1 00:00:03,990 --> 00:00:03,189 thank you garrett and thank you bill for 2 00:00:07,110 --> 00:00:04,000 inviting me here 3 00:00:10,150 --> 00:00:07,120 this is in fact my first attendance 4 00:00:12,629 --> 00:00:10,160 i i've had some troubles in my field 5 00:00:14,150 --> 00:00:12,639 i must say but now when i go home and 6 00:00:16,550 --> 00:00:14,160 tell people i've come to a conference 7 00:00:19,109 --> 00:00:16,560 like this 8 00:00:22,150 --> 00:00:19,119 i don't know what i'm going to say next 9 00:00:25,269 --> 00:00:24,470 yes i i've actually got 40 minutes i 10 00:00:29,509 --> 00:00:25,279 think to 11 00:00:31,910 --> 00:00:29,519 to condense from 40 hours of seminar 12 00:00:33,110 --> 00:00:31,920 which in turn represents more than 40 13 00:00:35,110 --> 00:00:33,120 years of work 14 00:00:37,430 --> 00:00:35,120 which represents i think about 4 000 15 00:00:39,030 --> 00:00:37,440 years worth of observations by others it 16 00:00:40,549 --> 00:00:39,040 goes back that far 17 00:00:42,310 --> 00:00:40,559 so we'll see what we can do i can just 18 00:00:42,709 --> 00:00:42,320 say some provocative things and leave it 19 00:00:44,709 --> 00:00:42,719 at that 20 00:00:46,389 --> 00:00:44,719 we can talk about you know explanations 21 00:00:50,069 --> 00:00:46,399 a little bit later on 22 00:00:51,510 --> 00:00:50,079 um i the the force that was four 23 00:00:52,229 --> 00:00:51,520 thousand year reference that i'm making 24 00:00:54,069 --> 00:00:52,239 is of course 25 00:00:55,270 --> 00:00:54,079 we are what we eat that goes back at 26 00:00:55,670 --> 00:00:55,280 least four thousand years to my 27 00:00:57,430 --> 00:00:55,680 knowledge 28 00:00:59,750 --> 00:00:57,440 the best i can figure out this is the 29 00:01:02,869 --> 00:00:59,760 book to which garrett 30 00:01:04,549 --> 00:01:02,879 uh identified and obviously i can't 31 00:01:05,990 --> 00:01:04,559 follow the explanations of why i'm going 32 00:01:07,590 --> 00:01:06,000 to say the things we're going to say so 33 00:01:10,870 --> 00:01:07,600 i suggest if you're interested 34 00:01:12,630 --> 00:01:10,880 you can you can get that book this 35 00:01:15,350 --> 00:01:12,640 started uh quite a 36 00:01:16,630 --> 00:01:15,360 number of years ago uh when in fact i 37 00:01:18,550 --> 00:01:16,640 actually took a faculty position 38 00:01:20,149 --> 00:01:18,560 virginia tech just down the road 39 00:01:22,390 --> 00:01:20,159 uh in the department of biochemistry and 40 00:01:24,390 --> 00:01:22,400 i had at that time a responsibility 41 00:01:26,149 --> 00:01:24,400 to help organize and coordinate a 42 00:01:28,630 --> 00:01:26,159 program in the philippines 43 00:01:30,390 --> 00:01:28,640 with state department funding to try to 44 00:01:32,310 --> 00:01:30,400 help bring under control 45 00:01:33,510 --> 00:01:32,320 uh malnutrition and children of which of 46 00:01:35,749 --> 00:01:33,520 course this is a an 47 00:01:37,270 --> 00:01:35,759 unfortunate consequence and at that time 48 00:01:38,230 --> 00:01:37,280 without getting into a lot of other 49 00:01:41,749 --> 00:01:38,240 detail 50 00:01:43,350 --> 00:01:41,759 uh it was an opportunity for well i went 51 00:01:44,870 --> 00:01:43,360 there with my senior colleague to 52 00:01:46,550 --> 00:01:44,880 make sure that these children got enough 