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stemcell tech

stemcell tech

as a pediatric surgeon i meet babies all thetime who have had intestinal loss mainly from problems of prematurity. and when they losea significant amount of their intestine they can no longer eat enough to get enough nutritionto survive. and so tissue engineering is attempting to engineer that tissue that they've lost. we're at the workshop that cirm has convenedto look at the opportunities in tissue engineering and where engineering strategies might interfacewith stem cells and stem cell science. i think of tissue engineering as the replacementor regeneration of human organs and human tissues to restore normal function. cartilage for example is very useful applicationfor tissue engineering. if you can devise

a material that can allow cells to thriveand provide the mechanical support in that environment that's kinda that's tissue engineering. tissue engineering is not a new idea. we'vebeen able to replace skin for example for a long time using tissue engineering techniques.what is new however is the ability to actually put cells into those bits of tissue engineeredbiomaterials. a lot of the materials that are currentlyused by surgeons, if you need to have a hip implant or you need to have a blood vesselreplaced, they're based on materials like gore-tex or titanium alloys the same typesof things you might find in a golf bag. and so we're interested in trying to design new types of materials that will promote

stem cell growth and promote the body's healing process. this kind of meeting is so important to convene engineers and stem cell biologists and government officials and investors and other key stakeholdersto really understand what the challenges are. and think about the really big problems inthe field. what are sort of the things that keeping our research from moving forward andbeing able to move into patients. we want to ensure in the conversation thatwe're having here that the scientists are engaging with the patients in mind and helpcirm understand how we can help drive that science forward. one big roadblock right now is how do we actuallydeliver stem cells to a patient. when you

force the cells through a syringe needle thatcan be damaging to the cells. so one of the roadblocks that my group is trying to overcomeis design a gel like material that would encapsulate the cells and kinda provide a soft cushionfor them so that they can survive the injection process. with cirm funding we've made a lot of progress.and we've actually be able to work out in some mouse models exactly how to grow theengineered intestine. the hurdles are that we have to understand to science better andactually be able to make the transition to humans. there are a lot of wonderful ideas here andwe may be able to help some of these researchers move their product from an early experimentalstage into maybe even clinical trials. i think

with tissue engineering, regenerative medicinethere's actually now the hope that maybe we can cure some of these diseases.

stemcell inc

stemcell inc

ladies and gentlemen, welcome to this latestteaching session on the course of technology and the future of medicine. there is a meetingin new orleans in mid-july that a number of former students from this course are goingto with me. we're giving, i think, nine presentations. three are in this young researcher's, i mean,six are in the young researcher's forum, where they get a ten minute presentation. thosepresentations can have no senior author. they're student authors only and then there'll bethree other presentations there of a more usual sort. and suddenly my name and faceand everything was sort of all over the meeting. when you go to the website for the meeting,and i don't know quite how that happened, but i have this fantasy that the people fromthis course who are going to that meeting

are basically taking over the meeting. andwe're going to have it be the first meeting that seriously discusses such things as regenerativemedicine pathology. what is that? tissue engineering pathology. it has never been described atany meeting. it's a logical next step and a bunch of other things like that. the studentsare as young as 22 and it will be interesting to see how this all comes off. the other thingis the flipped teaching session on march 24th. that's more than two months away, but jasonwertheim...i told him what marvellous students we have in this course, so he's really expectingthis session to be good. so i thought you might want him whatever way makes sense toyou to use those two months to kind of prepare. if you already know a lot about regenerativemedicine and creating new organs from stem

cells, then you might not need to do muchreading, but if you don't know much about that, you might want to prepare. and the pdfthat i sent you is an article that he mentioned of me at the same time that he accepted theidea of teaching in this course by skype. so it's a very simplistic article. like alot of you don't know anything about pathology, really. and that article, cells are eitherthere or they're not. you'd look at areas of an organ that's supposed to have a continuouspattern of cells and in certain circumstances, a lot of the cells have simply missing. andi think it's the easiest kind of pathologic process to possibly, you know, imagine, asa kind of starting point. so just the absence of cells that are usually there. okay, sothis teaching session today, osmar zaiane

is doing the main teaching and it's the beginningof a series of three lectures about artificial intelligence. the objectives are to introduceyou to the basic elements of ai, machine learning and data mining, to introduce you to basicconcepts of the influence of ai on the exponential future, including the concept of unfriendlyai and the technological singularity. you've heard that before. to provide you with concreteexamples of ai in everyday life and in medicine. now you may have walked into this room thinkingthis is just another lecture in the course, but that is not the case, because it is quitepossible that ai represents the ultimate existential risk, that it's more likely that unfriendlyai would do in our human race than any other risk out there. that's what stephen hawkingthinks. a number of other...elon musk and

other bright people are extremely worriedthat dr. zaiane's subject is going to mean the end of mankind. so if that's true, thisis sort of like way more important than the other lectures so far in this course. thetechnological singularity is crucially dependent on ai developments. ai is very important tothe singularity, but that does not mean that all ai researchers believe in the concept.it does not naturally follow, so you can find a whole spectrum of people working in ai whodon't really believe that there will be such a thing to those who believe in it very strongly.some believe that it will occur very soon, others that it will take a really long time,like over 100 years. you can read about ai in books. but the five or ten minutes thatyou spent playing with the sony aibo robotic

dog before class, i think give you a sortof a tangible, you know, feeling of maybe what ai is really like. and it's amazing howmuch that dog can do when you figure that the last production run was 10 years ago.so think of what sony could have done with this product if they kept on going. this presencein the course is a rather popular part of the course. in previous years, these are thevarious features that that dog has. it's wifi compatible. it can be your, you know, alarmclock. people can send you messages through the dog. there are all sorts of things youprobably don't want as features but that the dog can do for you. and its conversation withyou is never quite the same. it has a remarkable vocabulary and it never says anything unkind.it tells you that it loves you. it tells you...it

asks you if you're tired at the end of theday. all the things that a good friend should do, that dog does. and what about the sonyaibo robotic dog in canada? well, it seems not to be a canadian thing. in that i purchasedthe first aibo here, but as i tried to purchase the other models, they were no longer soldhere. but they were very popular amongst ai researchers like dr. zaiane, and they usedthem for many things, but that includes robo-soccer. and you would think, robo-soccer, that theyrun around on their paws. but that's not true, they run around on their elbows, so it's avery interesting kind of locomotion. and the aibo can keep going forever, as long as youkeep the charging station plugged in so it can automatically sense when its voltage islow, seek out the charging station, sort of

sleep on the charging station as it rechargesand then when it's fully charged, get back off and so on. just like you. so it knowswhen it needs to go to bed and it knows when it needs to get up and all that sort of thing.it can keep going forever. it was much less interesting, the aibo in canada, than in theus, and the only way i got this one, you wouldn't believe that i did this, but i flew to a hotelin the u.s., simply for the purpose of getting a sony aibo robotic dog, waited until thepackage arrived and then flew back home. and because sony has these buying around rules,where if you're in canada, you can't buy from sony u.s. and vice versa, that was the onlyway to get it. and it arrived with all sorts of stickers, "do not forward. if the recipientis not present, send it back to sony." so

anyway, that's how i got that dog. and whois it for? this is not for kids. it's not for a child. the ears and tail, as you'vealready seen, come off within seconds, so in the hands of a child, this is completelyimpractical. it looks really stupid without the ears and tail. so it's for you. it's foryoung adults. specifically for female young adults, for affluent young adults, to a certainextent, for asian young female. so the main market in the u.s. and japan was affluentyoung women. even the men who bought them tended to buy them for the women in theirlives. asia will lead the way in the development of robots for consumers. as you probably know,robotics in the u.s. is heavily organized around the military, saving wounded soldiersin battle with all sorts of clamshell-like

robots and stuff like that, whereas in asiathere's a strong orientation around useful robots in the home and care of the elderly.so the first robots that really be...enter your life and are practical and helpful toyou will probably have come from asia. and it's good not to get confused. the classicai movie "blade runner", is part of everybody's consciousness in this area. the replicantsin that movie were not silicon based. they were the result of genetic engineering. theywere biology based, flesh and blood beings, not silicon and circuit boards. whereas therobots in the movie "a.i." were like this dog. they are silicon based. okay. that'sit. so now dr. zaiane will get set up and present the first of his three lectures.

stem

stem

hi! this is dave smith with hillcrest skiand sports in gresham, oregon on behalf of expert village. in this tutorial we will coverbeginning skiing. in this clip we'll cover the stem christi turn which is a more advancedturn. the stem christi turn is a very important stepping stone to parallel turns which isan intermediate to advanced skiing technique. because of that, this should be the last techniquethat you work on in this beginning skiing lesson. the stem christi turn starts out thesame way as the wedge turn. extend your legs. transfer your weight, the majority of yourweight onto the ski that will become your downhill ski. but, instead of staying in thewedge position, allow your uphill ski to slide into the french fry position so that it'sparallel to your downhill ski in the middle

of your turn. come across the slope. and asyou enter your next turn in the wedge position, again allow that uphill ski to drop in parallelto your downhill ski. continue doing this until you get comfortable with it. make surethat before you start working on the stem christi turn you're very comfortable linkingturns in the wedge position. also make sure you're still doing the basics keeping yourweight on the balls of your feet, keeping your feet shoulder width apart and keepingyour hands in front of you where you can see them.

