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Células madre: diamantes en bruto | Montserrat Salarich | TEDxJardinsdeLaribal


[Music]

you know who he is or mons

the owner of the aero company

spatial spacex that today is the

first private company that competes with

the nasa in the race of the conquest

of space have been raised a

vital issue in your trip in the

planning your trip to Mars that

let’s go on board that represents the

minimum volume and minimum weight the

cost is within our organism

of our body and are the cells

mother

our patients continue to suffer

strokes are still dying of heart attacks and

we continue to amputate them unfortunately

especially those who go wrong

present arterial disease

peripheral lately when I go from

congress

I have the feeling that if maybe

we have improved our therapies

maybe we do surgeries minimally

invasive

maybe we have talk every day of

smallest extensor catheters

that release prosthetic drugs

folding that are placed inside

devices that allow us to solve

aneurysms with a simple cut cited in

English without having to do those

surgeries that maybe you all have

in mind that they need to open the

belly and that make our

patients have to go to the office

and all other paraphernalia as well

well leaving the congresses always to

out thinking really is like

we were circling it

really question our patients

you all know that diseases

cardiovascular diseases are the first cause of

death in the western world and so

There is so much that we are not doing

all right

this feeling was confirmed when

I met paco vidal

here it is

paco vidal is a bioengineer and he

they presented a day at the clinic

drinking a coffee

it was that one big day was the second

person in a short time who was talking to me about

stem cells had a few months

stayed with a friend of the faculty and I

he was talking the satisfiers

explaining how satisfying it was for

he started his doctoral thesis bn

precisely about stem cells

the staff to the monologue and the cia in rule

in paco vidal macular degeneration

he began to explain to me what was the

transplant the autotransplant with

stem cells and he explained to me that it was a

alternative to the therapies that

we were doing

the vascular surgeons and besides already

there was an article here what

you have that had been published in the

lancet magazine in the year 2002

in this article that was presented the

study that a group had made

German in patients with ischemia

criticism that means they do not have

year contributions in a limb that does not

they had therapeutic alternative that did not

they were inoperable and that therefore

they were condemned to an amputation

in this study they had saved

legs and I think some arm too

and Paco explained that the autotransplant

with stem cells as the cells are

our own cells really was

something very simple to do that in addition

I had the problem of rejection and

nor toxicity problems like

they had the drugs and that day and

He also offered me the possibility of

start doing a study in our

center

I did not think for a second and it was real

I said yes and it was exciting to be able to

perform it

I remember well the first case we did

I remember the name and surnames

of the patient and I also remember that

is what I thought when I left the

clinic inside my car told me

montse you have noticed what you’ve done

done and we’ve really done this

treatment so simple that it is possible

that this the knowledge of the cells

mother this therapeutic application what

changed everything and good to think will think

and which are stem cells because here

they were presented there are different

forms there are cells that are stellate

there are more finger round cells but

they are all rough diamonds

Why do I say this as because they are

cells that are poorly differentiated

that we have in the adult organism and that

in certain situations they are activated and

allow you to regenerate tissues where

we found these cells because the

we find in the tissues in what

we call a niche that is lynched

a reserve of cells that are

differentiated stem cells that

They are usually around

glasses we also find them in the

peripheral blood but especially in

large number at the bone marrow level

the bone marrow is a large factory of

cells

here we have them we have cells of the

hematopoietic lineage which are the

cells that are precursors of the

red blood cells and platelets

we have dermal cells or

mesenchymal that have you this way

starry that are the forerunners of the

cartilage the bones the vessels we have

dermal cells that are the

precursors of the skin of neurons and

we also have cells in thermal

which are the precursors of the line

germline which are the cells

precursors of sperm cough and

of the oocytes

Lastly we also have the

immune cells that are

those that form our defenses

they are all in the bone marrow and

we are mobilized have a great

therapeutic potential and we know that it

mobilized by proteins and by a

system of receivers that have the

cells when the body suffers a

injury

for example a trauma a wound

to avoid bleeding for example

when we get hurt, they come to

to the injured tissue and repairs it too

in a situation of acute inflammation

this whole system is put in place to

repair the damage produced by

example for an infection but we know

to today that this system of

tissue regeneration remains

blocked in a situation of

chronic inflammation and because

block at that time because the

cells produce a whole series of

proteins that make these cells

