104000060 26. Reuters/Daniel Beltra. [image on the Internet] http://www.flickr.com/ photos/48953776@N02/4616660816/ under CC BY-NC-ND 2.0 licence. 27. Chaz. [image on the internet] http://en.wikipedia.org/wiki/File:Panellus_ stipticus_67572.jpg under CC BY-SA 3.0 licence 28. Mikuzu. [image on the internet] http://www.flickr.com/photos/53364658@ N00/424143362 under CC BY 2.0 licence 29. MCFGuy2010. [image on the internet] http://en.wikipedia.org/wiki/ File:SoilMFC.png under CC BY-SA 3.0 licence THE TRIPLE HELIX Michaelmas 2013 21 CMU The Sense Fusion of Synesthesia Terrell Jones T he composer Franz Liszt saw colors when musical notes were played. He was even known for instructing orchestra members to make the sound, “a little bluer, if you please,” or “not so rose.” What does it feel like to involuntarily see colors when you listen to music, associate tastes with words, or see numbers as having personalities? This is what people with synesthesia, a neurological condition present in roughly four percent of the population, experience. Synesthesia occurs when a stimulus in one sensory modality, such as vision, involuntarily generates a sensory experience in a distinct modality, such as hearing. There are many different types of synesthesia. The most common type is grapheme-color, where one involuntarily associates a particular letter with a particular color; for instance, the letter “q” might involuntarily and consistently appear a vibrant lime green. Other types are lexical-gustatory synesthesia, in which a word, such as, “knock” might involuntarily elicit a taste, such as that of Granny Smith apples. Ordinal-linguistic personification occurs when a synesthete involuntarily associates a personality, such as grumpy, with a number, month, letter, or day. These multi-modal sensory experiences can be creatively inspiring, causing many synesthetes to be drawn to the arts. What causes synesthetic experiences to occur? Many neuroscientists believe that most neonates experience synesthesia, and they argue that it continues into childhood and adulthood if the excessive neural connections between cortical areas in the brain that exist during infancy are not Synesthesia occurs when a stimulus in one sensory modality involuntarily generates a sensory experience in another eliminated. This suggests that an underlying neural framework for synesthesia exists in babies, but is typically modified during normal development. Functional MRI studies indicate that the limbic system, which mediates emotional responses, as well as brain areas that process sensory input, are active Example of a synesthetic number form. Reproduced from [6]. 22 THE TRIPLE HELIX Michaelmas 2013 © 2013 The Triple Helix, Inc. All rights reserved. CMU during synesthetic experiences. By exploring neurological Image reproduced from [7]. and cognitive studies about synesthesia, we can gain a better understanding of the roots of the condition, as well as some possible evolutionary advantages of synesthesia. Neurological and cognitive studies have linked synesthesia to neural connectivity. The neonatal synesthesia hypothesis states that babies that are newly born have synesthetic experiences [3]. The result of neonatal synesthesia is that neonates “‘mix sights sounds, feelings, and smells into a sensual bouillabaisse’ in which ‘sights have sounds, feelings have tastes,’ and smells can make a baby feel dizzy” [3]. This might either be because the neural pruning and inhibition that occurs in adults hasn’t occurred yet or because the limbic system is more mature that the cortex in neonates [3]. Ramachandran and Hubbard support the former hypothesis, arguing that synesthesia results from increased neuronal connectivity between brain areas devoted to different sensory modalities [1]. They assert that this increased connectivity is a result of decreased neural pruning, or elimination of synaptic connections between neurons, which is normally a process that occurs during fetal and postnatal development [1]. Data seems to support the pruning hypothesis; imaging studies of adult synesthetic brains have indicated greater white matter and greater gray matter volume, as well as increased connectivity between cortical areas compared to normal adult brains [1]. Besides the neurological studies, there have been efforts to identify a genetic basis for synesthesia. A whole-genome scan and linkage study performed by Asher et al. indicates that there is no single gene that can be attributed to synesthesia [2]. It is likely that the condition is inherited in a polygenic, heterogenous fashion, in which many genes are involved and there are multiple ways of