200 dòng đầu tiên.
I have spent my life
exploring the mysteries of the cosmos.
But there's another universe that fascinates me,
the one hidden inside our bodies...
...our own personal galaxies of cells.
Today, we are on the brink of a new age in medicine,
an age where we will be able
to heal our bodies of any illness,
all because of cell inside us...
...which have special powers.
They are called stem cells.
These microscopic miracle workers
are, however, barely understood.
Implanting them into our bodies could unleash biological mayhem.
Are stem cells magic bullets or ticking time bombs?
I haven't lived a very normal life.
Since my 20s, I haven't had to deal with the distractions
that come from being able-bodied.
I have led a life of the mind.
Stem cells may give you that same freedom...
...allowing you to pursue your wildest dreams
without ever having to worry
about the limitations of your body.
Dr. Robert Lanza is one of the pioneers
of stem cell therapies.
He is already using them
to help patients regenerate damaged body parts.
Right now, we're in clinical trials
to try to treat blindness using retinal cells
that were generated from stem cells.
We've also been able to create entire tubes of red blood cells
that transport oxygen just like normal, transfusable blood.
Robert's work developed
from studying how stem cells create
not just body parts, but entire bodies.
They do this for all of us when we start out
as nothing more than a fertilized egg
floating in the womb.
So, imagine I'm floating down the fallopian tube.
And first, there's one of me, and then there's two of me.
Then there's gonna be four of me and eight of me.
And we continue on dividing.
And eventually, when I get downstream,
I'll be a ball of about 100 cells.
These embryonic stem cells are blank cells.
They have not yet become a specific type of tissue.
But soon, they start transforming
into specialized bone cells, muscle cells,
and nerve cells.
Nine months later,
they form a complete person.
Once we are born, however,
these blank embryonic stem cells disappear.
We lose the power that they alone possess
to regenerate all of the tissues in our bodies.
Robert is working on restoring that power.
So, when you think of a regular cell,
whether it's a skin cell, a heart cell, or a blood cell,
it turns out that that cell carries out
a very specific function.
And it carries out that function for its entire life.
So, the question is, what tells that cell what to do?
And that's where DNA comes in.
The way DNA is packed into the nucleus of each cell
determines what function it's going to have.
DNA's long double helix
is wound around a huge number of tiny, molecular balls
in a structure called chromatin.
As we grow in the womb, certain proteins interact
with the chromatin of a blank embryonic cell
causing parts of its DNA to become unspooled.
The parts that are unspooled determine the type of cell this is going to be.
A heart cell will have one DNA arrangement.
A skin cell, another.
This process of cell specialization
appeared to be irreversible...
Until a breakthrough experiment in 1962.
What scientists did is they actually took
an adult cell in the case of a frog, an intestinal cell,
and they put it into an empty egg.
And what had happened is that that egg
actually acted like a little time machine
and brought the DNA back in time to a point
where it could actually generate an entire tadpole
and then, eventually, an entire frog.
Biologists now believe key proteins in the egg
undo all the specialized DNA arrangements in the adult cell.
They return it to its original state...
A blank embryonic cell
awaiting instructions on what to become.
So, we learned from this research
that we could actually generate embryonic stem cells
that would grow forever, that were essentially immortal,
and that could be turned into virtually all the cell types in the body.
Robert has spent the past two decades
developing techniques that instruct embryonic stem cells
to turn into specific tissues.
I think we have the capacity to do all sorts of amazing things
that science never had the ability to do before.
Stem cells are likely
to revolutionize medicine in the next several decades.
But harvesting material from human embryos
is highly controversial.
Some see it as damaging one potential life
to help another.
There is, however, another way
to harness the immense power of stem cells.
Kristin Baldwin is one of a group
of stem cell researchers
who hopes to make harvesting eggs or embryos obsolete.
All she uses is a patient's skin cell.
So, the old way that we used to make personalized stem cells
was to take the skin cell
and take the DNA out of its nucleus,
picking it up and carrying it over into an egg
which doesn't have any DNA,
and the egg can change the DNA
and turn it into a stem cell that has your genome.
But now there's a new way, and all that it takes
is for us to put these four genes
into the nucleus of the skin cell and then wait.
And what these genes do is reorganize the DNA
so that it starts to look like stem cell DNA.
And once that happens, it changes the cell around
and the cell starts to shrink
and not look like a skin cell anymore
and loses its outside.
And over the course of a week,
it starts to look like an embryonic stem cell.
And the only difference now between this and an embryonic stem cell
is that it has your DNA in it.
The four genes inserted into the cell
create four proteins that exist naturally in an egg.
Those proteins appear to trigger skin cell DNA
to arrange itself just the way it is
in an embryonic stem cell.
Kristin was not the first to create these cells,
which scientists call induced pluripotent stem cells,
or IPS cells.
But Kristin was the first to explore
whether these manufactured stem cells
are really the same as the natural versions.
So, an ideal IPS cell or embryonic stem cell
should be able to make
all the cell types that you want equally well
and at the same time, not make unwanted cell types...
In particular, cancer.
But some of the cells
actually fail to make cell types that you'd like
and others can actually cause cancer,
and this is a worry.
So, what we are working on is to try to find a way
to either improve the way we make the cells
so that they're all the first kind, the good kind,
or to find a way to test for the differences
and identify the ones that will be bad.
Kristin and her research team took some skin cells from a mouse
and turned them into a colony of IPS cells.
From them, they grew thousands of colonies
of different adult tissue types.
Eventually, after months of exhaustive screening,
Kristin identified a colony of IPS cells
that never turned cancerous
and seemed to be moldable into any cell type.
So, now that we've made the IPS cells,
we'd like to make them into specific cell types in a dish,
especially those which are useful for us in medicine.
One type of cell that we can't get from people is a heart cell,
so we can see if we could
turn the IPS cells into heart cells in a dish.
So, in fact, when we do this, we can make heart cells.
So that's great.
Another type of cell we'd like to make
are brain cells, neurons,
because we can't get those from people.
And so, we ask the IPS cells,
"can you make neurons in a dish?"
And, in fact, they can.
But Kristin wasn't content with making a few key cell types.
She wanted to put her IPS cells to the ultimate test.
What we wanted to do
is take the IPS cells
and try to make a whole organism out of those.
And so, to do that, we wanted to make a mouse.
What we did is we took the IPS cells
and we then put them into a pregnant female,
and we waited.
And when the mouse had its babies,
much to our surprise, we found live mice
that we could later prove came only from the IPS cells.
So now, this mouse is a clone
of the original mouse that we took the skin cell from.
And it's a way of showing
that the IPS cells should be able to work as well
to make all the kinds of cells that we want
as the embryonic stem cells can.
Kristin's work has shown
that it is possible to manufacture embryonic stem cells
without taking them from an embryo.
But the technique is still very new and not without danger.
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