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HST.535

Tissue Engineering and Organ Regeneration

3-0-9 units · Graduate

Principles and practice of tissue engineering (TE) and organ regeneration (OR). Topics include: cellular/molecular processes that induce fibrosis following traumatic injury, surgical excision, disease, and aging; targets for treatment for induced regeneration; and the tools that can be used to formulate the treatments. Presents the basic science of organ regeneration. Principles underlying engineering strategies for employing select implantable or injectable biomaterial scaffolds, exogenous cells or their organelles, and drugs or regulatory molecules, for the formation of tissue in vitro (TE) and regeneration of tissues/organs in vivo (OR). Describes the technologies for producing biomaterial scaffolds and for incorporating cells and regulatory molecules into workable devices. Examples of clinical successes and failures of regenerative devices are analyzed as case studies.

Fall 2024

This course presents the fundamentals of tissue engineering (TE) and organ regeneration (OR). Emphasis is on clinical translation and the development of workable medical devices. Topics include factors that prevent the spontaneous regeneration of tissues/organs in the adult (following traumatic injury, surgical excision, disease, and aging), and the cellular and molecular mechanisms that can identify the agents to employ therapeutically to enable induced regeneration. A principal focus is the assessment of the criteria that need to be met by biomaterials to deliver these agents and to fill defects. The course presents the principles underlying strategies for employing select biomaterial scaffolds, exogenous cells, and soluble regulators for the formation of tissue in vitro (TE) and regeneration of tissues/organs in vivo (regenerative medicine / OR). The course describes the methodologies for producing biomaterial scaffolds to accommodate the infiltration of endogenous cells (e.g., for the treatment of stroke) and for delivering cells and regulatory molecules (e.g., for the treatment of blindness). Examples of clinical successes and failures of regenerative devices are analyzed as case studies.

Fall 2004 · Principles and Practice of Tissue Engineering

The principles and practice of tissue engineering (and regenerative medicine) are taught by faculty of the Harvard-MIT Division of Health Sciences and Technology (HST) and Tsinghua University, Beijing, China. The principles underlying strategies for employing selected cells, biomaterial scaffolds, soluble regulators or their genes, and mechanical loading and culture conditions, for the regeneration of tissues and organs _in vitro_ and _in vivo_ are addressed. Differentiated cell types and stem cells are compared and contrasted for this application, as are natural and synthetic scaffolds. Methodology for the preparation of cells and scaffolds in practice is described. The rationale for employing selected growth factors is covered and the techniques for incorporating their genes into the scaffolds are examined. Discussion also addresses the influence of environmental factors including mechanical loading and culture conditions (e.g., static versus dynamic). Methods for fabricating tissue-engineered products and devices for implantation are taught. Examples of tissue engineering-based procedures currently employed clinically are analyzed as case studies. Archived webcast lecture videos for the Fall 2008 version of this class can be found at the {{% resource_link "85ea41c2-a11e-4be3-a310-3418ae5629d5" "HST.535 Fall 2008 website" %}}.

