Chapter 7 · 18 min
When the System Changes
Chapter 7 of How the Brain Works: When the System Changes.
How the Brain Works | Ch 7 Part 1/2: When the System Changes ↗How the Brain Works | Ch 7 Part 2/2: When the System Changes ↗Visual credits
10 sourcesSources and credits for imagery used in this film, including material incorporated into explanatory animations.
Mangiardi et al. 2023 Figure 1: complete CT-perfusion figure and caption, full-width crop
Marilena Mangiardi and coauthors
View original source ↗Source licence: CC BY 4.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Portrait of George Huntington
Wellcome Collection; original portrait maker not identified
View original source ↗Source licence: CC BY 4.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Portrait of George Huntington — Wellcome Collection; original portrait maker not identified. CC BY 4.0. https://commons.wikimedia.org/wiki/File:Portrait_of_George_Huntington_Wellcome_L0029545.jpg
Autosomal dominant inheritance, pedigree example
Rollcloud
View original source ↗Source licence: Public domainIncorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Autosomal dominant inheritance pedigree — Rollcloud. Public domain.
Woody Guthrie 2
Al Aumuller/ New York World-Telegram and the Sun (uploaded by User:Urban )
View original source ↗Source licence: Public domainIncorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Woody Guthrie, 8 March 1943 — Al Aumuller, New York World-Telegram and the Sun / Library of Congress. Public domain.
Nancy Wexler portrait
Christopher Michel
View original source ↗Source licence: CC BY 2.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Nancy Wexler portrait — Christopher Michel. CC BY 2.0. https://commons.wikimedia.org/wiki/File:Nancy_Wexler_(1).jpg
Huntington
Frank Gaillard
View original source ↗Source licence: CC BY-SA 3.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Huntington disease, coronal FSPGR MRI — Frank Gaillard, via Wikimedia Commons. CC BY-SA 3.0. https://commons.wikimedia.org/wiki/File:Huntington.jpg
Complete Figure 4 with all panels A B C, every axis tick and label, full right-hand colour scale and Phase C legends, and full Figure 4 caption. Prior extraction cut off the right-hand labels and bottom caption; include the entire width of the figure and caption, with generous margins. Do not crop one panel or clip any text. (cropped figure, PDF page 8)
Handsaker, Kashin, Reed et al.
View original source ↗Source licence: CC BY 4.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
202105 Corticospinal tract
DBCLS/TogoTV; designed by erico; edited by Hiromasa ONO
View original source ↗Source licence: CC BY 4.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Corticospinal tract — DBCLS/TogoTV; designed by erico, edited by Hiromasa ONO. CC BY 4.0. https://doi.org/10.7875/togopic.2021.063
ALS TDP-43 immunohistochemistry
Jensflorian
View original source ↗Source licence: CC BY-SA 4.0Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
ALS TDP-43 immunohistochemistry — Jensflorian. CC BY-SA 4.0. https://commons.wikimedia.org/wiki/File:ALS-TDP-43_IHC.jpg
CDC ADDM 2022 autism prevalence by surveillance site
U.S. Centers for Disease Control and Prevention
Incorporated into an explanatory animation; presentation may include cropping, labels and overlays.
Autism prevalence among monitored eight-year-olds by ADDM surveillance site, surveillance year 2022 — CDC. Use of CDC material does not imply endorsement by CDC, HHS or the U.S. Government. This material is available free on the CDC website linked above.
Animation design references 1 sources
These works informed the design of explanatory animations. A reference listed here is not necessarily reproduced on screen.
Gray's Anatomy plate 517 brain
Henry Vandyke Carter
View original source ↗Source licence: Public domainGray's Anatomy plate 517 — Henry Vandyke Carter. Public domain.
Research references
Selected sources from the episode’s research and scientific figures.
