ABOUT THE SPEAKER
Richard Weller - Dermatologist
Dermatologist Richard Weller wants to know: Why are Scots so sick?

Why you should listen

Edinburgh-native Richard Weller was studying medicine in Australia when something suddenly struck him as odd: Why are the Scots so sick? Australians suffer from heart disease at one-third the rate that Britons do, with lower death rates from heart attacks and heart failure, and fewer strokes overall. When Weller looked into it, this wasn't unique to Australia and England: In fact, there are wide gaps in mortality even within the UK, a gradient which maps roughly ... geographically? A five-degree change in latitude -- between London and Edinburg, for example -- shows a nearly 20 percent higher rate of mortality. Weller and his team have been working ever since to crack this mysterious gap, and most recently their research shows it may be related to exposure to sunlight. Nitric oxide (NO), a chemical transmitter produced by the skin and stored in great reserves, is released by exposure to UV rays, and this in turn is very important to cardiovascular health.

Weller is a senior lecturer in Dermatology at the University of Edinburgh. His two areas of study are the role of NO in human skin physiology and the role of skin barrier function deficiencies in atopic disease.

More profile about the speaker
Richard Weller | Speaker | TED.com
TEDxGlasgow

Richard Weller: Could the sun be good for your heart?

理查德·威勒:晒太阳对心脏有益吗?

Filmed:
1,175,703 views

人体通过晒太阳来合成维生素D,可是皮肤科医生理查德·威勒指出,阳光还可以带来另一个惊人的益处。他的团队通过新研究表明:一氧化氮这种大量储存在皮肤中的化学传递质,能通过紫外线照射而释放出来,对血压和心血管系统产生很大益处。这是什么意思呢?那好,就从解释为什么苏格兰人比澳大利亚人更容易生病开始吧……
- Dermatologist
Dermatologist Richard Weller wants to know: Why are Scots so sick? Full bio

Double-click the English transcript below to play the video.