stem treatment

stem treatment

you've reached placidway, the leading healthtourism company! subscribe to our youtube channel and get instant access to all of ourlatest health videos. stem cell treatment for epilepsyin epilepsy, the brain is permanently in a state which tends to produce convulsions.so, epilepsy is characterized by recurrent seizures. generally,an epileptic seizure is an abnormal function of the central nervous system sudden and transientappearance. it usually lasts no more than twominutes. epileptic seizures can occur both in the form of spasms as involuntary movementsor states of dementia. embryonic stem cells havethe unique capacity to develop into any type

of cell in the human body;blood, bone, brain tissue, liver tissue, skin tissue, etc.. embryonic stem cell researchcan help regenerate and restore damaged brain tissue,making it an extremely viable therapy for individualsdiagnosed with various forms of the epilepsy. scientists and researchers have studied anddetermined that neuron precursor cells taken fromembryonic stem cells can be transplanted or implanted into brain tissue and generate newbrain tissues in that area. over 80 nations haveconducted studies and experiments in this field, whichhas led to positive results expressing hope

for extremely effective therapies for improvingbrain function not only with individuals diagnosedwith epilepsy, but those diagnosed with parkinson's and alzheimer's disease as well.scientistsand researchers are focusing on neurogenesis, or the production and proliferation ofnew and healthy neural cells in the brain and central nervous system to help alleviatesymptoms of epilepsy in millions of individuals aroundthe world. current studies have determined thattherapies and studies underway may have extreme beneficial effects on epileptic syndromes,and studies will certainly continue into the futurein regard to learning and understanding regeneration

or neurogenesis of brain cells and tissuesthat may help alleviate, reduce, and even someday cure epilepsy syndromes found in mostchildren and adults. if you want to know more, please contact us!

stem therapy

stem therapy

we have some remarkable video to show you tonight. stroke victims.. making incredible progress... literally overnight. thanks to a new kind of treatment at stanford. emily turner is here with a story you'll see only on five. it was a small clinical trial at

stanford, that involved an experimental treatment with special stem cells. the doctors are stunned and the patients - overjoyed. five years ago, sonia coontz suffered a stroke - that severely damaged her brain, this is sonia's stroke

it partially paralyzed sonia on her right side, and she could barely speak. "her speech was not very understandable she couldn't order food or communicate well" two years later, sonia could still hardly lift her arm. but just one day after an

experimental treatment - - "oh my gosh " sonia could lift her arm over her head- (pause) and move it to the side -(pause) and als0 to the front. and her words began to flow "i woke up and immediately i could speak better "

"she's what we call one of our miracle patients. doctor gary steinberg, chair of neurosurgery at stanford, led the small clinical trial. eighteen chronic stroke patients were involved. twelve came to stanford - - including sonia "i was very excited i think i

started to cry" . in the trial, steinberg drilled a tiny hole into the patient's skull and using a very fine needle, injected modified human adult stem cells around the stroke. we put them around the stroke and that where they do their

thing to recover the function. these stem cells are created by "san bio" - a biotech company located in mountain view. it's very exciting scientists here derived them from the bone marrow of two adult donors, and then tweaked them. these cells don't survive

for long after transplantation. but they appear to trigger a patient's damaged brain to begin to heal itself. "we think that transplanting the stem cells is jumpstarting the circutis. " here's another stroke patient just before surgery.. and here

she is just days after receiving the stem cell treatment. as for sonia, her life is back on track. she's now married and pregnant with her first child "it's a boy yeah.. (laughs)" not all of the patients, but most of them in the study saw a

of them in the study saw a benefit that has lasted. but steinberg is cautious and wants to replicate these findings in a much larger trial. that study is now enrolling participants. these results were published this afternoon in the journal,

stroke. for more information, go to kpix dot com

stem research

stem research

an artificial version of the human mid-brainusing stem cells. it will allow for more extensive researchand drug testing. park jong-hong explains how the creation byan international team of researchers could have broad treatment implications... especiallyfor degenerative disorders involving the motor system. the breakthrough could eventually be life-alteringnews for patients of parkinson's disease. the leading degenerative disorder of the centralnervous system is a condition stemming from the midbrain, which is in charge of motorfunctions that control auditory and eye movements, vision and body movements.

the midbrain contains special neurons thatproduce dopamine, and the disease develops when the number of neurons decreases. with the breakthrough, scientists have createda miniature version of the midbrain, which they hope will shed light on exactly how parkinson'sevolves and lead to a cure for it and other aging-related brain diseases. while miniature versions of the brain havebeen developed before, this one is the first of its kind. it is a three-dimensional miniature with tissuesthat were grown in a laboratory using stem cells cultivated from human blood, and itcan be used in a variety of drug tests instead

of in experiments on actual patients. the medical community is abuzz about the possibilitiesfor research and treatment the breakthrough will have. the joint study was conducted by an internationalteam led by professor shawn je from duke-nus medical school and a*star's genome instituteof singapore. their findings were published this month inthe journal cell stem cell. park jong-hong arirang news.

stem enhance

stem enhance

you've reached placidway, the leading healthtourism company where you can compare the most affordabletreatments worldwide! subscribe to our youtube channel and get instant access to all of ourlatest health videos. umbilical cord stem cell therapywhen parents have children, they don't always think of what might happen in the future.illness and medical conditions that might occur as the child grows older are now beingthought of when parents decide to collect and store their newborn̢۪s umbilical cordblood in a cord bank. during the 1970s, doctors discovered that the blood found within theumbilical cord could supply blood-forming stem cells, and they began to collect andstore them in stem cell banks. these special

stem cells are capable of turning into threetypes of mature blood cells that are found in all humans; red and white blood cells,and platelets. children who suffer from cancer or other blooddiseases must undergo chemotherapy or radiation to treat their condition, but these treatmentsalso harm healthy cells within the body, including the cells in the bone marrow, where red bloodcells are formed. for children who need a bone marrow transplant, which can be complicatedsince a matched donor must be willing to donate bone marrow. instead, or in combination toa bone marrow transplant, previously stored and healthy umbilical cord blood cells aretransplanted into the child, and go on to create new, healthy blood cells which in turnenhance the child̢۪s blood production and

immune system.benefits of umbilical cord stem cell treatments the benefit of using umbilical cord stem cellsis vital when a child is faced with a medical illness or diseases. since the placenta andumbilical cord have traditional been discarded, finding these cells increase the chances ofsurvival when an individual is faced with cancers, blood diseases or other ailments.being frozen cryogenically also means they are available for use at any time, which isvery important when faced with cancer or other serious medical condition. millions of parentshave frozen and store their baby's umbilical cord blood these days, and their numbers aregrowing. stem cell research and development is entering an exciting era, and it is hopedthat someday soon, multiple treatments for

formerly incurable illnesses and disease processeswill be discovered, making storage of umbilical cord blood stem cells invaluable.

stem cl

stem cl

a team of korean researchers has developeda 3d-printed stem cell patch that could change the way doctors perform heart surgeries. kim hyesung sheds light on the discovery. heart disease is the leading cause of deathworldwide. the world health organization says over 8million people died from coronary artery disease in 2015 alone. fewer than half of patients who suffer a heartattack after receiving a heart surgery end up living longer than five years,... due tothe difficulty of regenerating damaged heart tissue.

but a new finding could provide a solution. korean researchers have developed a 3d printedstem cell patch that can enhance cardiac repair by generating new blood vessels and tissueswhen attached to the heart. scientists at the pohang university of scienceand technology, or postech, harvested myocardial and vascular stem cells, which they then combinedwith what they call biological ink, a gel made from a decellularized pig's heart. "it's crucial to extract the extracellularmatrix, leaving elements like protein but removing other pig cells to prevent it fromcausing disruption in the transplanted species' immune system."

the bioink mixture facilliates the fabricationof 3d-shaped structures by placing the incubated stem cells in dual-cell arrangements. after publishing the bioink concept in thejournal nature in 2014, the postech research team, with the help of seoul saint mary'shospital, successfully tested the technique on a mouse with myocardial disease. the 3-d printed patch integrated well withthe mouse's existing tissue. it reduced the hardness of certain fibroticareas affected by a lack of blood supply and created new blood vessels, helping its heartpump again. "i've conducted bioengeneering research forover two decades and this is a very encouraging

result. only one in ten patients can receive an ogranimplant, but 3d printing using our bioink shows that printed organs can be transplantedto an animal,... opening the possibility of transplanting the tissue in humans." having proved that the 3d printed stem cellpatch works, the team's next goal is to see if there are any side effects... to test whetherits safe to use in the long term. kim hyesung, arirang news.

stem cells

stem cells

ok, so you're reading the newspaper, or you're watching the news and they're talking about some new medical technology, some breakthrough treating congestive heart failure or regrowing muscle tissue in wounded soldiers. i bet you that that story is going to mention that this new type of therapy uses stem cells. and i bet you, like most people, are going to listen along and just go [nods agreeably] without actually knowing what stem cells are, because who has time to know what stem cells are?!? today, we are making time. you have lots of different types of cells in your body. you've got muscle cells, and skin cells, and liver cells, and brain cells,

most of these cells have to be replaced every once in a while. your tastebuds, for instance, are replaced every 10 days or so, skin cells are replaced every couple of weeks, and liver cells turn over every 300-500 days. the cells that are doing the replacing of the old cells, and the repairing of the damaged tissue are adult stem cells, also called somatic stem cells. the different sort of cells, skin cells, liver cells, retina cells,muscle cells and intestine cells, they all have very specific jobs and they're built in very specific ways to do those jobs. different shapes, sizes, contents, mean you can't just stick a muscle cell into adamaged liver an expect it to start breaking down your alcohol for you. somatic stem cells, on the other handhaven't decided what the heck they're gonna be. they're undifferentiated. they haven'tspecialized yet.

