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Quimerización- Medicina del Futuro | Oscar Gutiérrez | TEDxValledelLili


[Music]

Regenerative medicine is a subject that

is fashionable in 1902 expectation of

pathway in Colombia was 32 years at

end the 20th century

it was 74 and 78 years old and 1,900 in 2017

We are around 80 and 76 years old

so most of the people in

this auditorium will go 100 years

want it or do not want it 100 years and

if there were 100 people in this

auditorium a good number of the

people present here today are going to

achieve to see the birth of the 22nd century

this is so true of the director of the

international monetary fund exclaimed

at a fund meeting last year

that the elderly live too much and this

it is a risk to the global economy and

It urges governments to do something and this

lapidary phrase was to take many

shapes

one of them could be good as in

the book ‘a happy world’ written in

1930

we have people be happy you

We fulfill all your needs and

60 years

chau a new generation

this is probably not going to happen

so we have to do something because

this elderly over population goes to

present a challenge to governments and

economies

in fact I want to show you what

is happening in the world

here they have the evolution of the

population of Spain from 1960 to

the ept a progressive aging a

Japan’s most dramatic example is

where you already see an investment of the

population pyramid then in another

in colombia we could say more

we are saved not so much as

you see we had a population with

excess of children in 1950 and now already

we have an aging population and

we will be in the same place that is

japan within 23 years within 23

years the Colombian population will begin

to decrease in absolute numbers but

the proportion of elderly people

it will be very high

so much so that in some countries a

single daughter person

at age 28 he manages to go to the market of

work and you have to contribute

his taxes to support his two

retired parents to their four grandparents

retired and 12 my retired grandparents

the problem is not that they are retired

the problem is that they are hanging

health services like all

we know they have an increase

progressive throughout the world not only

in Colombia and threatens to break the

economies of all countries

this is not because it presents us with a challenge that

we have to face

the idea is not to prolong life anymore

because it is already being extended

naturally and even that year it

speaks of the possibility that

humans can live between 200 and 400

years like whales do or

400 year old greenland sharks

brother to live so long but

to live it well then the idea of ​​what

we have been working is to look

therapeutic alternatives that we

let live not prolong life live

all right

until the day in which we die

cost well the penultimate day and

dawn ready to be buried

This involves designing strategies for

repair or replacement feedback

of cells and tissues by using

bioengineering engineering

genetics and technology

stem cells which is precisely what

that we’re going to talk here but before

continue

I want to refresh a concept that

the everyday we consider it natural that

is the identification by the code of

bars before moving on to the methodology

the description of the methodology of

kim eriz tissue and organ action

to replace them damaged all

we know the bar code

this has evolved in such a way that

just by passing a reader we can

know without opening it and so that the

quantity the quality of which is stated when

It was done when it’s over

features price everything

you want

this is a sign of identification and

are incorporated in both

identity of all countries you

can see on the card in the part of

behind the barcode

incredibly you can think

that only has the name and date of

birth has much more data than

that you can think and you think

incorporate up to the clinical history

the cells of all Serbs

especially mammals have

characteristics that are worth looking at

this is a cell of a mammal

he called attention to being the

reddish structure that is called

mitochondria are three-dimensional

there is no empty space and they are

surrounded by a membrane like

shell of an orange

but that shell is not so simple is

an incredibly complex structure

where proteins are expressed from all

the types that are receiving channels are

tra and one of those proteins is

precisely the bar code of

identification is present in all

the cells of your body and it’s unique

like your fingerprints

that allows your immune system

recognize each and every one of the

cells and the one that does not present its

Identity document is immediately

isolated and destroyed

this can happen because it is an element

I miss a strange tissue or because

simply changed the identity by

example a cancer cell or a virus

or a bacterium that is unable to

present the document and science

then the chimeric action the

definition that we

is the method that allows

achieve the coexistence of material

genetic of different individuals in a

organism tissue or organ using I know

the mothers of the person who is going to

receive that tissue by making unnecessary

the use of drugs that prevents rejection of

that tissue and this what we work

we take an organ we process it what

we grow and later we add

stem cells for a given time

before transplanting we are doing

