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These are the user uploaded subtitles that are being translated: 1 00:00:03,999 --> 00:00:04,998 I have spent my life 2 00:00:04,999 --> 00:00:08,999 exploring the mysteries of the cosmos. 3 00:00:09,999 --> 00:00:13,998 But there's another universe that fascinates me, 4 00:00:13,999 --> 00:00:17,999 the one hidden inside our bodies... 5 00:00:18,999 --> 00:00:22,998 ...our own personal galaxies of cells. 6 00:00:22,999 --> 00:00:27,998 Today, we are on the brink of a new age in medicine, 7 00:00:27,999 --> 00:00:29,998 an age where we will be able 8 00:00:29,999 --> 00:00:33,998 to heal our bodies of any illness, 9 00:00:33,999 --> 00:00:35,998 all because of cell inside us... 10 00:00:35,999 --> 00:00:38,998 ...which have special powers. 11 00:00:38,999 --> 00:00:42,999 They are called stem cells. 12 00:00:49,999 --> 00:00:51,998 These microscopic miracle workers 13 00:00:51,999 --> 00:00:55,998 are, however, barely understood. 14 00:00:55,999 --> 00:01:01,998 Implanting them into our bodies could unleash biological mayhem. 15 00:01:01,999 --> 00:01:06,999 Are stem cells magic bullets or ticking time bombs? 16 00:01:09,865 --> 00:01:17,865 Subtitles by MemoryOnSmells http://UKsubtitles.ru. 17 00:01:22,287 --> 00:01:25,998 I haven't lived a very normal life. 18 00:01:25,999 --> 00:01:30,998 Since my 20s, I haven't had to deal with the distractions 19 00:01:30,999 --> 00:01:33,999 that come from being able-bodied. 20 00:01:34,999 --> 00:01:37,998 I have led a life of the mind. 21 00:01:37,999 --> 00:01:41,998 Stem cells may give you that same freedom... 22 00:01:41,999 --> 00:01:45,998 ...allowing you to pursue your wildest dreams 23 00:01:45,999 --> 00:01:47,998 without ever having to worry 24 00:01:47,999 --> 00:01:50,999 about the limitations of your body. 25 00:01:58,999 --> 00:02:01,998 Dr. Robert Lanza is one of the pioneers 26 00:02:01,999 --> 00:02:04,998 of stem cell therapies. 27 00:02:04,999 --> 00:02:07,998 He is already using them 28 00:02:07,999 --> 00:02:12,999 to help patients regenerate damaged body parts. 29 00:02:13,999 --> 00:02:15,998 Right now, we're in clinical trials 30 00:02:15,999 --> 00:02:18,998 to try to treat blindness using retinal cells 31 00:02:18,999 --> 00:02:20,999 that were generated from stem cells. 32 00:02:21,999 --> 00:02:25,998 We've also been able to create entire tubes of red blood cells 33 00:02:25,999 --> 00:02:29,999 that transport oxygen just like normal, transfusable blood. 34 00:02:30,999 --> 00:02:32,998 Robert's work developed 35 00:02:32,999 --> 00:02:34,998 from studying how stem cells create 36 00:02:34,999 --> 00:02:38,998 not just body parts, but entire bodies. 37 00:02:38,999 --> 00:02:41,998 They do this for all of us when we start out 38 00:02:41,999 --> 00:02:43,998 as nothing more than a fertilized egg 39 00:02:43,999 --> 00:02:45,999 floating in the womb. 40 00:02:51,999 --> 00:02:55,998 So, imagine I'm floating down the fallopian tube. 41 00:02:55,999 --> 00:02:59,998 And first, there's one of me, and then there's two of me. 42 00:02:59,999 --> 00:03:01,998 Then there's gonna be four of me and eight of me. 43 00:03:01,999 --> 00:03:03,998 And we continue on dividing. 44 00:03:03,999 --> 00:03:05,998 And eventually, when I get downstream, 45 00:03:05,999 --> 00:03:08,998 I'll be a ball of about 100 cells. 46 00:03:08,999 --> 00:03:12,998 These embryonic stem cells are blank cells. 47 00:03:12,999 --> 00:03:16,998 They have not yet become a specific type of tissue. 48 00:03:16,999 --> 00:03:19,998 But soon, they start transforming 49 00:03:19,999 --> 00:03:23,998 into specialized bone cells, muscle cells, 50 00:03:23,999 --> 00:03:25,999 and nerve cells. 51 00:03:27,999 --> 00:03:29,998 Nine months later, 52 00:03:29,999 --> 00:03:31,998 they form a complete person. 53 00:03:31,999 --> 00:03:34,998 Once we are born, however, 54 00:03:34,999 --> 00:03:38,998 these blank embryonic stem cells disappear. 55 00:03:38,999 --> 00:03:41,998 We lose the power that they alone possess 56 00:03:41,999 --> 00:03:45,998 to regenerate all of the tissues in our bodies. 57 00:03:45,999 --> 00:03:48,998 Robert is working on restoring that power. 58 00:03:48,999 --> 00:03:50,998 So, when you think of a regular cell, 59 00:03:50,999 --> 00:03:52,998 whether it's a skin cell, a heart cell, or a blood cell, 60 00:03:52,999 --> 00:03:55,998 it turns out that that cell carries out 61 00:03:55,999 --> 00:03:56,998 a very specific function. 62 00:03:56,999 --> 00:03:59,998 And it carries out that function for its entire life. 63 00:03:59,999 --> 00:04:01,998 So, the question is, what tells that cell what to do? 64 00:04:01,999 --> 00:04:04,998 And that's where DNA comes in. 65 00:04:04,999 --> 00:04:08,998 The way DNA is packed into the nucleus of each cell 66 00:04:08,999 --> 00:04:11,998 determines what function it's going to have. 67 00:04:11,999 --> 00:04:14,998 DNA's long double helix 68 00:04:14,999 --> 00:04:17,998 is wound around a huge number of tiny, molecular balls 69 00:04:17,999 --> 00:04:20,998 in a structure called chromatin. 70 00:04:20,999 --> 00:04:24,998 As we grow in the womb, certain proteins interact 71 00:04:24,999 --> 00:04:26,998 with the chromatin of a blank embryonic cell 72 00:04:26,999 --> 00:04:31,998 causing parts of its DNA to become unspooled. 73 00:04:31,999 --> 00:04:36,998 The parts that are unspooled determine the type of cell this is going to be. 74 00:04:36,999 --> 00:04:39,998 A heart cell will have one DNA arrangement. 75 00:04:39,999 --> 00:04:43,999 A skin cell, another. 76 00:04:48,999 --> 00:04:50,998 This process of cell specialization 77 00:04:50,999 --> 00:04:53,998 appeared to be irreversible... 78 00:04:53,999 --> 00:04:57,998 Until a breakthrough experiment in 1962. 79 00:04:57,999 --> 00:05:01,998 What scientists did is they actually took 80 00:05:01,999 --> 00:05:04,998 an adult cell in the case of a frog, an intestinal cell, 81 00:05:04,999 --> 00:05:06,998 and they put it into an empty egg. 82 00:05:06,999 --> 00:05:07,998 And what had happened is that that egg 83 00:05:07,999 --> 00:05:09,998 actually acted like a little time machine 84 00:05:09,999 --> 00:05:12,998 and brought the DNA back in time to a point 85 00:05:12,999 --> 00:05:15,998 where it could actually generate an entire tadpole 86 00:05:15,999 --> 00:05:18,998 and then, eventually, an entire frog. 87 00:05:18,999 --> 00:05:22,998 Biologists now believe key proteins in the egg 88 00:05:22,999 --> 00:05:27,998 undo all the specialized DNA arrangements in the adult cell. 89 00:05:27,999 --> 00:05:30,998 They return it to its original state... 90 00:05:30,999 --> 00:05:31,998 A blank embryonic cell 91 00:05:31,999 --> 00:05:34,999 awaiting instructions on what to become. 