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Evolution designed us to die fast; we can change that — Jacob Kimmel

Evolution designed us to die fast; we can change that — Jacob Kimmel

51 segments available

Jacob Kimmel thinks he can find the transcription factors to reverse aging. We do a deep dive on why this might be plausible and why evolution hasn’t already optimized for longevity. We also talk about why drug discovery has been getting exponentially harder, and what a new platform for biological understanding to speed up progress would look like. As a bonus, we get into the nitty gritty of gene delivery and Jacob’s controversial takes on CAR-T cells. For full disclosure, I am an angel investor in NewLimit. This did not impact my decision to interview Jacob, nor the questions I asked him. 𝐄𝐏𝐈𝐒𝐎𝐃𝐄 𝐋𝐈𝐍𝐊𝐒 * Transcript: https://www.dwarkesh.com/p/jacob-kimmel * Apple Podcasts: https://podcasts.apple.com/us/podcast/why-evolution-designed-us-to-die-fast-how-we-can-change/id1516093381?i=1000722975425 * Spotify: https://open.spotify.com/episode/3xUwUYLpjGI3bxsEM114jq?si=mo4FBuI4RoG42PUYYCFUDw 𝐒𝐏𝐎𝐍𝐒𝐎𝐑𝐒 * Hudson River Trading uses deep learning to tackle one of the world's most complex systems: global capital allocation. They have a massive in-house GPU cluster, and they’re constantly adding new racks of B200s to ensure their researchers are never constrained by compute. Explore opportunities at https://hudsonrivertrading.com/dwarkesh * Google’s Gemini CLI turns ideas into working applications FAST, no coding required. It built a complete podcast post-production tool in 10 minutes, including fully functional backend logic, and the entire build used less than 10% of Gemini’s session context. Check it out on Github now: https://goo.gle/4mw9BNg To sponsor a future episode, visit https://www.dwarkesh.com/advertise 𝐓𝐈𝐌𝐄𝐒𝐓𝐀𝐌𝐏𝐒 00:00:00 – Three reasons evolution didn't optimize for longevity 00:12:48 – Why didn't humans evolve their own antibiotics? 00:26:08 – De-aging cells via epigenetic reprogramming 00:45:24 – Viral vectors and other delivery mechanisms 01:07:03 – Synthetic transcription factors 01:10:13 – Can virtual cells break Eroom's Law? 01:32:13 – Economic models for pharma

Segments Timeline

1
0:00 - 3:09
3:09 duration691 words

Why Evolution Didn't Optimize Longevity

Jacob Kimmel discusses the reasons evolution may not have optimized human longevity. He explores the selective pressures that influence lifespan and health, suggesting that the high baseline hazard rate during human evolution limited the number of individuals who could benefit from longevity traits. Kimmel argues that this lack of optimization presents an opportunity for intervention in aging and health.

"You always have to start by asking yourself, did evolution spend a lot of time optimizing this? If yes, my job is going to be insanely hard. If no, potentially there are some lowhanging fruit. And so ..."

2
3:09 - 6:42
3:32 duration791 words

The Interplay of Intelligence and Longevity

In this segment, Kimmel connects the concepts of intelligence and longevity, suggesting that the evolutionary pressures on lifespan may have also influenced the development of human intelligence. He posits that the age at which fluid intelligence is maximized correlates with population dynamics during evolution, indicating that longevity and cognitive abilities are intertwined in complex ways.

">> Right? By the way, just on that, often people who are trying to forecast AI will discuss basically how hard did evolution try to optimize for intelligence and what were the the things which optimiz..."

3
6:42 - 12:14
5:32 duration1248 words

Constraints on Evolutionary Optimization

Kimmel elaborates on the constraints that limit evolutionary optimization, particularly regarding longevity. He discusses the mutation rate as a limiting factor and how historical pressures, such as infectious diseases, have shaped human genetics. This segment emphasizes the challenges evolution faces in optimizing for longevity and the implications for modern medicine.

">> So in one way this is actually a very interesting RL problem, right? It's a long horizon RL problem 20-year horizon length and then there's a scalar value of how many kids you have. I guess that's ..."