like a college freshman, or, let's face it, a recent collegegraduate. they have no idea what they're going to do with their lives. but just like there are different types of college graduates, there are different types of adultstem cells. some can become more different kinds of things thanothers. pluripotent adult stem cells can become many different types of cells all overthe body, however, they're really hard to track down because there are so few ofthem in each organ or tissue. there also multipotent adult stem cells which are more common in the body, but restricted in the kind of cell they can become it is kinda like the difference between graduating from trade school where you have been trained to do a few different possible jobs and graduating with a degree in philosophy or something

equally unprepared for all jobs so yeah , stick a pluripotent cell in a damaged liver and it just happily becomes a liver cell pretty cool but there are some even better types of stem cells to be had embryonic stem cells which are also pluripotent these are the cells inside a human embryo when it is a blastocyst basically just a tiny nugget of human cells four or five days old

which is destroyed in the process of removing the stem cells from inside it these embryonic cells are obtained from in vitro fertilization clinics that fertilize eggs outside of the mother's body for couples who are having trouble conceiving naturally, these clinics have some left over fertilized eggs so with the donor's permission they are given to scientists doing stem cell research now the main advantage of the embryonic stem cells is that while adult stem cells can be grown in culture for time meaning they can be made to multiply over and over in a nutrient solution they can't grow as long or as fast as the embryonic stem cells

which can be maintained indefinitely into the right conditions after just six months in culture , a single wad of 30 embryonic stem cells will have yielded millions of stem cells which can go on to develop pretty much into any type of cell in the body also adult stem cells if used in some sorts of transplant therapies are more likely to be rejected than embryonic stem cells stem cell research is currently pretty hopin embryonic stem cells are being used by researchers all over the world to figure out how to repair or replace damaged cells and organs and create new drugs but regulations have taken their toll there are only about thirty five stem cell lines or families of identical pluripotent stem cells that are available for federally funded research in america

whereas europe has a couple thousand so there , now you never have to " nod along " your way through another news report about stem cells again thanks for watching this episode of scishow if you have any questions , comments or suggestions you can find us on facebook and twitter or of course down in the comments below and if you wanna keep getting smarter with us here in scishow you can go to youtube.com/scishow and subscribe transcription by dr.a

stem cells umbilical cord

stem cells umbilical cord

meet this typical american family. they’re young, beautiful, and—pregnant! congratulations! a new baby brings exciting new possibilities and a host of decisions. one of the most important decisions is whether to bank a baby's umbilical cord blood and tissue. we've heard about cord blood banking, but we don't really know why we need to cryo-preserve our baby's cord blood. did you store your children’s cord blood?

of course, i did. for all my children. if you have the chance to safeguard your baby stem cells, you definitely should. let me explain. umbilical cord blood and tissue contain stem cells the building blocks of all other tissues in our body. cord blood stem cells are used to treat nearly 80 diseases including cerebral palsy, leukemia, autoimmune diseases, and genetic disorders. wow! indeed, and actually as we grow older

many of these conditions become more common, so the need for the stem cells may increase over time. in fact, over 30,000 cord blood stem cell transplants have been performed. new therapies are emerging practically every day. safeguarding your newborn stem cells is the healthiest investment you can make for your baby and your family. our family? yes, cord blood can be used to treat your baby, siblings or other close family members depending on the disease.

the chance of a transplant matching is much greater from a relative than from an unrelated donor, and transplant patients recover better when the stem cells̢۪ donor is related. you should also take advantage of the opportunity to store the stem cells that are found in the umbilical cord tissue. these stem cells are a different type and hold great promise. they're being studied for future therapies for diseases that are more common as we grow older such as heart attacks, stroke, parkinson's, diabetes, and other diseases.

that's amazing, but are there any risks in the process? collecting cord blood and tissue after your baby is delivered only takes a few minutes and poses absolutely no risks to the mother or baby, but you only get one opportunity to cryo-preserve these valuable cells. how much does it cost? collecting and storing cord blood in a private stem cell bank costs about two thousand dollars, plus a small annual storage fee. the bank safeguards it in cryogenic freezers for your family's exclusive use.

financing plans make it very affordable. is there another option? if you choose not to store your baby stem cells for your own family, you may be able to donate them to a public backing for use by others that have medical emergencies. every year, there are thousands of patients searching for a matching donor in a public bank, and your baby stem cells could be the match to save a life; however, once you donate them to a public bank, they may not be available for your

child or family in the future. in that case, you would have to hope that another match could be found in time. as of 2013, the cost of purchasing match stem cells from a public bank is approximately thirty-five thousand dollars and is included as part of the hospital fee. but how do we know which private bank to use? give careful consideration before you select a cord blood bank. check accreditations, success records with therapeutic use, and guarantees.

stem cells pros and cons

stem cells pros and cons

modern hair transplants from an uninformedperspective appears to be technologically advanced with the use of various mechanicaldevices to harvest hair grafts for fue or follicular unit extraction surgery. hair transplantsurgeons who have performed fut or strip surgery and fue surgery know that fut or strip surgeryhas a much higher yield of grafts. this means that the modern fue procedure actually createsless volume and density than procedures of the past. in addition with the reality ofthe progression of hair loss and the limitations of the donor area, these same patients whochose to have fues for the perceived benefits of less noticeable scars, have to have anotherfue procedure which yields more scars and

less hair growth than their first procedure.in our practice, we̢۪ve changed the conversation about hair loss by changing when we recommendhair transplant surgery. briefly, we first treat many of our patients with hair losswith advanced wound healing technology called hair regeneration which stops and reverseshair thinning which typically restores more volume and coverage than a hair transplantwithout surgery. if the patient desires hair transplant to areas where they don̢۪t haveany salvageable hair, we discuss the benefits of strip surgery and fue surgery and optimizetheir surgical results with the same wound healing technology we use for hair regeneration.

stem cells location

stem cells location

i'd like to speak to you about the use of cloningand stem cells to resurrect life. as you know, there are 2 waysto make copies of cells and organisms. the first and most controversial is cloning, and that is also known assomatic cell nuclear transfer. the concept is very simple, you start out with an empty egg,that's the large circle you see and then you placethe cell you want to clone,

the smaller somatic cellright next to it, then you send an electrical chargethrough the unit and it damages the membranebetween the two and the nucleus of the cellyou want to clone dumps into that empty egg; then you add some chemicals, you fool that unit into thinkingthat it is fertilised, it starts to divide and you end up with what is knownas preimplantation embryo.

then you can do one of 2 things with that. you can place that in a petri dish where you can turn that intoembryonic stem cells which are the master cellsof the body and they can turn intovirtually every cell type. and the other alternative is that you can place thatinto a surrogate animal to create an entire organism. another approach that is neweris known as cell reprogramming.

and that leads to what is knownas induced pluripotent stem cells or ips cells. you start out with a somatic cellon a piece of skin, you throw in some transcription factors and bring that differentiated cellback to a state of pluripotency very much like an embryonic stem cell. and we have new tricks now, we can actually turn those cellsinto an entire organism as well. so, to date, about 2 dozen different species have been cloned.

back in 1958 john gurdoncloned the first animal, that was a frog, in fact he was justrecognised for that feat a few months ago with the nobel prize, and since that time, of course,there's been dolly the cloned sheep, and we and other groups have clonedmice and goats and even cats and dogs. in fact, back in the 1990's,we cloned an entire herd of cows from genetically modified cells. so what you actually see here

are animals that are making human albumin in their milk, so we could use the same approachto reconstruct extinct animals ã  la jurassic park. so in this case we took a skin biopsyfrom the ear of a cow, we grew up the cellsknocked in a gene cassette, and then used ordinary eggsto create that herd of animals. so similarly, as george church would describe, we can then take, say, an elephant cell,knock in the genes for tusks, or long ear, or haemoglobin so he can livein a cold climate,

and then using the techniquethat i'll describe later, we can create sperm and eggsand an entire organism from that. so, there are 2 types of cloning. one is known as interspecies cloning and the other is intraspecies. with the intraspecies, you actually use the egg and the cellfrom the same species you want to clone, but using this cross-species approach, we can take the egg of one speciesto clone the cell from another.

and that's very importantif you want to resurrect extinct animals or if you want to cloneendangered animals. back in 2000 we usedthis cross-species technique to clone the first endangered species. in this case it was a gaur, which is a wild oxon the verge of extinction. at the time everyone said, "that's not going to work, that's impossible." and the reason for that is that a cloneisn't really entirely a clone.

it turns out that every cellhas 2 genomes. one is the mitochondrial genome, and the mitochondria are the organelles in the cellthat make energy. that's maternally inherited,so that will come from the egg. and the other genomeis the nuclear genome, and that contains the genesthat distinguish you and i from an elephant or a mouse. so those 2 genomeshave to talk to one another,

and there's evidencethat it can only occur within 8 to 18 million yearsspecies radiation. we got around that problemby using very closely related species, concord and xenograftcombinations. in this particular casewe had a gaur and a cow and they are bothin the bos family. using that approach, we were able to reconstruct these clone gaur embryos, that may look like little circles to you,

but these are actuallybeautiful little gaur blastocysts. the idea here was to create these embryos, send them by fedex offto a farm in iowa where they would be implantedinto some ordinary cows. it turned out that the first round we made and put outside the doorfor the delivery truck guy to pick up, unfortunately, we came the next morning,and they were still there. but eventually fedex did delivera new round of these embryos, they were indeed implantedinto some animals.

i went to iowa entranced over we had 25% pregnancy rate. two of thosewe let continue onto term. unfortunately one of thoseaborted at late stage, it was 202 days. we let one of them continueto just day. and here's bessy,8 months pregnant. we were a bit nervous. the whole world was following us,cnn was running in almost everyday

and we were concerned,"what if bessy gave rise to an ordinary cow? that would be very embarrassing!" (laugher) and that's happened before. so fortunately it did give riseto a beautiful little baby gaur. it's a bit surreal seeing this exotic endangered animal that is normally born in bamboo junglesof southeast asia, being born out in an iwoa farmthat reeked of cow manure,

but it was alive. died unfortunately 2 days later. everyone said, "see bob, the technology doesn't work." about 2 years later,we approached the san diego zoo and they came up with an animalthat's known as banteng. only about 2000 of these animalsare left on the planet. and he had cells from this animal that had been frozen awayfor a quarter of a century. so they sent us a vialof these frozen cells

and again we put those into cow eggs,sent them back off to iowa, and indeed on april fool's day in 2003we had a beautiful little baby banteng which was ultimately transferredto san diego zoo where it livedwith the other bantengs. so this technology does work. there are some problems, but we have new technologiesthat i'll mention that can now solvemany of these bottlenecks. i collect dinosaur fossils.