inheriting the synesthesia trait [2]. The study indicates a linkage between synesthesia and a genetic locus associated with autism-spectrum disorders. In many cases, synesthesia is reported as a symptom of autism. Brain imaging studies of autistics indicate abnormally © 2013, The Triple Helix, Inc. All rights reserved. elevated levels of neural connectivity [2], as is the case with synesthetes. Candidate genes in this locus include the TBR1 gene, which codes for a transcription factor that regulates the expression of genes such as RELN, which is involved in the development of the cortex [2]. The study also revealed a possible link between synesthesia candidate genes and genes associated with dyslexia, including KIAA0319 and DCDC2, which are implicated in neuronal migration [2]. Involvement of these genes in synesthesia seems plausible, since neural connectivity is modified in synesthetes and changes in neural migration might be involved in this modification. Another noteworthy synesthesia gene candidate is DPYSL3, which is implicated in axonal growth, guidance, and in neural differentiation [2]. This gene is primarily expressed in the late-fetal and early-postnatal brain and spinal cord, but not in the adult brain [2], which reflects the time course of neural pruning, and consequently appears to support the neonatal synesthesia hypothesis. Many hypotheses exist for why synesthesia has been evolutionarily conserved [1]. The synesthesia genes may have been maintained because they provide an epiphenomenal advantage – an evolutionary advantage for an unrelated purpose [1]. It is also possible that synesthesia might exist as one of the extremes of a normal distribution of communication between the senses in humans [1]. Evidence for this hypothesis lies in the fact that hallucinogenic drugs can cause synesthetic experiences [1]. Individuals who are not synesthetes associate high auditory frequencies to light colors and low frequencies to dark colors and similar patterns have been observed with grapheme-color synesthesia [2]. This evidence seems to indicate that the underlying neural framework for synesthesia exists in the non-synesthetic human brain. Many hypotheses exist for why synesthesia has been evolutionarily conserved Ramachandran and Hubbard have suggested a hypothesis for the evolutionary advantage of synesthesia: synesthesia genes might confer the evolutionary advantage of creativity and metaphor [4]. The connection of synesthesia to creativity and metaphor seems intuitive because multi-modal sensory information allows one to describe experiences in unique ways, such as describing a Monday as sky blue. This might explain the increased incidence of synesthesia exists among artists [1]. Composer and pianist, Duke Ellington, associated color with timbre [5]. The writer Vladimir Nabokov, had grapheme-color synesthesia [5]. In his autobiography, Nabokov describes the letters that generate the colors of the rainbow for him: “The word for rainbow, a primary, but decidedly muddy, rainbow, is in my private language the hardly pronounceable: kzspygv [5].” Marina Diamandis, Welsh singer-songwriter for Marina and the Diamonds, associates colors with music and days of the week [5]. However, an issue with the creativity and metaphor hypothesis is that synesthesia involves connecting two unrelated objects, like the number 5 and aquamarine, whereas metaphors generally link two objects that have some similarities, such as anxiety being metaphorically described as a “bush shaking in the THE TRIPLE HELIX Michaelmas 2013 23 CMU advantages synesthesia confers is memory. Savants with synesthesia have been known to have superior memories as a result of their synesthetic experiences: Daniel Tammet, a grapheme-color synesthete, memorized pi to 22,514 digits using his synesthesia. This link to memory seems to be the most compelling hypothesis for the evolutionary advantage of synesthesia, where these multi-modal sensory experiences “may serve as cognitive and perceptual anchors to aid in the detection, processing, and retention of critical stimuli in the world” [1]; indeed, Daniel Tammet put his synesthetic color associations to use to remember the order of the digits of pi by remembering the ordering of the colors. However, there are drawbacks to synesthesia: synesthetic experiences can result in a sensory overload and might become so overwhelming that these experiences affect their everyday lives [2]. synesthetes experience increased communication between their senses even when they are not having a synesthetic episode Number-color associations for one of the subjects participating in [1]. wind” [1]. Even though