4
12:14 - 12:56
0:41 duration158 words

The Mystery of Human Antibiotics

Kimmel addresses the intriguing question of why humans did not evolve their own antibiotics. He introduces the Red Queen hypothesis, explaining the evolutionary arms race between pathogens and hosts. This segment highlights the complexities of evolutionary biology and the competitive dynamics that influence the development of biological defenses.

"longevity is selected for and does arise in modern man and in which we are optimal. And so I think that puts human aging and longevity and health really in this category of problem in which evolution ..."

5
12:56 - 14:01
1:05 duration257 words

The Mystery of Human Antibiotics

In this segment, Kimmel explores the intriguing question of why humans did not evolve their own antibiotics. He explains the evolutionary arms race between pathogens and microorganisms, emphasizing the rapid competition that prevents mammals from developing effective antibiotic defenses. This discussion sheds light on the complexities of evolutionary biology and the challenges faced by human health.

"antibiotics. Yeah, it's actually an excellent question that I haven't heard posed before. Um so we think about where do antibiotics come from? To your point, we could synthesize them. They're just met..."

6
14:01 - 15:14
1:12 duration234 words

The Red Queen Hypothesis Explained

Kimmel elaborates on the Red Queen Hypothesis, illustrating the constant evolutionary competition between bacteria and fungi. He explains how this arms race leads to rapid adaptations and the development of antibiotics, which are crucial for survival. This segment highlights the dynamic nature of evolution and its implications for human health and medicine.

"terms of number of genomes per unit resource they're consuming. There are trillions of bacteria in a drop of water that you might pick up. So there's trillions of copies of the genome, massive analog ..."

7
15:14 - 16:26
1:11 duration274 words

Historical Antibiotics and Evolutionary Evidence

This segment delves into the concept of historical antibiotics that may have existed in the past but are now ineffective due to bacterial evolution. Kimmel discusses the potential for extracting ancient antibiotic mechanisms from genomes, providing insights into the evolutionary history of pathogens and their interactions with hosts.

"evolved around it. Do we see evidence of these like historical antibiotics that some fungi came up with and the bacteria evolved around and all there's evidence for remnant in their DNA? >> I'm I'm go..."

8
16:26 - 17:36
1:10 duration268 words

The Evolution of Host Defense Mechanisms

Kimmel shares fascinating examples of co-evolution between pathogens and hosts, particularly focusing on the human gene trim 5 alpha. He explains how this gene once provided protection against certain viruses but lost its efficacy due to evolutionary pressures. This segment illustrates the complexities of genetic adaptation and the implications for modern medicine.

"binds a indogenous retrovirus that is no longer present but was at one point actually resurrected by a bunch of researchers and it was demonstrated that it is the case. We have this indogenous gene wh..."

9
17:36 - 18:04
0:28 duration116 words

The Challenge of Evolving Against Pathogens

In this segment, Kimmel discusses the challenges faced by the human genome in evolving defenses against pathogens. He highlights the difficulty of maintaining effective host defenses in the face of rapidly evolving viruses and the implications for future medical interventions. This discussion emphasizes the need for innovative approaches to combat infectious diseases.

"a situation where you can go in and take human cells and make just a couple edits in that trim 5 alpha gene and it's currently protecting against a virus which no longer exists and you can edit it bac..."

10
18:04 - 19:39
1:34 duration356 words

Gene Duplication and Evolutionary Adaptation

Kimmel explains the role of gene duplication in evolution, allowing organisms to adapt to new challenges without losing original functions. He discusses how this mechanism facilitates the development of new traits and adaptations, providing a framework for understanding evolutionary processes and their relevance to modern biology.

">> Isn't the mutation rate per base pair per generation like one in a billion or something? >> It's quite low. So you're saying that in our genomes we can find some extended sequence which encodes how..."

11
19:39 - 21:00
1:20 duration308 words

The Complexity of Evolutionary Edits

In this segment, Kimmel addresses the complexities involved in making evolutionary edits to genes. He discusses the challenges of achieving beneficial mutations while maintaining overall fitness, emphasizing the importance of gene duplication in facilitating evolutionary change. This discussion provides insights into the intricacies of genetic evolution and its implications for health.

"really happens because I've got my backup copy, my original. And so you can end up with drift. So you're saying that even though the per base pair mutation rate might be one in a billion, if you've go..."

