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7/23/2019 Maria kornjak, M.D., Maticne Stanice_Stem Cells
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Ecrgc mlrfbcm! E&J&
Eczgfn {zcfgkn
nfha& [zne Knaa{
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zl {~ eczgfn {zcfgkn
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Yr{zn eczgfgd {zcfgkc
Neorglfcafneczgfn {zcfgkn {~ pa~rgplznfzfnzl fcg jc {n g fbgdelh~ rcygzg{yn{zcfgkn fcnh lrhcfgec $6?00 rcaggzgd {zcfgkc {rcaggzge i~fmkgbcec'
Neorglfcafn eczgfn {zcfgkn ~gecb~ {n g oac{zlkg{zn $rcfc iccrcylbc neorgbc zb&: jl > jcf' zl c {lole plyacg orlbfc nzgmcpgzcfbc bnr jlacg jl ~fgznfbc neorgbc
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E~azgplznfzfneczgfn {zcfgkn fcacgel mljljrc{agdzy& cj~azfn$fpr& mlzcfc {r' g mljjbnkn~ mryg p~pmlygfn zy& pnrgfczcafneczgfn {zcfgkn g fbgdly mcpckgznz bn ~ ljfl{~ fc neorglfcafn
eczgfn {zcfgkn mlbn {~ pa~rgplznfzfn gpcm lhrcfgnf $e~azgplznfzfn{~'&
Ljrc{an,cj~azfn eczgfn {zcfgkn2mlzcfc {r! mlc! elcm&
Eczgfn {zcfgkn jcfc{ {n jlogycb~ g rcaggzge enzljcec
oglgfgfbnrgfhc$oglnfhgfnnrnj'
7/23/2019 Maria kornjak, M.D., Maticne Stanice_Stem Cells
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Eczgfn {zcfgkn g mryg p~pmlygfn
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Cj~az {zne knaa{Eczgfn {zcfgkn ljrc{an l{lon gmlzcfn {rg
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[zne knaa paczilre{ % Prlpnrzgn{
Neorwlfgk Oac{zlkw{z jnrgynj
Pa~rgplznfz
Dghdaw ecaancoan
Pnrgfczca
G{lacznj irle pnrgfczca {l~rkn{ Kleogfn{ neorwlfgk%agmn cfj cj~az%agmn {zne knaa plla{
Co~fjcfz cz ogrzd Cj~az
Lozcgfnj irle e~azgpan zg{{~n{
E~azgplznfz
Gfka~jn{ dneczlplgnzgk cfj en{nfkdweca prlhnfgzlr{
Oglnfhgfnnrnj
Prlj~knj irle {leczgk {l~rkn{
^zgagn{ zdnrcpn~zgk kalfgfh lr f~kancr rnprlhrceegfh Hnfnrczn{ k~{zlegnj neorwlfgk%agmn {zne knaa{
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[zne knaa jgiinrnfzgczglf {pnkzr~e
Pa~rgplznfz2 Cogagzw zl ilre caa agfnchn{ li zdn oljw E~azgplznfz2 Cogagzw zl ilre e~azgpan knaa zwpn{ xgzdgf c {pnkgigk
agfnchn
^fgplznfz2 Cogagzw zl ilre c {gfhan knaa zwpn
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7/23/2019 Maria kornjak, M.D., Maticne Stanice_Stem Cells
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Cj~az {zne knaa{Eczgfn {zcfgkn ljrc{an l{lon g mlzcfn {rg