92 00:05:39,999 --> 00:05:41,998 So, we learned from this research 93 00:05:41,999 --> 00:05:43,998 that we could actually generate embryonic stem cells 94 00:05:43,999 --> 00:05:45,998 that would grow forever, that were essentially immortal, 95 00:05:45,999 --> 00:05:48,998 and that could be turned into virtually all the cell types in the body. 96 00:05:48,999 --> 00:05:50,998 Robert has spent the past two decades 97 00:05:50,999 --> 00:05:54,998 developing techniques that instruct embryonic stem cells 98 00:05:54,999 --> 00:05:57,998 to turn into specific tissues. 99 00:05:57,999 --> 00:06:00,998 I think we have the capacity to do all sorts of amazing things 100 00:06:00,999 --> 00:06:03,998 that science never had the ability to do before. 101 00:06:03,999 --> 00:06:04,998 Stem cells are likely 102 00:06:04,999 --> 00:06:07,119 to revolutionize medicine in the next several decades. 103 00:06:10,999 --> 00:06:13,998 But harvesting material from human embryos 104 00:06:13,999 --> 00:06:15,998 is highly controversial. 105 00:06:15,999 --> 00:06:19,998 Some see it as damaging one potential life 106 00:06:19,999 --> 00:06:20,998 to help another. 107 00:06:20,999 --> 00:06:23,998 There is, however, another way 108 00:06:23,999 --> 00:06:26,999 to harness the immense power of stem cells. 109 00:06:31,999 --> 00:06:34,998 Kristin Baldwin is one of a group 110 00:06:34,999 --> 00:06:36,998 of stem cell researchers 111 00:06:36,999 --> 00:06:40,999 who hopes to make harvesting eggs or embryos obsolete. 112 00:06:42,999 --> 00:06:46,999 All she uses is a patient's skin cell. 113 00:06:58,999 --> 00:07:01,998 So, the old way that we used to make personalized stem cells 114 00:07:01,999 --> 00:07:03,998 was to take the skin cell 115 00:07:03,999 --> 00:07:06,998 and take the DNA out of its nucleus, 116 00:07:06,999 --> 00:07:09,998 picking it up and carrying it over into an egg 117 00:07:09,999 --> 00:07:11,998 which doesn't have any DNA, 118 00:07:11,999 --> 00:07:13,998 and the egg can change the DNA 119 00:07:13,999 --> 00:07:16,999 and turn it into a stem cell that has your genome. 120 00:07:18,999 --> 00:07:21,998 But now there's a new way, and all that it takes 121 00:07:21,999 --> 00:07:23,998 is for us to put these four genes 122 00:07:23,999 --> 00:07:28,998 into the nucleus of the skin cell and then wait. 123 00:07:28,999 --> 00:07:34,998 And what these genes do is reorganize the DNA 124 00:07:34,999 --> 00:07:37,998 so that it starts to look like stem cell DNA. 125 00:07:37,999 --> 00:07:41,998 And once that happens, it changes the cell around 126 00:07:41,999 --> 00:07:44,998 and the cell starts to shrink 127 00:07:44,999 --> 00:07:47,998 and not look like a skin cell anymore 128 00:07:47,999 --> 00:07:50,998 and loses its outside. 129 00:07:50,999 --> 00:07:52,998 And over the course of a week, 130 00:07:52,999 --> 00:07:55,998 it starts to look like an embryonic stem cell. 131 00:07:55,999 --> 00:07:58,998 And the only difference now between this and an embryonic stem cell 132 00:07:58,999 --> 00:08:00,999 is that it has your DNA in it. 133 00:08:01,999 --> 00:08:04,998 The four genes inserted into the cell 134 00:08:04,999 --> 00:08:08,999 create four proteins that exist naturally in an egg. 135 00:08:10,999 --> 00:08:13,998 Those proteins appear to trigger skin cell DNA 136 00:08:13,999 --> 00:08:16,998 to arrange itself just the way it is 137 00:08:16,999 --> 00:08:20,998 in an embryonic stem cell. 138 00:08:20,999 --> 00:08:24,998 Kristin was not the first to create these cells, 139 00:08:24,999 --> 00:08:28,998 which scientists call induced pluripotent stem cells, 140 00:08:28,999 --> 00:08:30,998 or IPS cells. 141 00:08:30,999 --> 00:08:32,998 But Kristin was the first to explore 142 00:08:32,999 --> 00:08:35,998 whether these manufactured stem cells 143 00:08:35,999 --> 00:08:39,998 are really the same as the natural versions. 144 00:08:39,999 --> 00:08:44,998 So, an ideal IPS cell or embryonic stem cell 145 00:08:44,999 --> 00:08:45,998 should be able to make 146 00:08:45,999 --> 00:08:48,998 all the cell types that you want equally well 147 00:08:48,999 --> 00:08:51,998 and at the same time, not make unwanted cell types... 148 00:08:51,999 --> 00:08:52,998 In particular, cancer. 149 00:08:52,999 --> 00:08:55,998 But some of the cells 150 00:08:55,999 --> 00:08:57,998 actually fail to make cell types that you'd like 151 00:08:57,999 --> 00:09:01,998 and others can actually cause cancer, 152 00:09:01,999 --> 00:09:03,998 and this is a worry. 153 00:09:03,999 --> 00:09:06,998 So, what we are working on is to try to find a way 154 00:09:06,999 --> 00:09:08,998 to either improve the way we make the cells 155 00:09:08,999 --> 00:09:11,998 so that they're all the first kind, the good kind, 156 00:09:11,999 --> 00:09:13,998 or to find a way to test for the differences 157 00:09:13,999 --> 00:09:15,999 and identify the ones that will be bad. 158 00:09:17,999 --> 00:09:21,998 Kristin and her research team took some skin cells from a mouse 159 00:09:21,999 --> 00:09:25,998 and turned them into a colony of IPS cells. 160 00:09:25,999 --> 00:09:28,998 From them, they grew thousands of colonies 161 00:09:28,999 --> 00:09:31,999 of different adult tissue types. 162 00:09:35,999 --> 00:09:38,998 Eventually, after months of exhaustive screening, 163 00:09:38,999 --> 00:09:41,998 Kristin identified a colony of IPS cells 164 00:09:41,999 --> 00:09:44,998 that never turned cancerous 165 00:09:44,999 --> 00:09:48,999 and seemed to be moldable into any cell type. 166 00:09:51,999 --> 00:09:53,998 So, now that we've made the IPS cells, 167 00:09:53,999 --> 00:09:56,998 we'd like to make them into specific cell types in a dish, 168 00:09:56,999 --> 00:09:59,998 especially those which are useful for us in medicine. 169 00:09:59,999 --> 00:10:02,998 One type of cell that we can't get from people is a heart cell, 170 00:10:02,999 --> 00:10:03,998 so we can see if we could 171 00:10:03,999 --> 00:10:05,998 turn the IPS cells into heart cells in a dish. 172 00:10:05,999 --> 00:10:08,999 So, in fact, when we do this, we can make heart cells. 173 00:10:09,000 --> 00:10:10,998 So that's great. 174 00:10:10,999 --> 00:10:12,998 Another type of cell we'd like to make 175 00:10:12,999 --> 00:10:13,998 are brain cells, neurons, 176 00:10:13,999 --> 00:10:15,998 because we can't get those from people. 177 00:10:15,999 --> 00:10:17,998 And so, we ask the IPS cells, 178 00:10:17,999 --> 00:10:19,998 "can you make neurons in a dish?" 179 00:10:19,999 --> 00:10:22,998 And, in fact, they can. 180 00:10:22,999 --> 00:10:26,998 But Kristin wasn't content with making a few key cell types. 181 00:10:26,999 --> 00:10:30,998 She wanted to put her IPS cells to the ultimate test. 182 00:10:30,999 --> 00:10:32,998 What we wanted to do 183 00:10:32,999 --> 00:10:33,998 is take the IPS cells 184 00:10:33,999 --> 00:10:36,998 and try to make a whole organism out of those. 185 00:10:36,999 --> 00:10:39,998 And so, to do that, we wanted to make a mouse. 