12
21:00 - 22:33
1:33 duration376 words

Understanding Gene Families and Evolution

Kimmel explores the concept of gene families and their evolutionary relationships. He explains how genes can be categorized based on homology and discusses the significance of gene duplication events in shaping genetic diversity. This segment highlights the importance of understanding genetic relationships in the context of evolutionary biology.

"about for memory, but it's in like the tens. It's not it's not that you need massive kilobase scale rearrangements. It's actually a fairly small number of edits. And basically you can just align the s..."

13
22:33 - 24:37
2:04 duration404 words

The Multifaceted Nature of Aging

Kimmel discusses the multifaceted nature of aging, arguing against a monocausal explanation. He emphasizes the complexity of molecular regulation involved in aging and suggests that future anti-aging treatments will likely address multiple factors rather than providing a singular solution. This segment underscores the challenges of developing effective longevity therapies.

"Okay. Um, back to aging. You'll cancel your evening plans. I've got so many questions for you and I keep going. Um, so the second reason you gave which was that there's selective pressure against peop..."

14
24:37 - 25:01
0:23 duration93 words

The Future of Anti-Aging Medicine

In this concluding segment, Kimmel shares his vision for the future of anti-aging medicine, focusing on epigenetic reprogramming as a potential solution. He discusses the need for innovative approaches to extend healthy lifespan and the implications of his research for understanding aging. This segment encapsulates the key themes of the discussion and highlights the potential for breakthroughs in longevity science.

"are still going to experience for the first medicine some amount of decline over time. And this gives you an example of if you think about evolution as a medicine maker in this sort of anthropomorphic..."

15
26:06 - 27:40
1:34 duration353 words

Epigenetic Reprogramming Explained

In this segment, Jacob Kimmel elaborates on epigenetic reprogramming and the role of transcription factors as the 'orchestra conductors' of the genome. He explains how these factors regulate gene expression and how their degradation with age can lead to increased susceptibility to diseases. Kimmel's goal is to restore the epigenome to a youthful state to enhance cellular function.

"All right, back to Jacob. All right, so um uh evolution didn't select for aging. What are you doing? What's your approach at New Limit that you think is um is likely to find the true cause of aging? >..."

16
27:40 - 29:56
2:16 duration544 words

Challenges in Reversing Cellular Aging

Kimmel addresses the complexities involved in using transcription factors to reverse cellular aging. He discusses the potential for unintended consequences when modifying cell states and the importance of ensuring that cells maintain their identity and function. This segment highlights the critical need for careful measurement of gene expression and cellular performance.

"going after this by trying to find combinations of these transcription factors that are able to actually remodel the epiggenome so that they can bind to just the right places in the DNA and then shift..."

17
29:56 - 31:32
1:35 duration384 words

The Yamanaka Factors and Their Implications

Jacob Kimmel references the groundbreaking work of Shinya Yamanaka, who identified four transcription factors capable of reprogramming adult cells into embryonic stem cells. He discusses the implications of this discovery for aging research and the challenges of applying similar methods to rejuvenate aged cells without causing pathological changes.

"also measure any potential detrimental effects that that emerge. >> So there are canonical examples where you can seemingly reverse the age of a cell for instance at the level of a transcriptto but si..."

18
31:32 - 38:05
6:33 duration1499 words

Why AI is Essential for Aging Research

In this segment, Kimmel explains the necessity of AI models in aging research, particularly in identifying effective combinations of transcription factors. He contrasts the straightforward success criteria in Yamanaka's experiments with the complexities of measuring success in aging. Kimmel emphasizes the need for advanced computational methods to navigate the vast combinations of transcription factors required for effective interventions.

"question, but it will help me understand why an AI model is necessary to do any of this work. So, you mentioned the Yamanaka factors. From my understanding, the way he identified these four transcript..."

19
38:52 - 40:43
1:51 duration392 words

Transcription Factors: Evolution's Modular Levers

In this segment, Kimmel elaborates on the role of transcription factors in development and evolution. He argues that these factors are designed to have modular effects, allowing for significant phenotypic changes with minimal genetic edits. Kimmel highlights how evolution has optimized these factors to enable flexibility and adaptability in biological systems, suggesting that we can leverage this understanding for therapeutic advancements.

">> So we can think of these transcription factors as these basis directions and you get like a little bit of this thing, a little bit of that thing, and some combination. And evolution has designed th..."

