İç Ses - 18

Üç sene önce yine başka bir ülkede, hisleri benimkilerden çok farklı insanlarla bir aradaydım.  Dünyanın yalnızca Amerika’dan ibaret olduğunu zanneden o insanların arasından bakmıştım, kendime, ülkeme, hislerime, zamana, mesafeye, geçmişe, geleceğe…
 Orada beş kız bir evde kalıyorduk. Çalıştığımız tatil parkının içinde, amaca hizmet eden, pratik bir prefabrik evdi.
Biz -bahar.mu ile birlikteydim- sonra gidenler olduğumuz için en küçük odaya geçmiştik. Üç aya yakın bir süre orada, kapısından baktığında yemyeşil bahçenin ve mavi gökyüzünün görüldüğü o evde yaşadık. Bahçeden ceylanlar, tavşanlar geçerdi zaman zaman. Daha ikinci sınıf öğrencisiydim -üniversitede tabi- ilk defa yurt dışına gidiyordum. Büyük çabalar sonucu gerçekleşmiş bir fırsattı. Birbirinin aynısı gibi geçen onca günün ardından benim için imkansızmış gibi görünen şehirleri, sokakları gezdim.On günlük seyyahlık kısmının ardından, sanırım 21 Eylül’dü -Suzikonun doğum günüydü - İstanbul’a döndük.

Bugün bu hikayenin üstünden üç sene geçmişken ben yeni bir hikayenin içinde yuvarlanıyorum.
 Yine ucunda, başladığı yerde  büyük fedakarların olduğu bir hikaye.Bu sefer aslında aileme, yaşadığım dünyama, arkadaşlarıma, hayatıma çok da uzak olmayan, sokaklarında sıklıkla ana dilimi duyabildiğim ıslak bir Avrupa şehrindeyim. Küçücük bir odam var. Odamın penceresinden komşularımın pencereleri bir alıcı direği ; sisli, gri ve ruhsuz bir gök var. Üniversite öğrencilerinin katıldığı kültürel ve akademik değişimi ve paylaşımı hedefleyen bir programla geldim. Başkalarının ne hissettiklerini anlayacak kadar çok yaşamaya sabrım yok ama belki başka insanların ne düşündüğünü anlayabilecek kadar öğrenirim ortak dili diye düşünerek geldim.
  Beni en az ben kadar düşündüğüne emin olduğum insanlar sayesinde de kaldım bu ıslak şehrin ıslak sokaklarında.
   Şimdi küçük bir odam, tam karşı evimde kocasını dışarı uğurlarken dudaklarından öpen yaşlı bir komşum, bıraktığı kaosunu özleyen bir gönlüm ve her şeye rağmen sabretmemi ve kulaklarımı hikayeden yana açmamı söyleyen bir zihnim var.
Bir de hiç dinmeyen huysuz bir yağmur...
     
 
   17/10/2015

Islak bir cumartesi sabahı  




Autumn Bliss



Ah such balmy October weather! I have enjoyed two lovely days out with friends this week. I love it when it is warm and sunny at this time of year because
1. I have the time to enjoy it and
2. there are not hordes of tourists everywhere! (am I allowed to say that?) 

On Monday we went to Tremenheere Sculpture Gardens near Penzance; only we didn't have time to see the gardens themselves, only the cafe and the plant nursery next door, which had a nice selection of succulents, palms and cacti.
Out of the wind it was so hot I was just sitting in a short sleeved top! 


Each outside table at the cafe had a little wooden trough with succulents growing in it. My vanilla bread and butter pudding was divine. It is such a treat when you live alone to eat out. All the food was presented on these wooden platters; at other cafes recently I've noticed the absence of conventional plates. Food comes served on wood or a slate; I've even had a pudding in a kilner jar!


Today, after a delightful morning strolling around the antique shops of Lostwithiel, we headed on to The Duchy of Cornwall Nursery where there is another lovely cafe! (Food is one of my greatest pleasures.)


Again it was warm enough to sit outdoors....

Pan-seared scallops with pea and pancetta risotto - delicious!

After all that we needed a walk, so just a short drive away we parked at Respryn bridge and walked along the River Fowey through the woods and up to Lanhydrock House. All was quiet as it was past opening time at this lovely National Trust property. Even the gatehouse is splendid...

The gardens were in quiet repose in the fading evening light.

One last look back up the carriage drive before heading back to the van and home......

Autumn Bliss!

KEMİKLERİMİ TOPLUYORUM








Yeniden öğrenci oldum ben. Bildiğimi zannettiğim, ama aslında çok da iyi bilmediğim bir yolda, bir rehber eşliğinde yürümeye karar verdim. Bu rehber aylarca önce girdi hayatıma. Yazılarıyla çeldi gönlümü. Ne yaptığını bilen, hayata hizmet eden birisinin şarkısını kalbimin derinliklerinde duymamak mümkün mü? Böyle biri benim rehberim olmalı diyorum kendi kendime. Uzun zamandır beklediğim, özlediğim rehberim. Niyet etmiştim. O, yepyeni yollarımda bana rehberlik etmeli.