creativity and metaphor may not be considered evolutionary advantages of the condition, they are aspects that many synesthetes cite as advantages of their unique sensory experiences. Another hypothesis for the evolutionary advantage of synesthesia is that it may confer sensory processing and cognitive benefits. Synesthesia appears to be implicated in enhanced sensory processing. For instance, numbercolor synesthetes can more easily discriminate similar colors than can those without number-color synesthesia. It should be noted that this enhanced discrimination could either be the result of their synesthesia, or simply because they have more experience with viewing colors than their non-synesthetic counterparts. However, synesthetes also experience increased communication between their senses compared to non-synesthetes, even when they are not having a synesthetic episode. This appears to indicate that the benefits from synesthesia can generalize to increase communication and processing between the senses. One of the cognitive It seems that the neurological basis for synesthesia is the maintenance of enhanced neural connectivity past infancy. There also appears to be a genetic basis for synesthesia that involves many genes and allows the condition to be inherited in many fashions. Although there are many hypotheses that indicate the evolutionary advantage of synesthesia, the hypothesis that addresses the memory advantage conferred by synesthesia is most compelling. Despite the possible disadvantage of sensory overload, there can be many advantages to synesthesia, including creative inspiration as well as enhanced memory and sensory processing. Regardless of whether we feel synesthesia is beneficial, we should celebrate different ways of seeing and perceiving the world. At first, orchestra members would make fun of Franz Liszt’s comments to make the sound, “a deep violet,” but soon they learned to accept that great musicians saw colors where there only appeared tones. Terrell Jones is a student at Carnegie Mellon University. References: 1. Brang, D, & Ramachandran, V. S. “Survival of the Synesthesia Gene: Why Do People Hear Colors and Taste Words?” PLOS [Internet]. Available from: http://www. plosbiology.org/article/info:doi/10.1371/journal.pbio.1001205. 2. Asher J. et al. A Whole-Genome Scan and Fine-Mapping Linkage Study of Auditory-Visual Synesthesia Reveals Evidence of Linkage to Chromosomes 2q24, 5q33, 6p12, and 12p12. The American Journal of Human Genetics. 2009;84:285. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2668015/. 3. Mauerer D. and Mondloch C. J. Neonatal Synesthesia: A Reevaluation. Available from: http://psych.mcmaster.ca/maurerlab/Publications/Maurer_ NeonatalSynesthesia.pdf 4. Ramachandran V.S. and Hubbard.E.M. Synaesthesia -- A window into perception, thought and language. Journal of Consciousness Studies. 2001;8:3–34. doi: 10.1098/ rspb.2000.1576. 5. Wikipedia. List of People with Synesthesia. Available from: http://en.wikipedia.org/wiki/List_of_people_with_synesthesia 6. Synesthetic number form. Richard E. Cytowic, from Cytowic & Eagleman (2009), “Wednesday is Indigo Blue: Discovering the Brain of Synesthesia.” MIT Press. [image from the internet] http://en.wikipedia.org/wiki/File:Number_Form--colored.jpg under CC BY-SA 3.0 licence 7. Synesthesia. Rice University Department of Visual and Dramatic Arts: Theatre. [image from the internet] http://theatre.rice.edu/uploadedImages/Theatre/ Synesthesia2close.jpg under CC-BY 2.0 license 24 THE TRIPLE HELIX Michaelmas 2013 © 2013 The Triple Helix, Inc. All rights reserved. CMU The Technology Scare Revisited: Is the Internet Rewiring Our Brains? Annie Chen A topic of heated debate has been whether technology has become too invasive to the point where it is changing the way we think. We become, neurologically, what we think. So is the Internet changing who we are? Some say that the Internet is unhealthily addictive, while others say the Internet is a great source of information that makes us smarter. If the medium through which information is acquired is damaging to its user, should steps be taken to reassess the amount that we rely on and use these tools? The brain, which was once thought to be unchanging past adulthood, was discovered to be “plastic” (1). Regardless of age, new connections can be made between neurons that are used more consistently, and old connections between neurons that are neglected fade with time. Due to the plasticity of the brain, “every time we perform a task or experience a sensation, whether physical or mental, a set of neurons in our We become, neurologically, what we think brains is