20
40:43 - 42:21
1:37 duration368 words

Transcription Factors as Targets for Medicine

Kimmel explores the potential of transcription factors as therapeutic targets, explaining their ability to induce large phenotypic changes from small genetic modifications. He discusses the challenges of directly targeting transcription factors with traditional small molecule drugs and the implications for drug design. This segment highlights the need for innovative approaches to harness the power of transcription factors in medicine.

"would be uh maybe a little bit overstating to say evolution is like using the gradient, but there is a system kind of like uh if you've heard of evolution strategies where uh basically the way you opt..."

21
42:21 - 49:01
6:39 duration1441 words

Pathogens and Transcription Factors: A Double-Edged Sword

In this insightful discussion, Kimmel addresses why some pathogens, like HIV, utilize transcription factors to manipulate host cells. He explains the mechanisms by which these viruses exploit transcription factors for their lifecycle and persistence. Additionally, he contrasts this with the challenges faced in drug development, emphasizing the indirect targeting of transcription factors and the limitations of current therapeutic strategies.

"engender upon biology. >> Yeah, you're you're sort of hinting that uh if we analogize it to some code base, we're going to find a couple lines that are like commented out that's like daging, you know,..."

22
48:33 - 49:43
1:10 duration288 words

The Challenge of Targeting Transcription Factors

Jacob Kimmel discusses the limitations of current drug delivery methods in targeting transcription factors directly. He explains how traditional small molecule drugs and recombinant proteins struggle to effectively interact with these large molecular targets, leading to indirect approaches that may not be optimal. This segment highlights the need for innovative solutions in drug design to directly influence transcription factors.

"what's occurring. And so that ultimately leads to transcription factors being some of the final aectors in these signaling cascades. So a lot of the drugs we have that for instance inhibit a particula..."

23
49:43 - 50:40
0:57 duration252 words

Innovative Delivery Mechanisms for Gene Therapy

In this segment, Kimmel introduces new nucleic acid and genetic medicines that utilize lipid nanoparticles for delivering RNA into cells. He explains how these methods can effectively introduce transcription factors into the nucleus, overcoming previous limitations of drug delivery systems. This discussion emphasizes the potential of modern techniques to revolutionize gene therapy and aging research.

"They're just too small. And then the other classic modalities we have are recombinant proteins. We make a protein like a hormone in a big vat. We grow it in some Chinese hamster ovary cells. We extrac..."

24
50:40 - 51:39
0:59 duration219 words

The Future of Drug Delivery: Engineering Cells

Kimmel shares his vision for the future of drug delivery, suggesting that engineered cells could become the primary method for delivering therapeutic payloads. He discusses how these cells could be designed to patrol the body, recognize specific signals, and release treatments as needed. This innovative approach could transform how we address aging and other diseases, leveraging the body's own systems.

"we need to start addressing transcription factors as first class targets rather than treating them as like uh maybe some ancillary third order thing that's going to happen. >> Interesting. So the drug..."

25
51:39 - 52:43
1:04 duration263 words

The Role of the Immune System in Therapy Delivery

This segment explores the potential of the immune system as a delivery mechanism for therapies. Kimmel explains how T-cells and B-cells are naturally equipped to navigate the body and deliver therapeutic agents. He highlights the advantages of using immune cells for targeted therapy, particularly in addressing diseases that traditional methods struggle to reach.

"order primitive. Ultimately, the genome's nucleic acids. The RNAs that come out of it are nucleic acids. So, if you can get nucleic acid into a cell, you can drug pretty much anything in the genome ef..."

26
52:43 - 54:40
1:56 duration493 words

Limitations of Current Delivery Methods

Kimmel discusses the inherent limitations of current delivery methods, including viral vectors and lipid nanoparticles. He emphasizes the challenges of immunogenicity and targeting specific cell types. This segment underscores the need for advancements in delivery systems to ensure effective treatment across various tissues in the body.

"history and very large population sizes. They've evolved to get into our cells. Maybe we can learn something from them. Even better Trojan horses. So, one type of virus people use a lot, it's called a..."

27
54:40 - 56:46
2:05 duration475 words

Engineering Cells for Precision Medicine

In this insightful segment, Kimmel elaborates on the concept of engineering cells to deliver therapies in a precise manner. He envisions a future where modified cells can respond to environmental cues and release therapeutic agents as needed. This innovative approach could lead to more effective treatments for aging and other complex diseases.