186 00:10:39,999 --> 00:10:42,998 What we did is we took the IPS cells 187 00:10:42,999 --> 00:10:45,998 and we then put them into a pregnant female, 188 00:10:45,999 --> 00:10:47,999 and we waited. 189 00:10:49,999 --> 00:10:52,998 And when the mouse had its babies, 190 00:10:52,999 --> 00:10:55,998 much to our surprise, we found live mice 191 00:10:55,999 --> 00:10:59,998 that we could later prove came only from the IPS cells. 192 00:10:59,999 --> 00:11:01,998 So now, this mouse is a clone 193 00:11:01,999 --> 00:11:04,998 of the original mouse that we took the skin cell from. 194 00:11:04,999 --> 00:11:05,998 And it's a way of showing 195 00:11:05,999 --> 00:11:08,998 that the IPS cells should be able to work as well 196 00:11:08,999 --> 00:11:11,998 to make all the kinds of cells that we want 197 00:11:11,999 --> 00:11:13,999 as the embryonic stem cells can. 198 00:11:20,999 --> 00:11:22,998 Kristin's work has shown 199 00:11:22,999 --> 00:11:26,998 that it is possible to manufacture embryonic stem cells 200 00:11:26,999 --> 00:11:30,998 without taking them from an embryo. 201 00:11:30,999 --> 00:11:35,998 But the technique is still very new and not without danger. 202 00:11:35,999 --> 00:11:38,998 As exciting as this technology is, 203 00:11:38,999 --> 00:11:40,998 we know that there is a risk. 204 00:11:40,999 --> 00:11:42,998 So it may not be time 205 00:11:42,999 --> 00:11:45,998 to put IPS cells into your own body. 206 00:11:45,999 --> 00:11:47,998 Rather, we are taking the human cells 207 00:11:47,999 --> 00:11:50,998 and testing them in a dish using as many assays as we can 208 00:11:50,999 --> 00:11:53,998 and ask which tests most predict 209 00:11:53,999 --> 00:11:56,999 the usefulness or danger of a cell. 210 00:11:58,999 --> 00:12:01,998 Before the stem cell revolution can begin, 211 00:12:01,999 --> 00:12:04,998 we need a safe and uncontroversial source 212 00:12:04,999 --> 00:12:06,998 of embryonic cells. 213 00:12:06,999 --> 00:12:09,998 One lone scientist has a radical idea 214 00:12:09,999 --> 00:12:11,998 about where to find them 215 00:12:11,999 --> 00:12:14,998 in a place nobody thought was possible... 216 00:12:14,999 --> 00:12:17,999 inside our fully grown bodies. 217 00:12:21,745 --> 00:12:26,143 300 years ago, my predecessor Isaac Newton 218 00:12:26,144 --> 00:12:28,143 was inspired by an apple tree 219 00:12:28,144 --> 00:12:32,143 to formulate the theory of gravity. 220 00:12:32,144 --> 00:12:37,143 Newton is long gone, but his apple tree survives. 221 00:12:37,144 --> 00:12:41,143 This tree grew from the cutting of the original. 222 00:12:41,144 --> 00:12:43,143 Stem cells in that cutting 223 00:12:43,144 --> 00:12:49,143 were able to regenerate a completely new life form. 224 00:12:49,144 --> 00:12:53,143 They have the same power as the cells in a human embryo, 225 00:12:53,144 --> 00:12:58,143 a power we lose when we are born. 226 00:12:58,144 --> 00:13:00,143 But one researcher believes 227 00:13:00,144 --> 00:13:04,144 that if an ancient tree can do it, so can we. 228 00:13:09,144 --> 00:13:12,143 His name is Marco Seandel 229 00:13:12,144 --> 00:13:15,144 of New York's weill Cornell Medical Center. 230 00:13:20,144 --> 00:13:23,143 He's scouring the human body 231 00:13:23,144 --> 00:13:27,144 for a natural alternative to manmade embryonic stem cells. 232 00:13:28,899 --> 00:13:30,898 The ideal scenario would be 233 00:13:30,899 --> 00:13:33,898 is if we could take an adult cell 234 00:13:33,899 --> 00:13:35,898 where you really didn't have to do very much to it 235 00:13:35,899 --> 00:13:38,898 to get that cell to convert 236 00:13:38,899 --> 00:13:44,699 into a state where it resembled an embryonic stem cell. 237 00:13:44,746 --> 00:13:47,546 You could think of Marco like a talent scout, 238 00:13:47,559 --> 00:13:52,559 searching Broadway for a uniquely versatile actor. 239 00:13:57,914 --> 00:14:00,014 So, we could think of each of these Broadway shows 240 00:14:00,015 --> 00:14:02,014 as a different organ in the body. 241 00:14:02,015 --> 00:14:04,014 And like an organ in the body, 242 00:14:04,015 --> 00:14:07,014 each show has individual actors that play different roles. 243 00:14:07,015 --> 00:14:09,014 And those roles are incredibly specialized. 244 00:14:09,015 --> 00:14:12,014 So, we can't just take an actor 245 00:14:12,015 --> 00:14:14,014 out of one role and put him in another role 246 00:14:14,015 --> 00:14:19,014 or ask a female chorus leader to play king lear, for example. 247 00:14:19,015 --> 00:14:21,014 So it's the same in the body. 248 00:14:21,015 --> 00:14:23,014 We can't take blood cells 249 00:14:23,015 --> 00:14:25,014 and expect them to make brain cells. 250 00:14:25,015 --> 00:14:27,014 And we can't take muscle cells 251 00:14:27,015 --> 00:14:29,015 and expect them to make reproductive cells. 252 00:14:34,015 --> 00:14:35,014 Marco's desire 253 00:14:35,015 --> 00:14:39,014 to find naturally occurring, multi-talented adult stem cells 254 00:14:39,015 --> 00:14:43,014 has left him peering deep into the human body. 255 00:14:43,015 --> 00:14:46,014 Somewhere inside it, he believes, 256 00:14:46,015 --> 00:14:48,014 there is a type of super cell 257 00:14:48,015 --> 00:14:52,014 that's very similar to an embryonic stem cell. 258 00:14:52,015 --> 00:14:54,014 It may be that there's a small population 259 00:14:54,015 --> 00:14:58,014 of incredibly versatile, highly flexible cells 260 00:14:58,015 --> 00:15:01,014 that, under the right conditions, could make any of these cell types. 261 00:15:01,015 --> 00:15:04,014 Marco's hunch was to look for these super cells 262 00:15:04,015 --> 00:15:06,014 in the reproductive organs. 263 00:15:06,015 --> 00:15:09,014 It makes a lot of sense 264 00:15:09,015 --> 00:15:13,014 that the cells that would normally make eggs or sperm 265 00:15:13,015 --> 00:15:18,014 would have more plasticity than other adult cell types. 266 00:15:18,015 --> 00:15:21,014 But there's a big snag in Marco's plan. 267 00:15:21,015 --> 00:15:23,014 You can't tell which cells are special 268 00:15:23,015 --> 00:15:25,014 just by looking at them. 269 00:15:25,015 --> 00:15:29,014 Almost all cells look exactly alike. 270 00:15:29,015 --> 00:15:33,014 It's a little bit like being here in the heart of Broadway. 271 00:15:33,015 --> 00:15:34,014 Some of these actors 272 00:15:34,015 --> 00:15:36,014 might be right for the part and some not. 273 00:15:36,015 --> 00:15:40,014 And it's not so easy to figure out who's the right one. 274 00:15:40,015 --> 00:15:41,015 Let's see what you got. 275 00:15:45,015 --> 00:15:47,015 Can you break dance? 276 00:15:50,015 --> 00:15:52,014 Alas, poor yorick. 277 00:15:52,015 --> 00:15:54,014 I knew you when you were alive. 278 00:15:54,015 --> 00:15:56,015 Can you do a backspin? 279 00:15:57,015 --> 00:15:59,015 Oh. 280 00:16:01,015 --> 00:16:02,015 Keep your day jobs. 281 00:16:04,015 --> 00:16:06,014 After many months 282 00:16:06,015 --> 00:16:09,014 of scrutinizing plates and plates of cells, 283 00:16:09,015 --> 00:16:13,014 suddenly, one batch seemed to show Marco 284 00:16:13,015 --> 00:16:15,014 some unusual talent. 