Readings

  • Readings for the subject will comprise lecture notes, Microsoft® PowerPoint® slides, journal articles, and selections from textbooks. This page lists the journal articles and textbook selections for each lecture session.
    Listed reading
  • Listed reading
  • Liu, Wei, Lei Cui, and Yilin Cao. “A Closer View of Tissue Engineering in China: The Experience of Tissue Construction in Immunocompetent Animals.” Tissue Engineering 9, Suppl. 1 (2003): S17-S30.
    Listed reading
  • Xiang, Zhou, and Myron Spector. “A Glimpse of Tissue Engineering in China.” Tissue Engineering 8, no. 2 (2002): 169-174.
    Listed reading
  • Spector, M. “Novel Cell–Scaffold Interactions Encountered in Tissue Engineering: Contractile Behavior of Musculoskeletal Connective Tissue Cells.” Tissue Engineering 8, no. 3 (2002): 351-357.
    Listed reading
  • Chamberlain, Lila J., and Loannis V. Yannas. “Preparation of Collagen-Glycosaminoglycan Copolymers for Tissue Regeneration.” Tissue Engineering Methods and Protocols. Vol. 18, Methods in Molecular Medicine . Edited by J. R. Morgan and M. L. Yarmush. Totowa, NJ: Humana Press Inc., 1998, pp. 3-17. ISBN: 9780896035164 .
    Listed reading
  • Ellis, D. L., and I. V. Yannas. “Recent Advances in Tissue Synthesis in Vivo by use of Collagen-Glycosaminoglycan Copolymers.” Biomaterials 17, no. 3 (1996): 291-299.
    Listed reading
  • Yannas, Ioannis V. “Synthesis of Organs: In Vitro or in Vivo ?” PNAS 97, no. 17 (August 15, 2000): 9354-9356.
    Listed reading
  • Wang, X. H., D. P. Li, W. J. Wang, Q. L. Feng, F. Z. Cui, Y. X. Xu, X. H. Song, and Mark van der Werf. “Crosslinked Collagen/Chitosan Matrix for Artificial Livers.” Biomaterials 24 (2003): 3213-3220.
    Listed reading
  • Curodeau, Alan, Emanuel Sachs, and Salvatore Caldarise. “Design and Fabrication of Cast Orthopedic Implants with Freeform Surface Textures from 3-D Printed Ceramic Shell.” J. Biomed. Mater. Res. (Appl. Biomater.) 53 (2000): 525-535. (John Wiley & Sons, Inc.)
    Listed reading
  • Yan, Yongnian, Zhuo Xiong, Yunyu Hu, Shenguo Wang, Renji Zhang, and Chao Zhang. “Layered Manufacturing of Tissue Engineering Scaffolds via Multi-Nozzle Deposition.” Materials Letters 57 (2003): 2623–2628.
    Listed reading
  • Xiong, Zhuo, Yongnian Yan, Shenguo Wang, Renji Zhang, and Chao Zhang. “Fabrication of Porous Scaffolds for Bone Tissue Engineering via Low-temperature Deposition.” Scripta Materialia 46 (2002): 771–776.
    Listed reading
  • Kisiday, J., M. Jin, B. Kurz, H. Hung, C. Semino, S. Zhang, and A. J. Grodzinsky. “Self-Assembling Peptide Hydrogel Fosters Chondrocyte Extracellular Matrix Production and Cell Division: Implications for Cartilage Tissue Repair.” PNAS 99, no. 15 (July 23, 2002): 9996–10001.
    Listed reading
  • Zhang, Shuguang, Todd C. Holmes, C. Michael DiPersio, Richard O. Hynes, Xing Su, and Alexander Rich. “Self-Complementary Oligopeptide Matrices Support Mammalian Cell Attachment.” Biomaterials 16 (1995): 1385-1393.
    Listed reading
  • Zhang, Shuguang, Davide M. Marini, Wonmuk Hwang, and Steve Santoso. “Design of Nanostructured Biological Materials through Self-Assembly of Peptides and Proteins.” Current Opinion in Chemical Biology 6 (2002): 865–871.
    Listed reading
  • Kojima, Koji, Lawrence J. Bonassar, Amit K. Roy, Hirokazu Mizuno, Joaquin Cortiella, and Charles A. Vacanti. “A Composite Tissue-Engineered Trachea using Sheep Nasal Chondrocyte and Epithelial Cells.” Faseb J. 17 (2003): 823-828.
    Listed reading
  • Vacanti, Martin P., Amit Roy, Joaquin Cortiella, Lawrence Bonassar, and Charles A. Vacanti. “Identification and Initial Characterization of Spore-Like Cells in Adult Mammals.” Journal of Cellular Biochemistry 80 (2001): 455-460.