"we're probably going to have to solve delivery the way that our own genome solved delivery. So we have this same problem that arose during evolution, which is how do I patrol the body, find arbitrary ..."

28
56:46 - 1:00:02
3:16 duration763 words

Interconnectedness of Body Systems in Aging

Kimmel discusses the interconnected nature of body systems and how targeting one cell type can have broader health benefits. He references transplant studies that show how a younger liver can improve overall health, illustrating the complex interactions within the body. This segment highlights the potential for targeted therapies to create systemic benefits in aging.

"will get solved. We've got many many stepping stones along the way. But if I could like clone myself and work on an even riskier endeavor, that's probably what I would do. >> This is actually in in I ..."

29
1:00:02 - 1:01:56
1:53 duration405 words

Transplant Studies and Aging Insights

In this segment, Kimmel draws on transplant studies to illustrate how interventions in one area can lead to unexpected benefits in others. He discusses how young organ transplants can improve health outcomes, suggesting that therapies targeting specific tissues may have far-reaching effects on overall aging and health.

"delivery folks credit, they're currently ahead. There are currently no reprogramming medicines for aging and there are medicines that deliver nucleic acids. So like they're still winning the race agai..."

30
1:01:34 - 1:02:30
0:55 duration195 words

Transplant Success Stories

Kimmel shares insights from transplant procedures, explaining how patients receiving young organs often experience broader health improvements beyond the immediate benefits. He emphasizes the surprising outcomes of bone marrow transplants that can cure other diseases, showcasing the body's intricate cellular interactions.

"same time hs are another example where there are many circumstances where one of the and I'll summarize this is uh mostly examples taken from a wonderful book by Frederick Applebomb who uh trained wit..."

31
1:02:30 - 1:03:44
1:14 duration260 words

The Power of Hormones in Health

In this segment, Kimmel explores the role of hormones like GLP-1 and GIP in health, discussing their unexpected benefits beyond weight loss. He highlights how these hormones can influence various health aspects, including cardiovascular health and neurodegeneration, demonstrating the complex interplay of cellular signals.

"exist. >> Is this related to why has so many downstream positive effects that seem even not totally related to its um effects just on making you leaner? Yeah, I think it's one one example because it's..."

32
1:03:44 - 1:05:16
1:32 duration341 words

Transcription Factors and Drug Delivery

Kimmel delves into the potential of transcription factors in drug delivery, explaining how a small number of these factors can be effective in reprogramming cells. He discusses current advancements in mRNA medicines and the favorable biology of transcription factors for drug development, suggesting that low doses can yield significant health benefits.

">> Interesting. How big will the payload have to be? >> Uh, how many transcription factors? >> Yeah, >> I think just a countable number. I think some of those that we found today that have efficacy ar..."

33
1:05:16 - 1:06:39
1:22 duration341 words

Epigenetic Reprogramming: A Long-Term Solution?

This segment focuses on the concept of epigenetic reprogramming and its potential to provide long-lasting health benefits. Kimmel discusses evidence that epigenetic changes can persist for decades and the possibility of achieving significant health improvements with targeted treatments, hinting at the future of cellular therapies.

"either. >> And is it would it have to be a chronic treatment or could it just be a onetime dose? >> In principle, it could be one time. I think that would be an overstatement for today, but I can sort..."

34
1:06:39 - 1:08:51
2:11 duration440 words

Exploring Non-Human Transcription Factors

Kimmel addresses the potential of exploring non-human transcription factors for therapeutic applications. He discusses the evolutionary basis for human transcription factors and the possibility of using synthetic or modified factors to enhance cellular reprogramming, emphasizing the need for innovative approaches in aging research.

"data that these positive effects can last several weeks after a dose. And so you could imagine even without many leaps of faith up toward this upper bound limit of what's possible just from the data w..."

35
1:08:51 - 1:10:12
1:20 duration323 words

Addressing Aging Beyond Cellular Therapy

In this segment, Kimmel examines the limitations of cellular therapies in addressing physical aging signs, such as sagging skin. He discusses the role of elastin in skin elasticity and the potential for programming cells to restore the polymerization process, suggesting that innovative cellular engineering may be necessary.

"okay so I don't know your skin starts to sag because of the effects of gravity over the course of decades. Is that a cellular process? How would how would some cellular therapy deal with that? >> The ..."