mother do not reach the tissues and not

can repair them is so that what

for example understand that the snuff

Stress and sugar cholesterol

they all act, you know, they act

deteriorating are inflaming our

arteries chronically and that explains

that cardiovascular diseases

until today we do not finish them

understand and it ‘s chronic inflammation

blocks the regeneration system of

our organism and therefore it is a

illness that to this day for now

it has no cure but there we are

US

animated by paco vidal we started a

I’m really studying the treatment that

we do is very simple surprise for your

simplicity and what we do is take out the

bone marrow

there you are seeing it in images to take out

the bone marrow usually

we take out of the tibia because it’s much more

accessible

we take it out under local anesthesia

once removed in conditions of

maximum sterility within a

operating room with a flow chamber

laminate what we do what he does for

take care is to select from all this

bone marrow mesenchymal cells

which are the cells that we

we need to be able to repair the glasses

that are damaged

what are we going to do once

processed in vitro

what we do is inject the form

strategic at the level of the fabric that

we want to repair and in this way we have

could treat patients like this one that

it was about a 50 year old boy who

he had gone through two hospitals and

they had said he had all the

clogged knee arteries down

and that it was impossible to treat what had

so much pain in both hospitals will

they said that the only alternative

therapeutic was sadly the

amputation came to us via web and

agreed to be treated to be treated and

what we did was what is explained

before a week

this boy who took daily

morphine began to lower the dose was a

dose of your treatment until

the pain disappeared between a week and

fifteen days in a short time as you can

see in the photo of that really celebrated

finger and could keep his leg

these good results in the field of

the critical stevia that were not always

good not all patients by

misfortune has preserved retained their

limb and we are really conscious

that this treatment is in their

beginnings and there is a lot of work to do

but if these results encouraged us to

try this way of trying

also stupid to treat lymphedema

chronic

what is this about chronic lymphoedema

it is a disease caused by evil

operation of some very

little ones that are called lymphatics that

he has to be the ones in charge of draining

the liquid and the proteins that are

at the tissue level and that if

accumulate they can come up with what

who see in the photo that it is a case of

elephantiasis are these patients

they really do not have any alternative

therapeutic except compressive therapy

and the lymphatic drainages and really

what we are seeing today are

very hopeful results but

we really are very aware that

all this is in what I am

explaining is in its infancy and

we really have to work on what

it’s called a clinical trial because

there is a great need to have data for

to be able to interpret them and a bit to

deepen also in knowledge

of these stem cells but not only

you have to know the cells better

you also have to investigate in

biomaterials these biomaterials are

those who are going to allow us to build

matrices that we are going to fill in

cells and we will be able to manufacture by

meniscus example to be able to treat the

knee osteoarthritis lumbar hernias and

in the future probably organs

and not only that we have to know better

all those molecules that intervene in

chronic inflammation to be able

improve or unblock this process and

stimulate in some way the

regeneration scale to the

spontaneous tissue regeneration of

organism and we also have to improve

the clinical application is important

all this is important to be aware

that we are in the beginning of this

ica therapist and good the knowledge of

the stem cells has led us

also in a collateral way to know

better the immune system and how to

I was talking about the system at the beginning

immune is important because a

deregulation is what ends

producing the chronic inflammation of

low grade that spoke to them at the beginning

which is the cause of the blockage of

spontaneous regeneration of our

tissues is beginning to talk about

immunotherapy that is that then the

extraction of our defenses the

lymphocytes and the way injection

also strategic in vaccine form

probably in the very near future

will begin to treat many

diseases in this way and between them

cancer

you realize the greatness of everything

this of what it is of what I am

talking is possible that we are

really seeing the light at the end of

tunnel

yes I read a few not only that

really so you can see a little bit what

represent the stem cells what changes

I think they changed everything we are

in front of a revolution as it was

in your day internet and that will end

imposing and that will change everything up

medical praxis will change the way that

we understand doctors today the

medicine and probably will return us

our humanism that we have lost in

the path of technification and not

only that

I read a few days ago in a newspaper

what did he do to be a researcher of

Spanish origin he receives in california

has managed to show in mice that it is

possible to stop aging and not

it is only possible to stop what is possible

reverse it

so why not in the very future

next

humanity will be able to solve one of its

great enigmas or chimeras is possible the

eternal life

thanks more

”

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