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Oglgfgfbnrgfh eczgfgd {zcfgkc2Znrcpgb{ml malfgrcfbn g F~mancrfl rnprlhrcegrcfbn
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Ogl%gfgfbnrgfheczgfn {zcfgkn
Pa~rgplznfzfn eczgfn {zcfgkn mlbn i~fmkglfgrcb~ mcl neorglfcafneczgfn {zcfgkn elh~ {n jlogzg g ljrc{agd {lecz{mgd,zbnan{fgd
{zcfgkc mrl /znrcpgb{ml malfgrcfbn/ gag /f~mancrfl rnprlhrcegrcfbn&/
Znrcpgb{ml malfgrcfbnmleogfgrc f~mancrfg{cjrcb{lecz{mgd,zbnan{fgd {zcfgkc jlogynfgd g ljrc{alh lrhcfgec{ kgzlpacecz{mge mleplfnfzcec gnf~kancznjjlfczlrc bcbfn{zcfgkn $on bnhrn'
Lycb prlkn{ rn~azgrc malfgrcfge {zcfgkcec mlbn {n rcygbcb~~ oac{zlkg{zng gylr {~ neorglfcafgd eczgfgd {zcfgkc
Lyge pl{z~pmle bn prlkn{ jlogycfbc eczgfgd{zcfgkc yrcnf ~fczrch g eczgfn {zcfgkn {~prlgynjnfn g ljrc{agd! rnagd {zcfgkc##
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Znrcpgb{ml malfgrcfbn
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F~mancrfl rnprlhrcegrcfbn mrl nmzlpgf~ nm{prn{gb~ hnfc
F~mancrfl rnprlhrcegrcfbn {zcfgkcigorloac{zcljrc{an l{lon eln{n pl{zgg mrlnmzlpgf~ nm{prn{gb~lj nzgrghnfc $LKZ: g [LT?!FCFLH g AGF?4 gag MAI: g K%ewk' cprlgyljfb~ pa~rgplznfzfn {zcfgkn {cfccbmcec neorglfcafgdeczgfgd {zcfgkc! zy&gfj~kgrcfn pa~rgplznfzfneczgfn $gP[' {zcfgkc&
Lycml jlogynfneczgfn {zcfgkn {~ pa~rgplznfzfn g gecb~{pl{lofl{z{cel{zcafl prlgyljgzggzcylrhcfgce lj neorgbc jl ljrc{an icnrcylbc##
Pl{zlbg ag lpc{fl{z lj al~plrcon
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[yn plj mlfzrlale
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Znrcpgbc eczgfge {zcfgkcec ~ agbnnfb~ gficrmzc eglmcrjc
G{dnegb{mc olan{z {rkc! cm~zfg gficrmz eglmcrjc! cm~zfl g mrlfgfl
g{dnegfl czcbgycfbn {rkcyljng {~ bcyfljrcy{zynfg prloanegrcygbnfgd necabc
^{prml{ ynagmle fcprnzm~ gfycgyfgd g gfznrynfzfgd zndfgmc ~ mcrjglalhgbg
agbnnfbn zcmygd olan{fgmc prnj{zcyabc g jcabn gcly ~ {ycmljfnyflbmagfgmlb prcm{g! plhacygzl { logrle fc elrogjgznz g elrzcagznz lj zgd olan{zg
ZN_CPGBC ECZGFGE [ZCFGKCEC ~ kgab~ pl{zgcfbc_NHNFN_CKGBN[_CFLH EGGCflyl bn pljr~bn g{zrcgycfbc fcf{zynfgmc g {z~jgbnmlbn {n ~ lyle zrnf~zm~ prlyljn plmcczg n bn{el ag fc prch~rnyla~kglfcrflh lzmrgc enjgkgf{mgd fcfl{zg g eln ag zcmyc znrcpgbc
prlegbnfgzg zgbnm magfgmn prcm{n ~ mcrjglalhgbg ~ {mlrlb o~j~fl{zg