activated. If they’re in proximity, these neurons join together through the exchange of a synaptic neurotransmitter, such as the amino acid glutamate. As the same experience is repeated, the synaptic links between the neurons grow Image reproduced from [9] and [10]. © 2013, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2013 25 CMU stronger and more plentiful (2)” The type of information that we expose ourselves to, therefore, has a great possibility of rewiring our brains. What it comes down to is that the medium through which we get our information is influencing our thoughts. According to the philosopher Nietzsche, who was going blind, a typing machine rescued him for a short time. But after resuming his writing activities, he reported that the device had a subtler effect on his work, saying that his “prose had become tighter, more telegraphic…its iron was, through some mysterious metaphysical mechanism, being transferred into the words it pressed into the pages” (1). It has been seen in extreme cases of self-proclaimed Internet addicts who report a “struggle to turn off anything,” how the Internet can take over your life and make you lose sight of what’s important in “real” life. Submerging yourself into a digital world can also change the connections in your brain (2). The brains of Internet addicts, it turns out, look like the brains of drug and alcohol addicts” according to a study done by Gary Small of UCLA. In a parallel study, there was a reported “shrinkage of 10 to 20 percent in the area of the brain responsible for processing of speech, memory, motor control, emotion, sensory and other information (2).” But is Internet addiction real or is it just a fluke? According to a psychiatry review published in 2012, “Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems.” And while countries such as China and South Korea have identified Internet addiction as a significant public health threat and both countries support education, research, and treatment, there has been no formal governmental response to the issue of Internet addiction in the United States (3) countries such as China and South Korea have identified Internet addiction as a significant public health threat Some researchers have even linked the rising numbers of diagnoses in OCD and ADHD diagnoses with the Internet. We are becoming fidgety, constantly jumping from link to link, and with this new way of accessing information, comes a new way of processing what we read. We “power browse,” and put efficiency and immediacy above all else; some argue then that we are unable to make rich mental connections that form when we read deeply and without distraction (4) So how shall we cope with these fears of “information overflow”? One party, including the advocates for the Waldorf schools, has shied away from integrating technology into the classroom. While schools nationwide have rushed to supply their classrooms with computers and many policy makers say it might be foolish to do otherwise, the 160 Waldorf schools around the nation take a different approach to teaching, subscribing to a teaching philosophy “focused on physical activity and learning through creative, handson tasks,”claiming “computers inhibit creative thinking, movement, human interaction and attention spans (5)”. 26 THE TRIPLE HELIX Michaelmas 2013 An internet cafe in China. Image reproduced from [11] But is this technology scare as old as time itself? Isn’t it just a natural response, to question whatever is new? It is good—even necessary—to question? But this may just be another recurring trend in history. For example, Socrates famously warned against writing because it would “create forgetfulness in learners’ souls, because they will not use their memories (6)”. What seems to happen is that the older generation warns against a new technology and bemoans that society is abandoning the “wholesome” media it grew up with, unaware the this same technology was considered to be harmful when first introduced. Similar trends were seen with the change from getting news from the printed page, arguing that it socially isolated readers. And later, when literacy became essential and schools became more prevalent, some turned against education for being “unnatural and a risk to mental health,” that “exhaust[ed] children’s brains and nervous systems with complex and multiple studies (6).” After its invention, the radio was accused of distracting children from reading and diminishing performance in school. The radio is now considered appropriate and wholesome. To date, there have been many media articles that have raised issues about the Internet and its effects on mental