Placeholder Image

Subtitles section Play video

  • An undead city under siege.

  • Soldiers and police ruthlessly shooting down waves of zombies that flood from infected streets trying to escape and infect more cities.

  • This is what happens when your body fights cancermore exciting than any movie.

  • How does this battle for survival unfold?

  • 1. The Elimination Phase

  • It all begins with a single corrupted cell.

  • It's no longer able to repair its genetic codeit can't kill itself anymore, and it's beginning to multiply rapidly.

  • At this point, things are not great, not terrible; this cell is not yet dangerous, but if nothing happens, it soon will be.

  • Over a few weeks, the corrupted cell keeps making copies of itself.

  • One cell turns into dozenshundreds, thousands.

  • Because the original was broken, its copies are breaking and mutating even more.

  • They turn into different genetic lineagesclans that are working together and competing

  • Some mutate in a way that makes them weakerothers' mutations don't change anythingwhile a few become fitter and better at survival.

  • Together, they now form a tiny, tiny tumor; not cancer yet, but getting there.

  • The growing tumor needs a lot of resources

  • If the cells don't get food and oxygenthey'll die, and the problem just solves itself

  • Unfortunately, a few corrupted cells unlock a new mutation that saves them:

  • The ability to order the growth of new blood vessels.

  • And, so, your body provides the supply they need to survive.

  • But as the tumor continues to growit starts causing damage.

  • Neighboring healthy cells begin to starve and diewhich attracts attention.

  • In a sense, this tiny tumor is like a rogue town.

  • Imagine a group of rebels in Brooklyn decide that they're no longer part of New York,

  • and startnew settlement called Tumor Town, which happens to occupy the same space.

  • The new city wants to growso it orders tons of steel beams, cement, and drywall.

  • New buildings follow no logicare badly planned, ugly, and dangerously crooked

  • They're built right in the middle of streets, on top of playgrounds, and on existing infrastructure.

  • The old neighborhood is torn down or overbuilt to make room for new stuff.

  • Many of the former residents are trapped in the middle of it and begin to starve.

  • This goes on for a while until the smell of death finally attracts attention.

  • Building inspectors and police show up.

  • In your body, attracted by the stench of dead cells, your immune system is activated.

  • The first responder immune cells invade the tumor.

  • The macrophages and natural killer cells police forces that go right to work, killing and eating tumor cells.

  • They release chemical signals that let the whole immune system know that there is cancer to be eradicated.

  • Dendritic cells, the intelligence officers of your immune system, collect samples of dead tumor cells and begin activating your heavy weapons:

  • Helper and killer T-cells.

  • We explained these specialized super weapons in another video,

  • but all you really need to know is that they have a library listing every bad thing that can come into your body.

  • While each cancer is unique, there are genetic corruptions that they can't hide.

  • And your T-cells know what to look for; they are the deadliest cancer killers you have.

  • By the time they arrive, the tumor has grown to hundreds of thousands of cells, but this is about to change.

  • T-cells block the growth of new blood vessels, which starves thousands of tumor cells and puts an end to their growth.

  • Imagine the building inspectors switching off electricity and water,

  • and putting up roadblocks to Cancer Town so no more food or materials can be delivered.

  • With no way to hide from the carnage unfoldingthe tumor collapses as hundreds of thousands of tumor cells are massacred.

  • Their carcasses are cleaned up and consumed by macrophages that then order healthy tissue to regenerate.

  • Your body has crushed the illegal Tumor Town without mercy.

  • You'll never know about this fight or how many times this has happened inside your body.

  • Except in this case, something didn't go as planned.

  • 2. The Equilibrium Phase

  • Unfortunately, natural selection spoils your victory.

  • By doing its best to destroy the tumoryour immune system accidentally selects the fittest tumor cells.

  • Rememberthe tumor consists of different lineages that keep growing and keep mutating.

  • Most of these are eradicated, but just a few are more resilient.

  • One cell survives; it comes from the fittest tumor lineage and was just a bit better at surviving the massacre than anyone else.

  • It decides to do it all over again, but better this time.

  • This tumor cell is much stronger than any of the thousands that were killed.

  • Maybe it is better at hiding or fighting back.

  • Maybe it grows faster or is better at stealing resources.