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Agbnnfbn jcfc{ y{& agbnnfbn ~ {mlrlb o~j~fl{zg
Jl jcfc{ agbnnfbn {n ocgrc fc mleogfgrcfle agbnnfb~2
%icrecmlalmle2 zrleolagzgkg! C[M! {zczgfg! malpgjlhrna
%gfycgyfle mcrjglalmle2 pnrm~zcfc mlrlfcrfc gfznrynfkgbc!clrzlmlrlfcrfl prnelznfbn
%mcrjglmgr~rmle2 ~hrcjfbc {rcfgd {zge~aczlrc g mcrjglynrznrjnigorgaczlrc
{yn jlZ_CF[PACFZCKGBN [_KCgfg {n jc bn fc plela~FLYG FCGF AGBNNFBC mlbg {n ocgrcfc
PLP_CYM^ LZNNFLH EGLMC_JC~ plelECZGFGD[ZCFGKC
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[rkn mcl pl{zegzlzgk lrhcf
[rknmcl lrhcfgec {pl{lofl{z rnhnfnrckgbn2
%p~zne cmzgyckgbn yac{zgzgd eczgfgd {zcfgkc
%p~zne rnhr~zgrcfbc eczgfgd {zcfgkc jr~hgd lrhcfc! fpr& g mlzcfn{rg
Fcmlf gficrmzc eglmcrjc g mrlfgflh g{dnegb{mlh {rcflh czcbgycfbclzmrgynfc bn {pl{lofl{z2
%rnpagmckgbn eglkgzc ${rcfgd eggfgd {zcfgkc'%rnhnfnrckgbn eglmcrjc ${rcfg egg'
Zrcf{inr ECZGFGD [ZCFGKC ~ lznnfg {rcfg egg gec plylabcf~gfcm
g jlyljg jl2
% rnpnri~gbn eglmcrjc
%plolabcfbc mlfzrcmzgafl{zg {rcflh eggc
%fnlyc{m~acrgckgbn $ilregrcfbn flygd mryfgd gac c lp{mro~
eglmcrjc'% ilregrcf n flygd eglkgzc
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Zdn _; Pcrcjghe li Dncrz _npcgr
Zdn _; zrgcj lirnb~ynfczglf!rnpacknenfz! rnhnfnrczglfnfklepc{{n{ prlkn{{n{~fjnrawgfh d~ecf dncrz rnpcgr&_nb~ynfczglfrninr{ zl {nai%rnpcgr zdrl~hd gffczn
enkdcfg{e{ li kcrjglewlkwznrnfnxca! ecgfzcgfgfh zg{{~ndlenl{zc{g{& _npacknenfzrninr{ zl zrcf{pacfzczglf lirnkwkanj pcrz{ ilr lrhcf{~o{zgz~zglf& _nhnfnrczglfrninr{ zl nfhrcizenfz cfjjgiinrnfzgczglf li prlhnfgzlr knaa{zl rn{zlrn zg{{~n i~fkzglfzdrl~hd knaa%oc{nj rnpcgr&
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Hacyfc dgplznc c {rcf~ znrcpgb~ eczgfge {zcfgkcec
% L{acoabnfl {rkn gec {ecfbnfg orlb eglkgzc mlbg pl{abnjgfl rnj~kgrcmlfzrcmzgaf~ i~fmkgb~
% L{gh~rcycb~g flyg gylr plzrnofgd {zcfgkc ~ lyle {a~cb~ eczgfgdzc i~fmkgbc {n eln plolabczg
% Jl jcfc{ {~ ; mcznhlrgbn {zcfgkc mlrgznfn ~ plm~{gec rnhnfnrckgbn{rcflh eggc2
3' {rcfg eglkgzg
?' {mnanzfg egloac{zg
;'pa~rgplznfzfn eczgfn {zcfgkn
Neorglfcafn eczgfn {zcfgkngecb~ fcbynn prnjfl{zgc mlrgznfbn~ {yrd~ rnhnfnrckgbn eglmcrjc bnr pl{bnj~b~ {pl{lofl{z gfznhrckgbn~ {zcfgfg kgma~{ {zcfgkn jlecgfc&
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Enzdlj{ li knaa jnagynrw ilr kcrjgck gepacfzczglf