İnternette gezindiğim bir gece, yeni bir kurs açacağını öğreniyorum Defne Suman’ın. 2 gün sonra kurs başlayacak. Kursa çok talep var tabii. Yer kalmamış. Şansım yaver gidiyor, bir masalcıya yer açılıyor. Ve ben Cumartesi sabah saat 07.00 de kendimi yoga stüdyosunda buluyorum.

Bir haftadır sabahları 06.00 da kalkıp stüdyoya gidiyorum. Saat 07.00 de derse başlıyoruz. Biz yoga yaparken gün doğuyor. Güneşi yoga ile  selamlamak, ne büyük keyif. Ben de güneş ile birlikte doğuyorum.

Sabahları uyandığımda her bir parçamı bir yere dağılmış buluyorum. Bedenim benden bağımsız sanki.  Bir köşede kaskatı kesilmiş, öylece duruyor. Ruhum çıktığı rüya yolculuğundan henüz geri dönememiş. Zihnim hangi alemlerde ben bile bilmiyorum. Toplamak lazım. Toplanmak lazım diyorum kendime. Her sabah aynı şeyi söylüyorum. Bütün parçaları bir araya getirip, yeniden doğmak lazım. Yoksa gün benim için nasıl başlar? Ben başlayamıyorum. Ritüellerim olmadan parçalarımı toplayamıyorum.

Saat 07.00 de yoga stüdyosunda kendimi toplamaya hazırlanırken, Defne Hoca ile hareket etmeye başlıyoruz. Her bir harekette CANım geri geliyor. Bedenim yumuşuyor, ruhum kaybettiği evinin yolunu buluyor, zihnim çok konuşmayı bırakıp, öylece olanları izliyor. Topluyorum kendimi. Hocam sayesinde parçalarımı teker teker topluyorum.

“Hareketin doğallığını bulacağız. Kas gücünü değil, kemiklerin gücünü kullanacağız.”diyor Defne Hoca. İskelet sistemindeki kemikler üst üste gelirse, kemikler doğru yerde, ait oldukları yerde olurlarsa kemiklerin gücü bizi taşır.”diyor.  KALÇA-KABURGALAR-BAŞ. Üst üste. Ait oldukları yerde olmalı. Sonra pozisyona gir ve nefes al.

Defne Hoca konuştukça, sesi bizi yolculuğa çıkarıyor. La Loba geliyor aklıma. Kurt Kadın. Yaşlı Kadın. Bilge Kadın. Kemikler toplar La Loba.  Oraya buraya dağılmış kurt kemikleri. Sonra bütün kemikleri  büyük bir özenle ait oldukları yere yerleştirir. Güzelce dizer. Kalça- Kaburgalar- Baş. Ve daha niceleri. Sonra nefes alır La Loba. İlk nefeste şarkısı dökülür dudaklarından. O, şarkı söyledikçe kemiklerin etrafında kaslar belirir, iç organları oluşur. Kurdun bedeni yavaş yavaş belirmeye başlar. Şarkıya devam eder La Loba. Ve o vücut, can ile dolar. Ve hayvan canlanır. La Loba’nın şarkısı bitince gözlerini açar kurt, La Loba’ya bakar ve koşarak oradan uzaklaşır. Yeni bir hayata can veriri La Loba.

Defne Hoca içimdeki yaşlı kadını yeniden bulmama yardımcı oluyor. Yaşlı kadın kemikleri toplarken, ben de ayaklarımı-dizlerimi-kalçamı-kaburgalarımı-başımı bulup üst üste yerleştiriyorum. Ait oldukları, olması gerektikleri yere. Sonra nefes alıyorum. Nefes, ruhumun şarkısı benim. Bedenimin, zihminin melodisi. Ben şarkı söyledikçe içimdeki kurt canlanıyor. Nefes ile birlikte CANım bedenime geri geliyor. Beni terk etmiş ruhum usulca sokuluyor içime. Bilincim uysal bir kedi gibi kıvrılıyor ve susuyor. Kemikler, nefes ve şarkı ile can buluyorum. Parçalarımı yavaş yavaş topluyorum. BİR oluyorum.

1.5 saatlik yoga dersinin sonunda dışarı çıktığımda; kendimi eksiksiz ve tam, bir kurdun saflığında, bir kurdun doğallığında, bir kurdun güzelliğinde hissediyorum. Sabah sayfalarımı yazıyorum sonra. Böylece ruhumun yaptığı rüya yolculuklarını hatırlamış oluyorum. Bununla birlikte sabah ritüellerimi tamamlamış oluyorum.