so when you go to my front door the first thing you seeis this brantosaur's femur. it's about 6 feet longand weighs 800 pounds. and everyone goes,"bob, you gotta clone it!" and that animal was bigger than my house, i don't know what the surrogate would be, although it is an egg! (laughter) in any case, i actually live on an island, and one day a usa today reporterwas there and said,

"you know, you have the island,you need the electric fence." and i told him,"you can't clone from stone." so you are not likely to seeany dinosaurs in your back yard any time soon. but that doesn't mean extinctionis necessarily forever. you just heard from alberto,about celia, so that was the first short-term success. i remember back in 2000 going to zaragoza, spain and meeting with them,meeting with the ministers.

that was only a few monthsafter celia had died and we said we wanted to clone it. they almost laughed and basically saidthat that was science fiction. i actually still have a bottle of winefrom one of the ministers and i'm waitingi'm going to open it when the first bucardosare released in the pyrenees. there are other species. mike archer mentionedthe gastric-brooding frog, frozen cells, so hopefullywe'll be able to resurrect that

using the cross species cloning. but those techniques are limitedas i mentioned, so recently, a few months ago, he shared the nobel prizewith john gurdon, dr yamanaka discovered ips cells, these are the reprogrammed cellsthat i mentioned to you, and using that approachwe now have a new tool for conservation biology. so when yamanaka published his paper showing for the first time

that we can make human ips cells, i published a letter in science,saying that this could also be used for conservation biologyto restore genes from endangered and extinct animals. and that has been usedsuccessfully in some animals. there are many techniques,this is just one of them here: something known astetraploid complimentation. what happens is, you startwith your fertilised egg, you let it divide the 2 cell stage,

and then you fuse those 2 cellsso there's twice as much dna in it, that is why it is calledthe tetraploid. and then you let that divide and it continues to divideinto what's known as a blastocyst. that will only create the placenta,and extra embryonic membranes, it will not create the embryo per say. so you can inject ips cellsinto that blastocyst and they all to go onto become the animal so you can start out with an embryo,surrogate that's white,

inject your ips cellsfrom a pigmented animal and get all ips animals,essentially clones. so we can do that and we can make ips cellsfrom almost any animals, from horses,from avian species. so you can make them very readilyunlike the normal cloning procedure. but the more likely waythis is going to occur is to actually turn the ips cellsinto eggs and sperm. you have just a little piece of skinfrom any endangered animal

or a closely related, say, for the mammothyou can start with an elephant, you add the transcription factors, turn them into ips cells and then those can be coaxedinto premodial germ cells and then turninto either sperm or eggs. and indeed that does work. a few months agofor the first time a group in japanturned ips cells into eggs

that resulted in live pups, and a year before the same groupturned ips cells into sperm that could create live pups as well. so the goal for these extinct speciesis simply to start like an elephant cell, upregulate the various genesfor tusks, long ear, whatever, and then you just create sperm and eggs, and then you create an entire organism. but just in case that doesn't work, and for those of youwho are jurassic park fans,

i actually have a piece of amberin my pocket and it really does have a mosquito in it. thank you. (applause)

stem cells journal

stem cells journal

a study published in the journal arthroscopyby saw and colleagues has drawn some interest. the investigators took 50 patients aged 18to 50 with grade 3 and 4 osteoarthritis and randomized them to receive either arthroscopicbone drilling with addition of the lubricant, hyaluronic acid or hyaluronic acid with stemcells obtained from peripheral blood. each group received 5 weekly injections startingone week after surgery. the group that received the hyaluronic acid plus the stem cells didbetter as far as improvement in quality of cartilage as shown by cartilage histologyand magnetic resonance imaging. very compelling study.

stem cells international

stem cells international

an international team of researchers has developedan artificial version of the human midbrain using stem cells. their creation will allow for more extensiveresearch and drug testing,... and could have broad treatment implications -- especiallyfor degenerative disorders involving the motor system. park jong-hong explains. the breakthrough could eventually be life-alteringnews for patients of parkinson's disease. the leading degenerative disorder of the centralnervous system is a condition stemming from the midbrain, which is in charge of motorfunctions that control auditory and eye movements,

vision and body movements. the midbrain contains special neurons thatproduce dopamine, and the disease develops when the number of neurons decreases. with the breakthrough, scientists have createda miniature version of the midbrain, which they hope will shed light on exactly how parkinson'sevolves and lead to a cure for it and other aging-related brain diseases. while miniature versions of the brain havebeen developed before, this one is the first of its kind. it is a three-dimensional miniature with tissuesthat were grown in a laboratory using stem

cells cultivated from human blood, and itcan be used in a variety of drug tests instead of in experiments on actual patients. the medical community is abuzz about the possibilitiesfor research and treatment the breakthrough will have. the joint study was conducted by an internationalteam led by professor shawn je from duke-nus medical school and a*star's genome instituteof singapore. their findings were published this month inthe journal cell stem cell. park jong-hong arirang news.

stem cells inc

stem cells inc

you've reached placidway, the leading healthtourism company! subscribe to our youtube channel and get instant access to all of ourlatest health videos. stem cell treatment for spinal muscular atrophysma spinal muscular atrophy, more commonly knownas sma, afflicts millions of individuals around theworld. considered a neuromuscular disease, the condition causes a degeneration or destructionof motor neurons, which transmit signals fromthe brain to the muscles. the condition causes eventualatrophy or wasting away of muscles throughout the body, and can affect all age groups andgenders. stem cell research facilities in

treatment centers around the world have beguntreating sma symptoms with embryonic stem cell transplantsand implantation therapies, offering remission inup to 75% of cases, as well as helping to diminish the symptoms of neurogenic dystrophyin patients in 90% of cases in some clinicaland treatments studies. clinical trials in stem cell treatments andtherapies for spinal muscular atrophy are focusedon determining efficacy data, assuring safety, and quality assurance in the implementationof testing, currently under way in multiple facilities throughout the united states, includingthe university of california, california stem

cell, inc., and john hopkins. facilities inthe ukraine, western europe, asia, and latin americaare also conducting clinical trials, therapies and treatments utilizing stem cells in thetreatment of spinal muscular atrophy. stem cell therapy to treat sma focuses oncompletely replacing motor neurons that have beendamaged or destroyed due to the disease process. not only will such treatments slow down thedisease progression, but may also be used to treat a variety of disorders includingspinal cord injuries or other neuromuscular damage or disease processes that interruptsthe flow of information signals controlling nerve and muscular movement.if you want to know more, please contact us!

stem cells in the body

stem cells in the body

ok, so you're reading the newspaper, or you're watching the news and they're talking about some new medical technology, some breakthrough treating congestive heart failure or regrowing muscle tissue in wounded soldiers. i bet you that that story is going to mention that this new type of therapy uses stem cells. and i bet you, like most people, are going to listen along and just go [nods agreeably] without actually knowing what stem cells are, because who has time to know what stem cells are?!? today, we are making time. you have lots of different types of cells in your body. you've got muscle cells, and skin cells, and liver cells, and brain cells,

most of these cells have to be replaced every once in a while. your tastebuds, for instance, are replaced every 10 days or so, skin cells are replaced every couple of weeks, and liver cells turn over every 300-500 days. the cells that are doing the replacing of the old cells, and the repairing of the damaged tissue are adult stem cells, also called somatic stem cells. the different sort of cells, skin cells, liver cells, retina cells,muscle cells and intestine cells, they all have very specific jobs and they're built in very specific ways to do those jobs. different shapes, sizes, contents, mean you can't just stick a muscle cell into adamaged liver an expect it to start breaking down your alcohol for you. somatic stem cells, on the other handhaven't decided what the heck they're gonna be. they're undifferentiated. they haven'tspecialized yet.

like a college freshman, or, let's face it, a recent collegegraduate. they have no idea what they're going to do with their lives. but just like there are different types of college graduates, there are different types of adultstem cells. some can become more different kinds of things thanothers. pluripotent adult stem cells can become many different types of cells all overthe body, however, they're really hard to track down because there are so few ofthem in each organ or tissue. there also multipotent adult stem cells which are more common in the body, but restricted in the kind of cell they can become it is kinda like the difference between graduating from trade school where you have been trained to do a few different possible jobs and graduating with a degree in philosophy or something

equally unprepared for all jobs so yeah , stick a pluripotent cell in a damaged liver and it just happily becomes a liver cell pretty cool but there are some even better types of stem cells to be had embryonic stem cells which are also pluripotent these are the cells inside a human embryo when it is a blastocyst basically just a tiny nugget of human cells four or five days old

which is destroyed in the process of removing the stem cells from inside it these embryonic cells are obtained from in vitro fertilization clinics that fertilize eggs outside of the mother's body for couples who are having trouble conceiving naturally, these clinics have some left over fertilized eggs so with the donor's permission they are given to scientists doing stem cell research now the main advantage of the embryonic stem cells is that while adult stem cells can be grown in culture for time meaning they can be made to multiply over and over in a nutrient solution they can't grow as long or as fast as the embryonic stem cells

which can be maintained indefinitely into the right conditions after just six months in culture , a single wad of 30 embryonic stem cells will have yielded millions of stem cells which can go on to develop pretty much into any type of cell in the body also adult stem cells if used in some sorts of transplant therapies are more likely to be rejected than embryonic stem cells stem cell research is currently pretty hopin embryonic stem cells are being used by researchers all over the world to figure out how to repair or replace damaged cells and organs and create new drugs but regulations have taken their toll there are only about thirty five stem cell lines or families of identical pluripotent stem cells that are available for federally funded research in america