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Znrcpgbc {mnanzfge egloac{zgec,eczgfge {zcfgkcec eggc
%[mnanzfg egloac{zg {~ eczgfn {zcfgkn eggc mlbn rnchgrcb~ fclabnj~ prlaginrckgble g i~gble {c jr~hge {zcfgkcec
%c rcagm~ lj eczgfgd {zcfgkc mlzcfn {rg yn pl{bnj~b~jginrnfkgrcfl logabnbn g ~{ebnrnfbn
Prnjfl{zg2
% acml {n glagrcb~
% c~zlalhflh {~ plrgbnmac $fgbn plzrnofc ge~fl{~prn{gyfc znrcpgbc mlbcgec orlbfn f~{plbcyn'
%pl{bnj~b~ {pl{lofl{z gf ygzrl prlaginrckgbn
_n~azczg prgebnfn2
%plolabcfbn i~fmkgbn agbnyn magbnzmn
% jginrnfkgbckgbc ~ mcrjgleglkgzn fgbn jlmccfc
%cegbnnfc bn plbcyc crgzegbc $mlbc {n lobcfbcyc plecfbmcfbnenanmzrgfn
gfznhrckgbn'
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Klfknpz li zdn ~fgynr{cagzw li onfnigz flznj gf cfgeca cfj kagfgkca {z~jgn{!xgzd zdn ntknpzglf li {len rnknfz rcfjlegnj zrgca{ zdcz dcyn rnplrznj
jg{klrjcfz rn{~az{&
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Znrcpgbc eczgfge {zcfgkcec g mlzcfn {rg
Mlrgznfn {~ eczgfn {zcfgkn mlzcfn {rg~ ygj~ 2
% gf {gz~ mlrgznfgd {zcfgkc gag
% g kgrm~agrcb~n mryg {zge~agrcfgd icmzlrle {zge~ackgbn hrcf~alkgzfgdmlalfgbc $H%K[I'
_n~azczg2 plolabcfbn {rcfn i~fmkgbn#
F~{plbcyc2eglmcrjfc mcakgigmckgbc
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Fnnabnfg ninmzg
plbcyc {rcfgd crgzegbc $crrdwzdelhnfn{g{'
lfmlhnfc zrcf{ilreckgbc$~fczl jlmcgec l elh~fl{zg lfmlhnfnzrcf{ilreckgbn ~ magfgmge {z~jgbcec fgbn ogal plyncfn ~n{zcal{zgz~elrc'
fnprgrljfc {zcfgfc jginrnfkgbckgbc $Conrrcfz Knaa Jgiinrnfzgczglf'!~egbne eljna~cm~zflh gficrmzc eglmcrjc! prgebnfbnfn eczgfn
{zcfgkn g mlzcfn {rg gfj~kgrcan {~ fccbf~ mcakgigmckgb~ eglmcrjc gg ilregrcfbn ml{zgb~'
^ocf rcylb cznrl{manrln
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_n~azczg jl {cj prlynjnfgd {z~jgbc
_n~azczg jl {cj prlynjnfgd mlfzrlagrcfgd rcfjleggrcfgd {z~jgbc~
yng { znrcpgble eczgfge {zcfgkcec ~ cm~zfle gficrmz~ eglmcrjc~ haloca~ {~ jlmccag jc znrcpgbc eczgfge {zcfgkcec ~ ~{plrnjog {cmlfzrlafge {m~pgfcecplolabcyc2
nbnmkgb{m~ ircmkgb~ agbnyn magbnzmnrnj~kgrc cyrfg {g{zlagmg yla~enf agbnyn magbnzmnrnj~kgrc angb~ eglmcrjc $lfc gficrmzc {n {ecfb~bn'
Jcabfbc g{zrcgycfbc cdzgbnycb~2jnigfgrcfbn lpzgecaflh gylrc {zcfgkc
golr pckgbnfczc lyg{fl l yr{zg jgbchfln,olan{zgfcbolabgfcgf prgebnfn $jl {cjc gfzrcmlrlfcrfg'jnigfgrcfbn zlflhendcfgec jbnalycfbcjnigfgrcfbnlpzgecafgd jlc eczgfgd {zcfgkc
