jueves, 1 de julio de 2010

"Señor, su hígado nuevo ya está listo"; la Bioimpresión, tras bambalinas

ORIGINAL: Wired
Traducción: Grupo Mente Nómada
Julio 11, 2010

SAN DIEGO - Dí adiós a las listas de donantes y la escasez de órganos. Una empresa de biotecnología ha creado una impresora que imprime las venas con una células del propio paciente. El dispositivo podría crear órganos enteros en el futuro.

"Ahora mismo somos realmente buenos en la impresión de vasos sanguíneos", dice Ben Pastor, científico investigador senior de la compañía de medicina regenerativa-Organovo."Imprimimos 10 esta semana. Todavía estamos aprendiendo a mejorar las condiciones para que los vasos sanguíneos sean fuertes ".

La mayoría de los órganos del cuerpo están llenos de venas, por lo que la capacidad de imprimir tejido vascular es un pilar fundamental de órganos completos. Las venas impresas están a punto de comenzar las pruebas y su evaluación en animales, y finalmente pasarán a los ensayos clínicos humanos. Si todo va bien, en pocos años será posible reemplazar una vena que se haya deteriorado (debido a las inyecciones frecuentes de tratamiento de quimioterapia, por ejemplo) con unas adaptadas de tejidos impresos a partir de células propias.

Los obstáculos para la impresión plena de órganos no son sólo tecnológicos. La primera máquina de impresión de órganos va a costar cientos de millones de dólares para desarrollarse, probarse, producirse y comercializarse. Para no hablar de la dificultad que cualquier empresa tendrá en conseguir la aprobación de la FDA.

"Si Organovo será capaz de reunir suficiente dinero esta empresa tiene [el potencial] para tener éxito como primera empresa de bioprinting pero sólo el tiempo lo dirá", dice el doctor Vladimir Mironov, director de biofabrication tejidos avanzados en la Universidad Médica del Sur Carolina.

Wired.com caminó a través del proceso que Organovo utiliza para imprimir los vasos sanguíneos en el bioimpresión personalizada




SAN DIEGO Say goodbye to donor lists and organ shortages. A biotech firm has created a printer that prints veins using a patients' own cells. The device could potentially create whole organs in the future.

"Right now we're really good at printing blood vessels," says Ben Shepherd, senior research scientist at regenerative-medicine company Organovo. "We printed 10 this week. We're still learning how to best condition them to be good, strong blood vessels."

Most organs in the body are filled with veins, so the ability to print vascular tissue is a critical building block for complete organs. The printed veins are about to start testing in animal trials, and eventually go through human clinical trials. If all goes well, in a few years you may be able to replace a vein that has deteriorated (due to frequent injections of chemo treatment, for example) with custom-printed tissue grown from your own cells.

The barriers to full-organ printing are not just technological. The first organ-printing machine will cost hundreds of millions of dollars to develop, test, produce and market. Not to mention the difficulty any company will have getting FDA approval.

"If Organovo will be able to raise enough money this company has [the] potential to succeed as [the] first bioprinting company but only time will show," says Dr. Vladimir Mironov, director of advanced tissue biofabrication at the Medical University of South Carolina.

Organovowalked Wired.com through the process it uses to print blood vessels on the custom bioprinter.

Above:

Bioreactor

Shepherd places a bioreactor inside an incubator where it will be pumped with a growth medium for a few days. The bioreactor uses a special mixture of chemicals that are similar to what cells would see when they grow inside the body, which will help the cells become strong vascular tissue.

Photos: Dave Bullock/Wired.com


Stem Cells

Senior research scientist Ben Shepherd removes stem cells from a bath of liquid nitrogen. The cells will be cultured to greatly increase their number before being loaded into the printer. Eventually these cells could be taken from a variety of places in a patient's body -- fat, bone marrow and skin cells -- and made into a working vein.


After the cells are defrosted they are cultured in a growth medium (above). This allows the cells to multiply and grow so they can be used to form veins. The medium also uses special chemicals to tell the stem cells to grow into the cell type required, in this case blood-vessel cells. Once a enough cells are produced, they are separated from the growth medium using a centrifuge (below) and compressed into pellets.

Photos: Dave Bullock/Wired.com


Hydrogel Scaffolding

The first step of the printing process is to lay down a material called hydrogel, which is used as a temporary scaffolding to support the vein tissue.

The custom-made printer uses two pump heads that squirt out either the scaffolding structure or the cells into a petri dish. The pump heads are mounted on a precision robotic assembly for microscopic accuracy. The head on the right is dipping into the container of hydorogel in the photo above.


A chamber called a bioreactor is used to stimulate the vein. It's prepared before the vein is printed. The bioreactor is a fairly standard piece of biotech machinery. It is machined out of a block of aluminum that surrounds a plastic container with various ports. These ports are used to pump in chemicals that will feed the growing vein.


Before printing the veins, tubes of the cultured cells are loaded into the print head manually, like a biomass print cartridge.

Photos: Dave Bullock/Wired.com


Hydrogel Mold for Blood Vessels

Lines of the hydrogel are laid down in parallel in a trough shape on the petri dish. Then cylinders of cell pellets are printed into the trough.

One more cylinder of hydrogel is printed into the middle of the cells, which serves to create the hole inside the vein where blood will eventually flow (below).

Photo: Dave Bullock/Wired.comIllustration courtesy Organovo


Growing Into Veins

The printed veins are then left in a different growth medium for several weeks. The cells soon release from the hydrogel, and a hollow tube of vascular cells is left behind.

Photo: Dave Bullock/Wired.com


Happy Veins

The printed cells in tubular form are then placed into the bioreactor. The bioreactor (above) pumps a special cocktail of proteins, buffers and various other chemicals (below) through the printed vein. This conditions the cells to be good, strong veins and keep them happy.

Photos: Dave Bullock/Wired.com

Finished Product

After their stay in the bioreactor, the pellets of cells grow together to form veins which can then be implanted in the patient. Because the veins are grown from the patient's own cells, their body is more likely to accept the implanted vein.

Photo: Organovo


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1 comentario:

  1. Bioprinting 3D. La tecnología usada para imprimir documentos también esta siendo utilizada para crear tejido vivo, algún día para "imprimir" sobreponiendo una capa sobre otra (capa de células, capa de biogel, capa de células, capa de biogel...), órganos enteros, como un corazón, un hígado, un riñón, y algún día...un cuerpo entero. La técnica es exactamente igual a la que usa una impresora de chorro de tinta, que cuando imprime un documento la tinta se distribuye por el papel siguiendo un patrón específico. En la Universidad de Clemson (www.clemson.edu/ces), años hace ya, han sustituido la tinta de las impresoras por una "tinta de células". Los cartuchos de tinta han sido rellenados con una solución de células vivas y el software ha sido reprogramado. El "papel" es un gel biodegradable, diseñado en la Universidad de Washington, que se solidifica al alcanzar los 32 ºC de temperatura. Todavía le falta mucho para ser realidad. El principal problema es que aún no es capaz de crear un órgano por el que circule la sangre, pero si puede imprimir un tejido del grosor de un riñón en sólo 2 horas, incluyendo los vasos sanguíneos. El siguiente paso es imprimir las partes más minúsculas de un órgano, justamente aquellas que lo hacen funcionar. Si se consigue esto, estaríamos muy cerca de la Eternidad para el ser humano...

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