whereas europe has a couple thousand so there , now you never have to " nod along " your way through another news report about stem cells again thanks for watching this episode of scishow if you have any questions , comments or suggestions you can find us on facebook and twitter or of course down in the comments below and if you wanna keep getting smarter with us here in scishow you can go to youtube.com/scishow and subscribe transcription by dr.a

stem cells in bone marrow

stem cells in bone marrow

- [voiceover] so, let megive you an analogy, here. when you were still anadorable little baby, you were just bursting with potential. you could decide to be a pilot, or a doctor, or a journalist. you had the potential to specialize into all sorts of different careers, and as you got a bit older,you got more and more committed down a certain pathway,

and the decisions that you made moved you further and furtheralong this pathway, right? well, it turns out that stemcells operate in a similar way, going from unspecializedto more specialized as they get older. so, let me show you what i mean by that over the course of this video. and let's actually startback at the zygote, here, the cell that resultswhen sperm and egg fuse

because that's really where our stem cell story kinda begins. so, the zygote starts to divide, right, by mitosis until it reachesthe blastocyst stage, this hollow ball of cellshere is called a blastocyst. and here, things start to geta little bit more interesting. so, in a blastocyst, there'sthis little grouping of cells down in here, referred toas the inner cell mass. and this is a really speciallittle bunch of cells

that go on to become the embryo. so, these are called stem cells. and what they can do as stem cells is they can specialize intoseveral other cell types. so, we actually call thempluripotent stem cells. pluri meaning several and potent referring to these stem cells' ability to actually do this differentiation. so, during development,these inner cell mass

pluripotent stem cells can differentiate into any of the more than200 different cell types in the adult human body whengiven the proper stimulation. so, it's kind of incredible to think that every single cell in your body can trace its ancestry back to this little group of stem cells, here. and actually, if you ever hear anyone talking about embryonic stem cells,

these are the ones they're referring to, these icm stem cells. so, is this the only placewe can find stem cells, here in the developmental structures? we used to think so, but, it turns out that in mammals, there aretwo main types of stem cells. embryonic stem cells that we just saw and somatic stem cells whichare found in every person. so, the embryonic stem cellsare used to build our bodies,

to go from one cell totrillions of specialized cells, and the somatic stem cells are used as sort of a repair system for the body, replenishing tissuesthat need to be replaced. and they can't repair everything, but, there's a lot of every day repairs that can happen because of our stem cells. so, in skin, for example... this outside layer is the partof our skin that we can see

and that we can touch, right? and it's made of these waterproof, pretty rugged epithelialor skin cells and interestingly, althoughthey are pretty rugged, you're constantlyshedding these skin cells. they actually just sort offall off or get rubbed off during every day activities like when you're putting your clothes on. and then, the ones from underneath them

just sort of move up and take their place. so, you shed them and you lose almost 40,000 of them per hour. so, if we wanna have anyhope of keeping our skin, we kinda need a way toreplace these cells, and that's where stem cells that live in our skin come in. actually, our skin cells are shed and replaced so often,that it only takes a month

for us to have a completely new skin. like, literally onemonth, entirely new skin. it's outrageous. anyway, deep within our skin, there's this layer of stem cells called epidermal stem cells, and their job is to becontinually dividing. so, you can see themdividing, here, dividing, dividing, dividing, and makingnew skin cells that go on

to migrate upward as themultiple layers of our skin. and their goal is to eventually replace these ones up here on the outside that get damaged or worn out and fall off. so, it's this kind of activity here which show off our stem cells' role as our regenerative cells. now, lemme just highlighta few differences between our mature skin cells over here

and our stem cells down here. they are very different. mature cells are notthe same as stem cells, and this principle goesfor really any mature cell versus any stem cell. so, the mature cell isalready specialized, it already has a really specific function. for example, our outer layerof epithelial cells, here, they have a protective function

against the outside environment. and, you know, just thinkingof other adult cell types, right, like muscle cellshave a contractile function, and neurons have amessage sending function, and bones have a rigidstructural function. so, all these adult cells are already nice and specialized, they'vegrown up and decided what they wanna do for a living, whereas, stem cells arenot like that at all.

stem cells are unspecialized. but, they still have areally important job, which is to give rise to ourmore specialized cell types, like these cells here, okay? and, actually, in order tobe considered a stem cell, and this goes for theembryonic stem cells we met previously and the somaticstem cells we're meeting now, to be a stem cell, you'd need to possess two main properties.

the ability to self renew,meaning you can divide and divide, and divide, but, at least one of your resultingcells remains a stem cell, it remains undifferentiated, and you'd need to have a high capacity to differentiate intomore specialized cells when the time comes. so, remember, this is also referred to as having some degree of potency.

and there's actually a few different types of stem cells, and someof them can turn into more types of cells than others. some are more potent than others. so, this epithelial stem cell we saw here is actually one of the lesspotent types of stem cell. in other words, thesestem cells can only divide and specialize into more epithelial cells. so, they're our source ofepithelial cells, sure,

but, only epithelial cellsand not any other cell type. so, we call them unipotent,referring to their ability to only create one type of cell. but, lemme show you another example here of a multipotent stem cell. let's look at this guy'sfemur, his thigh bone, which is where our blood cells are made inside bone marrow in our bones. so, you might know thatour red blood cells

have a life span of about four months. so, that means that we needto be constantly replacing our red blood cells orwe'll run out, right? well, in our bone marrow,we have what are called hematopoietic stem cells, which are our blood making stem cells. and these are pretty special, they're multipotent stem cells, which means they can giverise to many types of cells,

but, only ones within a specific family. in this case, blood cells,and not, for example, cells of the nervous systemor the skeletal system. so, our hematopoietic stem cells are always busy churningout new blood cells, red blood cells to carry oxygen for us, and white blood cells to keep our immune system nice and strong. and for a more clinical example,

with blood diseases like leukemia, certain blood cellswill grow uncontrollably within a patient's bone marrow, and it actually crowds out their healthy stem cells, here, from being able to produce enough blood cells. so, as part of treatment,once the leukemia cells are cleared from the bone marrowwith, usually, chemotherapy or radiation, doctors can actually put

more hematopoietic stem cellsback into the bone marrow that then go on to produce normal amounts of blood for the person again. so, this is probably the most common use of stem cells in medicine as of now. and you can actually findthese multipotent stem cells in most tissues and organs. so, for example, we havemultipotent neural stem cells that slowly give rise to neurons

and their supporting cells when necessary. and we have multipotentmesenchymal stem cells in a few different places in the body that give rise to bonecells and cartilage cells, and adipose cells. so, you might be wonderingafter seeing our epithelial and our hematopoietic stem cells dividing, why aren't these cells beingused up as they divide? and that's a really good question.

so, stem cells havetwo mechanisms in place to make sure that theirnumbers are maintained. so, their first trick isthat when they divide, they undergo what's calledobligate asymmetric replication where the stem cell dividesinto one so called mother cell identical to the original stem cell, and one daughter cellthat's differentiated. so, then, the daughtercell can go on to become more specialized while the mother cell

replaces the stem cellthat divided, initially. the other mechanism is calledstochastic differentiation. so, if one stem cellhappens to differentiate into two daughter cells insteadof a mother and a daughter, another stem cell will notice this and makes up for the lossof the original stem cell by undergoing mitosis andproducing two stem cells identical to the original. so, these two mechanisms make sure

their numbers remain nice and strong. so, we've looked at embryonic stem cells and we've looked at somatic stem cells. there's actually one more type called induced pluripotent stemcells, or ips cells. it turns out that youcan actually introduce a few specific genes intoalready specialized somatic cells like muscle cells, andthey'll sort of forget what type of cell they are,and they'll revert back,

they'll be reprogrammedinto a pluripotent stem cell just like an embryonic stem cell. and this is a huge discovery. i mean, the technique isstill being perfected, but, there's a lot ofmedicinal implications, here. for example, ips cellsare basically the core of regenerative medicine,which is a pretty new field of medicine where the goalis to repair damaged tissues in a given person by using stem cells

from their own body. so, with ips cells, each patient can have their own pluripotent stem cell line to theoretically replaceany damaged organs with new ones made out of their own cells. so, not only would apatient get the new organ they might need, but, there also won't be any immune rejection complications since the cells are their own.

so, there's still a ways to go here before this type of medicineis sort of mainstream, but, already, ips cells have helped to create the precursorsto a few different human organs in labs, suchas the heart and the liver. now, before we finish up here, i just wanna answer two questions that might have come up for you. so, one, what triggers ourstem cells to differentiate?

well, it turns out thatin normal situations, right, when the stemcell's just hangin' out, not doin' too much, it actually expresses a few different genes that helps to keep it undifferentiated. so, there are a few proteinsfloating around in the cell that prevents other genesfrom being activated and triggering differentiation. but, when put in certain environments,

this regulation can be overridden, and then, they can go on and differentiate into a more specialized cell. the type of which depends on what specific little chemical signals are hanging around in the stem cell's environment. so, for example, in the bone marrow, there are certain proteinsthat hang around stem cells and induce some to differentiate

into the specific blood cell types. and finally, what's all thisstuff you might have heard, maybe in the news, about cord blood? well, from cord blood,which is blood taken from the placenta and the umbilical cord after the birth of ababy, you can get lots of multipotent stem cells, and sometimes, some other stem cells that have been shown to be pluripotent.

so, this cord blood usedto just be discarded after a baby's birth, but now, there's a lot of interest in keeping it because now we know itcontains all these stem cells.