285 00:16:15,015 --> 00:16:18,014 And at one moment, I had that sort of Eureka moment 286 00:16:18,015 --> 00:16:20,014 where I came back and looked in the dish 287 00:16:20,015 --> 00:16:23,014 and realized that these cells, all of a sudden, 288 00:16:23,015 --> 00:16:25,014 were looking very different. 289 00:16:25,015 --> 00:16:28,014 And the way that I knew that this was really happening 290 00:16:28,015 --> 00:16:34,014 was because we got cells that looked like heart tissue, 291 00:16:34,015 --> 00:16:38,014 meaning the cells were actually contracting in the dish. 292 00:16:38,015 --> 00:16:40,014 And sperm cells don't do that. 293 00:16:40,015 --> 00:16:42,014 So we knew that these cells had gone through 294 00:16:42,015 --> 00:16:46,014 some sort of precursor stage, reprogrammed, 295 00:16:46,015 --> 00:16:48,014 and then started producing heart cells. 296 00:16:48,015 --> 00:16:52,014 It was like finding a truly versatile actor 297 00:16:52,015 --> 00:16:55,014 in a crowd of one-trick ponies. 298 00:16:55,015 --> 00:16:58,014 All the world is a stage, 299 00:16:58,015 --> 00:17:01,014 and all the men and women merely players. 300 00:17:01,015 --> 00:17:02,636 Love you like a bad cigar, baby. 301 00:17:02,675 --> 00:17:04,015 Expelliarmus! 302 00:17:07,015 --> 00:17:08,015 You got the part. 303 00:17:09,015 --> 00:17:12,014 After auditioning many thousands of candidates, 304 00:17:12,015 --> 00:17:14,014 Marco and his team discovered a cell 305 00:17:14,015 --> 00:17:17,014 that was able to play any role, 306 00:17:17,015 --> 00:17:20,014 a super cell much like an embryonic cell, 307 00:17:20,015 --> 00:17:25,014 but one that survives in our bodies into adulthood. 308 00:17:25,015 --> 00:17:28,014 This experience was one of those moments 309 00:17:28,015 --> 00:17:31,014 that you live for as a scientist because you don't really know 310 00:17:31,015 --> 00:17:33,014 what you're looking for in advance, 311 00:17:33,015 --> 00:17:35,014 and there are not too many moments in science 312 00:17:35,015 --> 00:17:38,014 that are that clear and that definitive. 313 00:17:38,015 --> 00:17:40,014 Marco's work could provide 314 00:17:40,015 --> 00:17:43,014 a huge boost to stem cell research. 315 00:17:43,015 --> 00:17:47,014 No more need to harvest cells from embryos 316 00:17:47,015 --> 00:17:51,014 and no more need to genetically engineer manmade versions. 317 00:17:51,015 --> 00:17:55,014 I would predict that things are gonna change incredibly fast. 318 00:17:55,015 --> 00:17:57,014 It's reasonable now to tell people, 319 00:17:57,015 --> 00:18:01,014 "well, even if we don't have the treatment for you right now, 320 00:18:01,015 --> 00:18:02,661 we may have that treatment very soon." 321 00:18:05,015 --> 00:18:08,014 This could be the shape of those treatments, 322 00:18:08,015 --> 00:18:12,014 a recycled organ stripped of its native cells, 323 00:18:12,015 --> 00:18:16,015 seeded with your stem cells, and brought back to life. 324 00:18:25,120 --> 00:18:29,018 There are trillions of cells in the human body, 325 00:18:29,019 --> 00:18:33,619 all of them arranged in a very particular way. 326 00:18:33,668 --> 00:18:36,667 It seems impossible that we could ever learn 327 00:18:36,668 --> 00:18:42,568 how to construct a human being, cell by cell. 328 00:18:42,572 --> 00:18:45,571 But stem cells already know how to do that. 329 00:18:45,572 --> 00:18:48,571 Now we are beginning to capture 330 00:18:48,572 --> 00:18:51,571 and control their creative force. 331 00:18:51,572 --> 00:18:55,571 It's a whole new world. 332 00:18:55,572 --> 00:18:58,571 When I was a little kid, 333 00:18:58,572 --> 00:19:02,571 there was a TV show called "The Bionic Woman." 334 00:19:02,572 --> 00:19:05,571 It's not mechanical, but we're almost there. 335 00:19:05,572 --> 00:19:07,571 Doris Taylor is building a heart 336 00:19:07,572 --> 00:19:09,571 from stem cells. 337 00:19:09,572 --> 00:19:13,571 Her process begins with a donated organ... 338 00:19:13,572 --> 00:19:17,571 Which she then turns into a ghostly corpse. 339 00:19:17,572 --> 00:19:20,571 What we're looking at here are rat hearts 340 00:19:20,572 --> 00:19:23,571 going through the decellularization process. 341 00:19:23,572 --> 00:19:25,571 And you can see here we have a heart 342 00:19:25,572 --> 00:19:28,571 that's still red and muscular. 343 00:19:28,572 --> 00:19:29,571 You can see one here 344 00:19:29,572 --> 00:19:31,571 that's part way through the process. 345 00:19:31,572 --> 00:19:34,571 And then here, you can see a heart 346 00:19:34,572 --> 00:19:37,571 that's lost all of its muscle. 347 00:19:37,572 --> 00:19:42,571 If we sliced the heart in half, the valves would be there, 348 00:19:42,572 --> 00:19:44,571 the blood Vessels would be there, 349 00:19:44,572 --> 00:19:48,571 all the rough inside lining of the heart would be there, 350 00:19:48,572 --> 00:19:49,572 but without cells. 351 00:19:51,572 --> 00:19:52,571 Doris' goal 352 00:19:52,572 --> 00:19:55,571 is to transform heart transplants. 353 00:19:55,572 --> 00:19:58,571 She wants to seed a ghost heart from a donor 354 00:19:58,572 --> 00:20:03,571 with a recipient's stem cells and then restore it to life. 355 00:20:03,572 --> 00:20:05,571 If we can use 356 00:20:05,572 --> 00:20:08,571 your stem cells to build you an organ, 357 00:20:08,572 --> 00:20:12,571 then you're not trading one disease for another 358 00:20:12,572 --> 00:20:13,571 like you do today. 359 00:20:13,572 --> 00:20:15,572 Today, you may get a heart, 360 00:20:15,573 --> 00:20:18,571 but you have to take anti-rejection drugs 361 00:20:18,572 --> 00:20:20,571 for the rest of your life. 362 00:20:20,572 --> 00:20:24,571 We'd love to be able to build an organ that matches you, 363 00:20:24,572 --> 00:20:26,571 is available for you. 364 00:20:26,572 --> 00:20:32,572 And that wasn't even fathomable 10 years ago, 15 years ago. 365 00:20:33,573 --> 00:20:35,571 But rebuilding in a dish 366 00:20:35,572 --> 00:20:37,571 what it takes our bodies 367 00:20:37,572 --> 00:20:39,571 nine months to create in the womb 368 00:20:39,572 --> 00:20:41,572 is an enormous challenge. 369 00:20:45,572 --> 00:20:49,571 To build a heart, you've got to bring together 370 00:20:49,572 --> 00:20:52,571 the extracellular matrix, or ghost heart, 371 00:20:52,572 --> 00:20:55,572 different kinds of stem cells, and a beat. 372 00:21:09,572 --> 00:21:14,571 So, we have this flash mob and it looked like it came out of nowhere, 373 00:21:14,572 --> 00:21:17,571 but as you can see, there were actually cues. 374 00:21:17,572 --> 00:21:19,571 The extracellular matrix Scaffold... 375 00:21:19,572 --> 00:21:21,571 The people in white coats... 376 00:21:21,572 --> 00:21:26,571 who are showing the cells where to go. 377 00:21:26,572 --> 00:21:28,571 The different kinds of cells... 