Grow Your Own Replacement Bones 331
Tim writes "New Scientist reports on a German man who had a complete jaw transplant, after having his cancerous jawbone removed nine years ago. The twist? This jawbone was grown on his shoulder, using a titanium mold, bone marrow, and recombinant bone morphogenic protein." There's also a BBC story.
yup (Score:2, Funny)
Go! Go! Go!
Re:yup (Score:5, Funny)
Great. (Score:4, Interesting)
Re:Great. (Score:5, Informative)
It only took seven weeks to grow the replacement jaw-piece and then only four more weeks until it was successfully grown into place.
For some reason I was under the impression that they had grown him an entire new jaw but that was obviously not the case as they only grew him a piece of his jawbone back. He still has no teeth and the doctors claim he can get a set next year.
Wow.
Atrophy? (Score:3, Interesting)
If muscles can be kept from atrophying in that amount of time, you could probably replace long bones like those found in arms and legs.
That'd be cool...
Re:Atrophy? (Score:5, Interesting)
Can we grow *DIFFERENT* bones than we have now? I wouldn't mind longer legs (statistically, being taller means being treated better, getting a better salary, and all sorts of social perks).
Moreso, can we grow, say, digigrade running legs so I can get a 30 mph stride? How about growing new, hyper-extensible joints that don't get arthritis, don't dislocate painfully, and can turn anyone into a contortionist?
Re:Atrophy? (Score:3, Interesting)
I forget where I saw this, but somewhere, wanna-be stewardesses who are too short can become taller by having their legs broken and stretched before healing. I seem to recall that Chinese girls were involved.
Found a representative article [bbc.co.uk]. Sorry, this one's outcome is sad.
Re:Great. (Score:4, Funny)
They're waiting for a shoulder to open up.
Re:Great. (Score:4, Funny)
Re:Great. (Score:5, Interesting)
Heck, I'd like to see Alan Colmes able to someday finally grow a spine.
Re:Great. (Score:4, Insightful)
Perfect! (Score:4, Funny)
Hmmm. Where to attach the second set of arms?
obligatory invader zim (Score:2, Funny)
Extreme body mod (Score:5, Funny)
(yeah we can laugh now, when our kids come home with a double ring of Doberman teeth circling their skulls 'cause it's the krezappy style of the day we'll be singing a different tune.
Re:Perfect! (Score:3, Interesting)
A long dick doesn't hurt, either.
It's been a long time, though.
Why do I get this image... (Score:2, Funny)
Re:Why do I get this image... (Score:2)
That image?
joking aside, (Score:5, Insightful)
Profoundly cool work.
--
I always wanted an iPod [freeipods.com] how about you?
Joking up front again (Score:5, Funny)
Re:joking aside, (Score:5, Insightful)
Too bad it sounds like this is just generic bone grown in a mold, not actually a grown jawbone which knows its own shape. While it is cool that they can do this, I hope it leads to more complicated things like joints being grown to the right shape later as right now we can't do implantable prosthetic wrists or ankles, just too complicated. I know, as I have had reconstructive wrist surgery due to bone loss from a bone tumor; as good a job as they did with metal, cement, etc., it is not and never will be 100% as good as the original. I'd gladly have a wrist growing on my back for a while if it meant being 100% as good as before.
Re:joking aside, (Score:2, Interesting)
Re:joking aside, (Score:5, Funny)
The neckbone? I hear the word of the Lord!
Re:joking aside, (Score:5, Interesting)
While it is cool that they can do this, I hope it leads to more complicated things like joints being grown to the right shape
You can create joints grown to the right shape. You can create Rapid Prototyping Models of bones from CT scans. You can have CT scans of bones exported to a format called DICOM [nema.org] which you can then have converted to a file format called STL [protogenic.com], used in Rapid Prototyping [wikipedia.org]. In your case, you could probably get a CT Scan of your other wrist in DICOM format, and have the STL mesh flipped to be a mirror image.
There are some [materialise.com] services [simpleware.co.uk] that can provide conversion software, or do the file conversions, as well as provide the RP models, although the models are made through stereolythography [materialise.com] from what I gather. There are newer methods [zcorp.com] of creating rapid prototyping models that use the same STL file format, that are probably more precise.
You can obtain some [materialise.com] software [simpleware.co.uk] packages [ablesw.com] that let you do the conversion yourself, and although there is probably a bit of a learning curve, the biggest problem would be the price. It would be best to just let the services handle the conversion and you choose which Rapid Prototyping method to use.
From this point, you can use the model to construct a titanium mold, which could then be used to produce actual bone. And as for cartilege for the joint, the Carticel [carticel.com] cartilege growth and transplant procedure could probably be applied. The FDA has approved Carticel for the knees and hips, but it would be up to a doctor's discretion to apply it in other ways.