stem cells impact factor

stem cells impact factor

>> well, thank you very much indeed, it's an honor to come and give this talk about the recent work going on in this my lab. this is being funded by the heart lung and blood institute. so as we've been walking around in the beautiful air looking at

the cherry blossoms and breathing the warm spripg air, i'm really happy that--spring air, i'm really happy that my lungs are in good shape but i realize that for millions of people throughout the world this is not the case. and our researchers are trying

to understand what cells are maintaining the lung and how it's--how it helps to repair them after certain kinds of injuries and what can go wrong. so the lung is a very complex system, like many it's made up of 2 cell types, epithelial tubes that branch finer, finer,

finer and end in these multiple millions of little air sacks where the gas exchange takes place. and these are highly vascularized for the gas exchange and of course there is a lot of mesodermal cell types around which contribute not only

to the vasculature but to the smooth muscle and lymphatic and cyber blasts so we've been particularly interested in the stem and progenitor cells of the epithelium and 1 of the important things is to remember there's not just 1 stem cell type for this system because the

epithelium is very different in this the different parts of the lung. down here in the alvermen infectedole i of the exchange, these thin walls are lined by type 2 cells and type 1 cells place. but up in the air ways, the air

coming in has to be hydrated, particles have to be removed and this is effected by a mouso epithelium and this is made up of mostly secreteatory cells and a few endocrine cells. so there's very different cell types and they have very different cell biologies and

physiologys. so the work from many different labs has led to an understanding of the kind of stem and progenitor cells which are in the human lung and in the mouse lung. now there's a big difference in the size, between the mouse lung

and human lung, but the basic idea is very much the same. so up in the mouse trachea and main bronch i, there's the sealium in these cells and are maintained by basal cells and like basal cells in the tissue and skin and prostate and the mammary gland are characterized

by a p63 and keratin 5 expression. and they do not--they're next close to the basal lamina but don't reach up into the lumen. and these are present in the human lung, throughout the air ways inside the lung and right down to the very smallest air

ways. so the very small air ways where a lot of disease happens as i will show you in a minute is very similar in organization to the trachea and main stem bronch i of the mouse lung. so we often use this as a model for understanding what's going

on in the small air ways of human lung. --type 2 cells and the type 1 cells. so this is just summarizing a little bit about what we know at present about these stem cell populations and i will say that it's quite a complicated story

because in steady state in the lung there's rather little cell turnover and only 1 can really see what the potential of these cell types is, is to do various injury ask infection models all of the mouse lung and then we see the cells is damaged, resident of a cells can change

their behavior and start to proliferate and each change their phenotype. so, what has been found is that these basal cells here will self-renew and overtime, very slowly give rise to the multifilliated cells and secreteatory cells by lineage

tracing but recently, a colleague at harvard showed if you have an injury model where you genetically ablat many of those basal cells, some of the differentiated secreteatory cells can change their phenotype and can go back and behave like basal cells.

they will express p63, they self-renew over a long period of time and behave as bona fide stem cells. so this was quite surprising plasticity which now has been seen in other organ systems as well. and then we showed these club

cells can self-renew over a long period of time and can give rise to multiciliated cells. but a number of labs have shown in certain models injurying the lung with chemo micein with a chemo therapy agent that can lead in lung damage in humans when it's gib for cancer

treatments. under those conditions, some are bona fide club a cells expressing markers of differentiated cells can start proliferating and will actually give rise to type 2 cells and to type 1 cells. again sort of fairly unexpected

plasticity which has now been seen in different injury models. and then not long ago we showed that type 2 cells can self-renew over a long period of time and can give rise to type 1 cells both in steady state slowly and then after partial newellennectomy when there's

regrowth and development of new alvermen infectedole i in the remaining lung but under those conditions when there's a lot of change and remodeling in the ment even some of these type 1 cells which are very flat and thin and cover a large surface area, some of them by lineage

tracing can round up and give rise to type 2 cells. again, quite an unexpected finding, rather a small population, we're doing it but it's been repeated in different labs. and then most recently of all, people had been looking at lungs

after influenza virus infection, in particular a pr8 strain of influenza virus which causes a lot of damage and a lot of inflammation and under those conditions, some cells which are still rather unpoorly characterized in these small air ways which have been called

lineage negative epithelial cells or distant air way stem cells can start proliferating and turn on p63 and keratin 5 and actually migrate out of the air ways which some strains of influenza do this, others don't but they become migratory and they give rise to what's called

keratin 5 positive pods of epithelial cells and it's still a bit controversial but under certain conditions after chapman's lab in ucsf has found that after putting these cells into ted trans--transporting them into the lung and inhibiting notch signaling, some

of them can give rise to type 2 so again very unexpected but really generating a lot of data that's quite fascinating and is pointing towards mechanisms for plasticity of epithelial cells that had been rather unexpected. so what we're trying to do, is to understand the basic biology

of these different populations and to understand the mechanisms driving both their steady state self-renewal and differentiation and thou they respond to these different models and inflammatory appearance of macrophages and cytokines and so on.

so i'm going to focus actually on these basal cells of the mouse tracheal area and how we've been translating this to studies with a primary human basal cell in the lung, so this is work of 2 post doctoral fellows. the work has now actually been

published in the work on tomomi, tadokoro, on the role of signaling in the basal cells. she did this wo, and it's now being published in development but she got her own job in the city university and is now running her lab in japan and this is what was published in

the journal of cell biology and she's still continuing this but will be on the job market soon. so what--just very briefly these basal cells as i said there in the pseudostratified mesothelium, they express p63, unlike the basal cells of the skin which is a continuous layer

and in the larger human air ways it's almost a continuous layer, these are sort of individual cells here and they express keratin 5 and some of them express keratin 14 but fortunately they express nerve growth factor receptor on the surface which has made it, we

don't quite now know they express this receptor, they don't seem to respond to culture in the neurotropic molecules but there must clearly be a biological reason, we haven't picked it up yet but it means it's easy to isolate these by facts sorting.

now i said this is a similar kind of organization in this the human lung and in the mouse there are a few submucosal glands in this region and in the human these submucosal glands again extend throughout the lung and i want to include 2 slides just showing why the relevance,

sort of studying these basal cells to human pathology because here is the normal human air way taken from a lung sample showing here we've got the p63 positive cells, the secreteatory cells and the expression of the nerve growth factor receptor so you see there are many more

aboppeddance of these basal cells in the humans air way, but in this this condition of copd, which is frequently found in heavy smokers but in people with lung pathology, there is squeamous metaplasia where these basal cells will overproliferate for multiple layers and they

will lose the affiliated and secreteatory epithelium and of course then, it can lead to obstruction of the air ways. so that's a pretty serious condition and then also in asthma, i said that in a normal air way these basal cells will differentiate into multiciliated

cells and secreteatory cells and this is a highly regulated process to keep the balance of these 2 cell types correct. but in asthma there's over production of the secretattory cells producing glucose and you can see here this is a serious condition of asthma in which

there are many of these cells packed with secreteatory materials, globlet hyper plassia, then there's another condition called bronchioliteis oblighter ans, which is almost fast--there are far fewer epithelial cells, they're not well differentiated but there

are definitely p63 positive keratin 5 positive basal cells in this region. and the possibility of this epithelium can lead to an overgrowth of the urpd lining and there's an exchange of information between the stroma of which we have revealed in

some of our injury models. so this is why we want to understand these basal cells and we want to understand the mechanism by which they give rise to a balanced proportion of ciliated and secreteatory cells. so what do we know about this mechanism of self-renewal and

differentiation. felt well, this schematic is just to summarize what is known at the moment: these cells and they have the markers but are they a homogeanious population of cells or is there heterogeneous activity among them.

some are quiescent and some which are on the way to differentiating and even though they express these markers, are somehow got a different genetic program going inside them. well, some very beautiful paper came out last year from [indiscernible] lab and she

teamed up with ben simons who is a theoretical chemist who's become interested in the population virology in the stem cells in different systems and looking at cell turnover in the normal steady state lung and looking at lineage behavior of the cells, they came to the

conclusion that actually about half of the cells which we were calling basal cells are are in fact committed progenitors, they call them committed or lumen progenitors and have got a different gene expression profile and are more likely have a higher probability of

differentiating than the other 50%: so that's quite interesting and as i will tell you at the end, i think we have identified another component of the genetic differences between the basal cells actually in the human lung which is predicting those which might start to

differentiate toward the filliated lineage. --not ohm in the lung but also in the xenipost skin and other multiciliated epithelia and this is the ciliogenesis program and this is the rfx2, and foxj1. and any of these mutated will effect the differentiation of

these multiciliated cells. fox j1 mutants for example had very short malformed cilia, they do start the program but the multisillian is at the top of this hierarchy and then others believe that [indiscernible] lab thinks that cmib might be earlier in the progenitors

giving rise to the multiciliated and then the other program is going towards the secreteatory cells forming the goblet cells or the club cells they're called in the 1s which are making these a secretat globins and we know now from work in this my lab or others that high notch signaling

promotes the differentiation of secreteatory lineages but in addition to these lineage choices this is very, very interesting cell biology which is going on here which we try how the change in the behavior of the cells is integrated with their lineage choice.

and that is because these basal cells really don't have a clear apical membrane. they're attached to the basal lamina through integrins and they don't have a clear apical domain, i will show you that we've been interested in how these cells start to

differentiate into either the multiciliated program or the secreteatory program now become polarized much more clearly and then form junctions between the cells to form a barrier. and it's this barrier which is crucially important for lung function because it's keeping

out all the microbiome that we're beginning to learn about what's in there is keeping out the viruses, keeping out the particles and if this barrier becomes leaky, it's thought that it allows infiltration of things and can then lead to inflammation and abnormal lung

function. so we become interested in how you coordinate this morph o genesis of this epithelium. now i said right early on, there's very little normal turnover, the lung is not like the gut and the skin where the stem cells are turning over and

replace the epithelium every few days. people have looked at this, turnover and it's very, very slow indeed, there's very little incorporation, edu into basal cells normally. so we are really challenged to give some kind of stimulus to

the lung to get the remodeling going and this can either be infection with bacterial or with viruses or 1 model that we've used quite a lot is to have the mice to breathe in sulfur dioxide, which is sort of mimicking exposure to toxic things in the air.