378 00:21:28,572 --> 00:21:31,571 You see blue, green, orange, yellow... 379 00:21:31,572 --> 00:21:32,571 They're organized 380 00:21:32,572 --> 00:21:36,572 like they would be in the heart, and they're beating. 381 00:21:45,572 --> 00:21:49,571 Doris and her team have to coax stem cells 382 00:21:49,572 --> 00:21:53,571 to turn into all the different cell types that exist in a heart 383 00:21:53,572 --> 00:21:58,571 and get them to precisely where they need to go. 384 00:21:58,572 --> 00:22:00,571 They're distributed differently 385 00:22:00,572 --> 00:22:01,571 all throughout the heart. 386 00:22:01,572 --> 00:22:03,571 What's in the valve is different 387 00:22:03,572 --> 00:22:05,571 than what's in the left ventricle 388 00:22:05,572 --> 00:22:07,571 is different than what's in the right ventricle. 389 00:22:07,572 --> 00:22:09,571 The ghost heart turns out to play 390 00:22:09,572 --> 00:22:11,571 an unexpected and vital role 391 00:22:11,572 --> 00:22:14,571 in this complex cell choreography. 392 00:22:14,572 --> 00:22:18,572 Doris discovered its pale flesh is laced with chemical clues. 393 00:22:20,572 --> 00:22:24,571 Its different anatomical areas, like valves or ventricles, 394 00:22:24,572 --> 00:22:27,571 are tagged with different proteins. 395 00:22:27,572 --> 00:22:29,571 These proteins trigger 396 00:22:29,572 --> 00:22:34,571 the reorganization of DNA in the patient's stem cells 397 00:22:34,572 --> 00:22:38,572 and turn them into the right heart cell type for each area. 398 00:22:42,572 --> 00:22:45,571 And we can begin to put cells back in 399 00:22:45,572 --> 00:22:50,571 and the cells not only seem to know where to go, 400 00:22:50,572 --> 00:22:53,571 they seem to know how to organize. 401 00:22:53,572 --> 00:22:57,571 And they can start distributing in ways that say, 402 00:22:57,572 --> 00:22:59,571 "hey, I'm a heart muscle cell," 403 00:22:59,572 --> 00:23:01,571 "hey, I'm a blood Vessel cell." 404 00:23:01,572 --> 00:23:04,571 Then we hook up a pacemaker, 405 00:23:04,572 --> 00:23:07,571 and we teach them to beat together. 406 00:23:07,572 --> 00:23:12,571 And over time, they develop contraction like a normal heart. 407 00:23:12,572 --> 00:23:15,571 Now, we're not there yet, 408 00:23:15,572 --> 00:23:17,571 but we've made significant progress 409 00:23:17,572 --> 00:23:19,571 and gotten to the point 410 00:23:19,572 --> 00:23:23,571 that we can get to about 25% 411 00:23:23,572 --> 00:23:26,572 of a normal heart contraction. 412 00:23:32,572 --> 00:23:34,571 In just a few years, 413 00:23:34,572 --> 00:23:36,571 custom-made replacement body parts 414 00:23:36,572 --> 00:23:41,571 built from a patient's own stem cells will be a reality. 415 00:23:41,572 --> 00:23:44,571 But these two men want 416 00:23:44,572 --> 00:23:48,571 to push stem cell technology even further. 417 00:23:48,572 --> 00:23:49,571 If they succeed, 418 00:23:49,572 --> 00:23:52,571 it would be a profound achievement, 419 00:23:52,572 --> 00:23:55,572 one that would mean a great deal to me personally. 420 00:23:57,572 --> 00:24:00,572 Can stem cells cure paralysis? 421 00:24:07,572 --> 00:24:12,571 Our bodies rebuild themselves every day. 422 00:24:12,572 --> 00:24:14,572 We create millions of new skin cells. 423 00:24:18,572 --> 00:24:21,572 We regenerate our muscle fibers. 424 00:24:24,572 --> 00:24:27,571 Slowly, we are beginning to understand 425 00:24:27,572 --> 00:24:31,571 these natural repair mechanisms and to manipulate them. 426 00:24:31,572 --> 00:24:35,571 But some parts of the body 427 00:24:35,572 --> 00:24:39,571 don't seem to have any ability to repair. 428 00:24:39,572 --> 00:24:43,571 The nerves in my spine have been slowly degrading 429 00:24:43,572 --> 00:24:46,571 since I was in my 20s. 430 00:24:46,572 --> 00:24:50,572 No one has yet found a way to regenerate them. 431 00:24:56,572 --> 00:24:59,571 But Paul Liu and Mark Tuszynski believe 432 00:24:59,572 --> 00:25:01,571 stem cells will help them succeed 433 00:25:01,572 --> 00:25:04,572 where all others have failed. 434 00:25:11,572 --> 00:25:15,572 Mark, I found one. 435 00:25:17,572 --> 00:25:19,571 Oh, let's see. 436 00:25:19,572 --> 00:25:23,571 Okay. 437 00:25:23,572 --> 00:25:25,116 All right. Let's give it a go. 438 00:25:25,117 --> 00:25:26,571 Okay. Let's go. 439 00:25:26,572 --> 00:25:30,571 16 years ago, I had a terrible car accident. 440 00:25:30,572 --> 00:25:31,571 It broke my spine, 441 00:25:31,572 --> 00:25:35,571 and I was desperate looking for medical research 442 00:25:35,572 --> 00:25:37,571 to cure the spinal cord injury. 443 00:25:37,572 --> 00:25:40,571 And that's how I found Dr. Mark Tuszynski. 444 00:25:40,572 --> 00:25:43,571 I write him a letter to request 445 00:25:43,572 --> 00:25:46,571 if I can work in his lab. 446 00:25:46,572 --> 00:25:50,571 So, we met, and I was really struck by his dignity, 447 00:25:50,572 --> 00:25:53,571 his intelligence, his potential. 448 00:25:53,572 --> 00:25:55,572 And so, Paul joined the team. 449 00:25:57,572 --> 00:26:00,571 Reconnecting a severed spinal cord 450 00:26:00,572 --> 00:26:02,571 is like rebuilding the electrical system 451 00:26:02,572 --> 00:26:04,571 of a wrecked car... 452 00:26:04,572 --> 00:26:08,572 Only a million times more complex. 453 00:26:12,572 --> 00:26:14,571 So, this is our cut spinal cord. 454 00:26:14,572 --> 00:26:17,571 And see, we have about 30 cut wires here. 455 00:26:17,572 --> 00:26:20,571 But in reality, the spinal cord has about a million. 456 00:26:20,572 --> 00:26:23,571 We have to connect each one of those 457 00:26:23,572 --> 00:26:25,571 from the right spot where we've done the cut 458 00:26:25,572 --> 00:26:28,572 to the right target a long distance away. 459 00:26:31,572 --> 00:26:34,571 Fixing a car's electrical harness is straightforward. 460 00:26:34,572 --> 00:26:36,571 Solder the cut wires back together, 461 00:26:36,572 --> 00:26:41,571 and the electricity will move along them again. 462 00:26:41,572 --> 00:26:43,571 But in a severed spinal cord, 463 00:26:43,572 --> 00:26:47,572 every nerve below the cut has to be regrown from scratch. 464 00:26:49,572 --> 00:26:50,571 In the real spinal cord, 465 00:26:50,572 --> 00:26:52,571 you have to do this a million times 466 00:26:52,572 --> 00:26:55,571 from one right one going to the other right one. 467 00:26:55,572 --> 00:26:58,571 But all these wires go away. 468 00:26:58,572 --> 00:27:02,571 You have to put in cells here that will grow new wires 469 00:27:02,572 --> 00:27:04,571 and link them up to the right targets. 470 00:27:04,572 --> 00:27:07,572 This is an enormously challenging task. 471 00:27:08,572 --> 00:27:12,571 Paul thought injecting stem cells into the injury site 472 00:27:12,572 --> 00:27:16,571 could automate this intricate rewiring process. 473 00:27:16,572 --> 00:27:18,571 But Mark was skeptical. 