    Listed reading
  • Du, C., F. Z. Cui, W. Zhang, Q. L. Feng, X. D. Zhu, and K. de Groot. “Formation of Calcium Phosphate/Collagen Composites through Mineralization of Collagen Matrix.” J. Biomed. Mater. Res . 50 (2000): 518–527. (John Wiley & Sons, Inc.)
    Listed reading
  • Zhang, W., S. S. Liao, and F. Z. Cui. “Hierarchical Self-Assembly of Nano-Fibrils in Mineralized Collagen.” Chem. Mater . 15 (2003): 3221-3226.
    Listed reading
  • Buschmann, Michael D., Yehezkiel A. Gluzband, Alan J. Grodzinsky, and Ernst B. Hunziker. “Mechanical Compression Modulates Matrix Biosynthesis in Chondrocyte/Agarose Culture.” Journal of Cell Science 108 (1995): 1497-1508.
    Listed reading
  • Grodzinsky, A. J., Y-J. Kim, and M. A. DiMicco. “Response of The Chondrocyte to Mechanical Stimuli.” Section 7.2.1.5 in Osteoarthritis. 2nd ed. Edited by Kenneth D. Brandt, Michael Doherty, and Stefan Lohmander. New York, NY: Oxford University Press, 2003. ISBN: 9780198509677 .
    Listed reading
  • Martin, Ivan, R. Suetterlin, W. Baschong, M. Heberer, G. Vunjak-Novakovic, and L. E. Freed. “Enhanced Cartilage Tissue Engineering by Sequential Exposure of Chondrocytes to FGF-2 During 2D Expansion and BMP-2 During 3D Cultivation.” Journal of Cellular Biochemistry 83 (2001): 121-128.
    Listed reading
  • Samuel, R. E., C. R. Lee, S. C. Ghivizzani, C. H. Evans, I. V. Yannas, B. R. Olsen, and M. Spector. “Delivery of Plasmid DNA to Articular Chondrocytes via Novel Collagen–Glycosaminoglycan Matrices.” Human Gene Therapy 13 (May 1, 2002): 791–802.
    Listed reading
  • Lieberman, Jay R., Steven C. Ghivizzani, and Christopher H. Evans. “Gene Transfer Approaches to the Healing of Bone and Cartilage.” Molecular Therapy 6, no. 2, (August 2002): 141-147.
    Listed reading
  • Yannas, I. V., J. F. Burke, D. P. Orgill, and E. M. Skrabut. “Wound Tissue can Utilize a Polymeric Template to Synthesize a Functional Extension of Skin.” Science 215, no. 4529 (January 8, 1982): 174-176. (New Series)
    Listed reading
  • Yannas, I. V., E. Lee, D. P. Orgill, E. M. Skrabut, and G. F. Murphy. “Synthesis and Characterization of a Model Extracellular Matrix that Induces Partial Regeneration of Adult Mammalian Skin.” Proceedings of the National Academy of Sciences of the United States of America 86, no. 3 (February 1, 1989): 933-937.
    Listed reading
  • Yang, Fei, Xunhu Li, Mingyu Cheng, Yandao Gong, Nanming Zhao, Xiufang Zhang, and Yinye Yang. “Performance Modification of Chitosan Membranes Induced by Gamma Irradiation.” Journal of Biomaterials Applications 00 (November 2001): 1-12.
    Listed reading
  • Haipeng, Gong, Zhong Yinghui, Li Jianchun, Gong Yandao, Zhao Nanming, and Zhang Xiufang. “Studies on Nerve Cell Affinity of Chitosan-Derived Materials.” J. Biomed. Mater. Res . 52 (2000): 285–295. (John Wiley & Sons, Inc.)
    Listed reading
  • Cheng, Mingyu, Jinguang Deng, Fei Yang, Yandao Gong, Nanming Zhao, and Xiufang Zhang. “Study on Physical Properties and Nerve Cell Affinity of Composite Films from Chitosan and Gelatin Solutions.” Biomaterials 24 (2003): 2871–2880.
    Listed reading
  • Mitchell, Shannon L., and Laura E. Niklason. “Requirements for Growing Tissue-Engineered Vascular Grafts.” Cardiovascular Pathology 12 (2003): 59-64.
    Listed reading
  • Niklason, L. E., J. Gao, W. M. Abbott, K. K. Hirschi, S. Houser, R. Marini, and R. Langer. “Functional Arteries Grown in Vitro .” Science 284 (April 16, 1999): 489-493.
    Listed reading
  • Rabkin, Elena, and Frederick J. Schoen. “Cardiovascular Tissue Engineering.” Cardiovascular Pathology 11 (2002): 305-317.
    Listed reading
