lec 8 - regenerative medicine Flashcards
(61 cards)
tissue engineering
cells used to restore, maintain or improve damaged tissues and organs –> to cure and improve quality of life
fetal tissue grafts
using fetal cells to treat neurodegenerative diseases and spinal cord injuries –> fetal neurons can divide and replenish (unlike adult ones)
fetal tissue grafts
ethical concern
human fetal tissue originates from embryos or fetuses of accident victims or legal abortions
organ transplantation
using an organ from another human donor
main issue with organ transplants
organ rejection
tissue typing
- matching major histocompatibility complex (MHC) proteins of donor and recipient
- recipients must take immunosuppressive drugs their whole life
autografting
using patient’s own tissue from one region of body to another
example of autografting
CABG (vein from leg as bypass in heart)
xenotransplantation
using organs from different species in humans
most common animals used for xenotransplants
- pigs –> most similar in size and function to humans
- heart valves, skin, nerve grafts
risks of xenotransplants
organ rejection and viral disease transmission
solution to risks of xenotransplants
design pigs to be deficient in an enzyme that’s toxic to humans and inactivate the retrovirus
cellular therapeutics
replacing defective tissues or delivering important biological molecules
biocapsules
- encapsulate donor or genetically engineered cells to avoid immune rejection
- tiny holes in wall, permeable to nutrient exchange –> allows molecules to be released into bloodstream or tissue (lasting release)
tissue engineering relies on 4 factors
- right cells to do the job
- right environment (scaffold to support cells)
- right biomolecules (e.g. growth factors) to make cells healthy and productive
- physical and mechanical forces to influence cell development
tissue engineering process
design framework or scaffold –> seed scaffold with human cells –> bathe in nutrient-rich media –> cells build layers and assume shape of scaffold –> physical and mechanical influences shape cell development
example of tissue engineering
seeded cow knee chondrocyte cells onto the back of a mouse –> outer ear grew on back of mouse
organoids
3D cell-culture models that phenocopy organs and tissues –> recreate multicellular interactions and physiological interfaces in small form
add fluid flow and organ-level mechanical cues…
- breathing mechanisms of human lungs
- circulating immune cells trafficking thru perfused microvasculature
- cross interactions with living microbiotas and other organs
tissue chips
replicates complexity of human body (biological processes, disease states) –> screening, preclinical trials, biosensors
lung organoid on a chip
- membrane separating 2 channels represent alveoli
- add breathing mechanism (cyclical stretching)
- expose them to microenvironments that lungs experience
- multiorgan interactions: chips connect heart, lungs, liver thru microfluidic array
disease on a dish
take patient-derived cells and test directly –> predict drug responses in clinic
cancer organoid biobank
normal tissue –> mutagenize to see effects or take from real cancer cells –> determine which drug works best for specific cancers (personalize treatments)
gut on a dish
reproduces main features of intestinal inflammation to predict melanoma patient’s response to immunotherapy