474 00:27:18,572 --> 00:27:20,571 And I said, "hmm, you know, Paul, 475 00:27:20,572 --> 00:27:22,571 "people have been working on that for 100 years 476 00:27:22,572 --> 00:27:24,571 and, you know, it just hasn't gone very far." 477 00:27:24,572 --> 00:27:27,571 And so, Paul basically went off and did some experiments 478 00:27:27,572 --> 00:27:29,571 and brought back some results, 479 00:27:29,572 --> 00:27:32,571 and they were absolutely astonishing. 480 00:27:32,572 --> 00:27:37,571 The cells that Paul had implanted, few survived. 481 00:27:37,572 --> 00:27:41,571 But the few that did sent their wires, their axons, 482 00:27:41,572 --> 00:27:45,571 for remarkable distances through the spinal cord. 483 00:27:45,572 --> 00:27:47,571 And this was, in a sense, 484 00:27:47,572 --> 00:27:50,571 the holy grail of spinal cord injury research 485 00:27:50,572 --> 00:27:53,571 to be able to grow axons for long distances. 486 00:27:53,572 --> 00:27:55,571 But both Mark and Paul knew 487 00:27:55,572 --> 00:27:58,571 that getting stem cells to change into nerve cells 488 00:27:58,572 --> 00:28:04,571 and then grow long axons was only half the battle. 489 00:28:04,572 --> 00:28:07,571 For a spinal cord especially, for severe spinal cord, 490 00:28:07,572 --> 00:28:10,571 it's a big lesion cavity. 491 00:28:10,572 --> 00:28:12,571 The key step then, at that point, 492 00:28:12,572 --> 00:28:14,571 was to fill the injury site... 493 00:28:14,572 --> 00:28:17,571 not have a few cells survive at the edges of the injury, 494 00:28:17,572 --> 00:28:19,571 but to fill the lesion sites 495 00:28:19,572 --> 00:28:22,571 so that more cells survive and can send out more axons. 496 00:28:22,572 --> 00:28:26,571 Paul and Mark decided to use a protein called fibrin, 497 00:28:26,572 --> 00:28:30,571 which forms a mesh over the injured area. 498 00:28:30,572 --> 00:28:32,571 They hoped it would create a foothold 499 00:28:32,572 --> 00:28:36,571 for the stem cells to latch on to. 500 00:28:36,572 --> 00:28:38,571 Then this amazing phenomenon happened. 501 00:28:38,572 --> 00:28:43,571 Almost all our graphed stem cells survived. 502 00:28:43,572 --> 00:28:46,572 I took a look into the microscope. 503 00:28:47,572 --> 00:28:48,571 I backed away my chair. 504 00:28:48,572 --> 00:28:51,571 I turned to him and I said, "congratulations. 505 00:28:51,572 --> 00:28:53,571 I have never seen anything like this." 506 00:28:53,572 --> 00:28:55,571 The injury site was full. 507 00:28:55,572 --> 00:28:58,571 It was glowing green with surviving cells 508 00:28:58,572 --> 00:29:00,571 that completely filled the injury. 509 00:29:00,572 --> 00:29:02,571 And yet, more astonishing, 510 00:29:02,572 --> 00:29:06,571 there were now tens of thousands of axons 511 00:29:06,572 --> 00:29:10,571 streaming out of the injury site for very long distances. 512 00:29:10,572 --> 00:29:13,571 And this in the most severe type 513 00:29:13,572 --> 00:29:15,572 of animal-model spinal cord injury. 514 00:29:17,572 --> 00:29:21,571 This is the proof that Paul and Mark's work 515 00:29:21,572 --> 00:29:24,571 is actually healing spinal cord injuries. 516 00:29:24,572 --> 00:29:29,571 This rat was once paralyzed in its front right leg. 517 00:29:29,572 --> 00:29:33,571 Now it can pick up food with it. 518 00:29:33,572 --> 00:29:36,571 This rat was paralyzed in one of its hind legs. 519 00:29:36,572 --> 00:29:40,571 Now it can walk across the obstacle course of this cage. 520 00:29:40,572 --> 00:29:42,571 It's not complete recovery, 521 00:29:42,572 --> 00:29:44,571 but that is a huge amount of recovery 522 00:29:44,572 --> 00:29:47,572 after an injury as severe as that. 523 00:29:49,572 --> 00:29:52,571 This is just the beginning. It show a potential. 524 00:29:52,572 --> 00:29:54,571 We still face a lot of challenges, 525 00:29:54,572 --> 00:29:58,571 like can this wire connect to the right target? 526 00:29:58,572 --> 00:30:00,571 We have good hope. 527 00:30:00,572 --> 00:30:02,571 Mark and Paul have shown 528 00:30:02,572 --> 00:30:07,571 that the biological fortress of the spine can be conquered, 529 00:30:07,572 --> 00:30:11,571 that stem calls can grow any tissue anywhere. 530 00:30:11,572 --> 00:30:16,571 But not everything that grows inside us is good. 531 00:30:16,572 --> 00:30:19,571 Cancer is our greatest medical foe. 532 00:30:19,572 --> 00:30:22,571 Some fear stem cells with cause cancer. 533 00:30:22,572 --> 00:30:26,572 But others believe they are our best hope to defeat it. 534 00:30:33,263 --> 00:30:36,262 There's nothing better in this world for me 535 00:30:36,263 --> 00:30:40,860 than spending a summer afternoon in an English garden. 536 00:30:40,861 --> 00:30:44,860 Here, nature Springs forth a myriad of growth. 537 00:30:44,861 --> 00:30:49,860 But not everything in a garden is a gardener's friend. 538 00:30:49,861 --> 00:30:52,860 We have weeds inside our bodies, too. 539 00:30:52,861 --> 00:30:54,860 We call them cancer. 540 00:30:54,861 --> 00:31:00,860 Just like any other tissue, cancer grows from stem cells. 541 00:31:00,861 --> 00:31:04,860 If we can learn how to destroy them, 542 00:31:04,861 --> 00:31:07,861 we could wipe out cancer at its root. 543 00:31:17,861 --> 00:31:20,860 U.C. Davis Professor Paul knoepfler 544 00:31:20,861 --> 00:31:25,860 is leading the attack on cancer stem cells. 545 00:31:25,861 --> 00:31:29,860 He sees them as the great enemy within, 546 00:31:29,861 --> 00:31:34,861 floating around inside us, waiting to unleash havoc. 547 00:31:38,861 --> 00:31:40,860 We've come to learn in the last few decades 548 00:31:40,861 --> 00:31:42,860 that cancers have two main types of cells. 549 00:31:42,861 --> 00:31:44,860 There's sort of a generic cancer cell, 550 00:31:44,861 --> 00:31:46,860 and then there's these stem cells within the cancer 551 00:31:46,861 --> 00:31:48,861 that we call the cancer stem cells. 552 00:31:52,861 --> 00:31:54,860 Paul thinks our current attempts to beat cancer 553 00:31:54,861 --> 00:31:57,860 are a bit like his daughter Melanie 554 00:31:57,861 --> 00:31:59,861 playing a game of Marco polo. 555 00:32:01,861 --> 00:32:03,860 In our analogy of the cells in the pool, 556 00:32:03,861 --> 00:32:06,860 we have the general cells of the tumor, the red cells. 557 00:32:06,861 --> 00:32:08,860 They're not very harmful. 558 00:32:08,861 --> 00:32:11,566 But the yellow cells, those rare ones, are the cancer stem cells. 559 00:32:11,567 --> 00:32:13,702 And they're the ones we really need to worry about 560 00:32:13,703 --> 00:32:15,860 because they can grow an entire new tumor. 561 00:32:15,861 --> 00:32:17,860 The yellow stem cells are responsible 562 00:32:17,861 --> 00:32:19,860 for all of the cancer's growth... 563 00:32:19,861 --> 00:32:21,860 Good job, Mel. 564 00:32:21,861 --> 00:32:24,860 ...just as Paul's daughter struggles 565 00:32:24,861 --> 00:32:27,860 to grab hold of a yellow ball because she can't see 566 00:32:27,861 --> 00:32:29,860 that her friends are moving them. 567 00:32:29,861 --> 00:32:30,860 Keep going. 