  • Schoen, Frederick J., and Robert J. Levy. “Tissue Heart Valves: Current Challenges and Future Research Perspectives.” J. Biomed. Mater. Res . 47 (1999): 439–465. (John Wiley & Sons, Inc.)
    Listed reading
  • De Filippo, Roger E., James J. Yoo, and Anthony Atala. “Urethral Replacement using Cell Seeded Tubularized Collagen Matrices.” The Journal of Urology 168 (October 2002): 1789–1793.
    Listed reading
  • ———. “Engineering of Vaginal Tissue in Vivo .” Tissue Engineering 9, no. 2 (2003): 301-306.
    Listed reading
  • Liu, Yanchun, Fuguo Chen, Wei Liu, Lei Cui, Qingxin Shang, Wangyao Xia, Jian Wang, Yimin Cui, Guanghui Yang, Deli Liu, Juanjuan Wu, Rong Xu, Samuel D. Buonocore, and Yilin Cao. “Repairing Large Porcine Full-Thickness Defects of Articular Cartilage Using Autologous Chondrocyte-Engineered Cartilage.” Tissue Engineering 8, no. 4 (2002): 709-721.
    Listed reading
  • Mao, Jinshu, Liguo Zhao, Kang de Yao, Qingxin Shang, Guanghui Yang, and Yilin Cao. “Study of Novel Chitosan-gelatin Artificial Skin in Vitro .” J. Biomed. Mater. Res. 64A (2003): 301–308. (Wiley Periodicals, Inc.)
    Listed reading
  • Liao, S. S., K. Guan, F. Z. Cui, S. S. Shi, and T. S. Sun. “Lumbar Spinal Fusion with a Mineralized Collagen Matrix and rhBMP-2 in a Rabbit Model.” SPINE 28, no. 17 (2003).
    Listed reading
  • Wanga, Xiaohong, Jianbiao Ma, Qingling Feng, and Fuzhai Cui. “Skeletal Repair in Rabbits with Calcium Phosphate Cements Incorporated Phosphorylated Chitin.” Biomaterials 23 (2002): 4591–4600.
    Listed reading
  • Yu X., L. Xu, X. D. Zhang, and F. Z. Cui. “Effect of Spinal Cord Injury on Urinary Bladder Spinal Neural Pathway: A Retrograde Transneuronal Tracing Study with Pseudorabies Virus.” Urology 62, no. 4 (2003): 1-5.
    Listed reading
  • Lee, C. R., A. J. Grodzinsky, H. -P. Hsu, and M. Spector. “Effects of a Cultured Autologous Chondrocyte-Seeded Type II Collagen Scaffold on the Healing of a Chondral Defect in a Canine Model.” Journal of Orthopaedic Research 21 (2003): 272–281.
    Listed reading
  • Listed reading
  • CHAPTER #: Section 0: Introduction to Tissue Engineering in China
    Reading assignment
  • CHAPTER #: S0. Introduction to Tissue Engineering in China
    Reading assignment
  • CHAPTER #: Section 1: Scaffolds
    Reading assignment
  • CHAPTER #: S1 A. Overview · READINGS: Spector, M. “Novel Cell–Scaffold Interactions Encountered in Tissue Engineering: Contractile Behavior of Musculoskeletal Connective Tissue Cells.” Tissue Engineering 8, no. 3 (2002): 351-357.
    Reading assignment
  • CHAPTER #: S1 B. Historical Perspective and Design Criteria · READINGS: See notes for LEC 1.
    Reading assignment
  • CHAPTER #: S1 C. Collagen-GAG Analogs of Extracellular Matrix
    Reading assignment
  • CHAPTER #: S1 D. Free-Form Manufacturing
    Reading assignment
  • Curodeau, Alan, Emanuel Sachs, and Salvatore Caldarise. “Design and Fabrication of Cast Orthopedic Implants with Freeform Surface Textures from 3-D Printed Ceramic Shell.” J. Biomed. Mater. Res. (Appl. Biomater.) 53 (2000): 525–535. (John Wiley & Sons, Inc.)
    Listed reading
  • CHAPTER #: S1 E. Self-Assembled Proteins
    Reading assignment
  • Kisiday, J., M. Jin, B. Kurz, H. Hung, C. Semino, S. Zhang, and A. J. Grodzinsky. “Self-Assembling Peptide Hydrogel Fosters Chondrocyte Extracellular Matrix Production and Cell Division: Implications for Cartilage Tissue Repair.” PNAS 99, no. 15 (23 July 2002): 9996–10001.
    Listed reading
  • CHAPTER #: S1 F. Biomimetics Design
    Reading assignment
  • CHAPTER #: Section 2: Cells
    Reading assignment
  • CHAPTER #: S2 A. Sources
    Reading assignment
  • Reading assignment
