Log out
My profile and settings
My bookmarks
Comment history
Please complete your account verification. Resend verification email.
today
This verification token has expired.
today
Your email address has been verified. Update my profile.
today
Your account has been deactivated. Sign in to re-activate your account.
today
View all newsletters in the newsletter archive
today
You are now unsubscribed from receiving emails.
today
Sorry, we were unable to unsubscribe you at this time.
today
0
0
Back to profile
Comment Items
You have not left any comments yet.
title
you replied to a comment:
name
description
Saved Posts
You haven’t bookmarked any posts yet.

One of Timothy Taylor’s strengths as a teacher is his knack for presenting complex, often misunderstood ideas in a way that's both enlightening and accessible.

Become a Gates Notes Insider
Sign up
Log out
Personal Information
Title
Mr
Mrs
Ms
Miss
Mx
Dr
Cancel
Save
This email is already registered
Cancel
Save
Please verify email address. Click verification link sent to this email address or resend verification email.
Cancel
Save
Email and Notification Settings
Send me updates from Bill Gates
You must provide an email
On
Off
Send me Gates Notes survey emails
On
Off
Send me the weekly Top of Mind newsletter
On
Off
Email me comment notifications
On
Off
On-screen comment notifications
On
Off
Interests
Select interests to personalize your profile and experience on Gates Notes.
Saving Lives
Energy Innovation
Improving Education
Alzheimer's
Philanthropy
Book Reviews
About Bill Gates
Account Deactivation
Click the link below to begin the account deactivation process.
If you would like to permanently delete your Gates Notes account and remove it’s content, please send us a request here.

Cell block tango

An essential guide to the building blocks of life

The Song of the Cell proves that Siddhartha Mukherjee is one of the best science writers working today.

|
0

I didn’t like biology when I was a kid. I remember dissecting a flatworm in high school and thinking, “What relevance does this have for my life?” The answer, of course, is a great deal—but at the time, I didn’t see the connection between a worm’s biology and a person’s. It wasn’t until I started learning about global health that I began to fully understand and appreciate the subject.

If I had been able to read The Song of the Cell by Siddhartha Mukherjee in school, I might have fallen in love with biology a lot earlier. He does a terrific job of explaining in clear, accessible language not only how cells work but why they are the foundation of all life.

Although he’s a Pulitzer Prize-winning author, Mukherjee is primarily an oncologist whose passion for the subject of cellular biology comes through on every page. Early in the book, he writes, “I love looking at cells in the way that a gardener loves looking at plants—not just at the whole, but also the parts within the parts.” The result is just as good as his two previous books: The Emperor of All Maladies, which is about cancer, and The Gene, which you can probably guess the subject of.

The Song of the Cell starts by helping you understand the evolution of life. When life first emerged on our planet, it was in the form of single-celled organisms. (The Vital Question by Nick Lane is another terrific book that tackles this topic.) Billions of years later, the human body is home to hundreds of highly specialized cells, which all work in harmony with one another to help you grow and continue to function throughout adulthood. Mukherjee does a great job explaining how every dysfunction—every illness or consequence of aging—eventually comes down to something going wrong with one of these cells.

Although it’s been nearly two centuries since two German scientists first proposed cell theory—the idea that all organisms are made up of cells—our understanding of how to manipulate the building blocks of life to treat disease is still in its relative infancy. Mukherjee spends a lot of time exploring the history and current state of cell therapy, which involves taking your cells out, growing new ones, and then putting them back in.

The most successful and best-known type of cell therapy today involves stem cells. Unlike most cells in the human body, stem cells are a blank canvas. Think of them as potential, with the ability to become almost any cell in the body. When an embryo is first formed in the womb, it’s almost entirely made up of these blank canvases. By the time you’re an adult, you have a lot fewer of them—but the stem cells you do have play a key role in replacing damaged cells. As you get older, they age with you. Their DNA gets damaged over time and they become less effective, which means that your tissue takes longer to replenish. (If you have reached the age where it takes a lot longer to recover from an injury than it used to, your aging stem cells deserve some of the blame.)

Scientists have long been excited about the therapeutic potential of stem cells. The hope is that, one day, we’ll be able to use stem cells to revert your cells to a younger, healthier state. I’m still optimistic that will be the case eventually, but I think the initial excitement was a bit overoptimistic. For example, researchers had grand visions of repairing a broken spine with neural stem cells that would regrow the spinal cord. That hasn’t panned out yet, and to date, there is only one form of successful stem cell therapy: hematopoietic stem cell transplantation, which involves blood cells.

The history of the stem cell transplant is equal parts amazing, inspiring, and heartbreaking. Mukherjee devotes an entire chapter to the subject. In 1963, a team at the Fred Hutchinson Cancer Research Center—affectionately known here in Seattle as Fred Hutch—knew that the most effective way to treat leukemia was to destroy the cancer cells with chemotherapy. But there was a problem: The process destroyed the immune system.

If left untreated, leukemia is usually fatal. So, they came up with a bold solution. The doctors would dose a patient with chemotherapy and then give them stem cells from a donor to rebuild the entire immune system from scratch. When the procedure was first done, it was very risky, and the initial patients died. Mukherjee interviewed some of the nurses who worked in the leukemia wing at Fred Hutch. It’s hard to read their stories of watching their patients—many of whom were children—struggle to recover after the procedure.

Slowly but surely, over time, both the operation itself and the ongoing survival rate improved. Today, hematopoietic stem cell transplantation is a common treatment for leukemia and other cancers like multiple myeloma. And research is ongoing into whether it could be used to treat deadly diseases like HIV and sickle cell disease.

