The Emergence of Tissue Engineering as a ... - Abt Associates
The Emergence of Tissue Engineering as a ... - Abt Associates
The Emergence of Tissue Engineering as a ... - Abt Associates
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<strong>The</strong><br />
<strong>Emergence</strong> <strong>of</strong><br />
<strong>Tissue</strong><br />
<strong>Engineering</strong><br />
<strong>as</strong> a Research<br />
Field<br />
Cambridge, MA<br />
Lexington, MA<br />
Hadley, MA<br />
Bethesda, MD<br />
W<strong>as</strong>hington, DC<br />
Chicago, IL<br />
Cairo, Egypt<br />
Johannesburg, South Africa<br />
Contract #<br />
EEC-9815425<br />
T<strong>as</strong>k Order A-07<br />
October 14, 2003<br />
Prepared for<br />
<strong>The</strong> National Science<br />
Foundation<br />
4201 Wilson Boulevard<br />
Arlington, VA 22230<br />
Prepared by<br />
Jessica Viola<br />
Bhavya Lal<br />
Oren Grad<br />
<strong>Abt</strong> <strong>Associates</strong> Inc.<br />
55 Wheeler Street<br />
Cambridge, MA 02138
Acknowledgements<br />
<strong>The</strong> authors would like to thank all who participated in this study, especially the researchers and leaders<br />
in academia and industry who agreed to be interviewed and who shared their insights and experiences in<br />
the field. We also thank the efforts <strong>of</strong> Dr. Rosemarie Hunziker, formerly at the National Institute for<br />
Standards and Technology, Dr. Kiki Hellman <strong>of</strong> the Food and Drug Administration, Dr. Christine Kelley<br />
<strong>of</strong> the National Institutes <strong>of</strong> Health, and Dr. Steven Davison <strong>of</strong> the National Aeronautics and Space<br />
Administration, who helped us gather relevant agency data to contribute to our study.<br />
We would like to give special thanks to the project team in the Directorate for <strong>Engineering</strong> at the National<br />
Science Foundation, including Drs. Joanne Culbertson, Bruce Hamilton, Frederick Heineken, and Linda<br />
Parker, who provided ongoing information and technical support integral to our data collection and<br />
analysis. Without their involvement, many <strong>as</strong>pects <strong>of</strong> our research would have been difficult, if not<br />
impossible.<br />
<strong>The</strong> work w<strong>as</strong> sponsored by the Directorate for <strong>Engineering</strong> <strong>of</strong> the National Science Foundation’s<br />
Directorate <strong>of</strong> <strong>Engineering</strong> through T<strong>as</strong>k Order A-07, award 0212341, in NSF contract EEC-9815425.<br />
Any opinions, findings, and conclusions or recommendations expressed in this material are those <strong>of</strong> the<br />
authors and do not necessarily reflect those <strong>of</strong> the National Science Foundation.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 3
About the Authors<br />
Bhavya Lal. An engineer by training, Ms. Lal h<strong>as</strong> applied her analytic problem-solving skills to social<br />
science projects for the National Science Foundation, National Institutes <strong>of</strong> Health, National Institute <strong>of</strong><br />
Standards and Technology (in particular, the Advanced Technology Program), and other Federal<br />
Agencies for the l<strong>as</strong>t nine years. In these projects, she h<strong>as</strong> led and herself designed and implemented c<strong>as</strong>e<br />
studies, literature reviews, surveys, and other qualitative data collection activities. In addition, she h<strong>as</strong><br />
analyzed and interpreted data, performed statistical analyses, written reports, and presented results at<br />
national and international conferences and workshops. Many <strong>of</strong> her NSF projects have required<br />
understanding historical underpinnings <strong>of</strong> NSF funded programs. Bhavya Lal is currently the Director <strong>of</strong><br />
<strong>Abt</strong> <strong>Associates</strong>’ Center for Science and Technology Policy Studies. Ms. Lal h<strong>as</strong> a bachelor's and a<br />
m<strong>as</strong>ter's degree in nuclear engineering from the M<strong>as</strong>sachusetts Institute <strong>of</strong> Technology (MIT), <strong>as</strong> well <strong>as</strong> a<br />
m<strong>as</strong>ter's degree from the Technology and Policy Program (TPP) at MIT.<br />
Jessica Viola. Ms. Viola h<strong>as</strong> been a science and technology policy analyst at <strong>Abt</strong> <strong>Associates</strong> for the p<strong>as</strong>t<br />
5 years. She h<strong>as</strong> been most closely involved with NSF’s Government Performance and Results Act<br />
(GPRA) related activities and h<strong>as</strong> participated in several process- and performance-b<strong>as</strong>ed outcome<br />
me<strong>as</strong>urement studies. She h<strong>as</strong> experience in the design <strong>of</strong> data collection instruments and the analysis <strong>of</strong><br />
that data for evaluative purposes. She h<strong>as</strong> also participated in several qualitative and c<strong>as</strong>e-study b<strong>as</strong>ed<br />
program evaluations involving expert interviews and focus groups. Ms. Viola also possess strong<br />
research and quantitative skills in both theoretical and laboratory science with a specialization in the<br />