health, such as “Warning: brain overload” from the Times of London or “Is Google Making Us Stupid?” in the Atlantic. However, there is a lack of concrete evidence and research (7). Because of the unprecedented speed at which technology is advancing, it is understandable why there has yet to be conclusive findings on long-term effects of Internet usage. This rapidly evolving change is demanding that we adapt. According to the neurophysiologist William Calvin, modern human cognition, including sophisticated language and the capacity to plan ahead “evolved in response to the demands of this long age of turbulence” and the reason why we survived is that our brains changed to meet new challenges (8). The focus of this technological evolution, therefore, should not be how we put on the brakes, but how we manage and adapt to the immense amount of knowledge that we have created. With inventions such as the written language, the printing press, the telegraph, and the radio, we have © 2013 The Triple Helix, Inc. All rights reserved. CMU significantly increased our functional memory and ability to share insights and knowledge across time and space. Some scientists have described this as “fluid intelligence” –that we now have this ability to “find meaning in confusion and to solve new problems, independent of acquired knowledge Are the brains of Internet users really different from readers, and if they are—is that necessarily a bad thing? (8).” As digital systems become faster, we are co-evolving: learning to adapt our thinking and expectations, process and filter information, and determine priorities instantaneously. Is Google making us dumber? Are we losing our ability to focus and digest complex information? Are the brains of Internet users really different from readers, and if they are—is that necessarily a bad thing? Skeptics associate change with negative outcomes. But it doesn’t have to be that way. Technology is advancing at a pace that will leave non-users behind in the dust. It is important to remain wary and cautionary, but foolish to think that it won’t change us or that it shouldn’t. So far, there has been insufficient evidence regarding specific neurological changes that occur due to Internet use, and more research on this topic needs to be done. But even if the Internet is affecting our ability to focus and think in ways that reading long texts require us to, is this skill demanded of us in the future? We are coevolving with the very technology that we are producing. With these new technologies, expectations of the way that we think will have changed and to look back and resist new ways of thinking may be impractical for future generations. Annie Chen is a student at Carnegie Mellon University. Initial reception of writing, newspaper and radio were all considered harmful to cognition or memory. Images reproduced from [12, 13, 14] © 2013, The Triple Helix, Inc. All rights reserved. References: 1. Carr, Nicholas. “The Shallows: What the Internet Is Doing to Our Brains” Norton and Company. 2011. 2. Dokoupil, Tony. “Is the Web Driving Us Mad?” Newsweek. Jul 2012. 3. Cash, H et al. “Internet Addiction A Brief Summary of Research and Practice.” Current Psychiatry Reviews. Nov 2012. 4. Bell “Don’t Touch That Dial.” Slate Magazine. 5. Richtel, Matt. “A Silicon Valley School that Doesn’t Compute” Oct 2011 6. Crain, Caleb. “Twilight of the Books.” The New Yorker. Dec 2007. 7. Carr, Nicholas. “Is Google Making Us Stupid?” The Atlantic. Jul 2008. 8. Cascio, Jamias. “Get Smarter.” The Atlantic. 2013. 9. Eric. [image from the internet] http://www.flickr.com/photos/ illuminaut/3723710203/ under CC BY-NC-SA 2.0 licence. 10. Pérez, M. [image from the internet] http://www.flickr.com/photos/ marianoreal/6656360457/ under CC BY-NC-SA 2.0 licence. 11. Chrislb. [image from the internet] http://en.wikipedia.org/wiki/ File:Chinesisches_Internetcafe_Lijiang.jpg under CC BY 2.5 licence 12. Valentin de Boulogne, Saint Paul Writing His Epistles. 1618 - 1620. Museum of Fine Arts, Houston. Oil on Canvas. 13. ShironekoEuro. [image from the internet] http://www.flickr.com/photos/ shironekoeuro/4040697914/ under CC BY 2.0 licence 14. Dondo, C. [image from the internet] http://en.wikipedia.org/wiki/File:Women_ of_the_Radio_Listening_Clubs_in_Seke_Zimbabwe_receive_Radios.jpg under CC BY-SA 3.0 licence THE TRIPLE HELIX Michaelmas 2013 27 CAMBRIDGE INTERESTED IN GETTING INVOLVED? Visit www.camtriplehelix.com for more details. Or e-mail [email protected] to get started right away. WRITE AND EDIT EVENTS Be a part of Cambridge’s best termly science in society publication. 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