In my favorite movie of all time, Blade Runner, there is a scene in which a technician dips into a vat and pulls out a cultured eyeball. We’re not there yet, but one of these days…

Too late for me though. A couple of weeks hence, a surgeon will make a slit in my left eye and scrape out my used-up, clouded over, organic lens. In its place, he will put in a mechanical contraption, an advanced model that allows three different focal lengths. I will become a cyborg replicant. How much more appealing, though, if I could be a replicant with real organic parts?
A few years from now, I’ll have to shop for a new shoulder. Too much time spent kayaking, and racquet ball before that. Titanium is nice enough, better than what I have now, but it seems awfully cold. Cartilage and bone are conceptually more pleasing, at least until the cartilage becomes hopelessly shredded and inflamed.
The day is not far away when we can rebuild an eye or a natural shoulder. Organ culture is no longer a thing of the past, thanks in part to Anthony Atala and his colleagues at Wake Forest University. Dr. Atala has developed technology for regenerating the bladder in vitro. Cells are harvested from muscle and bladder, through biopsy and then seeded onto a preformed collagen matrix, supplied with nutrients, and allowed to grow. A few years ago, he managed to implant lab-cultured functional bladders into rats and other animals. According to an
article in Voice of America, he is now implanting these bladders into humans. Actually, to be precise, he is not replacing the whole bladder, but just the biggest, bulbous part, excluding the neck.
A U.S. company called Tengion will apply to perform larger clinical tests of Atala's bladders later this year.
Unlike joints and eyes, bladders don’t usually wear out. Atala’s patients are young people aged 4 to 19, who have congenital bladder disease. With all the organs in the body that do wear out, some of which are extremely critical, like kidneys and hearts, why does Atala concentrate on the bladder? A bladder is mainly just an expandable sac, some epithelium, some muscle, not much to it. But if you’re going to learn how to do organ culture, it helps to start with something simple.
God, so the Bible tells us, made Eve from a single rib extracted from Adam. It couldn’t have been a simple task. First, there is the problem of the expansion in volume from a rib to full-grown female. That’s a lot of cell divisions. Then, you need to have a recipe for trans-differentiation, since ribs don’t have some important cell types, like nerves or endocrine tissue. Also, God had to design some new organs, like the uterus, from scratch, because women need to be more talented than men. And there were aesthetic considerations, because if Eve had turned out to be such a dog that Adam wouldn’t go out with her, the whole project might have been for naught. Genesis makes no mention of failed attempts, but the orangutan must have come from somewhere. Obviously, God was ultimately an Artist with that collagen matrix, curves in just the right places, because by now, Eve has 6 billion descendents and counting. I wonder what He did, though, with all the extra Y chromosomes?
Though God may be the master organ designer and builder, we are not there yet. It is right that we should practice on the bladder before we attempt to build a heart or kidney. But don’t worry, Atala has those organs in his sights.
The cells that Atala uses to seed his organs are essentially tissue-derived adult stem cells. As such they have already undergone many of the finite number of cell divisions that non-cancerous cells are allowed. Because the cells need to expand in number to cover the collagen matrix, more cycles of division are used up. So, in a biological sense, cultured organs may already be pretty old at the time of implantation.
How much better if we could use embryonic stem cells as starting material? If only the Bush Administration would suspend its War on Science and Truth just enough to fund embryonic stem cell research. Then maybe we could actually build a heart for the Tin Man, a cerebral cortex for the Scarecrow, or a conscience for Tom Delay… Well, scratch the latter. Some things, I fear, will always be beyond the pale for medical science. Tom will have to seek his redemption the old-fashioned way.