Simulated human liver achieved in 'benchtop human' projectMarch 27, 2014
*[+]*
<http://www.kurzweilai.net/images/Athena1.jpg>

The ATHENA organ project combines heart, liver, kidney, and lung features
in a desktop toxicity testingplatform (credit: Los Alamos National
Laboratory)

Significant progress toward creating "homo minutus" -- a benchtop human --
was reported at the Society of Toxicology
meeting<http://www.toxicology.org/AI/Pub/Prog/2014Program.pdf> on
Mar. 26 in Phoenix.

The advance -- successful development and analysis of a liver human organ
construct that responds to exposure to a toxic chemical much like a real
liver -- was described in a presentation by John
Wikswo<http://www.vanderbilt.edu/viibre/wikswo.php>,
the Gordon A. Cain University Professor and Director of the Vanderbilt
Institute for Integrative Biosystems Research and Education
(VIIBRE<http://www.vanderbilt.edu/viibre/>)
at Vanderbilt University.

The achievement is the first result from a five-year, $19 million
multi--institutional effort led by Rashi Iyer, Senior Scientist at Los
Alamos National Laboratory (LANL), and Wikswo.

The project is developing four interconnected human organ constructs --
liver, heart, lung and kidney -- that are based on a highly miniaturized
platform nicknamed ATHENA (Advanced Tissue-engineered Human Ectypal Network
Analyzer).

The project is supported by the Defense Threat Reduction Agency. Similar
programs to create smaller "organs-on-chips" are underway at the Defense
Advanced Research Projects Agency and the National Institutes of Health.

*$1 billion in drug research down the drain*

"The original impetus for this research comes from the problems we are
having in developing new drugs," said Wikswo. "A number of promising new
drugs that looked good in conventional cell culture and animal trials have
failed when they were tested in humans, many due to toxic effects. That
represents more than $1 billion in effort down the drain. Our current
process of testing first in cell lines on plastic and then in mice, rats
and other animals simply isn't working."

In recent years, a cadre of scientists and clinicians around the world has
begun to develop more relevant and advanced laboratory tests for drug
efficacy and toxicity: small bioreactors that can form human organ
structures and are equipped with sensors to monitor organ health.

Ultimately, the goal is to connect the individual organ modules chemically
in a fashion that mimics the way the organs are connected in the body, via
a blood surrogate. The ATHENA researchers hope that this "homo minutus,"
with its ability to simulate the spatial and functional complexity of human
organs, will prove to be a more accurate way of screening new drugs for
potency and potential side-effects than current methods.

*Testing for toxicity*

Devices of this type could also be extremely useful in the field of
toxicology. Of the tens of thousands of chemical compounds being used
routinely in commerce today, only a small fraction has been tested for
toxicity. And even those have been examined only for acute toxicity, not
for sub-lethal or chronic effects, because of the expense and time required
by such tests. Human organ construct/organ-on-a-chip technology could make
this process substantially cheaper and faster.

One of the key questions for human organ construct developers is scale:
What size should they make their artificial organs? Different groups have
selected a variety of scales ranging from microhuman (one-millionth of size
of human organs) to millihuman (one-thousandth the size).

"Scale is extremely important," said lyer. If the scale is too small, she
pointed out, then it is difficult to recapture the physiology because you
need a quorum of cells before they act as an organ and it is difficult to
get enough effluent to analyze. If the scale is too large, the costs of
fabrication and human cell acquisition make the devices prohibitively
expensive.

*ATHENA project*

The ATHENA project combines the skills and insights of some of the top
researchers in this pioneering field of research.