Sonra güne karışıyorum. Gün boyu kurdun ulumalarını duyuyorum kulağımda. Kurt bana göz kırpıyor. Gülümsüyor. Selam veriyor. Derken bir anda bir şey oluyor, kurt yavaş yavaş görünmez oluyor. Yavaş yavaş ölüyor. Parçalarım yavaş yavaş dağılıyor gün içinde. Güneş batıyor. Ay gökyüzü sahnesindeki yerini alıyor. Uyku vakti. Başımı yastığa koyduğumda son parçam da beni terk ediyor. Ruhum, rüya alemlerine dalıyor. Ölüme yatıyorum bir nevi. Ölüyorum. Parçalanıyorum. Bırak dağınık kalsın diyor hayat. Öyle de oluyor. Hafif ve dağınığım. Uyuyorum. Uyuyorum. Uyuyorum.
Ay görevini tamamlıyor. Sahneleri yavaş yavaş  güneşe bırakmak için geri çekiliyor. Gün doğmaya başlıyor. Uyanıyorum. Dağınık parçalarıma bakıyorum. Kalkıyorum sonra. Parçalarımı toplamak, yeniden doğmak için. İçimdeki yaşlı kadın La Loba kemikleri toplamak ve şarkısını söylemek için ayağa kalkıyor.

Her gece ayın ninnisiyle uyuyorum. Dağılıyor parçalarım. Her sabah güneşin şarkısıyla doğuyorum. Dağılıyor parçalarım. La Loba beni çağırıyor. Ay-Güneş- Ay-Güneş…Nefes al, nefes ver. Al, ver. Al, ver. Ölüyorum, yeniden doğmak için. Doğuyorum, yeniden ölmek için …

14.10.2015

ZAMANIN HUYUDUR GEÇER


Zamanın huyudur geçer.
İnsanın huyudur alışır.

 Alıştığında her şey geçer, alışamadığın her şey kalır. 

Zamanın içinden geçerken üstümüze yapışan alışamadıklarımızdır.Bize şekil veren, sağımızı solumuzu yontan, kalbimizi oyan, ruhumuza portakal ağaçları eken her şey alışamadıklarımızdır.
 
Oysa hep alışacaksın deriz birbirimize.

 Korkma !

 Şimdi en çok duyduğum kelime alışmakken ben ne çok şeye alışamadığımı fark ediyorum.
 Ne annem, ne babam , ne kardeşim, ne anneannem, ne dostlarım, ne  İstanbul benim günlük hayatımın alışkanlıkları değilmiş. Hayatı benim hayatım yapan kıymetlilermiş.
  Gelmeden önce az çok biliyordum aslında, başka bir ülkede başka insanların arasında kök salamayacağımı.
  Seni kimsenin tanımadığı bir şehrin sokaklarında saçmalamanın aslında özgürlükle ilgisi yokmuş. Özgürlük kendi sokaklarımda istediğim gibi olabilmek, şarkı söyleyip dans ederek dolaşabilmekmiş.
  Şimdi zaman geçiyor.
  Hava soğuyor.
  Ben bir hostel odasındayım ve gözümün önünde Eminönü-Üsküdar vapurunun kalabalığı var.  
  Dışarıda kendimi ucuna teğellenmiş gibi hissettiğim hayat akıyor.
  İnsanlarla sohbet ediyorum, aklımla kalbim arasındaki mesafeyi ölçüyorum.
Konuşarak susuyorum.
  Zaman geçiyor.
 Havalar soğuyor.  
 Sonbahar bu şehrin sokaklarında yaprak olup uçuşuyor.
  Ben kendime, hayatıma, alıştıklarıma ve alışamadıklarıma soğuk bir Avrupa şehrinde hikayeler yazıyorum …
.

  

Sarah's Key




I have just finished watching an engrossing film called 'Sarah's Key'. This novel by Tatiana de Rosnay is based on real events which took place during the Second World War in Occupied Paris, France.
On the 16th and 17th of July 1942, a total of 13,152 Jews were forcibly rounded up by the French police (under the orders of the French authorities in collaboration with the German occupiers) and taken to a stadium formerly used for bicycle racing (The Velodrome d'Hiver). Here the Jews were held for up to a week in appalling conditions with virtually no food, water or sanitation before being transported to transit camps and eventually Auschwitz. 75% of those removed from their homes were women and children. Because the film explores an aspect of the Occupation that I had hitherto been unaware, that the French themselves had collaborated in the deportation of the Paris Jews, I started to research online about the 'Vel d'Hiv' story. To my astonishment I discovered that I had once lived in the very neighbourhood of where the stadium had stood.