53 00:01:48,230 --> 00:01:46,560 protein i mean that's what we tend to 54 00:01:49,990 --> 00:01:48,240 think about in western societies 55 00:01:51,350 --> 00:01:50,000 as far as our own diet is concerned make 56 00:01:52,789 --> 00:01:51,360 sure we get enough protein you've heard 57 00:01:55,590 --> 00:01:52,799 the story i'm sure whether you've 58 00:01:57,270 --> 00:01:55,600 been in the science or not and so this 59 00:01:59,350 --> 00:01:57,280 is what this study was in part 60 00:02:01,030 --> 00:01:59,360 about was to try to figure out make sure 61 00:02:03,270 --> 00:02:01,040 these kids got enough protein 62 00:02:05,030 --> 00:02:03,280 and that suited my kind of thinking as 63 00:02:06,389 --> 00:02:05,040 it did my senior colleague 64 00:02:09,669 --> 00:02:06,399 because that's what we tend to think in 65 00:02:11,910 --> 00:02:09,679 science and nutrition in particular 66 00:02:13,830 --> 00:02:11,920 and along the way again without getting 67 00:02:17,030 --> 00:02:13,840 into all the details 68 00:02:18,470 --> 00:02:17,040 i got the impression in talking to some 69 00:02:19,750 --> 00:02:18,480 people and 70 00:02:22,309 --> 00:02:19,760 considering the question concerning 71 00:02:25,350 --> 00:02:22,319 cancer formation especially which was my 72 00:02:27,750 --> 00:02:25,360 special interest at the time was that 73 00:02:30,150 --> 00:02:27,760 cancer tended to be more common in 74 00:02:31,509 --> 00:02:30,160 families and even in children 75 00:02:34,070 --> 00:02:31,519 and families who are consuming the 76 00:02:36,070 --> 00:02:34,080 levels of protein like we do 77 00:02:37,910 --> 00:02:36,080 in other words higher levels we we as a 78 00:02:38,869 --> 00:02:37,920 society tend to consume very high levels 79 00:02:42,150 --> 00:02:38,879 of protein 80 00:02:43,670 --> 00:02:42,160 uh here uh there they don't uh but the 81 00:02:46,229 --> 00:02:43,680 few families who did 82 00:02:47,830 --> 00:02:46,239 seem to have had children and themselves 83 00:02:48,790 --> 00:02:47,840 who had higher levels of a certain kind 84 00:02:51,830 --> 00:02:48,800 of cancer 85 00:02:52,869 --> 00:02:51,840 with liver cancer particular and so it 86 00:02:54,470 --> 00:02:52,879 was odd 87 00:02:55,750 --> 00:02:54,480 we're going there to increase protein 88 00:02:56,869 --> 00:02:55,760 intake to bring it up to our level 89 00:02:58,309 --> 00:02:56,879 that's when in fact 90 00:02:59,990 --> 00:02:58,319 it might have that kind of consequence 91 00:03:03,589 --> 00:03:00,000 so this study came out 92 00:03:06,790 --> 00:03:03,599 from india using experimental animals 93 00:03:08,949 --> 00:03:06,800 showing that in fact animals that given 94 00:03:11,589 --> 00:03:08,959 regular levels of protein that's 20 95 00:03:13,350 --> 00:03:11,599 percent of total calories we express it 96 00:03:15,430 --> 00:03:13,360 compared to animals given lower levels 97 00:03:18,149 --> 00:03:15,440 and all animals exposed to a very 98 00:03:20,149 --> 00:03:18,159 potent chemical carcinogen by the way 99 00:03:22,470 --> 00:03:20,159 that the animals given the 100 00:03:24,070 --> 00:03:22,480 regular levels of protein which were 101 00:03:26,869 --> 00:03:24,080 thought by the investigators 102 00:03:27,509 --> 00:03:26,879 to actually maybe repress and keep under 103 00:03:29,670 --> 