00:16
So, before I became成为 a dermatologist皮肤科医生,
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在成为皮肤科医生之前
00:18
I started开始 in general一般 medicine医学,
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我最初在一般内科(实习)
00:21
as most dermatologists皮肤科医生 do in Britain英国.
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正如英国的大多数皮肤科医生所经历的那样
00:23
At the end结束 of that time, I went off to Australia澳大利亚,
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在实习结束前我去了澳大利亚
00:25
about 20 years年份 ago.
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那是大约20年前了。
00:27
What you learn学习 when you go to Australia澳大利亚
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去了澳大利亚
00:29
is the Australians澳大利亚人 are very competitive竞争的.
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你就知道那里的人非常争强好胜
00:32
And they are not magnanimous坦荡 in victory胜利.
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他们对于获胜可谓是斤斤计较
00:34
And that happened发生 a lot:
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这类事情经常发生:
00:36
"You pommiespommies, you can't play cricket蟋蟀, rugby橄榄球."
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“你们英国佬不会打板球和橄榄球。”
00:38
I could accept接受 that.
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这个我能接受
00:40
But moving移动 into work --
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但换到工作中——
00:43
and we have each week what's called a journal日志 club俱乐部,
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我们每周有一次期刊俱乐部的活动,
00:45
when you'd sit down with the other doctors医生
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我跟别的医生们一起坐下来
00:48
and you'd study研究 a scientific科学 paper
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研究一篇科学论文
00:50
in relation关系 to medicine医学.
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只要与医学相关
00:52
And after week one, it was about cardiovascular心血管 mortality死亡,
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第一个星期后,课题是关于心血管疾病的死亡率,
00:54
a dry subject学科 -- how many许多 people die of heart disease疾病,
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这很枯燥—— 多少人死于心脏病,
00:58
what the rates利率 are.
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死亡率是多少。
01:00
And they were competitive竞争的 about this:
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他们就抬杠说
01:01
"You pommiespommies, your rates利率 of heart disease疾病 are shocking触目惊心."
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“你们英国佬的心脏病率令人震惊。”
01:05
And of course课程, they were right.
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当然,他们没错
01:06
Australians澳大利亚人 have about a third第三 less heart disease疾病 than we do --
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澳大利亚人的心脏病发病率比我们少三分之一
01:10
less deaths死亡 from heart attacks攻击, heart failure失败, less strokes --
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心脏病、心率衰竭、以及中风等病致死的概率也低
01:14
they're generally通常 a healthier健康 bunch.
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他们(跟英国人比)是个更健康的人群
01:16
And of course课程 they said this was because of
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当然他们说这是因为
01:18
their fine moral道德 standing常设, their exercise行使,
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澳大利人道德高尚,喜爱运动
01:20
because they're Australians澳大利亚人 and we're weedy pommiespommies, and so on.
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因为他们是澳大利亚人,而我们是瘦弱的英国佬,等等。
01:24
But it's not just Australia澳大利亚 that has better health健康 than Britain英国.
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但是不只是澳大利亚人比英国人健康。
01:29
Within Britain英国, there is a gradient梯度 of health健康 --
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在英国内部,健康也是有梯度的
01:33
and this is what's called standardized标准化 mortality死亡,
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这就是所谓的标准化死亡率
01:35
basically基本上 your chances机会 of dying垂死.
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大致来说就是你死亡的概率
01:37
This is looking at data数据 from the paper about 20 years年份 ago,
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论文引用的是20年前的数据
01:40
but it's true真正 today今天.
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在今天也适用
01:42
Comparing对比 your rates利率 of dying垂死 50 degrees north --
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对比北纬50度以北地区的死亡率
01:45
that's the South, that's London伦敦 and places地方 --
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这是南方的伦敦和周边地区
01:47
by latitude纬度, and 55 degrees --
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北纬55度
01:50
the bad news新闻 is that's here, Glasgow格拉斯哥.
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这里情况不太好,是格拉斯哥
01:53
I'm from Edinburgh爱丁堡. Worse更差 news新闻, that's even Edinburgh爱丁堡.
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我来自爱丁堡 。更糟的是,这里也有爱丁堡 。
01:55
(Laughter笑声)
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(笑声)
02:00
So what accounts账户 for this horrible可怕 space空间 here
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是什么导致了这些地方的数据如此恐怖
02:03
between之间 us up here in southern南部的 Scotland苏格兰
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在苏格兰南部
02:05
and the South?
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和英格兰南部之间?
