Discovery

Stem cells are cells with superpowers. They can become many different types of cells in our bodies, from muscle cells to brain cells, and some can even repair tissue. But the remarkable promise of this exciting new field of medicine has led to a new booming market of private clinics, which offer to treat a range of conditions (from arthritis to autism) using regenerative therapies which they claim harness the healing powers of stem cells. In this first of two programmes, Lesley Curwen investigates this expanding industry in the UK and Europe and discovers that these treatments are often unproven, unregulated and can cause harm.

She reports on disturbing cases of UK patients who have suffered infection, blood clots and even sight loss and hears from orthopaedic surgeons concerned that these so called stem cell therapies are jumping ahead of the science. And Lesley finds out how these procedures, which often cost thousands of dollars for each treatment, are operating under a loophole in EU Directives which govern the law in this area. There’s an exemption and the actual stem cell material being injected into you, may not be regulated at all.

Picture: Stem cells are undifferentiated cells that can specialized through mitosis to many other cell types of multicellular organisms, Credit: selvanegra/Getty Images

Climate change is upon us. In 2018 the IPCC published a report with the most significant warning about the impact of climate change in 20 years. Unless the world keeps warming to below 1.5% degrees Celsius the impact on the climate will be severe. Sea levels will rise, leading to flooding, and extremes of temperature will become more common. The UK Met Office has forecast that the global average surface temperature for the five-year period to 2023 is predicted to be around 1.0 °C above pre-industrial levels.

In this first programme he takes stock after Madrid and finds out what the world’s key players say has to be done before the meeting in Glasgow.

(Photo: Man with placards and amplifier on global strike for climate change. Credit: Halfpoint/Getty Images)

As the Earth experiences more extreme weather, and wildlife is dying, from corals, to insects, to tropical forests, more people are experiencing ecological anxiety and grief. Science journalist Gaia Vince has been reporting on the growing crisis across our planet’s ecosystems, and has met many who are shocked and saddened by the enormity of the environmental changes taking place. She talks to scientists and medics working at the frontline of environmental change, and hears that, despite being expected to distance themselves from what’s happening, they are affected emotionally.

Ashlee Consulo, of Memorial University on the Canadian island of Labrador, and Courtney Howard, a doctor in Yellowknife, tell Gaia about their experiences of living and working with indigenous peoples in areas where temperatures are rising rapidly and the ice is melting.

Steve Simpson of Exeter University and Andy Radford of Bristol University are both professors of biology who have watched coral reefs become devastated by climate change. Recently they wrote a letter to the journal Science headlined Grieving environmental scientists need support to raise awareness of the issues researchers are facing.

And Gaia visits the aquarium at the Horniman Museum in London, where Jamie Craggs is trying to breed corals for future generations.

Image: Greenland Inuit hunter (Credit: Earl Grad/Getty Images)

In this online age, the internet is a global megaphone, billions of messages amplified and shared, even when they're false. Fake science spreads faster than the truth ever could, unhindered by national boundaries. Mainstream scientists are struggling to respond.

Producer: Fiona Hill

In summer of 2019 NICE approved the use of a completely new class of drugs: the gene silencers. These compounds are transforming the lives of families who have rare debilitating – and sometimes fatal - diseases such as amyloidosis and porphyria. James Gallagher, BBC Health and Science Correspondent, reveals the ups and downs in the story of how a Nobel prize winning discovery of RNA interference has become a useful drug in less than a quarter of a century.

Professor Craig Mello, one of the winners of the Nobel Prize in 2006 for revealing the mechanism of RNA interference, and Professor Mark Kay of Stanford University, look back at the discovery.

Sue Burrell, who has acute intermittent porphyria, explains how a gene silencing drug has reversed her symptoms of extreme pain. Dr Carlos Heras-Palou, an orthopaedic surgeon at Royal Derby Hospital, who has hereditary transthyretin-mediated amyloidosis has had his career saved by taking another gene silencing drug, patisaran. It has restored the feeling in his hands he had lost and means that he can continue to carry out operations. Professor Philip Hawkins, of the National Amyloidosis Centre at the Royal Free Hospital, tells James about how his team showed that this drug reverses some of the symptoms caused by the disease.

As well as treating these rare conditions James discovers that this approach is being tried in untreatable neurodegenerative conditions. He talks to Professor Sarah Tabrizi of UCL about her research into stopping Huntington's disease, which is currently inevitably fatal.

Akshay Vaishnaw of the biotech company Alnylam talks to James about the ups and downs of developing effective RNAi drugs.

And Professor John Kastelein of Amsterdam University discusses the findings of a study into finding out if gene silencing could help prevent one of the biggest global killers; bad cholesterol that causes heart attacks and stroke.