  • Maybe it can survive with much less oxygen.

  • And so it all begins again.

  • It's like the surviving rebels that started Tumor Town have learned their lessons.

  • Now they know the law better and how to break itwhat permits help them, and how to avoid the police.

  • And, so, the surviving tumor cell makes thousands of copies that mutate and form new lineages,

  • until, once again, a tumor has grownmade up of more resilient cells.

  • The immune system doesn't care, though, and this time, it even has experience.

  • Instead of starting with police, swat teams go right in to tear Tumor Town down, killing its inhabitants without mercy.

  • But, once again, they don't get everyone; one of them survives⏤a fitter tumor cell from an already fitter lineage.

  • This time, it gets a cheap suit and studies the building code, pretending to be a lawyer to start Tumor Town all over again.

  • This struggle now repeats a few timeseach time, the rebels learn a bit more about how to avoid the law.

  • If, at any point, the immune system gets all of the tumor cells, the story ends.

  • But in this case, it doesn't.

  • Finally, a tumor cell changes in a way that makes it properly dangerouscancer.

  • The type that kills people.

  • How?

  • Immune cells have an off switch that deactivates them before they can attack, which, in principleis a good idea.

  • The immune system is extremely dangerous, and, in many cases, it needs to be shut down, like around your central nervous system.

  • But this off switch can be exploited.

  • The mutated tumor cell finds a way to switch the immune system off by targeting inhibitor receptors on anti-cancer cells.

  • Inhibitor receptors stop immune cells from, well, killing

  • This cell is now the powerful founder ofnew lineage of cancer cells,

  • and mass produces thousands of new copies that once again change and mutate further, building yet another Tumor Town.

  • 3. The Escape Phase

  • The new cancer cells have become immune to the immune system, and everything is different this time.

  • Tumor Town has been rebuilteven uglier and stranger than beforebut now, the cancer city council has forged all sorts of permits.

  • As building inspectors come to shut down construction, they get confused.

  • Stunned, they wander off, unable to order the destruction of the sprawling buildings.

  • Police try to enter the illegal city to arrest the builders and execute inhabitants.

  • But this time, Tumor Town has erected its own roadblocks that keep the law from entering.

  • Confused officers stand around helplessly.

  • As Tumor Town slowly envelops the former Brooklyn and more and more civilians die, T-cell swat teams arrive to end this travesty.

  • But things get worse.

  • New lineages of Tumor Town officials have started to forge court documents that order police to shoot at the swat teams.

  • What the cancer cells are doing at this point is actively shutting down immune defenses by sending corrupt signals.

  • The now malignant tumor is no longer a pushover and has begun creating the cancer microenvironment

  • a sort of borderland that's hard to cross.

  • All avenues of attack have been shut down, and uncontrollable growth is the consequence.

  • This is a dangerous tumor.

  • Cells that are strong and able to fightpush your immune system back, and expand further

  • If more mutations happen, then some of the cancer cells will begin to explore the world and expand into other tissues to build new towns.

  • And this is exactly what makes cancer so harmful:

  • It's taking up space and stealing so many nutrients that your true self has no room to function anymore.

  • If this goes on for too long, organs will shut down.

  • But this tactic is a dead end.

  • The more successful cancer gets, the more damage it does to its world.

  • When the body dies, the cancer dies, too; it truly is a game without winners.

  • Except, humanity is planning to win this game.

  • At this very moment, hundreds of thousands of scientists are working on new and better ways of killing cancer,

  • to destroy and burn down Tumor Towns for good.

  • In recent years, immunotherapy has made enormous progress.

  • It's a relatively new therapy in which your own immune cells are modified to kill cancer better than any medicine can do.

  • It's like giving your building inspectors machine guns and flamethrowers.

  • But this isstory for another time.

  • For now, cancer is a battleground.

  • But if human ingenuity is to be trusted, then, one daymaybe in the not-too-distant future, we will eradicate it once and for all.

  • This video was made possible in part by direct viewer support and in part through a grant by Gates Ventures.

  • Thanks a lot for their support!

  • Please check out our source document for more background and in-depth information.

An undead city under siege.

Subtitles and vocabulary

Click the word to look it up Click the word to find further inforamtion about it