that starting from a principle that all

the Serbs communicates and this is a

process that started three thousand 500

to three billion years with the

beginning of life on earth and the

only way life could have

place was because the living beings of that

then in that primordial soup they could

communicate the cells that processed

energy but at the same time with the cells

that process products and in a moment

given one of these cells the one

produced energy was introduced into the

another and life began as we know it

now evolving the cells never

they have stopped communicating and this is

he suspected was part of the teaching in

medicine 40 years ago when

he began to notice that the bacteria

they communicated with each other and passed

genetic material formulas that

allowed to become resistant to

new antibiotics that we carry

developing the whole cell not

only the bacteria communicates

also the cells of the organism

when they are together they establish channels

of communication and through these channels

they communicate small molecules with

signals that allow exchange

of information but more extraordinary

is that they not only communicate molecules

information but

we believe and we start from that basis that

they share organelles like the neighbors that

the pounds of sugar are shared

they share organelles that

allow progress together this

it was the suspicion we had and what

We confirmed last month when he left

published the work of this doctor

doctor james mccully in the hospital

cardiac for children in Boston who

I had noticed that after a

heart transplant to the child the

heart that gave as stunned and in

some cases he died he thought that

they probably lacked energy and the

energy is supplied by those

organized that I pointed out to you in the

Slide back called

mitochondria

then he decided to try a strategy

and that is just before surgery

I took muscle from the child’s abdomen

operate and while he was doing the

heart replacement in a team at

adjacent they pulled out the mitochondria

by molecular biology methods

and at the end of the surgery with a

insulin syringe injected the

mitochondria of the patient within the

donor’s heart beating in his

chest

the surprise was to corroborate the heart

beat with more energy

but the surprise was even greater when

when checking heart biopsies

they found that mitochondria

they migrated into the cells

heart transplantation

this practically confirms us the

theory that we had been working on and what

We are applying in other trials to

make compatible other organs such as

pancreas

the lung the liver to be

transplanted to sick patients their

first first moss the pancreas and

then we get the cells that

they produce more insulin and we implant them

on a device that has been

previously placed inside the

patient’s body as you see the

medicine to science progresses not by

head of a single person but through

the course of the multiple contest

human knowledge disciplines

I want to present an example of a few

procedures

we are making at this time in the

university is the extraction without nose

action of a lung transplant

pig in this that is perhaps a pig

female in a male pig then two

days before transplant

we take patient’s stem cells that

will receive the lung

the day before the lung is removed

is going to be transplanted and is grown by

about 24 hours and day

zero is the graph the crop and the

zero day is transplanted in the chest

the surprise for us initially

was noticing how after transplanted

that lung looked perfectly

years and here I want to show you the

piglet the piglet transplanted

we put to squirt because it was operated

just the day that came to the pope

and today not today, yesterday, he turned 49 days

receive even one aspirin 0 in one

politics suppression is noted

the scar that was left on his side

the tail moves it is not that we have

accelerated to the movie they measure the

speed but it shows the comfort

of service and the absence of pain

the next is the next little pig to

that we named healthy everything because it was made

the day of san tom three days later

of the transplant and you can see it

eating perfectly and next to him

is the first little pig

and to finish this was already a

experiment not so experienced a case

fact of transplanting a tragedy

that chimerical did and was placed in a

young woman of 28 who had a

trache carcinoma that already completes eight

years four months operated and eight years

with absolute absence of any kind

of drug in a suppressor not even

aspirin

then the creation of bank of

tissues opens the future of medicine

regenerative

I want to emphasize one thing on

progress of humanity is no longer a

steps but to strides and probably

the people who are here are going to be

the first ones that are going to be are going to

witness the evolution of their own

species

in your life time I could not say

the dinosaurs evolved during

165 years 765 million years but

none of them thought different

his father if they thought differently from

your son

instead in this generation we are going

probably to witness the evolution

of the human species make a hybrid

with the help of nanotechnologies

biomedicine and biotechnology and

who knows what other science series

for which we still do not suspect that

there are many thanks

[Applause]

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