July 26, 2010 6:56 AM

Growing Body Parts

By
CBSNews
(CBS)  It sounds like science fiction, but the fact is biotech companies and the government are pouring hundreds of millions of dollars into research they hope will one day make it possible for us to grow new body parts.

It is called regenerative medicine and the goal is to help the thousands waiting for organ transplants and the hundreds of veterans who return from Iraq and Afghanistan horribly maimed.

So far, researchers have created beating hearts, ears and bladders by manipulating cells in the human body into regrowing tissue. The hope is to one day profoundly change human lives.

Wake Forest Institute for Regenerative Medicine
McGowan Institute for Regenerative Medicine
Web Extra: Making Body Parts
Web Extra: Growing and Ear
Web Extra: Kaitlyne's Story

Dr. Anthony Atala runs the Wake Forest Institute for Regenerative Medicine in North Carolina. You name the body part, chances are Dr. Atala is trying to grow one.

"Currently at the institute we're working on over 22 different tissues and organs," Dr. Atala told 60 Minutes correspondent Morley Safer.

According to Atala, they are working on regenerating bladders, kidneys, lungs and more. "The possibilities really are endless," he said.

"Are you suggesting a remarkable future when organs fail, we simply replace them and live to 120? 150?" Safer asked.

"Well, the hope for the future is that if you do have a patient who has organ failure, you don't want that patient to die because you're waiting for an organ," Atala said. "People are dying every day on the transplant wait list. So the hope of the field is that some day we can provide replacement tissues and organs that can be used to help them survive."

Atala presides over the world's largest lab devoted to bioengineering body parts. He has made everything from components of fingers to kidneys - it's enough to make Dr. Frankenstein jealous.

Atala says every organ in our body contains special stem cells that are unique to each body part. The key to regeneration, he says, is to isolate and then multiply those cells until there are enough to cover a mold of that particular body part.

Atala showed Safer a bladder that was growing in the lab. "And you can see here that we actually create the three dimensional mold first. This is actually coated with cells and it's done one layer at a time. It's very much like baking a layer cake."

It's sort of surgery as pastry making.

"But, how do those cells know - it's a really stupid question, I understand - but how do the bladder cells know they should be functioning as bladder cells?" Safer asked.

"The cells know exactly what to do. Every single cell in your body has all the genetic information to create a whole new you. So if you place that cell in the right environment, it'll be programmed to do what it's supposed to do," Atala explained.

He says some body parts are simpler to make than others.

"And you can see here the mold shaped like an ear. And then what we do is we start seeding these with cells. And then this is actually the fully engineered ear," he said. "The molds are designed to degrade over time. So as the tissue forms the mold goes away."

"If that was for a child, would that grow with the child?" Safer asked, looking at the mold.

"Yes," Atala said. "The body does recognize them as their own and it does grow with the child."

Depending on the body part, Atala says the whole process can take six to eight weeks.

Atala showed Safer a beating, engineered heart valve. He says that human testing of heart valves and blood vessels will begin within five years. He has already grown and transplanted livers in mice.

Asked if the mouse livers are functioning, Atala said, "Yeah. And the tissue actually starts making what you're supposed to see. Like for the liver, we actually are able to see the functionality that you would expect from the liver."

And there's Kaitlyne McNamara, a college student who was born with Spina bifida which caused her bladder to fail. Nine years ago, Kaitlyne, along with eight other patients, received new bladders grown from their own cells outside the body.

She says the procedure changed her life. "I never even knew I could get this far. I'm just living a normal adult life."



Copyright 2010 CBS. All rights reserved.
Add a Comment See all 18 Comments
by CHDMom July 26, 2010 11:40 AM EDT
As the mother of a child with congenital heart disease, I cannot help but think of the 1 in 100 children born EACH YEAR with heart defects. Some do fine with regular monitoring, others cannot make it past their fifth day of life without major surgery and sadly, others are brought home with their defect undedected, seemingly "healthy" to die in their parents arms at just a few weeks of age. My own child required a heart surgery when he was 4 days old, followed by major heart reconstruction at the age of 10 months + a pacemaker implantation. Thankfully, he is doing well today, but faces a lifetime of tissue and pacemaker replacements.