568 00:32:30,861 --> 00:32:33,860 Get all those balls out of the pool. 569 00:32:33,861 --> 00:32:35,860 So, researchers have been struggling 570 00:32:35,861 --> 00:32:38,861 to zero in on the really dangerous cells in a tumor. 571 00:32:42,861 --> 00:32:43,861 Hey. 572 00:32:45,861 --> 00:32:48,860 All right, Melanie. Time's up. 573 00:32:48,861 --> 00:32:50,860 You can take your blindfold off. 574 00:32:50,861 --> 00:32:51,860 Look. 575 00:32:51,861 --> 00:32:54,860 You got all the red balls out of the pool, 576 00:32:54,861 --> 00:32:56,860 but we didn't tell you that your friends here 577 00:32:56,861 --> 00:32:59,860 had all those yellow balls, which are the cancer stem cells. 578 00:32:59,861 --> 00:33:02,861 And it's important to find those to help cure the cancer. 579 00:33:10,861 --> 00:33:13,860 Paul's search for these killer cells 580 00:33:13,861 --> 00:33:16,861 is not driven by scientific interest alone. 581 00:33:19,861 --> 00:33:22,860 He is also a cancer survivor. 582 00:33:22,861 --> 00:33:25,860 So, I've been studying cancer for a really long time. 583 00:33:25,861 --> 00:33:28,860 And then one day, I found out that I, myself, had cancer. 584 00:33:28,861 --> 00:33:32,860 And so, that was a very scary experience. 585 00:33:32,861 --> 00:33:34,860 When you are a researcher, it's kind of impersonal. 586 00:33:34,861 --> 00:33:37,860 You're studying cells and test tubes. 587 00:33:37,861 --> 00:33:39,860 And then all of a sudden when you have cancer, 588 00:33:39,861 --> 00:33:41,860 it's a totally different experience. 589 00:33:41,861 --> 00:33:45,860 Paul had surgery to remove his tumor 590 00:33:45,861 --> 00:33:47,860 and is in remission. 591 00:33:47,861 --> 00:33:52,860 But he may still have cancer stem cells in his body. 592 00:33:52,861 --> 00:33:56,860 One day, they could spring back into action. 593 00:33:56,861 --> 00:33:58,860 Surgery only gets part of the tumor in most cases. 594 00:33:58,861 --> 00:34:01,860 And so I have to face the fact that there could be 595 00:34:01,861 --> 00:34:04,860 residual cells floating around in my body, 596 00:34:04,861 --> 00:34:07,860 and some of those might be cancer stem cells. 597 00:34:07,861 --> 00:34:09,860 And those could cause the cancer to come back 598 00:34:09,861 --> 00:34:11,860 in a few years or in a decade. 599 00:34:11,861 --> 00:34:14,860 Like Melanie's friends 600 00:34:14,861 --> 00:34:18,860 sneaking away from her as she reaches blindly for them, 601 00:34:18,861 --> 00:34:22,860 cancer stem cells can slip past chemotherapy, 602 00:34:22,861 --> 00:34:25,860 radiation, and surgery. 603 00:34:25,861 --> 00:34:27,860 The cancer stem cells are more migratory 604 00:34:27,861 --> 00:34:29,860 that just the average cell in the cancer. 605 00:34:29,861 --> 00:34:31,860 And so that means that they can kind of 606 00:34:31,861 --> 00:34:34,860 jump ship from the tumor, float around in your bloodstream, 607 00:34:34,861 --> 00:34:36,860 and lodge somewhere else in your body 608 00:34:36,861 --> 00:34:39,860 and just kind of wait there like a sleeper cell 609 00:34:39,861 --> 00:34:41,861 to potentially cause a tumor later on. 610 00:34:44,861 --> 00:34:45,860 Paul is perfecting a way 611 00:34:45,861 --> 00:34:48,860 to detect these deadly cells. 612 00:34:48,861 --> 00:34:51,860 He has found that some of the same proteins 613 00:34:51,861 --> 00:34:55,860 that trigger DNA reorganization in embryonic stem cells 614 00:34:55,861 --> 00:34:59,860 are also active in cancer stem cells. 615 00:34:59,861 --> 00:35:02,860 All cells really have proteins on their surfaces 616 00:35:02,861 --> 00:35:04,860 that are kind of like identity codes. 617 00:35:04,861 --> 00:35:06,860 And what we're hoping is that cancer stem cells will express 618 00:35:06,861 --> 00:35:10,860 a slightly different pattern than other cells in the tumor. 619 00:35:10,861 --> 00:35:12,860 And so, that pattern might be like a signature 620 00:35:12,861 --> 00:35:15,860 for us to hone in on to identify the cancer stem cells 621 00:35:15,861 --> 00:35:18,860 and then essentially zap them and kill them. 622 00:35:18,861 --> 00:35:21,861 And what we're hoping is that will lead to fewer recurrences in patients. 623 00:35:25,861 --> 00:35:27,860 Killing cancer stem cells 624 00:35:27,861 --> 00:35:29,860 may finally bring us victory 625 00:35:29,861 --> 00:35:33,860 in the long war on this dreaded disease. 626 00:35:33,861 --> 00:35:35,860 But stem cell research could deliver 627 00:35:35,861 --> 00:35:38,860 an even greater prize for all of us... 628 00:35:38,861 --> 00:35:41,861 a genuine medical fountain of youth. 629 00:35:47,861 --> 00:35:50,860 I relish the rare opportunity I've been given 630 00:35:50,861 --> 00:35:54,860 to live the life of the mind. 631 00:35:54,861 --> 00:35:55,860 But I know I need my body 632 00:35:55,861 --> 00:35:59,860 and that it will not last forever. 633 00:35:59,861 --> 00:36:04,860 As we age and we make copies of cells, 634 00:36:04,861 --> 00:36:07,861 tiny errors creep into our genes. 635 00:36:08,861 --> 00:36:11,860 This process seems inevitable, 636 00:36:11,861 --> 00:36:15,861 but stem cell researchers disagree. 637 00:36:21,861 --> 00:36:24,861 One of them is Dr. Vincent Giampapa. 638 00:36:27,861 --> 00:36:30,860 He believes our body's own natural reserves of stem cells 639 00:36:30,861 --> 00:36:34,860 can stem the tide of decay. 640 00:36:34,861 --> 00:36:36,860 The origin of the aging process 641 00:36:36,861 --> 00:36:38,860 really starts in our stem cells 642 00:36:38,861 --> 00:36:42,860 because that is a reservoir of the regenerative power 643 00:36:42,861 --> 00:36:46,860 and the ability to have our body cells renewed 644 00:36:46,861 --> 00:36:48,860 and repaired as we age. 645 00:36:48,861 --> 00:36:51,860 The stem cells we have in our adult bodies 646 00:36:51,861 --> 00:36:55,860 are not all-powerful like embryonic stem cells. 647 00:36:55,861 --> 00:36:57,860 They are specialized to replenish 648 00:36:57,861 --> 00:37:01,860 specific tissues we need to maintain ourselves 649 00:37:01,861 --> 00:37:05,860 like blood, bone, skin, and muscle. 650 00:37:05,861 --> 00:37:07,860 As we age, however, 651 00:37:07,861 --> 00:37:11,860 this repair system begins to break down. 652 00:37:11,861 --> 00:37:14,860 What we've learned recently is there is a clock, if you will, 653 00:37:14,861 --> 00:37:17,860 inside the cells that actually changes 654 00:37:17,861 --> 00:37:20,860 or, if you will, ticks as each year goes by. 655 00:37:20,861 --> 00:37:24,861 And as that happens, certain genes get turned off and other genes get turned on. 656 00:37:30,861 --> 00:37:33,860 Our DNA is not frozen over our lifetime. 657 00:37:33,861 --> 00:37:36,860 Our environment and the choices we make 658 00:37:36,861 --> 00:37:41,860 influence and change our genetic profile. 