02:06
Now, we know about smoking抽烟,
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现在,我们知道愿意包括吸烟、
02:08
deep-fried油炸 Mars火星 bars酒吧, chips芯片 -- the Glasgow格拉斯哥 diet饮食.
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油炸的巧克力棒、薯片——这些都是格拉斯哥的饮食。
02:10
All of these things.
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所有这些都是。
02:12
But this graph图形 is after taking服用 into account帐户
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但这张图是综合考虑了
02:14
all of these known已知 risk风险 factors因素.
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所有这些已知风险因素的
02:16
This is after accounting会计 for smoking抽烟, social社会 class, diet饮食,
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排除了吸烟,社会地位,饮食,
02:20
all those other known已知 risk风险 factors因素.
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以及其他所有已知的危险因素的影响
02:22
We are left with this missing失踪 space空间
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这里有个空白区域
02:24
of increased增加 deaths死亡 the further进一步 north you go.
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越往北,死亡率越高
02:28
Now, sunlight阳光, of course课程, comes into this.
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现在,日照这个因素参与了进来
02:31
And vitamin维他命 D has had a great deal合同 of press,
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媒体有过大量关于维生素D的报道
02:33
and a lot of people get concerned关心 about it.
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许多人也开始关注
02:35
And we need vitamin维他命 D. It's now a requirement需求 that children孩子 have a certain某些 amount.
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我们需要维生素D。现在对儿童每天的摄入量有所规定。
02:39
My grandmother祖母 grew成长 up in Glasgow格拉斯哥,
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我祖母在格拉斯哥长大
02:41
back in the 1920s and '30s when rickets was a real真实 problem问题
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在20世纪二三十年代,佝偻病是个大问题
02:45
and cod鳕鱼 liver oil was brought in.
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鱼肝油被采用,
02:47
And that really prevented防止 the rickets that used to be common共同 in this city.
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真正起到了预防佝偻病这种常见病的作用
02:51
And I as a child儿童 was fed美联储 cod鳕鱼 liver oil by my grandmother祖母.
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小时候,祖母就给我吃过。
02:55
I distinctly历历 -- nobody没有人 forgets忘记 cod鳕鱼 liver oil.
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无疑,没人会忘记鱼肝油。
02:58
But an association协会: The higher更高 people's人们 blood血液 levels水平 of vitamin维他命 D are,
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可是有一个关联:血液里维生素D越高的人
03:03
the less heart disease疾病 they have, the less cancer癌症.
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患心脏病和癌症的几率越低
03:06
There seems似乎 to be a lot of data数据 suggesting提示 that vitamin维他命 D is very good for you.
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有很多数据标明维生素D对人体有益。
03:10
And it is, to prevent避免 rickets and so on.
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它会预防佝偻病,等等。
03:12
But if you give people vitamin维他命 D supplements补品,
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但如果你给人们维生素D补充剂,
03:15
you don't change更改 that high rate of heart disease疾病.
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并不会改变心脏病的高发率。
03:18
And the evidence证据 for it preventing防止 cancers癌症 is not yet然而 great.
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它预防癌症的证据还不太具说服力
03:22
So what I'm going to suggest建议 is that vitamin维他命 D is not the only story故事 in town.
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我的想法是,维生素D不是唯一的影响因素
03:27
It's not the only reason原因 preventing防止 heart disease疾病.
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它不是预防心脏病的唯一原因。
03:30
High vitamin维他命 D levels水平, I think, are a marker标记 for sunlight阳光 exposure曝光,
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维生素D高,是常晒太阳的结果
03:35
and sunlight阳光 exposure曝光, in methods方法 I'm going to show显示,
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我将要说明,多晒太阳
03:38
is good for heart disease疾病.
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能减少患心脏病的风险
03:40
Anyway无论如何, I came来了 back from Australia澳大利亚,
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不管怎样,我从澳大利亚回来了,
03:42
and despite尽管 the obvious明显 risks风险 to my health健康, I moved移动 to Aberdeen阿伯丁.
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我冒着生命危险搬到了阿伯丁
03:46
(Laughter笑声)
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(笑声)
03:48
Now, in Aberdeen阿伯丁, I started开始 my dermatology皮肤科 training训练.
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现在,在阿伯丁,我开始进行皮肤科的培训
03:51
But I also became成为 interested有兴趣 in research研究,
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可我也对研究感兴趣,
03:53
and in particular特定 I became成为 interested有兴趣 in this substance物质, nitric oxide氧化.
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特别是对一氧化氮这种物质感兴趣。
03:56
Now these three guys up here,
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这三个人
03:58
Furchgott弗奇戈特, Ignarro伊格纳罗 and Murad穆拉德,
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弗奇戈特、伊格纳罗和穆拉德
03:59
won韩元 the Nobel诺贝尔 Prize for medicine医学 back in 1998.