00:03:27,519 control 104 00:03:30,869 --> 00:03:29,680 the formation of this cancer in fact 105 00:03:32,949 --> 00:03:30,879 they were the ones that got all the 106 00:03:34,309 --> 00:03:32,959 cancer as opposed to the ones given 107 00:03:36,550 --> 00:03:34,319 lower levels of protein which 108 00:03:38,070 --> 00:03:36,560 got none we did they didn't need a 109 00:03:39,589 --> 00:03:38,080 statistician to tell them whether or not 110 00:03:43,190 --> 00:03:39,599 that was significant 111 00:03:46,470 --> 00:03:43,200 uh because it was quite clear um it was 112 00:03:48,309 --> 00:03:46,480 also coincided with what in fact i 113 00:03:49,670 --> 00:03:48,319 said that i thought i saw in the 114 00:03:51,509 --> 00:03:49,680 children and the families 115 00:03:53,990 --> 00:03:51,519 are getting more protein getting more 116 00:03:56,710 --> 00:03:54,000 cancer i mean that's pretty odd 117 00:03:58,710 --> 00:03:56,720 and so we went on i i took this 118 00:04:00,550 --> 00:03:58,720 observation of those observations 119 00:04:02,869 --> 00:04:00,560 and then organize a study with nih 120 00:04:04,550 --> 00:04:02,879 funding which continued over the next 27 121 00:04:06,309 --> 00:04:04,560 years as one major grant 122 00:04:08,149 --> 00:04:06,319 uh so this is this what i'm going to 123 00:04:09,670 --> 00:04:08,159 tell you now it was funded by the 124 00:04:11,910 --> 00:04:09,680 national institutes of health 125 00:04:12,949 --> 00:04:11,920 uh and in fact was published in in the 126 00:04:14,949 --> 00:04:12,959 best journals that we 127 00:04:16,550 --> 00:04:14,959 we have in our field so i'm just going 128 00:04:19,909 --> 00:04:16,560 to just mention some things because 129 00:04:21,349 --> 00:04:19,919 with that start that focus on a rather 130 00:04:23,830 --> 00:04:21,359 narrow question 131 00:04:24,710 --> 00:04:23,840 actually has now expanded for me at 132 00:04:26,710 --> 00:04:24,720 least into 133 00:04:28,150 --> 00:04:26,720 a broad perspective of what health and 134 00:04:29,590 --> 00:04:28,160 nutrition is all about 135 00:04:31,350 --> 00:04:29,600 and i just want to share this with you 136 00:04:33,350 --> 00:04:31,360 because these are 137 00:04:34,790 --> 00:04:33,360 the this and the next couple of slides 138 00:04:36,310 --> 00:04:34,800 is what really just provoked 139 00:04:38,070 --> 00:04:36,320 my i guess my thinking more than 140 00:04:41,270 --> 00:04:38,080 anything 141 00:04:42,550 --> 00:04:41,280 namely if you take animals and you 142 00:04:44,150 --> 00:04:42,560 expose them to a very 143 00:04:46,629 --> 00:04:44,160 potent chemical carcinogen in this 144 00:04:49,909 --> 00:04:46,639 particular case causing liver cancer 145 00:04:51,670 --> 00:04:49,919 but then subsequently give them either 146 00:04:53,030 --> 00:04:51,680 one of two levels of protein either the 147 00:04:55,749 --> 00:04:53,040 good levels or the 148 00:04:56,310 --> 00:04:55,759 lower levels if you will this early 149 00:04:59,749 --> 00:04:56,320 cancer 150 00:05:02,550 --> 00:04:59,759 begins to form over the first 12 weeks 151 00:05:03,110 --> 00:05:02,560 you know rather well when these animals 152 00:05:04,870 --> 00:05:03,120 are given 153 00:05:06,710 --> 00:05:04,880 the so-called recommended good levels of 154 00:05:07,590 --> 00:05:06,720 protein