The map above shows the former location of the Velodrome d'Hiver. As you can see it was very close to the Eiffel Tower and in the very heart of the city, on the corner of Boulevard de Grenelle and Rue Nelaton. During my second year as a student at Winchester School of Art we were encouraged to take work placements, and as I was the only student who could speak French I spent 3 wonderful months working in a design atelier in Paris. Through some friend of a friend of my mother I ended up sharing an apartment with a French woman, a young primary school teacher. Her 3rd floor flat stood on the Quai de Grenelle, overlooking the River Seine. I used to walk along Rue Nelaton on my way to the supermarket and the launderette. A fire destroyed part of the stadium in 1959 and it was subsequently pulled down.


This 'Monument to the Victims of the Deportation to the Velodrome d'Hiver' stands on the Quai de Grenelle, right opposite the apartment block where I lived in the summer of 1993. Although the flat I shared faced to the back, I walked in and out of the lobby on the Quai de Grenelle several times every day, so I asked myself why I had not noticed it. But although it was commissioned in February 1993 by the then French President Francois Mitterand, it was not erected until 1994. 


The memorial was designed by Walter Spitzer, himself a Jewish survivor of the Holocaust.
Underneath it reads:

The French Republic in homage to victims of racist and antisemitic persecutions and of crimes against humanity committed under the authority of the so-called 'Government of the State of France' 1940-1944
Never let us forget


When J and I stayed in Paris a few years ago we rented a tiny apartment in Le Marais. Back in the 1940's Le Marais was the poor  immigrant Jewish quarter of the city, not the fashionable up-market district of today. Due to a mix-up over street names we originally tried to enter our apartment through a door on which I noticed a plaque had been placed adjacent, stating that behind this door lay the secret headquarters of The French Resistance during World War 2. Just around the corner from our flat were several kosher shops. Had our flat once been home to a Jewish family rounded up on that terrible day back in 1942, and who never returned?
Probably.

The Elephant (not) in the Cancer Ward

Recently, Tomasetti and Vogelstein (the latter a senior and highly regarded cancer geneticist) suggested that most cancer is due just to bad luck.  We discussed that study here.  When cells divide, DNA is copied, but that is a molecular process that isn't perfect (see discussion of Wednesday's Nobel Prize in Chemistry, e.g., for the discovery of DNA repair mechanisms and their association with cancer).  There are mutation detection mechanisms of various sorts (the BRCA1 gene whose mutations are associated with breast and some other cancers, is one with that sort of function).  The more at-risk cell divisions, the more mutations, and the higher the likelihood that one cell will experience a combination of mutations that (along with inherited variation) transforms the cell into the founder of a cancer.  T and V's assertion based on statistical analysis of numbers of cells at risk, their division rate for given tissues, and age of onset patterns, was that random mutation was a major contributor to cancer, rather than inherited genotype or environmental exposures, which they argue would account for this substantial fraction of cases.

Naturally, those whose grant fortunes depending on the idea that cancer is 'genetic' and/or 'environmental' roared in opposition to an idea that could threaten their perspective (and empires). Some of the T and V paper's statistical methods were questioned, and perhaps their paper was over-stated or less definitive than claimed.  Nobody can doubt that genetic variation and environmental exposures that could cause cells to be more likely to experience mutations, play a role in cancer.  But in any practical sense, it is hard to deny that luck plays a role (even with environmental exposures, because if they cause mutations, they basically strew them randomly across the genome, rather than causing them in any particular gene, etc.).

But we mentioned an important issue then that had been raised 40 years ago by epidemiologist Richard Peto.  Essentially it is that other mammals, like mice, experience a similar array of cancer types, with similarly increasing risk with age....but that increase is roughly calibrated with their life span. In fact, mice have far fewer stem cells in, say, their intestine or blood than humans, but their risk of cancer in these tissues increases far more rapidly (in years) than does human risk, though we have orders of magnitude more at risk cells and cell divisions.  This became known as Peto's Paradox.  It has not really been answered though there are some attempts to determine how it is that different species, of different sizes, calibrate their cancer risk in relation to their observed typical lifespan.

"Elephas maximus (Bandipur)" by Yathin S Krishnappa - Own work. Licensed under CC BY-SA 3.0 via Commons - 

For example a 2014 paper in Nature Reviews Genetics by Gorbunova et al. documents the very different typical lifespans of rodent species, and suggests some plausible genetic mechanisms that may protect the longer-lived species from cancer.  There must be some such mechanism, or else we misunderstand something very important in the carcinogenesis process.

Now a new commentary has been discussed in the NY Times of a JAMA paper, that makes similar genetic arguments for the very out-of-line cancer-free longevity of elephants.  Based on their numbers of at-risk cells, elephants should drop over with cancer at a very young age, but instead they typically live for a very long time.  How can this be?