The journey to effective cell therapies has been long and bumpy, but I’m optimistic that our new understanding of cells will soon lead to massive breakthroughs. As Mukherjee explains in the book, we are just starting to grasp how cells interact with one another. “We can name cells, and even systems of cells, but we have yet to learn the songs of cell biology,” he writes. We don’t yet know how cells work together to create the cohesive melody that powers the human body. Once we learn those songs—as he so elegantly puts it—I believe we will unlock transformative new treatments that will change how we think about medicine.

If I could go back in time and tell my teenage self how biology is relevant to his life, I would say this: All of us will get sick at some point. All of us will have loved ones who get sick. To understand what’s happening in those moments—and to feel optimistic that things will get better—you need a foundational knowledge about the building blocks of life. Mukherjee understands that “to locate the heart of normal physiology, or of illness, one must look, first, at cells.” The world of medicine moves very quickly, and The Song of the Cell will help you appreciate just how far we’ve come to achieve each breakthrough.

Discussion
Thank you for being part of the Gates Notes Insider community.
Not seeing your comment? You can read our policy on moderating comments here and learn about our Gates Notes badges here.
Badge
📌
Pinned by
Gates Notes
Badge
ʼʼ
0 responses
Sort by
all
all
most
top
old
Comments loading...
CTW
Thanks for visiting the Gates Notes. We'd like your feedback.
Become a Gates Notes Insider
Join the Gates Notes community to access exclusive content, comment on stories, participate in giveaways, and more.
SIGN UP
Already have an account?
Log in here
Logout:


Become a Gates Notes Insider
Become a Gates Notes Insider
Join the Gates Notes community to get regular updates from Bill on key topics like global health and climate change, to access exclusive content, comment on stories, participate in giveaways, and more.
Already joined? Log in
Please send me updates from Breakthrough Energy on efforts to combat climate change.
On
Off
LOG IN
SIGN UP
Title
Mr
Mrs
Ms
Miss
Mx
Dr
This email is already registered. Enter a new email, try signing in or retrieve your password
Why are we collecting this information? Gates Notes may send a welcome note or other exclusive Insider mail from time to time. Additionally, some campaigns and content may only be available to users in certain areas. Gates Notes will never share and distribute your information with external parties.
Bill may send you a welcome note or other exclusive Insider mail from time to time. We will never share your information.
Sign up
We will never share or spam your email address. For more information see our Sign Up FAQ. By clicking "Sign Up" you agree to the Gates Notes Terms of Use / Privacy Policy.
Street address
City
postal_town
State Zip code
administrative_area_level_2
Country
Data
Gates Notes Insider Sign Up FAQ

Q. How do I create a Gates Notes account?

A. There are three ways you can create a Gates Notes account:

  • Sign up with Facebook. We’ll never post to your Facebook account without your permission.
  • Sign up with Twitter. We’ll never post to your Twitter account without your permission.
  • Sign up with your email. Enter your email address during sign up. We’ll email you a link for verification.

Q. Will you ever post to my Facebook or Twitter accounts without my permission?

A. No, never.

Q. How do I sign up to receive email communications from my Gates Notes account?

A. In Account Settings, click the toggle switch next to “Send me updates from Bill Gates.”

Q. How will you use the Interests I select in Account Settings?

A. We will use them to choose the Suggested Reads that appear on your profile page.

BACK
Forgot your password?
Enter the email you used to sign up and a reset password link will be sent to you.
This email is already registered. Enter a new email, try signing in or retrieve your password
Reset Password
Reset your password.
Set New Password
Your password has been reset. Please continue to the log in page.
Log in
Get emails from Bill Gates
Send me updates from Bill Gates
You must provide an email
On
Off
Email me comment notifications
On
Off
On-screen comment notifications
On
Off
This email is already registered
Finish
We will never share or spam your email address. For more information see our Sign up FAQ. By clicking "Continue" you agree to the Gates Notes Terms of Use / Privacy Policy.
You're in!
You're in!
Please check your email and click the link provided to verify your account.
Didn't get an email from us? Resend verification
Upload a profile picture
Choose image to upload
Uploading...
Uh Oh!
The image you are trying to upload is either too big or is an unacceptable format. Please upload a .jpg or .png image that is under 25MB.
Ok
Title
Mr
Mrs
Ms
Miss
Mx
Dr
Cancel
Save
This email is already registered
Cancel
Save
Please verify email address. Click verification link sent to this email address or resend verification email.
Email and notification settings
Send me updates from Bill Gates
You must provide an email
On
Off
Email me comment notifications
On
Off
On-screen comment notifications
On
Off
Select your interests
Saving Lives
Energy Innovation
Improving Education
Alzheimer's
Philanthropy
Book Reviews
About Bill Gates
Finish
Confirm Account Deactivation
Are you sure you want to deactivate your account?
Deactivating your account will unsubscribe you from Gates Notes emails, and will remove your profile and account information from public view on the Gates Notes. Please allow for 24 hours for the deactivation to fully process. You can sign back in at any time to reactivate your account and restore its content.
Deactivate My Acccount
Go Back
Your Gates Notes account has been deactivated.
Come back anytime.
Welcome back
In order to unsubscribe you will need to sign-in to your Gates Notes Insider account
Once signed in just go to your Account Settings page and set your subscription options as desired.
Sign In
Request account deletion
We’re sorry to see you go. Your request may take a few days to process; we want to double check things before hitting the big red button. Requesting an account deletion will permanently remove all of your profile content. If you’ve changed your mind about deleting your account, you can always hit cancel and deactivate instead.
Submit
Cancel
Thank You! Your request has been sent
Page https://www.gatesnotes.com:443/Heroes-in-the-field-Dr-Stephaun-Wallace secs = 0.0468728