- own biography ↗
- Nogueira et al., PMID 29129157 ↗
- Albers et al., PMID 29364767 ↗
- Saver, 2006, DOI 10.1161/01.STR.0000196957.55928.ab ↗
- Dawson et al., Lancet 2021 ↗
- MedlinePlus Genetics ↗
- ALS Association genetics ↗
- FDA trial snapshot ↗
- CDC ADDM, published April 2025, surveillance year 2022 ↗
- DOI 10.1016/j.cell.2024.11.038, author-hosted open-access PDF ↗
- Two Years Later… ↗
- UC Davis June 2026 report ↗
- short explanation ↗
- 18:42 upload ↗
- 3:36 interview ↗
- Library of Congress item 95503348 ↗
- Lasker image credits ↗
- ALS booklet PDF ↗
- publisher's book record ↗
- TED talk ↗
- publisher-hosted interview transcript ↗
- Ulatowska and Olness, 2021, DOI 10.1093/geroni/igab046.413 ↗
- Author biography ↗
- publisher edition record ↗
- Publisher's reading catalogue, ISBN 9781451697605 ↗
- Norton record ↗
- authorized memoir excerpt ↗
- usage policy ↗
- Mechanistic review ↗
- Ionic-homeostasis review ↗
- mitochondrial review ↗
- The Science of Stroke ↗
- Original study, PMID 7477192 ↗
- investigators' anniversary account ↗
- Berkhemer et al., DOI 10.1056/NEJMoa1411587 ↗
- 2015 review ↗
- FDA label, section 14.1 ↗
- Genentech announcement ↗
- original article reproduced in a USPTO filing ↗
- Neural repair-trial review ↗
- Zeiler and Krakauer on training and plasticity ↗
- neuroimaging review ↗
- Campos et al., *Rethinking Remapping*, J Neurosci 43:7489–7500 ↗
- FDA original approval record ↗
- safety/effectiveness document ↗
- author-deposited trial PDF ↗
- GeneReviews source ↗
- authors' companion explanation ↗
- Cell Genomics commentary ↗
- GeM-HD, Nature Genetics 2025, DOI 10.1038/s41588-025-02191-5 ↗
- author repository abstract ↗
- Mouse CRISPR perturbation study, DOI 10.1038/s41588-024-02054-5 ↗
- December 2025 preprint on cortical and striatal thresholds ↗
- indexed by Broad ↗
- updated systematic review ↗
- full table ↗
- 2023 JAMA patient page ↗
- Roche, 22 March 2021 ↗
- Roche's community letter, pages 1 and 3 ↗
- EHDN ↗
- Company's March 2026 results recap ↗
- Originating uniQure release ↗
- Novartis trial record ↗
- Skyhawk-originated 15 September 2026 release ↗
- company's SEC quarterly filing ↗
- 17 June announcement ↗
- October 2025 trials update ↗
- HDSA's institutional history ↗
- collection rights route ↗
- Huntington Study Group interview ↗
- 1993 Lasker award account ↗
- later Lasker interview ↗
- His foundation biography ↗
- 2022 family gathering ↗
- 2025 congress ↗
- The original text in a later facsimile ↗
- HDSA history ↗
- clinical review, Wijesekera and Leigh ↗
- upper motor neuron review ↗
- NINDS ↗
- NINDS cognitive/behavioral common-data-element guidance ↗
- 2024 molecular review ↗
- this review ↗
- DOI 10.1056/NEJMoa2204705 ↗
- PubMed 36129998 ↗
- 2023 FDA prescribing information ↗
- FDA surrogate-endpoint case study ↗
- ATLAS design, PMC9587202 ↗
- Biogen trial page, NCT04856982 ↗
- UC Davis, 14 August 2024 ↗
- DOI 10.1056/NEJMoa2314132 ↗
- NIH Research Matters, 10 September 2024 ↗
- *Nature*, DOI 10.1038/s41586-025-09127-3 ↗
- UC Davis, 11 June 2025 ↗
- author manuscript ↗
- *Nature Medicine*, 15 June 2026, DOI 10.1038/s41591-026-04414-6 ↗
- NIH 2026 account ↗
- case video ↗
- 2024 announcement ↗
- BrainGate publication page ↗
- WHO clinical descriptions and diagnostic requirements ↗
- PMC10411432 ↗
- PMC8328933 ↗
- NIMH autism overview ↗
- DOI 10.1016/j.neubiorev.2021.01.022 ↗
- federation-hosted manuscript ↗
- Ribasés et al., genetic architecture review, 2023 ↗
- MedlinePlus explanation of heritability ↗
- CDC data table ↗
- Litman, Sauerwald and colleagues, *Nature Genetics* ↗
- published-paper PMC record ↗
- PMC11343255 ↗
- ASHA's terminology guidance ↗
- Autistica's journalist guide ↗
- Autistic Self Advocacy Network's community guide ↗
- FDA's 22 September 2025 acetaminophen statement ↗
- Ahlqvist et al. Swedish cohort, *JAMA* 2024 ↗
- 2025 BMJ umbrella review ↗
- FDA Wellcovorin label ↗
- August 2026 American College of Medical Toxicology position statement ↗
How this film was made
Created and editorially directed by Anders Lunde using a custom production system developed over six months. AI assists research, drafting, programming, and visual production; I review and edit the material and make the final editorial decisions. Narration uses text-to-speech. Visuals combine custom-built scientific animations, AI-generated reconstructions, and credited scientific imagery.
Generated reconstructions illustrate scientific interpretations. They are distinct from photographs, specimens, and measured data.
More about the creator and production →