The JAMA authors, Abegglen et al., found that a gene, called TP53, that is clearly related (when mutated) to cancer susceptibility in humans and in experimental assays, at least in part because it detects and effectively kills misbehaving mutated cells.  The study included humans with Li Fraumeni syndrome (LFS), a genetic disorder that greatly increases the risk of developing cancer, susceptibility to which has long been known to be associated with variants in TP53, and blood samples from Asian and African elephants.  


The study needs close scrutiny for methodological issues, but the authors make what they feel, reasonably, is a relevant finding.  There is only one copy of the TP53 gene in humans, but in elephants there are 20.  In blood cell assays this gene's activity was higher than in humans.  The inference is that elephants' longevity relative to cancer is due to this gene. If that is indeed the (or at least, an) explanation for the elephants' cancer-related longevity, it raises some other important questions, which should at least raise eyebrows and the need for ever-present skepticism.


Questions raised by the results

As in the rodent paper cited above, single-gene mechanisms for complex traits are appealing and publication-worthy, but in a sense such claims raise questions about themselves.  Elephants live long lives relative to other diseases that essentially have little if anything to do with cancer.  One can think of heart disease, dementia, stroke, kidney failure, liver disease, neuromuscular and joint disease, and waning immune systems.  Are these traits all due to having more TP53?  That seems unlikely.  

Alternatively, apparently whales are known not to have multiple TP53 duplicates, and I don't know about other very large animals like rhinos, giraffes, and so on.  A standard argument would be that in ecological circumstances when natural selection favors longer lives for some species, it uses whatever mechanism happens to be available--that is, selection has no foresight and can't just choose genes to duplicate.  Each species will have experienced the longevity advantage in its own local time, place, and ecosystem.  Just as the genes whose mutation yields resistance to malaria in humans vary from continent to continent, so will longevity-related genes favored by selection


So, Peto's Paradox remains curious.  If each species has its own protective mechanism (and perhaps several for its different organ and physiological systems), then we can account in a reasonable way for longevity patterns.  There is no need to find, or even to expect the same thing in all species' evolution: variation in response to selection can vary by organ system, species, and location even among species.  This is exactly the sort of thing that we should expect when we think of the complexity of genomic mechanisms--and what has consistently been found by genome mapping studies (GWAS) of late onset traits (and, for that matter, even early onset ones).


In turn, that means that each paper that claims subtly or overtly to have found 'the' or even a widespread important mechanism related to aging needs to be taken circumspectly.  Aging and lifespans are complex phenomena.  We will learn from each example we document, as with GWAS results, that a simple anti-aging strategy can't be inferred.  It's not likely to be a single magic bullet.

The Blind Men and the Elephant -- a post-modern parable

It's an ancient parable; a group of blind men are lead to an elephant and asked to describe what they feel.  One feels a tusk, another a foot, a third the tail, and so on, and of course they disagree entirely about what it is they are feeling. This tale is usually used as an illustration of the subjectivity of our view of reality, but I think it's more than that.

I heard a talk by Anthropologist Agustin Fuentes here at Penn State the other day, on blurring the boundaries between science and the humanities.  He used the parable to illustrate why science needs the humanities and vice versa; each restricted view of the world is enhanced by the other to become complete.

But, this assumes that the tales that science tells, and the tales that the humanities tell are separate but equally true -- scientists feel the tail, humanities feel the tusk and accurately report what they feel.  Once they listen to each other's tales, they can describe the whole elephant.

"Blind monks examining an elephant" by Hanabusa Itchō (Wikipedia)

But I don't think so.  I don't think that all that scientists are missing is a humanities perspective, and vice versa.  I think in a very real sense we're all blind all of the time, and there's no way to know what we're missing and when it matters.  You feel the tusk, and you might be able to describe it, but you have no clue what it's made of.  Or, you feel the tail but you have no idea what the elephant uses it for, if anything.

Here's my own personal version of the same parable -- some years ago we purchased a new landline with answering machine.  Oddly, we have a lot of power outages here, and it seemed that every time I set the time and day on the answering machine, we'd have another outage and the time and day would disappear, having to be set once again.  I decided that was a nuisance, and I stopped setting time and day.

The next time the machine said we had a message, I listened to it, but it was blank. There was no message!  Naturally enough (I thought), I concluded that the time and day had to be set for the machine to record a message.  Unhappy consumers, we contacted the maker, and they said no, the machine should record the message anyway.  Which of course it would have if the caller had left a message, as was proven the next time someone called on unknown day at unknown time and ... left a message.