Re:joking aside, (Score:5, Interesting)
I haven't heard of anyone doing this so I'm sure it is more complicated than a bunch of file conversion routines but nonetheless it is interesting.
They are doing it, just not with bone yet. Check out the the [materialise.com] case [materialise.com] studies [simpleware.co.uk]. The models are either being used for surgical planning, or for implant design. I actually first saw this sort of thing years ago, on a documentary, showing how they used stereolithography to create a piece of skull to exactly fit a hole some guy had in his skull, and they implanted it.
The file conversion procedure involves converting a massive amount of raster data (DICOM) to vector data (STL). This requires some manual intervention to do things like segmentation (isolating the proper body part) and patching up flaws that the conversion process couldn't handle. Some bone layers were too thin to automatically be recognised, so there were a few holes, and metal artifacts like braces cause after-images in CT scans that have to manually be edited out for the STL mesh.
You'd be surprised at where the technology is now. I have a jaw problem, so I went and got a CT scan done where I got the results on a CD rather than film. The viewer on the CD was for Windows, so I was unable to view it on my PowerBook. I came across a fantastic free (GPL) program called OsiriX [mac.com] which runs on OS X 10.3 (Panther). With this, I was able to view 3D images of my skull and jaw on my laptop. The site even lets you download example DICOM data to try out with the program. For DICOM viewers on other platforms, you can check out IDoImaging.com [idoimaging.com]
And I'm actually in the process of having DICOM data converted to STL by Simpleware.co.uk [simpleware.co.uk] and will have a model made with a Z Corp 3D printer. I just sent them the CT Scan DICOM data by FTP, and they are in the process of converting it to STL, which I will retrieve by FTP. Then I'll FTP it over to the local RP service with a 3D Printer, and they'll post the model over to me in a parcel.
Re:joking aside, (Score:2)
"Natural" materials may usually be better and too much detail about the whys and wherefors may be beyond the scope of the article but I'da liked some details about why the titanium insert wasn't up to the task.
a true story (Score:3, Insightful)
Suddenly she didnt feel so bad about her broken toe.
When she told me, I made a mental note to stay away from large animals.
remove the titanium? (Score:3, Interesting)
Re:remove the titanium? (Score:4, Insightful)
Re:remove the titanium? (Score:5, Funny)
Oh, I don't know. The ladies love mine.
Re:remove the titanium? (Score:3, Informative)
Re:remove the titanium? (Score:2)
Because they needed to make room to pour in the molten adamantium.
nope--read again (Score:2)
So they did implant the titanium mesh.
Some people still bitch (Score:3, Interesting)
Reminds me of the story that was related to me the other night by someone on IRC. They knew someone whose kids found $200K in a bag and was eventually given control of the money since no one claimed it.
The person spent the money on a house and 2 Jeeps and then later complained that they'd wish they could get a break in life.
Re:Some people still bitch (Score:4, Insightful)
Re:Some people still bitch (Score:3, Funny)
You're right. Everyone knows it takes shark cartilage to grow frickin' laser beams out of your head.
Re:Some people still bitch (Score:4, Insightful)
Coming soon... (Score:5, Funny)
Re:Coming soon... (Score:5, Funny)
Re:Coming soon... (Score:2, Funny)
Tiger-Man (Score:2, Interesting)
Re: DIY (Score:2)
"What's that thing on the end of your dick?"
"That was supposed to be a third eye."
BTW, I used to think the ultimate in body mutilation was going to be plexiglass skull windows.
Re:Coming soon... (Score:2)
This really bites (Score:5, Funny)
I'd probably complain, something like, "damn, this really bites"...
Let's get the puns out of the way (Score:4, Funny)
Now, "I have a bone" to pick with you has a whole new meaning!
Hey, is that a jawbone growing out of your shoulder or are you just happy to see me?
Great - I hear Johnson grew another mouth. Now I'll be getting it in both ears.
I, for one, welcome our shoulder jawbone overlords.
OK, now in seriousness, I think this is a great achievement. Flash forward 10-12 years, and imagine what this could do for other organs. Regrow a finger or a hand for amputees maybe? Suppose we get to work on other organs, such as the heart? Old guy in his 60's can just have new organs regrown to extend his healthy life expectancy to 150 years?
Of course, there's the whole "stem cell and cloning" issues that might come to play when we're talking about organs and not bones, but still, this is a very exciting first step. Congrats to the doctor and patient.
Re:Let's get the puns out of the way (Score:4, Insightful)
Flash forward 10-12 years, and imagine what this could do for other organs. Regrow a finger or a hand for amputees maybe? Suppose we get to work on other organs, such as the heart? Old guy in his 60's can just have new organs regrown to extend his healthy life expectancy to 150 years?