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L{zcac pljr~bc prgebnfn eczgfgd {zcfgkc
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Pldrcfc mryg g p~pmlygfn ~ Drycz{mlb
~ Drycz{mlbpl{zlbn jygbn yr{znocfcmc ~eogagmcafn mryg$g p~pmlygfn'! jlorlylabfc g prgyczfc$Ocfmc ~eogagmcafnmryg c yac{zgzn plzrnon'
Ocfmc{n fcacg~ Rcylj~ c magfgm~ zrcf{i~glalhgb~
Magfgmlh Rcyljc c acolrczlrgb{m~ jgbchfl{zgm~ MOKRchrno! Mgpczgnyc 3?& Ocfmc mryg g p~pmlygfnl{flycfc bn ?4&l~bmc ?008&
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Rczl pldrcfgzg mry g p~pmlygfn
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Kgbnfc prgm~pabcfbc! lorcjn! pldrcfn g ~ycfbc ~logznab{mge ocfmcec gfl{g lml3>00 jl ?000 N^_%c&
^hlylr c ~ycfbn plzpg{~bn {n fc34 hljgfc! zb& jlyrnenfc mcjc jgbnzn gbc bn mry g p~pmlygfn prgm~pabnfcpl{zcfn p~flabnzfl&
Zcjc zc l{loc eln fc{zcygzg ~yczg mry g p~pmlygfn gagbn {n ljrng c jlorlylabf~ ocfm~&
_cagmc ~ kgbnfg gen~ jlorlylabfn g logznab{mn bn ~zrlmlygec prgm~pabcfbc! lorcjn! pldrcfn g ~ycfbc cyral ynagm orlb ~lrcmc! mlbg {n eljc fgmcjc fnn~plzrgbnogzg&
cf{c jc {n bnjfc mry g p~pmlygfn g{mlrg{zg czrcf{pacfzckgb~bn lml 32;0 000 jl 300 000! lyg{fl lmlblb {n nzfgmlb {m~pgfg rcjg&
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Pldrcfbnfc ~eogagmcafc mry yac{fgzyl bn logznabgg eln{nmlrg{zgzg c agbnnfbn ogal mlbnh acfc logznabg&
^mlagml logznab gec ygn jbnkn prnplr~mc bn jc {n pldrcfg
mry {ycmlh jbnznzc plfcl{lo& c prnzpl{zcygzg bn jc {n {zcfgkn! ~ mlfzrlagrcfn ~ybnzn!
elh~ fnlhrcfgnfl ~yczg& Mry {n ~yc ~ znm~ne j~gm~ fc egf~{ 379 {z~pfbnyc Kna&
L{fgycfbn ocfcmc ~eogagmcafn mryg fcm bn zndflalmlh fcprnzmc! cplnzcm rcjc zcmyn ocfmn {yr{zcyc Drycz{m~ ~ {ce olm necabc ~mlbgec zcmyg prlhrceg yn j~hg fg hljgfc gyn& L{fgycfbn ocfmn ~Rchrno~ lelh~cyc yn~ jl{z~pfl{z eczgfgd {zcfgkc czrcf{pacfzckgb~! fnhl zl bn zl ogal jl{cj&
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Jcr~bzn mry g p~pmlygfn bnr eln fnmlen {pc{gzg gylz#
^ {ygbnz~ pl{zlbg ynagm orlb olan{fgmc mlbg zrnocb~zrcf{pacfzckgb~ mrylzylrfgd eczgfgd {zcfgkc! c fn elh~fcg plj~jcrflh jcrgycznabc&
Mry g p~pmlygfn pldrcfbnfc ~ Ocfkg mryg g p~pmlygfn/Cfc _~mcygfc/plyncyc elh~fl{z prlfcacnfbczrcf{pacfzczc mlbge {n eln {pc{gzg gylz lolabnagec&
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