My conclusion was reasonable enough for the data I had, right? It just happened not to be based on adequate data (aka reality).  But, we always think we've got enough data to draw a conclusion, no matter how much we're in fact missing.  This is true in epidemiology, genetics, medical testing, the humanities, interpersonal relationships; we think we know enough about our partner to commit to marrying him or her, but half of us turn out to be wrong.  Indeed, if all you've seen are white swans, you'll conclude that all swans are white -- until you see your first black one.

No, you say, we did power tests and we know we've got enough subjects to conclude that gene X causes disease Y.  But, it's possible that all your subjects are from western Europe, or even better, England, say, and what you've done is identify a gene everyone shares because they share a demographic history.  You won't know that until you look at people with the same disease from a different part of the world -- until you collect more data.  Until you see your first black swan.

But, you say, no one would make such an elementary mistake now -- you've drawn you controls from the same population, and they will share the same population-specific allele, so differences between cases and controls will be disease-specific.  But, western Europe is a big area, and even England is heterogeneous, and it's possible that everyone with your disease is more closely related than people without.  So, you really might have identified population structure rather than a disease allele but you can't know, until you collect more data -- you look at additional populations, or more people in the same population.

Even then, say you look at additional populations and you don't find the same supposedly causal allele.  You can't know why -- is it causal in one population and not another?  Is it not causal in any population, and your initial finding merely an artifact of ill-conceived study design?

Without belaboring this particular example any further, I hope the point is clear.  You feel the tail, but that doesn't tell you everything about the tail.  But you can't know what you're missing until you ask more questions, and gather more data.

Darwin explained inheritance with his idea of gemmules.  He was wrong, of course, but he had no way to know how or why, and it wasn't until Mendel's work was rediscovered in 1900 that people could move on.  Everything we know about genetics we've learned since then, but that doesn't mean we know everything about genetics.  But theories of inheritance (and much else) don't include acknowledgement of glaring holes: "My theory is obviously inadequate because, as always, there is a lot we don't yet understand but we don't know what that is so I'm leaving gaps, but I don't know how big or how many."  And, in a related issue that we write about frequently here, it's also true that instead of coming clean, we often claim more than we know (and often we know what we're doing in doing so).

Even very sophisticated theories just 15 or 20 years ago had no way to include, say, epigenetics, or the importance of transcribed but untranslated RNAs (that is, RNA not coding for genes but doing a variety of other things, some of them still unknown), or interfering RNAs, and so on, and we have no idea today what we'll learn tomorrow.  But, like the blind men, we act as though we can draw adequate conclusions from the data we've got.

Science is about pushing into the unknown.  But, because it's unknown, we have no idea how far we need to push.  I think in most cases, there's always further, we're never done, but we often labor under the illusion that we are.  Or, that we're close.

But, should ductal cancer in situ, a form of breast cancer, be treated?  And how will we know for sure?  Systems biology sounds like a great idea, but how will we ever know we've taken enough of a given system into account to explain what we're trying to explain?  Will physicists ever know whether the multiverse, or the symmetry theory is correct (whatever those elusive ideas actually mean!)?

Phlogiston was once real, as were miasma and phrenology, the four humors, and the health benefits of smoking.  It's not that we don't make progress -- we do now know that smoking is bad for our health (even if only 10% of smokers get lung cancer; ok, smoking is associated with a lot of other diseases as well, so better not to smoke) -- but we've always got the modern equivalent of phlogiston and phrenology.  We just don't know which they are.  We're still groping the elephant in the dark.

Life in 'trans'-it: Why genomic causation is often so elusive

We are in a time when genes are in the daily news, with reports of how this gene or that gene is related to disease, evolution, race, ancestry, and even social behavior.  But what are 'genes', and what do they do?  This is so often presented--in classes, even at higher levels of education--as a simple story presenting genes as bits of DNA that code for a protein, and proteins the molecules that do the functions of life.  We are still heavily influenced by the pioneering work of Gregor Mendel, who did his famous experiments with peas more than 150 years ago.  So, we still think of genes as elements with one or more variant states in a population, transmitted from parents to offspring, which cause some trait (he studied traits like size, shape, or color in his pea plants to try use this fact to breed better agricultural crops).

Mendel's intentionally focused, single-cause approach opened the way for an understanding of the mechanisms of inheritance and enabled one of the most powerful research strategies in all of science. But the idea of one gene and one function is a 19th century legacy that has put a conceptual cage around our thinking ever since.  Mendelian inheritance and its terms (like dominance and recessiveness, and even some of his notation) are still around, and indeed it all is rather ubiquitous even at the university level.  But we now know better, and can do better, and the many discoveries of the last century in biology and genetics present us with many 'mysterious' facts, basically unanticipated by the long, persistent shadow of Mendel's well-chosen simplifications.  It requires some thinking outside the Mendelian box to understand what they might mean.  