All of those sound like wonderful, noble goals for medicine, but even with my limited knowledge I can see that this particular achievement doesn't lead there directly. The nice thing about a bone that made this achievement possible is that (to a large extent) shape=function. Thus, the doctors could grow some bone matter into a mold and stick the resulting shape into place. But that's a big difference from doing something like "programming" the bone cells to become a jawbone, which is the kind of thing that would need to happen for regrowing arbitrary organs.
Not denying the utter coolness of this procedure at all... I just don't think it's quite as far-reaching as you make it out to be.
Re: (Score:2)
A perfect example (Score:3, Interesting)
Re:A perfect example (Score:2)
Now, doctors at the University of Kiel in Germany have neatly bypassed the initial bone removal procedure and instead grown the required bone from stem cells in the patient's own bone marrow.
Re:A perfect example (Score:5, Insightful)
Except that Bush is against fetal stem cell research. This kind of stem cell research is supported by Bush. This case actually helps Bush's argument.
Actually... (Score:5, Informative)
Actually, since this all happened in Germany, and not in the US, I think it is a pretty good case against Bush's stem cell "policy" (more like religious idiocy, imho).
My wife finished her undergrad genetics degree (at a Canadian university) a couple of years ago, and even then she noticed an increase in the number of people from the US coming up for grad studies, since the type of work they needed to do with stem cells just wasn't possible in the US.
Stem cell research is going to happen, with or without Bush. The only variable is the country in which it is going to happen, and right now it ain't the US.
Not a perfect example (Score:3, Informative)
Re:A perfect example (Score:3, Informative)
Jaws? (Score:2)
Hurray for Stem Cells Research (Score:2, Insightful)
*oh the horrors*
Why is Bush and his administration against stem cell research again ???
Wouldn't the vast majority of americans want to have this technology available to them ?
Re:Hurray for Stem Cells Research (Score:5, Informative)
Besides, this was done in Germany. Even if the Theocratic States of America succeed in shutting down all medical progress, they're happy to outsource this sort of thing. Need a new kidney? Fly to Germany, they'll be happy to grow you a new one.
Re:Hurray for Stem Cells Research (Score:3, Informative)
Re:Hurray for Stem Cells Research (Score:2, Informative)
Stem Cell Research is not illegal. Still.
Re:Hurray for Stem Cells Research (Score:4, Informative)
--riney
Because (Score:3, Insightful)
Re:Hurray for Stem Cells Research (Score:4, Informative)
A common misconception here on /. is that Bush is against stem cell research. The fact is that he's not. He is against stem cell harvesting from aborted fetuses. The law he signed bans only federal funding for stem cell research that uses fetus stem cells. This does not prevent private research in this area at all. In fact, there are now ways to harvest stem cells from adults, and thus doesn't have the same moral complications as the previous method.
Re:Hurray for Stem Cells Research (Score:3, Interesting)
He's against stem cell harvesting from left over embryos from in-vitro fertilization, which he supports wholeheartedly.
Understandably, Republicans are frothing themselves into spinland because it's a very unpopular stance, one that they themselves might disagree with. But since they can't ever criticize Bush, they have to do all sorts of mental gymnastics to convince themselves that he's not actually doing anything stupid
The way of the future. (Score:4, Interesting)
Need a liver transplant? No problem, here is one we already made for you. Lung? Spleen? No problem. And now, we apparently have the technology to make the body grow bones of any shape we like and to surgically put those back in the body. That's unbelievably cool.
And, because all of these things are genetically identical to the recipient of the transplant, there is no kind of rejection problem at all.
I don't think it'll be that far down the road before "transplants" are a thing of the past. All organ/tissue replacement will be made for an individual.
Wait... (Score:5, Funny)
Re:Wait... (Score:5, Funny)
So, why not teeth? (Score:4, Insightful)
Grab some DNA from an existing tooth, off to the farm. Good as new b/c they *are* new.
-b
Re:So, why not teeth? (Score:2)
In the works... (Score:2)
Re:In the works... (Score:3, Funny)
-b
Re:So, why not teeth? (Score:3, Insightful)
Re:So, why not teeth? (Score:2)
Re:The underlying bone... (Score:3, Informative)
One question. (Score:5, Funny)
Is he a greeter at Walmart? Cashier at a Burger King? Clown at kids parties?
I just can't see him saying, "Oooo ahhh iiiieess iiii ahhhh?" (Do you want fries with that?)
Yes. I'm going to hell.
One Answer (Score:2, Funny)
This is where cloning would come in. (Score:5, Funny)
No fuss, no muss.
Re:This is where cloning would come in. (Score:2)
Re:This is where cloning would come in. (Score:2)
I was making a joke.
Flippancy aside ... (Score:3, Insightful)
That's why there are bans on human cloning, because society hasn't actually resolved what we would feel comfortable saying we're allowed to do to the meat-socks we would grow.