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是1998年诺贝尔医学奖的得主
04:03
And they were the first people to describe描述
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他们是最早来描述
04:05
this new chemical化学 transmitter发射机, nitric oxide氧化.
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这种新的化学传递物——一氧化氮——的人
04:08
What nitric oxide氧化 does is it dilates瞳孔会放大 blood血液 vessels船只,
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一氧化氮会扩张血管,
04:11
so it lowers降低 your blood血液 pressure压力.
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降低血压。
04:13
It also dilates瞳孔会放大 the coronary冠状动脉 arteries动脉, so it stops停止 angina心绞痛.
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它也能扩张冠状动脉,从而缓解心绞痛。
04:17
And what was remarkable卓越 about it
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它与众不同的是
04:19
was in the past过去 when we think of chemical化学 messengers使者 within the body身体,
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过去当我们想到体内的化学信使时,
04:23
we thought of complicated复杂 things like estrogen雌激素 and insulin胰岛素,
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我们会想到一些复杂的诸东西,如雌激素、胰岛素、
04:26
or nerve神经 transmission传输.
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或神经传导。
04:27
Very complex复杂 processes流程 with very complex复杂 chemicals化学制品
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非常复杂的流程伴有非常复杂的化学物质
04:31
that fit适合 into very complex复杂 receptors受体.
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存在于非常复杂的受体中。
04:33
And here's这里的 this incredibly令人难以置信 simple简单 molecule分子,
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这是个非常简单的分子,
04:35
a nitrogen and an oxygen that are stuck卡住 together一起,
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一个氮和一个氧粘在一起,
04:39
and yet然而 these are hugely巨大 important重要 for [unclear不明] our low blood血液 pressure压力,
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但这些对我们的维持较低的血压至关重要,
04:43
for neurotransmission神经传递, for many许多, many许多 things,
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它作用于神经传递和许多许多东西,
04:46
but particularly尤其 cardiovascular心血管 health健康.
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尤其是心血管健康。
04:49
And I started开始 doing research研究, and we found发现, very excitingly令人兴奋,
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我们开始研究,并且非常激动地发现,
04:53
that the skin皮肤 produces产生 nitric oxide氧化.
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皮肤会生成一氧化氮。
04:55
So it's not just in the cardiovascular心血管 system系统 it arises出现.
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所以它不只是在心血管系统中才出现
04:58
It arises出现 in the skin皮肤.
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它在皮肤上也出现。
05:00
Well, having found发现 that and published发表 that,
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将这个发现发表之后
05:02
I thought, well, what's it doing?
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我就想,它在干啥呢?
05:04
How do you have low blood血液 pressure压力 in your skin皮肤?
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你皮肤上怎么能有低血压呢?
05:05
It's not the heart. What do you do?
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不是心脏。你是干啥呢?
05:07
So I went off to the States状态, as many许多 people do if they're going to do research研究,
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于是我去了美国,很多人都去美国做研究
05:11
and I spent花费 a few少数 years年份 in Pittsburgh匹兹堡. This is Pittsburgh匹兹堡.
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我在匹斯堡呆了几年,这就是匹斯堡。
05:15
And I was interested有兴趣 in these really complex复杂 systems系统.
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我对这些超级复杂的系统感兴趣。
05:18
We thought that maybe nitric oxide氧化 affected受影响 cell细胞 death死亡,
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我们认为也许一氧化氮影响细胞死亡,
05:22
and how cells细胞 survive生存, and their resistance抵抗性 to other things.
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影响细胞存活,也影响细胞的免疫
05:24
And I first off started开始 work in cell细胞 culture文化, growing生长 cells细胞,
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我先开始研究细胞文化,细胞生长
05:28
and then I was using运用 knockout击倒 mouse老鼠 models楷模 --
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接着用被击昏了的老鼠作为模特
05:30
mice老鼠 that couldn't不能 make the gene基因.
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那些老鼠不能生产基因。
05:32
We worked工作 out a mechanism机制, which哪一个 -- NO was helping帮助 cells细胞 survive生存.
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我们研究出一个机理:一氧化氮帮助细胞存活
05:36
And I then moved移动 back to Edinburgh爱丁堡.
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后来我搬回爱丁堡。
05:40
And in Edinburgh爱丁堡, the experimental试验 animal动物 we use is the medical student学生.
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在爱丁堡,我的实验动物是医学院学生。
05:43
It's a species种类 close to human人的,
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是接近人类的一个物种,
05:45
with several一些 advantages优点 over mice老鼠:
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跟老鼠相比有以下几个好处:
05:47
They're free自由, you don't shave刮胡子 them, they feed饲料 themselves他们自己,
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不用付费,不用给他们剃毛,不用喂养他们
05:50
and nobody没有人 pickets纠察队 your office办公室 saying,
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没人查你的办公室,还要说:
05:52
"Save保存 the lab实验室 medical student学生."
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“管好你实验室的医科学生。”
05:55
So they're really an ideal理想 model模型.
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所以说,他们真是理想的模特。
05:58
But what we found发现
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但我们发现
06:00
was that we couldn't不能 reproduce复制 in man the data数据 we had shown显示 in mice老鼠.
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我们不能在人身上复制出在老鼠身上得到的数据。
06:04
It seemed似乎 we couldn't不能 turn off the production生产
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看来我们不能停止
06:08
of nitric oxide氧化 in the skin皮肤 of humans人类.
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人体皮肤产生一氧化氮
06:11
We put on creams面霜 that blocked受阻 the enzyme that made制作 it,
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我们涂上乳液就能阻挡制造它的酶,
06:13
we injected注射 things. We couldn't不能 turn off the nitric oxide氧化.
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我们能注射药品。但我们无法停住一氧化氮。
06:18
And the reason原因 for this, it turned转身 out, after two or three years'年份' work,
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经过两三年的工作,我们终于找出了原因,
06:21
was that in the skin皮肤 we have huge巨大 stores商店
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我们皮肤里大量储存的并非一氧化氮
06:25
not of nitric oxide氧化, because nitric oxide氧化 is a gas加油站,
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因为一氧化氮是气体
06:28
and it's released发布 -- (Poof!) -- and in a few少数 seconds it's away,
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它要挥发的——(噗!) ——几秒钟就没影了,
06:31
but it can be turned转身 into these forms形式 of nitric oxide氧化 --
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但一氧化氮能转化成
06:35
nitrate硝酸盐, NO3; nitrite亚硝酸盐, NO2; nitrosothiols亚硝基硫醇.
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硝酸盐、硝酸盐、亚硝酸盐、二氧化氮、亚硝基硫醇。
06:38
And these are more stable稳定,
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这些形式更稳定
06:40
and your skin皮肤 has got really large stores商店 of NO.
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你的皮肤就得到了大量的一氧化氮
06:44
And we then thought to ourselves我们自己, with those big stores商店,
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我们就寻思
06:47
I wonder奇迹 if sunlight阳光 might威力 activate启用 those stores商店
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阳光是否会活化这大量的一氧化氮
06:50
and release发布 them from the skin皮肤,
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将它们从皮肤中释放出来
06:52
where the stores商店 are about 10 times as big as what's in the circulation循环.
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这些一氧化氮的存量10倍于参与新陈代谢的一氧化氮量
06:55
Could the sun太阳 activate启用 those stores商店 into the circulation循环,
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太阳能不能激活这些存量让它们参与新陈代谢,
06:58
and there in the circulation循环 do its good things for your cardiovascular心血管 system系统?
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从而作用于心血管系统呢?
07:03
Well, I'm an experimental试验 dermatologist皮肤科医生,
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我呢,是个实验皮肤科医生,
07:06
so what we did was we thought
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所以我们想到
07:07
we'd星期三 have to expose暴露 our experimental试验 animals动物 to sunlight阳光.
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应该让实验动物多晒太阳
07:11
And so what we did was we took a bunch of volunteers志愿者
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于是,我们找来了一群志愿者
07:15
and we exposed裸露 them to ultraviolet紫外线 light.
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让他们接受紫外线照射
07:17
So these are kind of sunlamps太阳灯.
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这些是太阳灯。
07:19
Now, what we were careful小心 to do was,
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这里我们要小心
07:22
vitamin维他命 D is made制作 by ultraviolet紫外线 B rays阳光
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维生素D是通过中波紫外线(UVB)射线生成的
07:25
and we wanted to separate分离 our story故事 from the vitamin维他命 D story故事.
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而我们想排除维生素D的干扰
07:29
So we used ultraviolet紫外线 A, which哪一个 doesn't make vitamin维他命 D.
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所以,我们使用了不生成维生素D的长波紫外线(UVA)
07:33
When we put people under a lamp
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我们对受试者进行照射
07:35
for the equivalent当量 of about 30 minutes分钟 of sunshine阳光 in summer夏季 in Edinburgh爱丁堡,
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强度相当于暴露在爱丁堡夏日阳光中30分钟
07:40
what we produced生成 was, we produced生成 a rise上升
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结果是我们得到了
07:42
in circulating循环 nitric oxide氧化.
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新陈代谢中一氧化氮的提升
07:44
So we put patients耐心 with these subjects主题 under the UVUV,
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我们让心血管病的患者接受紫外线照射
07:47
and their NO levels水平 do go up,
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他们的一氧化氮水平上升了
07:50
and their blood血液 pressure压力 goes down.
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而他们的血压下降了
07:52
Not by much, as an individual个人 level水平,
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就个人而言不算多
07:54