in contrast the animals given 155 00:05:09,670 --> 00:05:07,600 the lower levels 156 00:05:11,430 --> 00:05:09,680 like the indian workers had found did 157 00:05:14,070 --> 00:05:11,440 not get cancer 158 00:05:17,350 --> 00:05:14,080 but then we sort of turned our attention 159 00:05:20,390 --> 00:05:19,350 the next question that was what happens 160 00:05:22,390 --> 00:05:20,400 during this period 161 00:05:23,749 --> 00:05:22,400 let's say when you switch protein back 162 00:05:26,230 --> 00:05:23,759 and forth 163 00:05:28,150 --> 00:05:26,240 during this early stage and what we 164 00:05:30,230 --> 00:05:28,160 found of course as you can see here 165 00:05:32,230 --> 00:05:30,240 you feed animals 20 in the first three 166 00:05:34,070 --> 00:05:32,240 weeks these cancers are growing rather 167 00:05:34,469 --> 00:05:34,080 well early cancers i should say these 168 00:05:36,870 --> 00:05:34,479 are 169 00:05:38,150 --> 00:05:36,880 pre-neoplastic so to speak lesions that 170 00:05:39,749 --> 00:05:38,160 we could identify 171 00:05:41,990 --> 00:05:39,759 and then he associates the five percent 172 00:05:43,749 --> 00:05:42,000 you turn it off turn it back on turn off 173 00:05:45,430 --> 00:05:43,759 in other words in doing this in many 174 00:05:46,469 --> 00:05:45,440 different ways this is just one 175 00:05:48,629 --> 00:05:46,479 illustration 176 00:05:51,590 --> 00:05:48,639 uh we could actually turn on and turn 177 00:05:54,469 --> 00:05:51,600 off this experimental cancer development 178 00:05:55,430 --> 00:05:54,479 simply by fairly modest nutritional 179 00:05:57,510 --> 00:05:55,440 means 180 00:05:59,510 --> 00:05:57,520 just just trading you know the protein 181 00:06:02,150 --> 00:05:59,520 back and forth 182 00:06:03,510 --> 00:06:02,160 um but then i got let me just take a 183 00:06:05,029 --> 00:06:03,520 diversion on the side of it 184 00:06:06,870 --> 00:06:05,039 i don't want to say you know the protein 185 00:06:09,110 --> 00:06:06,880 is bad it's not i mean 186 00:06:10,309 --> 00:06:09,120 protein is an essential nutrient the 187 00:06:11,909 --> 00:06:10,319 question is how much 188 00:06:13,590 --> 00:06:11,919 and so we were able to examine that 189 00:06:15,670 --> 00:06:13,600 question to something that in this 190 00:06:16,790 --> 00:06:15,680 in this experiment animal system but 191 00:06:19,510 --> 00:06:16,800 basically 192 00:06:20,790 --> 00:06:19,520 uh feeding from 4 6 8 10 12 on up to 193 00:06:22,070 --> 00:06:20,800 twenty percent protein 194 00:06:23,909 --> 00:06:22,080 to see what the dose response 195 00:06:25,510 --> 00:06:23,919 relationship was all about 196 00:06:27,510 --> 00:06:25,520 and what we learned in this particular 197 00:06:30,390 --> 00:06:27,520 case here was that 198 00:06:32,150 --> 00:06:30,400 uh up to about ten percent protein which 199 00:06:33,830 --> 00:06:32,160 is the amount needed for growth 200 00:06:35,510 --> 00:06:33,840 it's actually in ten percent is an 201 00:06:36,710 --> 00:06:35,520 excess of what these animals actually 202 00:06:39,110 --> 00:06:36,720 need 203 00:06:39,830 --> 00:06:39,120 uh but it's it's a generous and decent 204 00:06:43,430 --> 00:06:39,840 level 205 00:06:45,029 --> 00:06:43,440 uh ever put the the cancer didn't grow 206 00:06:46,390 --> 00:06:45,039 in spite of the fact