For those of you who think this is just a game of "playing God" or are worried about "where this may go", please think again. The capacity for good that this can do to provide a normal or even functional life or improved lifespan to millions of people out there is remarkable. They have been working on scaffolding hearts and valves for a few years now (for obvious reasons, I follow it closely), and I have known of many children who have died who could have benefited from this technology. I, for one, am so hopeful that we see this technology through to fruition during my lifetime.
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by DiabetesTypeOne July 25, 2010 7:54 PM EDT
I am cautiously thrilled by this research. While this could possibly be used for 'immortality,' as a ***Type 1 diabetic*** (AKA Juvenile Diabetes, Auto-Immune Diabetes, or IDDM), applicability to my condition would completely change my life for the better. Therefore, 'misuse' of such a treatment is really a minor and likely negligible consideration in view of the positives for people with chronic diseases and/or injuries. I hope and pray that the scientists use due diligence and get the trials underway!
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by andacar December 17, 2009 6:05 PM EST
No, skeezix06, it is not. This is my great hope right now, though it may not go commercial in time to do me any good. I've lost both my kidneys to Polycystic Kidney Disease, a frustrating, painful and unstoppable disease. I have a wife and two little kids to support, so this isn't just some boondoggle for the rich. Think before you post.
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by lilyssharon December 17, 2009 10:54 AM EST
My mother has MS. She is 67 years old. She has lived with this terrible disease for 15 years. The muscles in her legs have deteriorated over the years. Do you think this could work for her?
Reply to this comment
by bubbadubba December 15, 2009 7:43 AM EST
We all know where this technology is headed.
Reply to this comment
by lanahoran December 16, 2009 5:13 PM EST
Have you heard of StemEnhance? It supports the natural release of your own adult stem cells enabling your body to repair itself. Check out www.lanahoran.com.
by Wolf1944 December 14, 2009 11:21 PM EST
How long might a person live if he/she could have new organs grown to order?
Reply to this comment
by OrionCA December 14, 2009 7:25 PM EST
Good question on morality. Assume this "pixie dust" has the ability to reverse a lifetime of bad eating, bad health habits, bad treatment of the body. It's also cheap and easy to do. SHOULD we do it? Does it take anything away from us as human beings? I don't think so - everyone deserves a second chance, if they want to take it.
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by andacar December 17, 2009 6:10 PM EST
Not all of us are in this boat because of bad habits. I exercised all the time, ate right and so on, but my disease was genetic and no amount of vitamin berries or leg lifts would have made any difference.
by Wolf1944 December 14, 2009 3:24 PM EST
And the wonderful people creating this miracle are merely middle class while Tiger Woods gets a billion dollars for pushing a little ball into a hole.

I hope they share a Nobel.

America needs to get real.
Reply to this comment
by bladderdisease December 14, 2009 1:13 PM EST
I am a 54 year old woman who has suffered with a currently incurable bladder disease called Interstitial Cystitis. I have the pain level of advanced stages of cancer 24/7 and urinate about 50 times a day. I am sleep a maximum of 2 hours at a time due to the need to urinate. I have been to all the big medical facilities and they all say they cannot help me. I am currently living with my second nuerostimulator embedded in my spine which is designed to help with pain and frequency to no avail. I am living on pain medications and therefore have to plan my "little life" around my pain, restrooms and medication. I say "little life" because this disease has reduced me to a "bladder cripple", basically meaning I stay in bed most of the day because the pain is so debilitating I an curled up in a ball and cannot function. I have been praying for a cure, and I think I have found it in your regenerative process. I am begging for a new bladder so i can have a life again. I was a very active, type AAA personality before I became ill, and I want that life back again, so I can once again be a productive member of society. There are over 8 million people with Interstitial Cystitis but nobody wants to take about it. I have tried to build a clinic with an Ivy League University's medical school, but couldn't raise enough money to help the millions of people just like me who need help. There is no evidence yet as to whether or not this is a genetic disease, but I pray daily that my son or daughter will never have to go through what I have been through with this disease. I beg for your help.

Sincerely,

Paula from Scottsdale, Arizona
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by andacar December 17, 2009 6:08 PM EST
I sincerely hope you get it. I'm a PKD patient, and though it probably isn't at the same level, I know what it's like to live with pain 24/7. I feel the same way about my kids, though the odds for them aren't good. The main worry I have is that this technology will be so expensive insurance companies won't cover it and it will only be available to a few. Let's all hope this research yields some cures at a halfway reasonable cost.
by momokp July 26, 2010 10:22 AM EDT
My mom has the same disease, and found help in Tucson. She has been living without problems for more than 5 years now. Please contact me. I can get you the name of her doctor. I know how much pain you are in, I saw it every day with my own mother.
by bjo1109 December 14, 2009 12:47 PM EST
This sounds like a wonderful thing. Just think of all the people it can help: everyone! Sure, it will help the wealthy, but it will also help the average person, too, as it becomes more commonplace. One day it may be as accepted and accessible as, say, a tonsillectomy, or a root canal, or a facelift...you get the picture. I think it's great! Also, being someone past their youth, I can tell you that the worst thing about aging is the way your body starts to fall apart. If that can be prevented, "age" will become an abstract. Longevity will become the norm. Yeah!
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by andacar December 17, 2009 6:16 PM EST
It's a little early yet to start dreaming at that scale. There's a huge amount of research yet to be done. So far I think we've gotten to the point where we see it works in theory, in a lab. Now we have to turn it into a practical everyday medical practice.
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