659 00:37:41,861 --> 00:37:43,860 So, if we live in a healthy environment, 660 00:37:43,861 --> 00:37:46,861 that genetic clock is slower. 661 00:37:48,861 --> 00:37:53,861 If we live in an unhealthy or stressful environment, the genetic clock accelerates. 662 00:38:03,861 --> 00:38:05,860 We can think of the DNA 663 00:38:05,861 --> 00:38:09,860 inside one of our body's stem cells like a newspaper. 664 00:38:09,861 --> 00:38:13,860 So, this morning, I picked up this newspaper in my driveway, 665 00:38:13,861 --> 00:38:15,860 and I have a nice, clean newspaper. 666 00:38:15,861 --> 00:38:18,860 But I might drop that newspaper in the street 667 00:38:18,861 --> 00:38:21,860 and it might wrinkle or get dirty. 668 00:38:21,861 --> 00:38:22,860 As the day goes on, 669 00:38:22,861 --> 00:38:24,861 I might spill some coffee on this newspaper. 670 00:38:27,861 --> 00:38:30,860 It might even rain this afternoon. 671 00:38:30,861 --> 00:38:31,860 The key thing here is, 672 00:38:31,861 --> 00:38:35,860 I'm not gonna be able to get another copy of this newspaper. 673 00:38:35,861 --> 00:38:38,860 But as we age, what happens to those young cells 674 00:38:38,861 --> 00:38:41,860 is the letters on that DNA 675 00:38:41,861 --> 00:38:43,860 start to get damaged from normal aging, 676 00:38:43,861 --> 00:38:44,860 from the environment. 677 00:38:44,861 --> 00:38:48,860 And that newspaper or, if you will, that cell 678 00:38:48,861 --> 00:38:49,860 becomes less efficient. 679 00:38:49,861 --> 00:38:51,860 We really can't read the information. 680 00:38:51,861 --> 00:38:52,860 And that cell, then, 681 00:38:52,861 --> 00:38:55,860 can't make accurate copies of itself, 682 00:38:55,861 --> 00:38:59,860 which then rapidly accelerates the aging process. 683 00:38:59,861 --> 00:39:01,860 But Vincent believes 684 00:39:01,861 --> 00:39:04,860 this aging process can be reversed. 685 00:39:04,861 --> 00:39:07,860 His research team at the cell health institute 686 00:39:07,861 --> 00:39:12,860 claims it has already begun rolling back the cellular clock 687 00:39:12,861 --> 00:39:16,861 on our body's natural supply of stem cells. 688 00:39:23,861 --> 00:39:25,860 What we're really doing 689 00:39:25,861 --> 00:39:27,860 is using the proteins from younger cells 690 00:39:27,861 --> 00:39:28,860 from another person 691 00:39:28,861 --> 00:39:32,860 to reprogram older cells from a different person. 692 00:39:32,861 --> 00:39:35,860 What we've seen already in our early studies 693 00:39:35,861 --> 00:39:37,860 is that those senescent genes 694 00:39:37,861 --> 00:39:39,860 that produce inflammatory compounds 695 00:39:39,861 --> 00:39:42,860 and things that are directly related to cancer have actually been reversed. 696 00:39:42,861 --> 00:39:43,860 They've been turned off. 697 00:39:43,861 --> 00:39:45,860 So, that's been a very good sign 698 00:39:45,861 --> 00:39:47,860 that most likely, in the long run, 699 00:39:47,861 --> 00:39:50,860 this will certainly be a safe therapy in the next few years. 700 00:39:50,861 --> 00:39:54,860 In the future, Vincent Giampapa believes 701 00:39:54,861 --> 00:39:57,860 we'll all be able to protect ourselves against cell aging 702 00:39:57,861 --> 00:40:01,860 as long as we have the foresight to plan ahead. 703 00:40:01,861 --> 00:40:03,860 Well, one of the most recent approaches 704 00:40:03,861 --> 00:40:06,860 to controlling the cellular aging clock and the quality of those cells 705 00:40:06,861 --> 00:40:10,860 is to store those stem cells at a young age, 706 00:40:10,861 --> 00:40:12,860 say between 21 and 35. 707 00:40:12,861 --> 00:40:16,860 In essence, freezing an essential part of ourselves, 708 00:40:16,861 --> 00:40:19,860 put it in storage, if you will, in the bank, 709 00:40:19,861 --> 00:40:21,860 and be able to use that later on in life 710 00:40:21,861 --> 00:40:24,384 when, for instance, we might have a problem with our heart 711 00:40:24,385 --> 00:40:25,860 or our liver or our lungs. 712 00:40:25,861 --> 00:40:28,860 In essence, what we're looking to do 713 00:40:28,861 --> 00:40:31,860 is somehow we have to make copies of this newspaper 714 00:40:31,861 --> 00:40:33,860 or make copies of ourselves, put them in storage, 715 00:40:33,861 --> 00:40:35,860 and be able to go back to that storage 716 00:40:35,861 --> 00:40:38,860 when we need them for whatever purpose. 717 00:40:38,861 --> 00:40:41,860 This is not skin-deep cosmetics. 718 00:40:41,861 --> 00:40:43,860 It's true biological youth 719 00:40:43,861 --> 00:40:46,860 driven by the incredible regenerative power 720 00:40:46,861 --> 00:40:49,860 we all have inside us... 721 00:40:49,861 --> 00:40:51,860 The power of stem cells. 722 00:40:51,861 --> 00:40:55,860 Our whole focus is attempting to improve the quality of life we have, 723 00:40:55,861 --> 00:40:58,860 decreasing the illnesses we all suffer as we get older 724 00:40:58,861 --> 00:41:01,860 so we can enjoy the time we have with our families and friends 725 00:41:01,861 --> 00:41:04,861 and really be more productive as we age. 726 00:41:10,861 --> 00:41:12,860 Just as we looked at the sky 727 00:41:12,861 --> 00:41:16,860 to understand our place in the universe, 728 00:41:16,861 --> 00:41:20,860 stem cell scientists are looking deep inside our bodies 729 00:41:20,861 --> 00:41:25,860 to figure out how we can take a step forward as a species. 730 00:41:25,861 --> 00:41:28,860 Within the next few decades, I am sure 731 00:41:28,861 --> 00:41:30,860 they will have developed treatments 732 00:41:30,861 --> 00:41:33,860 that can extend human life by years. 733 00:41:33,861 --> 00:41:36,860 But also, I have to accept 734 00:41:36,861 --> 00:41:40,860 that my life has probably come too soon 735 00:41:40,861 --> 00:41:44,860 to witness the golden age of stem cells. 736 00:41:44,861 --> 00:41:47,860 And so, to those of you who will enter this age, 737 00:41:47,861 --> 00:41:50,860 I have these words of caution. 738 00:41:50,861 --> 00:41:54,860 When physicists cracked open the world of the atom 739 00:41:54,861 --> 00:41:56,860 almost a century ago, 740 00:41:56,861 --> 00:41:59,860 they unearthed a new frontier of knowledge, 741 00:41:59,861 --> 00:42:03,860 one that came with remarkable power... 742 00:42:03,861 --> 00:42:07,860 And grave risk. 743 00:42:07,861 --> 00:42:10,961 As we strive to master stem cell technology, 744 00:42:11,261 --> 00:42:16,132 we are gaining profound insights into the forces of nature that create... 745 00:42:17,580 --> 00:42:19,579 Sustain... 746 00:42:19,580 --> 00:42:22,580 And destroy life. 747 00:42:22,936 --> 00:42:26,936 A brave, new world lies ahead of us. 748 00:42:27,157 --> 00:42:29,156 I believe we will use this knowledge 749 00:42:29,157 --> 00:42:32,156 for the good of us all, 750 00:42:32,157 --> 00:42:35,157 and I hope you will prove me right. 59752

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