but enough足够 at a population人口 level水平
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但对于整个人群而言有显著意义
07:57
to shift转移 the rates利率 of heart disease疾病 in a whole整个 population人口.
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足以改变整个人群的心脏病患病率
08:00
And when we shone闪闪发光 UVUV at them,
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给他们照射紫外线
08:03
or when we warmed温暖 them up to the same相同 level水平 as the lamps灯具,
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或者使他们的皮肤太阳灯的温度那样温暖
08:06
but didn't actually其实 let the rays阳光 hit击中 the skin皮肤, this didn't happen发生.
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但不让光线接触皮肤,同样的结果就不会发生
08:10
So this seems似乎 to be a feature特征 of ultraviolet紫外线 rays阳光 hitting the skin皮肤.
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这似乎说明了其中关键在于紫外线要接触到皮肤
08:14
Now, we're still collecting搜集 data数据.
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我们至今仍在收集数据
08:15
A few少数 good things here:
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有几样好的发现:
08:17
This appeared出现 to be more marked in older旧的 people.
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这在年长者身上效果更明显
08:20
I'm not sure exactly究竟 how much.
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我不确定具体的数量
08:22
One of the subjects主题 here was my mother-in-law岳母,
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其中一个被试是我的岳母大人
08:23
and clearly明确地 I do not know her age年龄.
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很显然我不太清楚她的年龄
08:26
But certainly当然 in people older旧的 than my wife妻子,
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但肯定比我太太年纪要大
08:30
this appears出现 to be a more marked effect影响.
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在她身上效果更明显
08:33
And the other thing I should mention提到
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我要提到的另一点是
08:34
was there was no change更改 in vitamin维他命 D.
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在整个过程中维生素D并没有发生变化
08:36
This is separate分离 from vitamin维他命 D.
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维生素D的影响是被分离的
08:38
So vitamin维他命 D is good for you -- it stops停止 rickets,
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维生素D对人有益——它预防佝偻病
08:40
it prevents防止 calcium metabolism代谢, important重要 stuff东东.
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还能预防钙流失,是很重要的微量元素
08:42
But this is a separate分离 mechanism机制 from vitamin维他命 D.
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但(我们研究的)这是一个与维生素D相分离的机制
08:45
Now, one of the problems问题 with looking at blood血液 pressure压力
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现今在血压的问题上有一点要注意
08:48
is your body身体 does everything it can
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就是你的身体会竭尽所能
08:49
to keep your blood血液 pressure压力 at the same相同 place地点.
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去把血压维持在同一个水平
08:51
If your leg is chopped切碎的 off and you lose失去 blood血液,
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如果你的腿被剁断,你会失血,
08:52
your body身体 will clamp down, increase增加 the heart rate,
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你的身体会施加压力,增加心跳,
08:55
do everything it can to keep your blood血液 pressure压力 up.
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来尽可能地维持你的正常血压。
08:58
That is an absolutely绝对 fundamental基本的 physiological生理 principle原理.
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这是一个绝对的基本生理原则。
09:01
So what we've我们已经 next下一个 doneDONE
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所以我们接下来做的
09:02
is we've我们已经 moved移动 on to looking at blood血液 vessel船只 dilatation扩张.
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就是转而研究血管扩张
09:06
So we've我们已经 measured测量 -- this is again,
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我们测试了同一批(实验动物)
09:08
notice注意 no tail尾巴 and hairless无毛, this is a medical student学生.
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注意他们没有尾巴也没有皮毛,这是个医科学生。
09:13
In the arm, you can measure测量 blood血液 flow in the arm
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你测量手臂上的血流
09:15
by how much it swells骤升 up as some blood血液 flows流动 into it.
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测量血流通过时血管扩张了多少
09:19
And what we've我们已经 shown显示 is that doing a sham irradiation放射 --
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这里显示的是在做假射机
09:22
this is the thick line线 here --
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这里有条粗线
09:24
this is shining闪亮的 UVUV on the arm so it warms变暖 up
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紫外线照射到手臂上,皮肤升温
09:26
but keeping保持 it covered覆盖 so the rays阳光 don't hit击中 the skin皮肤.
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但我们盖住皮肤,所以紫外线就接触不到了
09:29
There is no change更改 in blood血液 flow, in dilatation扩张 of the blood血液 vessels船只.
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血流量没有变化,血管也没有扩张
09:33
But the active活性 irradiation放射,
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但如果让紫外线接触皮肤
09:35
during the UVUV and for an hour小时 after it,
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在紫外线照射期间及照射后一小时
09:38
there is dilation扩张 of the blood血液 vessels船只.
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血管都有所扩张