36
1:10:12 - 1:13:44
3:32 duration757 words

Understanding Eroom's Law in Biotech

Kimmel introduces Eroom's Law, which describes the decreasing returns in drug discovery despite increasing investments. He compares this trend to Moore's Law in technology, discussing the implications for biotech and the need for a general-purpose platform to improve drug development efficiency and address the challenges of modern medicine.

">> Interesting. Okay. What is Arum's law? Iram's law is a funny portman who created by a friend of mine Jack Scanell where he inverted the notion of Moor's law which is the doubling of compute density..."

37
1:14:36 - 1:16:12
1:36 duration372 words

Finding the Right Targets

In this segment, Kimmel elaborates on the complexities of drug discovery, explaining that the real challenge lies in identifying the correct genes to target for treatment. He contrasts the ease of creating antibodies with the difficulty of determining which genes to intervene upon, stressing that most of the risk in drug development is not in the manufacturing process but in the decision-making of what to target.

">> So, you need to then be able to find medicines that treat most people. All of us will one day get sick and die. So, arguably the TAM for any really successful medicine could be everybody on planet ..."

38
1:16:12 - 1:18:00
1:47 duration437 words

The Virtual Cell Concept

Kimmel introduces the concept of a 'virtual cell' as a model for drug discovery, where researchers can perturb genes and measure the resulting changes in cell states. He discusses the potential of using this model to predict how different gene combinations can affect cellular health, aiming to create a comprehensive understanding of biological interactions that could lead to breakthroughs in medicine.

"Yeah. In this particular case, if we we bound ourselves to we must use small molecules as our modality, then there are lots of targets which are very difficult to drug. There are many other modalities..."

39
1:18:00 - 1:20:02
2:01 duration481 words

Training Models for Drug Discovery

In this segment, Kimmel explains how NewLimit is training models based on cellular data to predict the effects of gene perturbations. He draws parallels between this approach and the training of language models, emphasizing the importance of understanding cellular states and the potential for these models to lead to significant advancements in drug discovery.

">> every marginal discovery increases the odds you make the next discovery or something like that. >> So there are multiple ways one might approach this problem. the most common today. Um, this is oft..."

40
1:20:02 - 1:22:16
2:14 duration504 words

Optimizing Cellular States

Kimmel discusses the broader vision of drug discovery, where the goal is not only to make cells younger but also to optimize their functionality for various diseases. He highlights the need for a comprehensive understanding of how to engineer specific cell states to improve patient outcomes, drawing on the analogy of training models in AI to achieve targeted results.

">> Right. And you basically described um one of the models you guys are working on at New Limit. You you're training this model based on this data where you're taking the entire transcriptto and just ..."

41
1:22:16 - 1:25:00
2:43 duration605 words

The Evolution of Perturbation Techniques

In this concluding segment, Kimmel reflects on the evolution of perturbation techniques in drug discovery, explaining the advancements that have made it easier to measure gene expression and the effects of genetic modifications. He discusses the historical context of these techniques and their implications for future breakthroughs in understanding and treating diseases.

">> This is so similar to in LLMs. You have first imitation learning with pre-training that builds a general purpose uh representation of the world and then you do RL about a particular objective in ma..."

42
1:24:50 - 1:26:04
1:14 duration309 words

The Evolution of Perturbation Technology

Jacob Kimmel discusses the evolution of perturbation technology in developmental biology, explaining how it allows researchers to label and measure gene perturbations in cells. He highlights the advancements in sequencing technology that have made it possible to analyze gene interactions at scale, addressing the historical challenges that delayed breakthroughs in this field.

"Potentially. It's more like developmental biologists locked in a room as my friend Cole Trapnel would say. >> Um, it seems like what you're describing seems quite similar to perturb. And we've had per..."

43
1:26:04 - 1:27:38
1:33 duration400 words

Scaling Up Gene Sequencing

In this segment, Kimmel elaborates on the improvements in gene sequencing technology, emphasizing the reduction in costs and the increased efficiency of detecting gene perturbations. He compares the early challenges of sequencing to modern capabilities, illustrating how these advancements enable large-scale experiments in cellular biology.

"ask questions like, well, I've turned on genes A and C. What did it do to the rest of the cell? So that's the general premise of the technology. And so it's useful to just set that up because it expla..."