now i've been realizing there's a push to include both male and female animals in injury models or studies at nih. i have to say we do this with male mice because the females don't injury very well i've never really quite know why. i think the females all huddle

together and hide theirinoses in each other's fur. they cuddle up where the males say [sigh, ] and take brig breaths of the so2, i haven't tested that. but it dissolves in the liquid, in the acid, the exposure and the lumnacelles sluff off

leaving behind the basal cells and the then most of them seem to survive and they will start proliferating, you see here are the p63--here are nonspecific staining of the dead cell and by 24 hours most of them have incorporated brdu and start to proliferate so there's a special

population, most of them proliferate and then by 2 weeks this epithelium has been restored, the silliary are beating again and the mice go back to normal. so this has been a model we've looked at over the years and this is what we conclude is that

the surviving basal cells as i will show you, their first response is to spread. actually they change their behavior so that now they didn't have any junctions between them but i will show them that they do assemble junctions between them to act as a barrier as

quickly as possible. let then we have the undifferentiated progenitor produced and then they start to express a lineage marker like fox j1 and we get back to having the right proportion of ciliated secreteatory cells. there are also changes in the

stroma which include changes in the angiogenesis or leakiness of the blood vessels, influx of nutrifills and macrophages and changes in the stromal population of fibroblasts that are in here. now just very briefly we did have funding from the counteract

program to see what would happen if mice were exposed to chlorine gas. and in there, the response is a bit different because the basal cells are damaged. this was done in collaboration with pete koren at duke and his studies show that the base at

cells die in this condition. and then in about 50% of the mice, the stromal cells overgrow, they're not--the proliferation is not suppressed by the proliferation and behavior of the basal cells and in this case, there is stenosis of the air ways.

we think this could be an ablight rans type situation in the air cells if they're defective in being able to proliferate. so what we wanted to do was part of our general program is to find them factors that will promote the proliferation of

basal cells so that you might give this as a therapeutic agent after exposure to toxic chemicalling or just in general to say what is promoting the proliferation and what is controlling their differentiation into ciliated verses secreteatory cells.

so we set up a post doc in nigh lab this assay, before organoids it was about the same time that people were doing intestinal organoid 3 dimensional culture system and we set it up as a way of screening for molecules that would promote proliferation and sophisticatedy we took the mouse

air way, large air way, disassociated them and it's a simple fact sort based on nerve growth factor expression and they're about 90% basal cells. we feed them into mate rigel in 3 dimensions in these little inserts and then put them into a culture medium here and over the

next 2 weeks, single cells, we did a clonal analysis, single cells will give rise to a little sphere which we call bronco sphere or tracheal sphere and then--if i can show this movie, okay the single cell, mostly the cluster and eventually you form a central lumen that will pump

full of fluid and you will see a basal cells around in contact with the mate rigel and the keratin 8 positive cells inside and then they will differentiate into secreteatory cells which are making this protein called plunk and the multiciliated cells which the cilia will beat

functional and they're marked acetalated tube lynn, and something was published that tomomi did with the screen is that we isolated basal cells from mice which are transgenic for a reporter gfp driven by the fox j1 promoter. so all the ciliated cells would

be green and she could screen then for spears or for wells which had more green cells in them and thal way she identified il6, the cytokine il6 as a molecule which would promote the differentiation of secreted and this assay was used by no artis by aaron jaffe who had

been very interested in polarity of epithelial cells. they use this as a very, very high through put screen, for new drugs and drugs that would inhibit or promote the differentiation of secreteatory cells as new possible and antiasthma drugs.

so we're looking for things which promote the cilia genesis, they were looking for things that were inhibiting secreteatory differentiation, but you can see the utility of this kind of primary cell, organoid assay. so, what tamomi did was then

screen another users assay but then rather than look at affiliated verses secreteatory cell types was just to look at compounds, promote colonning forming efficiency and cell number because what you can do is you can take the spheres in 1 of these wells and you can

disassociate them and count--fact sort them again and base all those secreteatory cell number. so if you did a screen, of course there are many more molecules than this, i just put on here those that were particularly good at forming

colony efficiency or cell and top of this list was a molecule called ldm, 193189, and we will call it ldn, there's other molecules in here, there's sonic hedge hog agonist, tgf beta inhibitors but they were not as effective as the ldn which is an inhibitor of the bmp

signaling, through bmp receptors and through smads, so as many of you know of course, the bmp cononicle path bay is going through phosphorylation of smad 15 and 8 which links up the smad 4 and goes and promotes or represses certain down stream genes, and ldn was an inhibitor

of this cononicle pathway. now there's a little bit, a little bit of inhibition of the veg f pathway of this drug, so we were very fortunate to have help--i'm sorry, collaborative from vanderbilt who had made other molecules which you can now buy commercially called

dorsal morphins, and dorsal morphin is very similar to ldm and it inhibits the bmp pathway much more specifically, so some of the studies i will show you were done with dorsal morphin as but this has exactly the same effect. so what we found was that dorsal

morphin would actually promote--oh i think i left that slide out. no, it's here, can you see them here with dorsal position o morphin 1 and 2 and ldn, there were more spears and they were--spheres and they were bigger.

but we sectioned them we found they had the same proportion of silliatory and secreted cells. so unlike il6, it wasn't effecting the fate decision, it was just effecting proliferation of the cells. and then we found, if you're not on here but a bit later if if we

added bmp then we got fewer spheres and they were smaller. so then, tomomi, looked to see, was this effecting proliferation and was it effecting differentiation? and so the spheres with added bmp were much smaller and much less proliferation and in this

case, all of the cells remained p63 positive. so they stayed as stem cells and they didn't differentiate, but with added dorsal position o morphin, there was more proliferation in here, more edu, incorporation, the spheres were bigger but they had luminal

cells and they had the same proportion of ciliated and secreteatory cells and they had basal cells around the outside. so it seems that the bmp is inhibiting cell proliferation and maybe then, we're looking into this now whether it's slowing down the cell cycle and

therefore it's slowing the differentiation of these p63 positive cells, into committed progenitors. and then, the dorsal morphin is speeding up proliferation. so now what happens in the injury model, this was our screen, so now we said is there

any relevance of this to the in vivo repair of the epithelium after damage by so2. so we went in and collected both whole trachea and luminal cells and basal cells and epithelial cells and stroma and did a whole lot of studies that i'm just showing you a key finding here

is this is in the uninjured and this is the level by pc r of certain components of the bmp signaling pathway. and tomomi, found that early on after the injury, it was down regulation of many components of the signaling pathway. down regulation and these are

significant of ligands down regulation of receptor levels but what was striking was that there was an upregulation of sali stat--follistatin and it is normally made in annal maland it's an inhibitor of the bmp thal case, we think that it's effecting the bmp signaling

pathway and by gene expression studies we showed it was upregulated both in the epithelial cells and in the stroma and also the bmp ligands, bmp 4 which we had good reporters for, are also normally expressed in both the epithelium and in the stroma.

so then we asked, we showed that there was--upregulation of the follistatin and we think that this was promoting the proliferation of the basal cells during the wound repair process. so then we asked, well if we give the issues ldn or the dorsal position o morphin to the

mice after the injury, can we promote the repair? would this be a potential way of treating people to promote proliferation of basal cells after exposure to something toxic or people who are at risk for bronchialiteis oblight rans. so what we did was to first of

all count the number of cells that were present in this the tracheal epithelium, different stages after the exexposure to so2. and this led to quite a surprising findings. i think we looked at the repair process and drawn these little

diagrams but we hadn't looked really, really careful and what we recognized was that when it started off there was this cell number per unit of basal lamina or this total cell number in the tracheal epithelium and obviously after the injury, the total number fell, but then as

it repaired there was an increase over, about so the cells became more dense, became transiently, there were about twice as many cells per unit and wasn't just everything that contracted because the total number also changed. and then gradually, it went back

to being the steady state level again, so if we looked at this peak time, about 5-6 days after the exposure you can see that there's a piling up of the epithelial cells in the trachea, so this is what it normally looks like and this is what it goes back to after 2 weeks.

but there is a transient piling up. so when we gave the ldn, it did indeed speed up the repair process, we got more cells after 4 days but by 2 weeks it had fortunately gone back to being the normal steady state level, so that didn't lead to a

continuous hyper proliferation of the--of the epithelium. so this increeing egged us and we wondered it was how this epithelium goes back to being the normal density and there had been reports in cell culture and in a few model systems by jodi rosen blat and others about a

process of active cell extryings from epithelial sheeps. this is both active extryings of living cells and extryings of dead cells. we only looked at extryings of dead cells in the modeling we did but this hadn't realee been observed in a kind of wound

of wound repair situation like this. so what we did was look at when we thought the extrusion was starting and look at it through a microscope, the trick was to keep it flat, and then she added a drug that stains the cells with the active caspase 3 and

then take a little movies, well, actually, this was done with fixed tissue is it this is done with [indiscernible] view, which stains the cells in a living tissue and to image the cells and see what was happening and so this is a movie here showing, it's going to repeat itself but

it was just showing, i hope you can see that this is cells which are being--being pushed out of the epithelium, this 1 is going to. q. floating off and then the other 1s will pop off and get floating off and then if you look at the after fixation and

look at different levels, this is a cell coming out and if you go down in different levels you see the cell as it were next to it. that now got floating tight rings here, rings for thinking threr contracting as they're pushing out of the cell.

so obviously this is various stills from the movie and this is still another--[music brick ] --and again we have been interested in this repair process in making these progenitors and how they get assembled into--into something with how these basal cells and

how the daughters become polarized and form tight jurchgzal complexes between them as a barrier. and i said, the basal cells will actually transiently form jurchgzs between them and then as the epithelium remodmodels it's lost again.