that these animals 207 00:06:47,350 --> 00:06:46,400 had been exposed to a chemical 208 00:06:50,230 --> 00:06:47,360 carcinogen 209 00:06:51,830 --> 00:06:50,240 was only when in excess these cancers 210 00:06:54,070 --> 00:06:51,840 really took off 211 00:06:56,150 --> 00:06:54,080 and if we want to try to you know sort 212 00:06:57,270 --> 00:06:56,160 of ask ourselves is this equivalent to 213 00:06:58,870 --> 00:06:57,280 humans in any way 214 00:07:00,870 --> 00:06:58,880 it turns out the amount of protein we 215 00:07:01,510 --> 00:07:00,880 humans need compared to animals about 216 00:07:03,510 --> 00:07:01,520 the same 217 00:07:05,430 --> 00:07:03,520 there's a there's a slight difference 218 00:07:06,710 --> 00:07:05,440 but i'm here talking about the shape of 219 00:07:09,749 --> 00:07:06,720 this curve more than 220 00:07:13,029 --> 00:07:09,759 the actual identity of the quantity 221 00:07:14,710 --> 00:07:13,039 in any case it turns out that when these 222 00:07:15,270 --> 00:07:14,720 animals have fed protein and exodus they 223 00:07:16,950 --> 00:07:15,280 get this 224 00:07:18,790 --> 00:07:16,960 the human range of consumption is 225 00:07:20,230 --> 00:07:18,800 somewhere between about 11 and 22 226 00:07:21,990 --> 00:07:20,240 percent 227 00:07:24,309 --> 00:07:22,000 so the extent to which if you make the 228 00:07:26,230 --> 00:07:24,319 assumption radical assumption press 229 00:07:27,589 --> 00:07:26,240 but if you make the assumption that we 230 00:07:29,430 --> 00:07:27,599 as humans 231 00:07:31,589 --> 00:07:29,440 are more or less requiring the same 232 00:07:33,589 --> 00:07:31,599 amount of protein and in fact 233 00:07:35,110 --> 00:07:33,599 we're consuming levels of protein 234 00:07:37,110 --> 00:07:35,120 amongst all of us 95 235 00:07:38,390 --> 00:07:37,120 of us in that range where cancer might 236 00:07:40,390 --> 00:07:38,400 form uh this 237 00:07:41,670 --> 00:07:40,400 certainly provokes a question as to 238 00:07:45,670 --> 00:07:41,680 whether or not i think this 239 00:07:47,270 --> 00:07:45,680 is relevant for humans um 240 00:07:48,710 --> 00:07:47,280 but that was these were early cancers 241 00:07:50,869 --> 00:07:48,720 and we then we did 242 00:07:52,309 --> 00:07:50,879 sort of in cancer research we want to 243 00:07:52,790 --> 00:07:52,319 know what happens over a lifetime 244 00:07:55,350 --> 00:07:52,800 because 245 00:07:56,869 --> 00:07:55,360 cancer takes a long time to form as many 246 00:07:58,629 --> 00:07:56,879 of you i'm sure know 247 00:08:00,469 --> 00:07:58,639 so we want to explore whether or not 248 00:08:03,510 --> 00:08:00,479 this early effect translated 249 00:08:05,110 --> 00:08:03,520 into a lifetime effect and uh in this 250 00:08:07,029 --> 00:08:05,120 particular case these animals are given 251 00:08:09,029 --> 00:08:07,039 to five and 20 percent this is actually 252 00:08:10,629 --> 00:08:09,039 a portion of a larger study even than 253 00:08:12,230 --> 00:08:10,639 what i'm showing here 254 00:08:14,230 --> 00:08:12,240 but in any case the animal is given five 255 00:08:15,589 --> 00:08:14,240 percent uh over the course of their 256 00:08:18,710 --> 00:08:15,599 lifetime which is 257 00:08:21,589 --> 00:08:18,720 uh basically about two years or so 258 00:08:23,110 --> 00:08:21,599 um this is the