Monday, March 24, 2008

Medicine's Cutting Edge: Re-Growing Organs

Via CBSNews -

Three years ago, Lee Spievack sliced off the tip of his finger in the propeller of a hobby shop airplane.

What happened next, Andrews reports, propelled him into the future of medicine. Spievack's brother, Alan, a medical research scientist, sent him a special powder and told him to sprinkle it on the wound.

"I powdered it on until it was covered," Spievack recalled.

To his astonishment, every bit of his fingertip grew back.

"Your finger grew back," Andrews asked Spievack, "flesh, blood, vessels and nail?"

"Four weeks," he answered.

Andrews spoke to Dr. Steven Badylak of the University of Pittsburgh's McGowan Institute of Regenerative Medicine and asked if that powder was the reason behind Spievack's new finger tip.

"Yes, it is," Badylak explained. "We took this and turned it into a powdered form."

That powder is a substance made from pig bladders called extracellular matrix. It is a mix of protein and connective tissue surgeons often use to repair tendons and it holds some of the secrets behind the emerging new science of regenerative medicine.

"It tells the body, start that process of tissue regrowth," said Badylak.

Badlayk is one of the many scientists who now believe every tissue in the body has cells which are capable of regeneration. All scientists have to do is find enough of those cells and "direct" them to grow.

"Somehow the matrix summons the cells and tell them what to do," Badylak explained. "It helps instruct them in terms of where they need to go, how they need to differentiate - should I become a blood vessel, a nerve, a muscle cell or whatever."

If this helped Spievack's finger regrow, Badylak says, at least in theory, you should be able to grow a whole limb.

...

Dr. Atala, one of the pioneers of regeneration, believes every type of tissue already has cells ready to regenerate if only researchers can prod them into action. Sometimes that prodding can look like science fiction.

Emerging from an everyday ink jet printer is the heart of a mouse. Mouse heart cells go into the ink cartridge and are then sprayed down in a heart shaped pattern layer by layer.

Dr. Atala believes it's a matter of time before someone grows a human heart.

"The cells have all the genetic information necessary to make new tissue," Atala explained. "That's what they are programmed to do. So your heart cells are programmed to make more heart tissue, your bladder cells are programmed to make more bladder cells."

Atala's work with human bladder cells has pushed regenerative medicine to a transformational breakthrough.

In this clinical trial at Thomas Jefferson Hospital in Philadelphia, Dr. Patrick Shenot is performing a bladder transplant with an organ built with this patient's own cells. In a process developed by Dr. Atala, the patient's cells were grown in a lab, and then seeded on a biodegradable bladder-shaped scaffold.

Eight weeks later, with the scaffold now infused with millions of regrown cells, it is transplanted into the patient. When the scaffold dissolves, Dr. Shenot says what's left will be a new, functioning organ.

"The cells will differentiate into the two major cells in the bladder wall, the muscle cells and the lining cells," he explained. "It's very much the future, but it's today. We are doing this today."

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Holy crap, this is crazy technosorcery my friends...but I love it.

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