The cis image of the world
DNA is located in the nucleus of our cells, but where does genetic function take place?  The usual Mendelian way of thinking is that the action occurs in a particular place in our DNA where a 'gene' is. The gene codes for protein and (usually) has nearby DNA sequences that regulate the gene's usage---turning on its expression by transcribing the gene into messengerRNA.  That is, the gene itself determines how it's used.  It's in a given place in our DNA, and the presence of a complex of regulatory proteins that attach to nearby sequence cause the gene to be transcribed into messenger RNA, which exits the nucleus and is in turn translated into an amino acid chain specified by the sequence.  The amino acid chain is then folded up into a functional protein.

This local, focal view of gene action is what is called a cis perspective.  The Latin origin has a meaning like 'right here', or 'on this side'.  The specifics of this process differ depending on the gene, as no two genes work exactly alike, but the variation in the details is not central to the main point here,  the widespread perception of genes  as modular, chromosomally local self-standing functional units.

But this common idea of how genes work is inaccurate--it's a fundamentally inaccurate way to understand genes and genomic function.

The fundamental nature of life in trans-it
DNA is itself essentially an inert molecule.  It doesn't do anything by itself.  In turn that means that each nucleotide, and that means each new mutational change, cannot be said to have a function or effect, or effect size, on its own.  It only has an effect in terms of its interactions with other aspects of the genome in the same cell, other materials in that cell, that cell in its respective organ and that organ in the organism as a whole, and indeed all of this in relation to environmental factors. While some gene-regulatory regions are near a coding gene, and act in cis, most function involves things elsewhere, on the same chromosome or on others.  This is the trans causal world of life, and it means we cannot really understand what's 'here' without knowing what's elsewhere.

Indeed even Darwinian evolution is fundamentally an ecological phenomenon--it's about organisms' resources, threats, mates, and so on, at any given time.  As well as luck, there may be many levels and aspects of life that are about competition for resources and so on, that are important to survival and reproduction.  But cooperating, in the sense of appropriate interaction, is by far the most prevalent, immediate, and vital aspect of life (Richard Dawkins' ideological 'selfish gene' excessive assertions notwithstanding).

Trans means cooperation in life and evolution
Trans interactions are just that: interactions.  That means multiple components working together, which involves the 'right' combinations in the 'right' time and the 'right' cellular place.  By 'right' I mean functionally viable.  During development and subsequent live, organisms require suitable expression patterns of genes and the dispersion and processing pattern of gene products.  If this combinatorial action--this cooperation--doesn't occur to a suitable degree, the organism fails and its reproduction is reduced.  The extent of this failure depends on the nature of the combinatorial action.

In this sense, trans interactions may be reproductively better or worse and that can be a form of natural selection, whose result is the 'better' (more viably successful) patterns proliferate.  But this does not require Darwinian selection among organisms competing for limited resource.  Genomic variants whose cooperative interactions do not function can lead to embryonic lethality, for example, which need have nothing whatever to do with competition, and certainly not with other organisms seeking mates, food, or safety.  Ineffective cooperation is an evolutionary factor not identical to natural selection in its mechanism, but with similarly 'adaptive' effects.

In our view, cooperation based on trans interactions is more important, more prevalent, and more fundamental than Darwinian natural selection (as we write in our book The Mermaid's Tale).  Interactions that are successful become increasingly installed in the life history of organisms ('canalized' to use CH Waddington's venerable term for it), and this constrains the way and perhaps the rate at which evolution can occur.  This is neither heresy nor surprise.  For example, genes present today are the descendants of 4 billion years of evolutionary history, and most are used in multiple ways in the organism (at least in complex multicellular organisms; we don't know how true this is of simple or single-celled species).  They are less likely to suffer mutational change without serious effect, mainly negative. This is a very long-established idea, and is clearly supported by the high degree of sequence conservation of genes in genomes.

Genomewide mapping of most traits identifies many different genome regions that can statistically affect a trait's presence or measure.  But mapping rarely identifies coding regions.  Most 'hits' are in regulatory regions or regions with other (usually unknown) function.

This should surprise no one.  First, as noted above, 'genes' (protein coding regions) are largely of evolutionary long standing and embedded in interaction patterns usually in multiple contexts (they are 'pleiotropic'), so the coding parts are harder than regulatory parts to modify viably by mutation. It is empirically much more likely that their expression patterns can be varied.  Second, every gene is a complex of many different components (protein code, splice and polyadenylation signals--where the required AAAAA... tail of a mRNA molecule is attached--promoter sites, enhancer sites, and so on). Each of these is mutable in principle, and ample evidence shows that regulatory regions are especially so.  And each transcription factor or other gene product that is needed to activate a given gene (that is, the tens of proteins and their DNA binding sites that must assemble to cause a nearby gene  to be expressed) is itself a gene with all the same sort of complex modular structures.  RNA has to be processed, transported and translated by factors that, again, are potentially mutable.  And so on.  And then most final functions, physiological, developmental, metabolic, or physical are the result of complex processes over time, involving many genes and systems.