09:40
This is the mechanism机制 by which哪一个 you lower降低 blood血液 pressure压力,
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这就是降低血压的机制
09:43
by which哪一个 you dilate膨胀 the coronary冠状动脉 arteries动脉 also,
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你的冠状动脉也扩张了
09:45
to let the blood血液 be supplied供应 with the heart.
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给心脏提供更多的血液
09:47
So here, further进一步 data数据 that ultraviolet紫外线 -- that's sunlight阳光 --
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这里有更多有关紫外线——也就是太阳光的作用
09:51
has benefits好处 on the blood血液 flow and the cardiovascular心血管 system系统.
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数据显示紫外线有益于血流和心血管系统。
09:56
So we thought we'd星期三 just kind of model模型 --
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我们认为我们只是一种模型--
09:58
Different不同 amounts of UVUV hit击中 different不同 parts部分 of the Earth地球 at different不同 times of year,
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不同时节照射到不同地域的紫外线是不等的
10:05
so you can actually其实 work out those stores商店 of nitric oxide氧化 --
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所以,你其实可以
10:09
the nitrates硝酸盐, nitrites亚硝酸盐, nitrosothiols亚硝基硫醇 in the skin皮肤 --
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将皮肤里的硝酸盐、亚硝酸盐、还有亚硝基硫醇
10:11
cleave劈开 to release发布 NO.
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分解得到一氧化氮
10:14
Different不同 wavelengths波长 of light have different不同 activities活动 of doing that.
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不同波长的光产生不同的反应
10:18
So you can look at the wavelengths波长 of light that do that.
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所以你可以去检视光波
10:20
And you can look -- So, if you live生活 on the equator赤道, the sun太阳 comes straight直行 overhead高架,
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如果你住在赤道地区,太阳光垂直射入
10:24
it comes through通过 a very thin bit of atmosphere大气层.
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薄薄的大气
10:25
In winter冬季 or summer夏季, it's the same相同 amount of light.
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无论冬夏,光照的量是相同的
10:28
If you live生活 up here, in summer夏季
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如果你住在(高纬度地区)
10:30
the sun太阳 is coming未来 fairly相当 directly down,
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太阳光在夏季几乎是直射的
10:33
but in winter冬季 it's coming未来 through通过 a huge巨大 amount of atmosphere大气层,
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而在冬季就会斜穿厚厚的大气
10:36
and much of the ultraviolet紫外线 is weeded淘汰 out,
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很多紫外线无法到达地面
10:40
and the range范围 of wavelengths波长 that hit击中 the Earth地球
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而到达地面的波长范围
10:42
are different不同 from summer夏季 to winter冬季.
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夏天和冬天是不同的
10:44
So what you can do is you can multiply those data数据
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你可以把这些数据
10:46
by the NO that's released发布
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乘上一氧化氮的释放量
10:48
and you can calculate计算 how much nitric oxide氧化
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你就可以算出有多少一氧化氮
10:51
would be released发布 from the skin皮肤 into the circulation循环.
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从皮肤里释放,参与到新陈代谢中去
10:55
Now, if you're on the equator赤道 here --
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如果你在赤道地区
10:57
that's these two lines线 here, the red line线 and the purple紫色 line线 --
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也就是这两条红色和紫色的线
11:00
the amount of nitric oxide氧化 that's released发布 is the area under the curve曲线,
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线下方的区域代表一氧化氮的释放量
11:04
it's the area in this space空间 here.
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也就是这片区域
11:06
So if you're on the equator赤道, December十二月 or June六月,
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所以如果你在赤道地区,不管是12月份还是6月份
11:09
you've got masses群众 of NO being存在 released发布 from the skin皮肤.
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你的皮肤里都能释放大量的一氧化氮
11:12
So Ventura文图拉 is in southern南部的 California加州.
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南加州有个地方叫文图拉
11:15
In summer夏季, you might威力 as well be at the equator赤道.
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你在夏天能得到相当于赤道地区的日照
11:17
It's great. Lots of NO is released发布.
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这太棒了,释放了很多的一氧化氮
11:19
Ventura文图拉 mid-winter隆冬, well, there's still a decent正经 amount.
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文图拉的隆冬,结果也不错
11:23
Edinburgh爱丁堡 in summer夏季, the area beneath下面 the curve曲线 is pretty漂亮 good,
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爱丁堡的夏季,曲线以下的区域也还行
11:27
but Edinburgh爱丁堡 in winter冬季, the amount of NO that can be released发布
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可以一到冬季,一氧化氮
11:31
is next下一个 to nothing, tiny amounts.
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几乎就不释放了
11:35
So what do we think?
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我们如何看待这个结果?
11:37