so i want to show you this briefly, zone 1 is an expression of tight junctions--most of which are p63 positive, you can now see zone 1 between those cells and terry lechler had made a cell fusion protein and we see translating this to this looking down on the epithelium and you

can see these occluding proteins between the cells. they also upregulate many jurchgzal proteins like claudeine 4 which is highly upregulated and then as the luminal cells are made, the expression 1 goes back from the luminal cells and lost from the

basal cells so there's a lot of interesting cell biology going on here and we had proposed a number of years ago, that maybe the changes in cell behavior and apical base or polarity or junctional complexes was being regulated by a protein called grainy head like 2, a family of

grainy head proteins. which are highly conserved transcription factors that control epithelial cell behavior in a number of organisms highly conserved particularly in drosophila, beautiful work has been done about wound repair in drosophila ectoderm.

these act as dimers so it's possible to make dominant negative versions of the grainy head transcription factor and as i said function had been looked at in drosophila but in humans, there had been the homozygous mutants in mouse are very early on embryonic lethal but in

mutations it was grainy like 2, and it's associate wide deafness, changes in the skin but also with asthma. so maybe there's a hipt here that abnormalities in the leakiness or of the epithelial layer of the air ways might lead to some changes.

so what we had done, i don't have time to go into this but we had made a dominant negative version of grainy head like 2, by replacing the dna binding domain with the gfp fusion protein and using that we had infected primary basal epithelial cells from the human

lung and we had seen changes in the behavior of the basal cells, so that they were no longer able to form tight junctions between the cells and they were no longer able to differentiate into ciliated cells. and in the course of this, we had collaborate wide tim ready

at duke to do chip seq and rnaseq and microarray studies on either the control of primary human epithelial cells or those with a dominant brainy head like number 2. so we found many genes that were changed in expression. the chpseq had shown there were

thousands of grain genes that had brainy head like binding sites. but the rna seq had shown change and hundreds of genes had gone up and hundreds of genes had gone down. but looking at these genes and then testing by pc r for those

which had been down regulated in response to the dominant negative grainy head, we came up with many potential of targets for the grainy head regulation. our hypothesis was that the grainy head which was expressed in the air way epithelium and the basal cells during the

remodeling process would be controlling a whole set of different genes to do with adhesion, polarity and making junctional complexes. and indeed, many of these genes that we found being regulated by the dominant negative grainy head were encoding membrane

associated protein, small gtp as, adhesion proteins, things like claudeins and many components which had been found to change in these epithelial and this is just an example. here is the claudein 4 gene and this is just showing robust grainy head binding sites and

rab25 which had shown to be a target to grainy head in kidney cells had nice robust grainy head binding sites and the their levels were changed after the dom inapt negative grainy head but what we were interested also is this transcription factor that in this s750 had been

implicate indeed the differentiation of epidermal--epidermis from the basal cells and that had the binding sites here so we wanted to test to see whether these were indeed binding sites and my student chris vokley came to me and said you know you could test

of all these in time using crispr technology. we got aulenty krispr vector and put in short guide rnas for 10 of our potential down stream targets and a cas9 expression hire. so we used this lentivirus to knock out, make mutation in

these target genes in primary human basal cells from the lung which are given to us by scott randle in chapel hill. so we seeded these cells, infected them with crispr, and have a short guide rna and after selection we put them in these 2 test systems and we either put

them into the air liquid face culture to say can they make a barrier epithelium. can they make junctions that will enable us to have electrical resistance between this layer and the underlying medium. and then can we--if we put them

into the sphere culture, will they form spheres, will they pump fluid and differentiated sekeithattory cells and say if they form a barrier can they differentiate into secreteatory and affiliated cells. so for proof of principle we put in a grainy head like 2, short

guide r, ina and then you can see that it very well makes little indells in the grainy head like 2 gene. so part of the problem here is that we couldn't select out individual clones because it's not possible to expand clones in the median we had.

it's now possible we could now do this. but at the time we took a population of these cells and tested them. so as proof of principle, the control short guide rna will form barrier function and they would difrepresentiate in this

air liquid interphase but those that had been mutant for grainy head like 2, couldn't form a barrier and i will show you so they didn't form electrical resistance here. but even though they couldn't form electrical resistance, they differentiated into the ciliated

cells but they did differentiate into a mucus producing cell here, so they are able to differentiate but not down the lineage which is what we found with the dominant negative and also they formed spears but they formed fewer spheres and they--those which were mutant

couldn't form a lumen but if there was a case where there was still some protein being made, possibly wasn't a mutant protein, then they could form a lumen and they could differentiate. will so mutant lungs didn't form a lumen so this system was

working. so in the last few slides, i'm going to show you here that we did make mutants in these--i think in the end there were about 8 of them that came through and this, i want you to focus on the znf750. want we were interested in it

because it showed to be a component of a complex that was regulating differentiation genes in the basal cells of the epidermis, both a promoting differentiation gene and inhibiting progenitor genes but its function in the lung had not been seen before.

so just in this last slide, i'm going to show you a knocking out of the 750 in the cells delayed formation of a barrier but electric at barrier but they did, they did finally form 1. but it inhibited the formation of ciliated cells here and again in little patches that

presumingly were coming from cells which hadn't been mutated they did differentiate but mostly they were forks j 1 was down regulated a great deal but the mussine producing cells were not changed. so this led us to say where abouts in the lung where it was

expressed and it anthromorphicized been lookedda the in the lung before. we got sections of normal human lung and stain them for p63 and, zdnf 750 and it's in both the basal cells, some of them and in the affiliated cells, here but the interesting thing was that

not all of the basal cells were expressing zdnf 750. and this here is indicating some which are p63 positive, here, at least 3 of them but they are zdnf 750 negative and then there are others which are p63 positive and zdnf 750 positive. so what we think is and this is

a last slide here is back to our general model of trying to understand the pathways which are promoting these differentiation and morph o genesis. we think that we have identified zdnf 750 as being a key player for the differentiation of the

ciliated lineage here. and we think that grainy head l2 is coordinating and working on these morph o genetic pathways and these are marking all genes which from the chp seq, are binding sites for the grainy head and these other components of the cilia genesis program so

we think the zdnf 750 again is marking population of basal cellsot way to differentiation. so we're now encouraged by this and the fact that we have media in which we can grow these basal cells better, we will go in and test other grainy head potential targets seeing where they fit

in, into this program. so i think this is the potential for using crspr, secnology from the primal basal cells from the so i want to say a particular thank you to nih because they've given me 28 years of support ever since a came to vanderbilt and particularly i want to

acknowledge support of this lung repair regeneration consortium that has funded a lot of the junior investigators, in particular chris has got a junior investigator awards from and they have been tremendous at promoting collaboration between different labs within the united

states. and this is my whole lab. you can see where it's lots of babies, lots of food and lots of fun we're having. so thank you very much indeed. [ applause ] >> please use the microphones we will start over here.

>> hi, bridget, matt hoffman from ncbi, do you know what the fts signal in your basal progenitor cells? is it directly come being from the epithelium, fss binding that or indirect signal, an fgf or something coming from the messentery an kine.

>> we don't know. we're assuming it's egf and fgf but we haven't actually look the at that. >> comment and question, first comment on asthma you spoke of the silliary epitheliumot inside of the bronchus, we have--it's more complex that that we have

thickening and you get fibrosis and you get a progressive rigidity and narrowing of the air ways and you have a lot of things going above and beyond what the semester cells might be doing. the question, bronco pulmonary dysplasia which is common in

neoinates who get oxygen. this seems like the type of thing that would be perfect for investigating that and modes of therapy? do you know of animal models and have you thought about move nothing this direction? >> well, obviously i've

implified everything about asthma. it's been used for looking for new drugs. for displassia, it's really important question that nobody has looked at it very well in human, in human neoinates. it's all based on what's

happening in mice. in this mice we don't have these basal cells down to the small air ways, and nobody knows when basal cells, first appear in the i think i'm correct in seaing this, because that would be important because they are the stem cell for repairing the

small air ways and for the growth of the air ways in afterbirth and i don't think people know when they first appear in the human lung. in mouse they actually appear just at the time of birth the wear ways in the developing human lung are actually all

affiliated to begin with and they're all p63 and then they--i mean p--i'm not even sure now where the ciliated and p63, but after a time, many of the p63 disappear and they're only confined to a basal layer, so those basal p63 keratin 5 cells don't appear to until after

birth in the mouse. when they appear in the human, it's not known. so there's a lot to learn. >> just a comment, there have bye-bye studies in europe but not here, and i think it's in the guidelines of asthma written by the nih and i think the first

changes aren't seen until they're 2 or 3 years of age and sim tomatic infants so that might be correlating with when the stem cell starts appearing, but the stem cells are making their imperative things and the changes in the epithelium and that and that might be a magic

number and might correlate when all this is happening. you might want to look at the literature and look at biopsy and asthma, very few papers doing it because it's unethical. >> we have an interest group at nih that's looking at single cell biology now that 1 can

actually do transcriptomes of individual cells so i couldn't help but think of that being loamacying at the complex types of cells in the human air way, wouldn't it be interesting and look at individual proteins by imue o fluorescence to get a repertoirey of individuals--

>> ohias but it's being done, it's funded by nhlbi, something called the lung map, people isolating single cells from human lungs doing transcriptome, talking about heterogeneity in the basal cells about you it's also in the type 2 cells which are a stem cell population and

in looking at disease lungs with fibrosis, so it's done, funded by nhlbi, cincinnati, a lot of places are just pouring out the data, and it's need but we need bioinformatics people to work on the data. i would would love to tell you about this.

carol is being involved in all this and there's a lot work being done. >> well, there is a reception in the library. please continue the conversation if if you would like to and mean while let's thank professor hogan.