Picture: DNA molecules, structure of the genetic code, 3d rendering,conceptual image, Credit: Andy/GettyImages

Philip Ball tells the story of Alexis Carrel, the French surgeon who worked to preserve life outside the body and create an immortal chicken heart in a dish. His quest was to renew ageing flesh, repair and rebuild our bodies and keep them healthy far beyond the usual human lifespan. In the early twentieth century his science was pioneering but his mission to achieve eternal life was underpinned by a dark and terrifying agenda. Carrel was a racist who advocated eugenics to preserve the superior civilisation of the West.

Philip Ball discusses the history and cultural impact of the tissue culture techniques developed by Carrel with social historian Professor Hannah Landecker of the University of California at Los Angeles. And he finds out about the legacy of Carrel's research from Dr Madeline Lancaster of Cambridge University, one of the pioneers of the growth of brain organoids from stem cells; small clusters of neurons and other cells, rather like mini organs no bigger than a dried pea.

Picture: Raw chicken heart, Credit: Arina_Bogachyova/Getty Images

Philip Ball tells the story of Ramon Llull, the medieval prophet of computer science. During the time of the Crusades Llull argued that truth could be automated and used logic over force to prove the existence of the Christian God. It was a dangerous idea that got him thrown into prison and threatened with execution but today he is hailed, not as a prophet of the Christian faith, but of computer science.

Philip Ball talks to historian Pamela Beattie of the University of Louisville in Kentucky about Ramon Llull's life and times in 13th century Catalonia, and to mathematician and Simonyi Professor for the Public Understanding of Science at Oxford University, Marcus du Sautoy, about the legacy of Llull's ideas in combinatorics, a branch of mathematics that explores how we can arrange a set of objects.

Note: Many thanks to Carter Marsh & Co for the recording of mechanical sounds.

Picture: Ramon Llull, Credit: SebastianHamm/Getty Images

Lindsey Fitzharris tells the story of Ignaz Semmelweiss, the hand washer. In a world that had no understanding of germs, he tried to apply science to halt the spread of infection. Ignaz Semmelweis observed that many young medical students at his hospital in Vienna went directly from an autopsy, still covered in contaminated dead flesh, to attend pregnant women. Could this be the reason for such high maternal mortality rates from conditions like puerperal fever? Believing that the disease was caused by “infective material” from a dead body, Semmelweiss set up a basin filled with chlorinated lime solution in his hospital and began saving women’s lives with three simple words: ‘wash your hands’. He was demonised by his colleagues for his efforts, but today, he is known as the “Saviour of Mothers.”

Lindsey Fitzharris discusses some of the common myths surrounding the story of Semmelweiss with Dr Barron H. Lerner of New York University Langone School of Medicine. And she talks to Professor Val Curtis, Director of the Environmental Health Group at the London School of Hygiene and Tropical Medicine, who has studied the amount of hand washing by medical staff in hospitals today.

Picture: Victorian boy washing his hands in a stream, Credit: whitemay

Philip Ball tells the story of Madame Lavoisier; translator of oxygen. At a time when science was almost a closed book to women, Madame Marie Anne Lavoisier’s skills were indispensable. A translator, illustrator and critic of scientific papers, she learnt chemistry herself and helped her husband Antoine Lavoisier develop his theory of the role played by oxygen in combustion. As modern science was taking shape it lacked any universal language, so communication in many tongues was vital to stay ahead of the game. Even today there is debate as to who can really be considered the discoverer of oxygen, but Madame Lavoisier’s gift for translation helped her husband compete against English rivals and banish their theories. Come the French Revolution however, Anton was branded a traitor to the state and sentenced to death. By a cruel twist of fate Marie lost both husband and father to the guillotine on the same day.

Philip Ball talks to Patricia Fara at the University of Cambridge, about the largely unrecognised contribution that women like Marie Anne Lavoisier made to the early days of modern science, and to Michael Gordin of Princeton University about the importance of scientific translation in the past and how it features today,

Picture: French chemist Antoine Laurent Lavoisier, Credit: Getty Images

Galileo famously insisted in the early 17th Century that the Earth goes round the Sun and not vice versa – an idea that got him into deep trouble with the Catholic Church. In 1633 Galileo was put on trial for heresy by the Inquisition, and was threatened with imprisonment, or worse, if he did not recant. Galileo spent the rest of his days under house arrest and is now seen by some as a near-martyr to science in the face of unyielding religious doctrine. But the discovery of a letter questions the received version of events. Philip Ball tells the story of the relationship between Galileo, the church and his fellow professors.

Philip talks to science historians professor Paula Findlen of Stanford University and professor Mary Jane Rubenstein of Wesleyan University about Galileo's time and about the history of the relationship between science and religion.

(Picture: Galileo demonstrating his telescope. Credit: Getty Images)