We're still working加工 at this story故事,
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我们仍然在研究
11:38
we're still developing发展 it, we're still expanding扩大 it.
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我们仍然在发掘和扩展
11:40
We think it's very important重要.
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我们认为这项研究非常重要
11:42
We think it probably大概 accounts账户 for a lot of the north-south南北 health健康 divide划分 within Britain英国,
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我们认为这项研究能解释英国南北部很多的健康问题的差异
11:46
It's of relevance关联 to us.
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这是与我们切实相关的
11:47
We think that the skin皮肤 --
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我们认为人的皮肤
11:49
well, we know that the skin皮肤 has got very large stores商店
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我们知道人的皮肤上有很多
11:52
of nitric oxide氧化 as these various各个 other forms形式.
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以不同形式存在的一氧化氮
11:54
We suspect疑似 a lot of these come from diet饮食,
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我们猜想其中有很多来自于饮食
11:56
green绿色 leafy多叶 vegetables蔬菜, beetroot红菜头, lettuce生菜
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绿叶蔬菜,甜菜根、还有生菜
11:58
has a lot of these nitric oxides氧化物 that we think go to the skin皮肤.
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含有很多的一氧化氮,我们认为它最终来到皮肤
12:02
We think they're then stored存储 in the skin皮肤,
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并且贮存在皮肤里
12:04
and we think the sunlight阳光 releases发布 this
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我们认为太阳光能释放这些一氧化氮
12:06
where it has generally通常 beneficial有利 effects效果.
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起到很多有益的作用
12:09
And this is ongoing不断的 work, but dermatologists皮肤科医生 --
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这个研究还在进行之中,可皮肤科医生们——
12:11
I mean, I'm a dermatologist皮肤科医生.
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我就是一名皮肤科医生
12:13
My day job工作 is saying to people, "You've got skin皮肤 cancer癌症,
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白天的工作中我要对病人说,“你得了皮肤癌,
12:15
it's caused造成 by sunlight阳光, don't go in the sun太阳."
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是阳光引起的, 别去晒太阳。”
12:17
I actually其实 think a far more important重要 message信息
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其实我认为还有更重要的一则讯息
12:20
is that there are benefits好处 as well as risks风险 to sunlight阳光.
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就是晒太阳既有益处,也有风险
12:23
Yes, sunlight阳光 is the major重大的 alterable可变 risk风险 factor因子 for skin皮肤 cancer癌症,
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没错,阳光是引发皮肤癌的一个主要风险变量
12:29
but deaths死亡 from heart disease疾病 are a hundred times higher更高
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但是死于心脏病的人数
12:32
than deaths死亡 from skin皮肤 cancer癌症.
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是死于皮肤癌的一百倍
12:34
And I think that we need to be more aware知道的 of,
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我们需要加深对此的了解
12:37
and we need to find the risk-benefit风险收益 ratio.
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我们还需要找到其中的风险效益比
12:39
How much sunlight阳光 is safe安全,
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晒多少太阳是安全的?
12:40
and how can we finesse灵巧 this best最好 for our general一般 health健康?
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如何掌握其中分寸来增进大家普遍的健康?
12:44
So, thank you very much indeed确实.
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非常感谢大家。
12:47
(Applause掌声)
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(掌声)
Translated by Emma Zhao
Reviewed by Karen SONG

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ABOUT THE SPEAKER
Richard Weller - Dermatologist
Dermatologist Richard Weller wants to know: Why are Scots so sick?

Why you should listen

Edinburgh-native Richard Weller was studying medicine in Australia when something suddenly struck him as odd: Why are the Scots so sick? Australians suffer from heart disease at one-third the rate that Britons do, with lower death rates from heart attacks and heart failure, and fewer strokes overall. When Weller looked into it, this wasn't unique to Australia and England: In fact, there are wide gaps in mortality even within the UK, a gradient which maps roughly ... geographically? A five-degree change in latitude -- between London and Edinburg, for example -- shows a nearly 20 percent higher rate of mortality. Weller and his team have been working ever since to crack this mysterious gap, and most recently their research shows it may be related to exposure to sunlight. Nitric oxide (NO), a chemical transmitter produced by the skin and stored in great reserves, is released by exposure to UV rays, and this in turn is very important to cardiovascular health.

Weller is a senior lecturer in Dermatology at the University of Edinburgh. His two areas of study are the role of NO in human skin physiology and the role of skin barrier function deficiencies in atopic disease.

More profile about the speaker
Richard Weller | Speaker | TED.com

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