In a
first, scientists have grown a living bone in the lab to repair large defect in
the head and face of patient, taking a step forward in improving treatments for
people with craniofacial defects. A new technique developed, uses autologous
stem cells derived from a small sample of the recipient’s far and replicates
the original anatomical structures of the bone. The researchers have been able
to show, in a clinical-size porcine model of jaw repair, that this bone, grown
in vitro and then implanted, can seamlessly regenerate a large defect while
providing mechanical function. The quality of the regenerated tissue, including
vascularisation with blood perfusion, exceeds what has been achieved using
other approaches. Researchers fabricated a scaffold and bioreactor chamber
based on images of the jaw defect, to provide and anatomical fit. The scaffold
they built enabled bone formation without the use of growth factors, and also
provided mechanical function. They then isolated the recipient’s own stem cells
form a small fat aspirate and, in just three weeks, formed the bone within a
scaffold made from bone matrix, in a custom-designed per-fused bioreactor.
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