  • CHAPTER #: S2 C. Liver Cells · READINGS: Wang, X. H., D. P. Li, W. J. Wang, Q. L. Feng, F. Z. Cui, Y. X. Xu, X. H. Song, and Mark van der Werf. “Crosslinked Collagen/Chitosan Matrix for Artificial Livers.” Biomaterials 24 (2003): 3213-3220.
    Reading assignment
  • Reading assignment
  • CHAPTER #: S2 E. Embryonic and Other Stem Cells · READINGS: No materials; discussed by Prof. Guo in LEC 8.
    Reading assignment
  • CHAPTER #: Section 3: Regulators
    Reading assignment
  • CHAPTER #: S3 A. Response to Mechanical Loading
    Reading assignment
  • Grodzinsky, A. J., Y-J. Kim, and M. A. DiMicco. “Response of the chondrocyte to mechanical stimuli.” Section 7.2.1.5 in Osteoarthritis. 2nd ed. Edited by Kenneth D. Brandt, Michael Doherty, and Stefan Lohmander. New York: Oxford University Press, 2003. ISBN: 9780198509677 .
    Listed reading
  • CHAPTER #: S3 B. Roles of Environmental Factors · READINGS: Martin, Ivan, R. Suetterlin, W. Baschong, M. Heberer, G. Vunjak-Novakovic, and L. E. Freed. “Enhanced Cartilage Tissue Engineering by Sequential Exposure of Chondrocytes to FGF-2 During 2D Expansion and BMP-2 During 3D Cultivation.” Journal of Cellular Biochemistry 83 (2001): 121-128.
    Reading assignment
  • CHAPTER #: S3 C. Principles of Gene Therapy · READINGS: No materials; discussed by Dr. Chang in LEC 8.
    Reading assignment
  • CHAPTER #: S3 D. Gene Transfer Wedded to Tissue Engineering
    Reading assignment
  • CHAPTER #: Section 4: Applications
    Reading assignment
  • CHAPTER #: S4 A. Skin and Peripheral Nerve
    Reading assignment
  • CHAPTER #: S4 B. Nerve Repair
    Reading assignment
  • Haipeng, Gong, Zhong Yinghui, Li Jianchun, Gong Yandao, Zhao Nanming, and Zhang Xiufang. “Studies on Nerve Cell Affinity of Chitosan-Derived Materials.” J Biomed Mater Res . 52 (2000): 285–295. (John Wiley & Sons, Inc.)
    Listed reading
  • CHAPTER #: S4 C. Blood Vessels
    Reading assignment
  • Niklason, L. E., J. Gao, W. M. Abbott, K. K. Hirschi, S. Houser, R. Marini, and R. Langer. “Functional Arteries Grown in Vitro.” Science 284 (16 April 1999): 489-493.
    Listed reading
  • CHAPTER #: S4 D. Heart Valves
    Reading assignment
  • Schoen, Frederick J., and Robert J. Levy. “Tissue Heart Valves: Current Challenges and Future Research Perspectives.” J Biomed Mater Res . 47 (1999): 439–465. (John Wiley & Sons, Inc.)
    Listed reading
  • CHAPTER #: S4 E. Urinary Tissues/Organs
    Reading assignment
  • CHAPTER #: S4 F. Clinical Applications and Underlying Principles
    Reading assignment
  • Mao, Jinshu, Liguo Zhao, Kang de Yao, Qingxin Shang, Guanghui Yang, and Yilin Cao. “Study of Novel Chitosan-gelatin Artificial Skin in Vitro.” J Biomed Mater Res. 64A (2003): 301–308. (Wiley Periodicals, Inc.)
    Listed reading
  • CHAPTER #: S4 G. Bone Regeneration
    Reading assignment
  • Liao, S. S., K. Guan, F. Z. Cui, S. S. Shi, and T. S. Sun. “Lumbar Spinal Fusion With a Mineralized Collagen Matrix and rhBMP-2 in a Rabbit Model.” Spine 28, no. 17 (2003): 1-7.
    Listed reading
  • CHAPTER #: S4 H. Cartilage Repair · READINGS: Lee, C. R., A. J. Grodzinsky, H. -P. Hsu, and M. Spector. “Effects of a Cultured Autologous Chondrocyte-Seeded Type II Collagen Scaffold on the Healing of a Chondral Defect in a Canine Model.” Journal of Orthopaedic Research 21 (2003): 272–281.
    Reading assignment
  • Reading assignment
  • CHAPTER #: S4 J. Brain Repair · READINGS: No materials.
    Reading assignment
  • CHAPTER #: S4 K. Spinal Cord, Lung, and Heart · READINGS: No materials; discussed by Prof. Cui in LEC 13.
    Reading assignment

Prerequisites & course information

Same subject as 2.787[J] Prereq: ( Biology (GIR) , Chemistry (GIR) , and Physics I (GIR) ) or permission of instructor G (Fall) 3-0-9 units

Sources