   - The liver construct is being developed by Katrin Zeilinger, head of
   the Bioreactor Group and her colleagues at the Berlin-Brandenburg Center
   for Regenerative Therapies <https://www.bsrt.de/> (BCRT), Charite
   UniversiUitsmedizin, Berlin.
   - Kevin Kit Parker,<http://wyss.harvard.edu/viewpage/126/kevin-kit-parker>
Tarr
   Family Professor of Bioengineering and Applied Physics at Harvard
   University, is leading the heart effort.
   - Shuvo Roy <http://bts.ucsf.edu/roy/people.html>, director of the
   Biomedical Microdevices Laboratory at the University of California, San
   Francisco (UCSF), and Associate Professor of Medicine William
Fissell<https://medicine.mc.vanderbilt.edu/node/715> of
   Vanderbilt are developing the kidney construct.
   - In addition to leading the project, Iyer is directing work on the lung
   organ at LANL.
   - Wikswo and his VIIBRE group are building the hardware platform and a
   heart test system.
   - Andrzej 
Przekwas<http://www.frontiersin.org/people/andrzejprzekwas/21654/profile>,
   CTO and Senior Vice President for Research of CFD Research
Corporation<http://www.cfdrc.com/news/206-cfdrc-and-harvard-university-develop-multiple-organ-on-chip-systems-to-mimic-the-whole-human-body>
(CFDRC),
   a technology company in Huntsville, AL, and the LANL and Vanderbilt groups
   are creating a blood surrogate to sustain the four devices. CFDRC is also
   building a mathematical model of ATHENA to guide system design and data
   analysis.

The ATHENA team at Charite in Berlin started with a patient-support liver
bioreactor with the volume of a human liver and scaled it down to a
four-layer, three-dimensional device with a volume of only one-tenth of a
milliliter. Zeilinger noted that "the cell mass of the final design was
optimized based on metabolic performance and enzyme release and cell
structures now resemble native human liver tissue."

Charite's original organ perfusion system cost $80,000 and was the size of
a small refrigerator. Using simple microfluidics, the VIIBRE team created a
5x4x3.5-inch perfusion device that costs about $2,000 to make, Wikswo
reported. They have validated its basic characteristics and demonstrated
that it can keep human liver cells healthy for an extended period of time.
The goal is a month.

Scaling is also important to determine the relative sizes and function of
each organ represented on the platform. So if one were to have a liver that
represented one thousandth of a human with a lung that represented one
millionth of a human, the outcome would be very skewed. It's just like
having the heart of a 10-pound infant pumping to a liver of a 300-pound
adult.

"We have picked a scale that is between microhuman and millihuman -
one-tenth of the millihuman," Iyer said. "I think the success that we are
having with our liver device means that we have hit the sweet spot."

*Monitoring fluctuations of thousands of different molecules*

In addition to successfully shrinking the organ platform, researchers in
the Vanderbilt lab of John McLean, Stevenson Associate Professor of
Chemistry, have introduced another important innovation by connecting the
organ platform to a powerful, highly specialized instrument called an ion
mobility-mass spectrometer, which can simultaneously detect and identify
minute quantities of thousands to tens of thousands of different biological
molecules simultaneously.

Other human organ construct/organ-on-chip research projects have reported
tracking the variations in concentrations of a few well-known chemical
compounds that are expected to change, but this is the first to
successfully monitor the fluctuations of the thousands of different
molecules that living cells produce and consume.

The researchers have used this capability to monitor the liver cells'
response to different dosages of a well-known liver toxin, the drug
acetaminophen.

"We could actually see what the acetaminophen is doing to the liver cells,"
said Wikswo. "In the beginning we saw an increase in the drug and its
metabolites. Then, over the next 24 hours, we recorded a steady increase in
tryptophan as acetaminophen began to interfere with normal liver
metabolism. After that, we saw decreased production of bile acid, a clear
indication that something was going very wrong with the liver, as expected
when exposed to seriously high doses of acetaminophen, and a decreased
ability to detoxify penicillin."

According to Iyer, this rich level of detail confirms that the ATHENA organ
platform coupled with mass spectrometry technology can provide a more
sensitive and effective method for screening both new drugs and toxic
agents than is available today.

The team plans to hook up their liver device to the Harvard heart this
winter. They expect to add the lung construct being developed at Los Alamos
next year and the UCSF/Vanderbilt kidney the year after.

The research is funded by the Defense Threat Reduction
Agency<http://www.dtra.mil/>
.

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