level of tumor severity 259 00:08:24,869 --> 00:08:23,120 take into consideration both 260 00:08:26,309 --> 00:08:24,879 the incidence in term of weight in 261 00:08:26,790 --> 00:08:26,319 contrast the animals given twenty 262 00:08:29,830 --> 00:08:26,800 percent 263 00:08:31,830 --> 00:08:29,840 is that i mean that's striking 264 00:08:33,350 --> 00:08:31,840 that is really striking and and in fact 265 00:08:34,709 --> 00:08:33,360 you know confirms in fact what the 266 00:08:36,709 --> 00:08:34,719 indian works is i think had 267 00:08:38,310 --> 00:08:36,719 had basically found what was really 268 00:08:39,350 --> 00:08:38,320 interesting too though was that these 269 00:08:42,310 --> 00:08:39,360 animals 270 00:08:43,750 --> 00:08:42,320 were all living at 100 weeks with no 271 00:08:46,150 --> 00:08:43,760 tumors 272 00:08:47,430 --> 00:08:46,160 very energetic sleek haircuts as if in 273 00:08:48,389 --> 00:08:47,440 fact they were still rather young 274 00:08:50,230 --> 00:08:48,399 animals 275 00:08:51,509 --> 00:08:50,240 it was a remarkable difference these 276 00:08:53,990 --> 00:08:51,519 animals given 277 00:08:56,230 --> 00:08:54,000 the good levels of protein so to speak 278 00:08:59,030 --> 00:08:56,240 exposed to the same level of carcinogen 279 00:08:59,750 --> 00:08:59,040 we're all dead with tumors at 100 weeks 280 00:09:01,910 --> 00:08:59,760 so again 281 00:09:02,949 --> 00:09:01,920 i didn't need a statistician to tell me 282 00:09:07,430 --> 00:09:02,959 whether or not this was 283 00:09:09,670 --> 00:09:07,440 this is for real uh but this of course 284 00:09:11,269 --> 00:09:09,680 this is a tiny tiny snapshot of the 285 00:09:12,470 --> 00:09:11,279 various underways we looked at this 286 00:09:14,230 --> 00:09:12,480 particular relationship 287 00:09:15,990 --> 00:09:14,240 but i think this explains fairly well 288 00:09:18,470 --> 00:09:16,000 what we were what we were doing 289 00:09:19,990 --> 00:09:18,480 and then it was that i started paying 290 00:09:21,990 --> 00:09:20,000 some attention to what was this kind of 291 00:09:23,430 --> 00:09:22,000 protein we were using 292 00:09:25,269 --> 00:09:23,440 and it turns out the protein we were 293 00:09:27,110 --> 00:09:25,279 using is casein which is the main 294 00:09:29,430 --> 00:09:27,120 protein of cow's milk 295 00:09:30,470 --> 00:09:29,440 it's about 87 percent of total protein 296 00:09:32,949 --> 00:09:30,480 cow's milk 297 00:09:34,230 --> 00:09:32,959 i came from a dairy farm by the way milk 298 00:09:35,990 --> 00:09:34,240 and cows 299 00:09:37,990 --> 00:09:36,000 and i started my graduate work actually 300 00:09:41,269 --> 00:09:38,000 doing my doctor's dissertation 301 00:09:44,389 --> 00:09:41,279 with the idea of promoting the use of 302 00:09:45,430 --> 00:09:44,399 this kind of protein so for me uh it was 303 00:09:46,870 --> 00:09:45,440 a struggle 304 00:09:48,710 --> 00:09:46,880 to sort of sort of get my arms around 305 00:09:50,790 --> 00:09:48,720 that but in any case 306 00:09:52,150 --> 00:09:50,800 soy protein and wheat protein even when 307 00:09:54,870 --> 00:09:52,160 dead at the higher levels 308 00:09:55,190 --> 00:09:54,880 did not do this so here's a simple i 309 00:09:57,350 --> 00:09:55,200 mean 310 00:09:58,310 --> 00:09:57,360 it's a limited comparison of course