44
1:27:38 - 1:29:25
1:46 duration393 words

The Future of Virtual Cells

Kimmel speculates on the future of virtual cell technology, drawing parallels to large language models (LLMs). He discusses how companies like New Limit are integrating data generation and experimentation to create proprietary models that predict gene interactions, aiming to revolutionize drug discovery and biological understanding.

"They've all improved to the degree where now you can actually operate at scale. And then groups like ours have had to do a bunch of work in order to actually enable combinatorial perturbations, turnin..."

45
1:29:25 - 1:31:02
1:36 duration402 words

Innovating in Gene Therapy

In this segment, Kimmel explains New Limit's approach to gene therapy, focusing on specific cell types for effective medicine delivery. He discusses the importance of understanding transcription factors and how their research aims to create groundbreaking products that could transform healthcare.

"right now is at least at New Limit you were like we know the end ca end use case we're going after it would be like if um cursor or whatever is like we're gonna in like 2018 is like we're going to bui..."

46
1:31:02 - 1:32:12
1:10 duration278 words

Building a Proprietary Data Set

Kimmel emphasizes the necessity of generating proprietary biological data to advance gene therapy. He compares the current state of biological data to the early days of the internet, highlighting the potential for creating high-quality datasets that can lead to innovative treatments and therapies.

"world has ever seen. Um and over time we can expand to this more general corpus of predicting every possible gene perturbation in every possible cell type. And so I think that's maybe the way the anal..."

47
1:32:12 - 1:36:41
4:28 duration998 words

Reimbursement Models for Future Medicines

Kimmel discusses the challenges of reimbursement in the pharmaceutical industry, particularly for long-term therapies. He proposes innovative models like pay-for-performance to ensure that patients receive ongoing benefits from their treatments, while also addressing the complexities of healthcare costs in the U.S.

">> Interesting. And then um this is more more a question about the broader pharma industry rather than just new limit which is that in the future how are people going to make money if you have you kno..."

48
1:36:41 - 1:38:07
1:26 duration268 words

The Impact of Aging Treatments on Healthcare Costs

In this concluding segment, Kimmel reflects on how advancements in aging treatments could influence overall healthcare spending. He argues that effective therapies could reduce downstream ailments associated with aging, potentially lowering healthcare costs in the long run.

">> The the reason I'm interested in this is that healthcare is already 20% of GDP. I think it's grown like notable percentages in the last few years. It's like this is a fraction that is quickly growi..."

49
1:39:00 - 1:41:01
2:00 duration451 words

The Future of Pharmaceuticals

In this segment, Kimmel explores the potential impact of new pharmaceutical technologies on healthcare costs. He argues that preventative medicines could reduce the need for expensive interventions later in life, ultimately driving down overall healthcare spending. He cites statistics about Medicare costs to illustrate the financial burden of treating advanced illnesses and advocates for a shift towards maintaining health rather than just treating sickness.

"these are things that biotech probably isn't going to be able to solve as an industry alone. That's probably a larger a larger economic problem. But when you think about how will this affect sort of t..."

50
1:41:01 - 1:43:16
2:15 duration505 words

The Role of Biotech in Drug Discovery

Kimmel explains the current landscape of drug discovery, noting that smaller biotech firms are responsible for a significant portion of new drug approvals. He discusses how traditional pharmaceutical companies are adapting by collaborating with these nimble startups to innovate and bring new therapies to market. This segment highlights the evolving dynamics between large pharma and biotech, emphasizing the importance of external innovation in overcoming the challenges of drug development.

">> Okay, final question. Um, so pharma is spending billions of dollars per new drug it comes up with and surely they have noticed that the lack of some general platform or some general model has made ..."

51
1:43:16 - 1:45:16
2:00 duration477 words

Closing Thoughts and Future Directions

In the concluding segment, Kimmel reflects on the future of healthcare and the importance of continued innovation in pharmaceuticals. He shares insights on the collaboration between biotech and large pharmaceutical companies, and the potential for new technologies to revolutionize healthcare. The discussion wraps up with a call to action for listeners to engage with the content and support ongoing conversations about health and longevity.

"something like 70% of molecules approved in a given year come from originally small biotechs rather than large pharmas even though you look at the actual like dollars of R&D spend on the balance sheet..."