In fact, in recognition of biological complexity, many investigators suggest that the proper level of analysis should be of systems, that is, organized pathways of interaction that bring about some end result.  Gene regulation, physiology and metabolism, and so on, represent such entities.  The 'emergence' of the result cannot be predicted by listing the individual contributing elements, in the same sense that the effect of a new mutational change cannot be understood without considering its context.  However, systems themselves have overlap, redundancy, and elements that contributed in different systems at different times, and many systems may themselves interact in what one might call hyper-systems for a result--like you--to come about.  Analyzing emergent systems is at present an active but in many ways immature endeavor, because we still probably don't have adequate understanding, or perhaps not even adequate technology for the job.  But it's important that people are considering the trans world in this and other ways.

Causal complexity is predictable, and what we expect is what we see
Causation in life is fundamentally about cooperation which is about trans interactions.  Since cells are isolated from each other, so they can sense their own environments and respond to them, they actively signal to each other and a major way gene expression is regulated is through complex signal sending and receiving mechanisms.  'Signals' can mean gene-coded proteins secreted from cells, or the detection by cells of ions or other chemicals in their environment, and so on.  Signaling and responding to environmental conditions involves large numbers of genes and their regulation in time and space.  Most genes, in fact, have such cooperative, communicative function.

In turn, this implies that traits have many contributing genes, and their modular coding and regulatory sequences (and other forms of genome function, such as packaging and many different types of RNA), and each of these is potentially mutable and potentially variable within and between samples, populations, and species.  The result is the high level of causal complexity that is being so clearly documented.  A very large amount of viable contributing variation can be expected, if the individual variants have small effect.  The trait itself must be viable, but viability can coexist with large amounts of variation in the hundreds of contributing components.  This is what GWAS consistently finds, and is wholly consistent with how evolution works.

Life is complex in these ways in very understandable (and predictable) ways.  Enumeration of causes or even defining 'causes' are often  fool's errands because different variants in different genome regions in different samples and populations are to be expected.

It's a highly cooperative trans world out there!

Sabah düşûnsemeleri


İnsanız başımıza ne geleceğini  sabah yataktan kalkınca ne yaşayacağımızı  hatta o yataktan kalkabilecek miyiz  bilemeyiz.
Yapımızda olan yaşama sevinci sayesinde bunları her dakika kafaya takıp hastalık haline getirmeden yaşamımızı devam ettiririz bazen o kadar kaptırırız ki hayata  kendimizi  bunları unuturuz.   canlı ,kanlı, kalp taşıyan birer robotlar kolonisi  oluruz .   dokunmayan yılanı  bile  asırlarca yaşatıp ileride çoluk çocuğumuza zarar vereceğini umursamadan besleriz . Hal bu ki nasıl ruhlar taşıyoruz  , ürkünç her şeyi yapabilen,yapabilmeyi hak gören...
 Düştüğü yerden kalkmak için  birilerine el uzatanı  tutmazlar oysa çok güvenir umut eder...
  Tutmak  için uzattığınız el bir gün düştüğünüzde  sizi tutar  bunu  mutlaka görürsünüz yada hissedersiniz çünkü bazı insanların duası sizin paranızdan güçlüdür .
" Para ve imanın kimde oluğu bilinmez" derler ya  bu sözü  duyunca hep ikisinin  bir kişide olamayacağını parası olanın , imandan yoksun, imanlı olanın fakir olduğunu  çaresizlikten bu kadar çok duaya sarıldığını düşünenler varsa da...
  Tabii ki de öyle değil. Dünya  o kadar rengi bol bir yer ki her çeşit insan var olup fakiri  , zengini diye değil insanlar ikiye ayrılır ama  vicdanlı , vicdansız insan hepsi bu ...
 Tabii bu  böyle devam eder kollara ayrılır , vicdan taşıyan ,merhametli , Allah korkusu olan, eninde sonunda O na döndürüleceğimizi  bilen , yediği  hurmaların gün  gelip gırtlağını  tırmalayacağını bilen insanlar ve tam tersi bilmeyen ,idrak  edemeyen insanlar  .
 umursamadığı gibi kendine göre  mantıklı açıklamalarıda vardır.
 Sadece bu  Ondan yardım dileyen insanları yıllarca umursamayıp hatta ben çalıştım ben edindim   ben, ben diyen insanların bile o gün geldiğinde  hatırlayacağı bir zaman  vardır...


Rare Disease Day and the promises of personalized medicine

O ur daughter Ellen wrote the post that I republish below 3 years ago, and we've reposted it in commemoration of Rare Disease Day, Febru...