CUSTOM-MADE Pigs implanted with bioengineered lungs (like the one growing inside the bioreactor tank above) showed no signs of rejection after the transplant.For the first time, researchers have created lungs in the lab and successfully transplanted them into pigs.These bioengineered lungs, described online August 1 in Science Translational Medicine, developed healthy blood vessels that allowed pigs to live for several weeks after surgery.If the new procedure can be adapted for humans, with bioengineered lungs grown from a patient’s own cells, that could reduce the risk of organ rejection and slash wait times for organ transplants.For the study, immunologist Joan Nichols at the University of Texas Medical Branch at Galveston and colleagues built lungs for four pigs by first using a sugar and detergent mixture to strip the cells from lungs of donor pigs. That left sterilized, pearly white, lung-shaped scaffolds made of the intercellular proteins. The researchers then repopulated each scaffold with blood vessel and lung tissue cells from the pig destined to receive that organ.
Each engineered lung grew for 30 days inside a bioreactor tank, pumped full of nutrient cocktails that helped cells stick to the scaffold and multiply in the right spots. The researchers then replaced the left lung of each pig with the bioengineered version.The pig that lived two months after surgery didn’t experience any breathing problems, and its lung transplant was colonized by bacteria that inhabit normal pig lungs — signs that the tissue was developing normally and integrating well into the body.But these lab-grown lungs aren’t quite ready for prime time, says Laura Niklason, a biomedical engineer at Yale University not involved in the work. The organs weren’t connected with the animals’ pulmonary arteries — which carry low-oxygen blood for the lungs to replenish with oxygen from air breathed in. That left the pigs to rely on their natural right lungs for air after surgery.“The next step is hooking the organ up to the pulmonary artery” to ensure that bioengineered lungs get oxygen into the blood as well as normal lungs, Niklason says.
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