Growing from scratch is both an amazing accomplishment and, to an extent, lessens some of the sticky issues surrounding
Whoops (Score:4, Funny)
I'm surprised that I don't get spam about this topic.
Re:Whoops (Score:2)
Sorry in advance for the cliché... (Score:2, Funny)
Please! (Score:2, Funny)
That sounds so made up.
This technology (Score:2)
nice.. (Score:2)
hehe.. seriously though, that is pretty cool, like that harry potter bone grow juice stuff..
Darth Malak? (Score:3, Funny)
Scary though. (Score:2)
CT scan shows new jaw in place (Score:2, Informative)
I am having something similar (Score:5, Interesting)
I was given the choice of having bone matter placed in me from a dead person or using my own bone marrow. Well duh! Which choice did I take?
They are going to put two titanium tubes drilled with many small holes in between the two vertebrae then fill them with a mixture of my bone marrow and this BMP material or something very much like it. The mixture will spawn new bone growth and cause the two vertebrae to grow (or fuse) into one large vertebrae. Titanium rods and screws will hold it all together while it grows, which could take anywhere from one year to two years.
This is from an injury that occurred about 37 years ago and degenerated over time from a fracture to the point of total failure of the bone. I'm told that it's a GOOD thing that it just now is coming to light because of these new procedures, otherwise had they found it when I was a child, spinal surgical procedures in those days were barbaric and had a low success rate. They say this new method has better than a 95% success rate, with the 5 percent failure due to people not doing as told afterwards.
Re:I am having something similar (Score:4, Informative)
Good Luck.
More pictures here (Score:4, Informative)
I wish this had come earlier (Score:4, Interesting)
Perhaps in the future...
Re:I wish this had come earlier (Score:3, Interesting)
Needless to say the forceps gave me nerve damage that left me temporarily paralyzed on the right side, my right shoulder socket never formed, and from several years of neglect my right arm is partially atrophied. Previous surgeries seem to have harmed more than helped.
I had hoped a procedur
Future of medical technology (Score:3, Interesting)
I'm still anxiously awaiting a true 'matrix' as depicted in the book!
Another Article (Score:5, Informative)
A quote in that story, from Paul Brown, head of the Center for Tissue Regeneration Science at University College in London:
You Have a Good Head on Your Shoulders (Score:2)
Use adamantium instead (Score:5, Funny)
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With our patented new techniques, in just seven weeks(1) you can get the adamantium-matrix bone structure that you need. The Wolverine's Skeleton(TM) uses 100% adamantium in a computer-designed matrix that supports the growth of *your* bone marrow cells. No need to worry about loss of immune system function, because with the Wolverine's Skeleton(TM) system, your bone marrow will keep making T-cells and helper B-cells, just like always. Surprising affordable(2), your Wolverine's Skeleton(TM) will pay for itself in record time. From stopping
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(1) per bone
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(3) no protection to musculature, nerve tissue, blood vessels or other non-bone elements is stated or implied
Siegfried Roy's boner (Score:3, Informative)
How to re-grow arms and legs to function like new. (Score:4, Interesting)
The basic principle is simple... break a leg and tug on it by 1 millimeter per day, and the body will fill in the gap with new bone.
The technique is called the Ilizarov [google.com] technique after the Russian who discovered it. You can see in those pictures that a mechanical frame takes the place of your broken bone during the "stretching" phase. The leg is broken, but the frame keeps you able to walk nearly normal.
The most amazing operation I saw was a guy who blew away his entire tibia/fibula with a shotgun, but didn't overly destroy the blood vessels and nerves and muscle of the lower leg. They bolted one of these frames on, compressed his ankle and foot up just 4" from his knee, waited a few days for the bone to knit, and then grew him a new tibia over the course of 6 months.
You can make ANYONE taller using this technique, at about 1 inch per month.
The Russians used wrenches to turn their bolts 4 times a day, elongating the metal frame by 1/4 mm four times per day, for the 1mm total. Our device (the autogenesis device) used Intel microcontrollers and stepper motors geared down enormously, so that we elongated the frame over 1000 times per day by less than a micron each move. The result was more natural looking nerves, blood vessels, (which are also grown by this technique), the body likes the gradual movements better.
You can do all kinds of crazy stuff with this technique. One of the first patients was an Atlanta Falcons player who had one leg lengthened by a small amount and also had the foot rotated by a few degrees (again, a very small amount each day) to correct an improperly healed injury.
Re:Other areas (Score:2)
Re:He would be a good boxer (Score:3, Insightful)
Imagine if the crumple zone on the front of your car was equally indestructable.
Instead of your jaw absorbing the impact of a collision (i.e. a mean right hook), your new inflexible jawbone would try to more or less tear free from your face. That's provided your head doesn't spin to the side first, in which
Re:will religious fanatics go nuts over this? (Score:3, Informative)