chemical and biological sciences. Her undergraduate work involved independent laboratory research on<br />
cellular interactions at Harvard Medical School in their Department <strong>of</strong> Biological Chemistry and<br />
Molecular Pharmacology. Ms. Viola h<strong>as</strong> an undergraduate degree from Harvard University in<br />
biochemical sciences.<br />
Dr. Diana Hicks, Ph.D. Dr. Hicks is a senior policy analyst at CHI Research, Inc. She is a student <strong>of</strong><br />
science and technology policy by training and works in this area. Her career h<strong>as</strong> focused on the scientific<br />
side, with a particular focus on using quantitative bibliometric tools to address policy and sociological<br />
questions <strong>of</strong> broad interest at the intersection <strong>of</strong> science and technology. At CHI she h<strong>as</strong> used<br />
bibliometric and cyberbibliometric techniques to <strong>as</strong>sess research institutes and programs for the<br />
Department <strong>of</strong> Energy, National Science Foundation and the American Cancer Society. She h<strong>as</strong> recently<br />
spoken at the American Association for Advancement <strong>of</strong> Science workshop on Science Policy and at the<br />
first Gordon Research Conference on Science Policy and at a joint OECD/German government workshop<br />
on science-industry relations. She received her MSc and PhD from the University <strong>of</strong> Sussex in science<br />
and technology policy studies.<br />
Dr. Oren Grad, Ph.D., MD. Oren Grad is experienced in a full range <strong>of</strong> data collection and analytic<br />
techniques including historical reviews and policy analyses, c<strong>as</strong>e studies, interviews, focus groups,<br />
surveys, statistical analyses <strong>of</strong> quantitative data, and bibliometric analyses, and h<strong>as</strong> focused especially on<br />
program outcomes which are primarily qualitative in nature and difficult to me<strong>as</strong>ure. Dr. Grad h<strong>as</strong> played<br />
a key role in developing conceptual frameworks for evaluation design and data analysis on several major<br />
evaluations <strong>of</strong> NSF Programs, including the Coordinated Experimental Research in Computer Science<br />
(CER) Program, the <strong>Engineering</strong> Research Centers (ERC) Program, and the Science and Technology<br />
Centers (STC) Program, all <strong>of</strong> which have been concerned with the dynamics <strong>of</strong> emerging fields and the<br />
role <strong>of</strong> NSF in their support. Dr. Grad’s h<strong>as</strong> a great breadth <strong>of</strong> interdisciplinary technical knowledge<br />
across the biological and physical sciences and clinical medicine, he h<strong>as</strong> an MD and a Ph.D. in health<br />
policy and management from the Harvard/MIT Division <strong>of</strong> Health Science and Technology (HST), <strong>as</strong><br />
well <strong>as</strong> extensive experience in writing historical analyses which interpret research programs in light <strong>of</strong><br />
political and institutional perspectives.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 4
Executive Summary<br />
This report examines the emergence <strong>of</strong> the research field <strong>of</strong> tissue engineering (or TE), focusing on<br />
developments in the United States. Its purpose is to document the evolution <strong>of</strong> tissue engineering into a<br />
distinct area recognized <strong>as</strong> such by scholars, to document the involvement <strong>of</strong> the Directorate for<br />
<strong>Engineering</strong> at NSF, and to evaluate the significance <strong>of</strong> the Directorate for <strong>Engineering</strong>’s role in the<br />
broader context <strong>of</strong> the field’s evolution. A graphical genealogy <strong>of</strong> the field is also provided <strong>as</strong> a separate<br />
wall chart.<br />
<strong>Tissue</strong> engineering represents the confluence <strong>of</strong> a complex array <strong>of</strong> pre-existing lines <strong>of</strong> work from three<br />
quite different domains: the worlds <strong>of</strong> clinical medicine, engineering, and science. Its most obvious<br />
precursors lie in the clinical domain, and are best understood <strong>as</strong> specific examples <strong>of</strong> general problemsolving<br />
strategies employed by physicians. However, tissue engineering is also remarkable for the<br />
breadth <strong>of</strong> its “footprint” in fundamental and applied biomedical research, in are<strong>as</strong> such <strong>as</strong> cell and<br />
developmental biology, b<strong>as</strong>ic medical and veterinary sciences, transplantation science, biomaterials,<br />
biophysics and biomechanics, and biomedical engineering. Key developments in the prehistory <strong>of</strong> tissue<br />
engineering are reviewed briefly for several clinical are<strong>as</strong>, including v<strong>as</strong>cular grafts, skin grafts, therapies<br />
for kidney, pancreatic and liver failure, and bone and cartilage repair.<br />
<strong>The</strong> origin <strong>of</strong> the term “tissue engineering”, and <strong>of</strong> the concept <strong>as</strong> we know it today can be traced to<br />
bioengineering pioneer Y.C. Fung <strong>of</strong> the University <strong>of</strong> California at San Diego (UCSD), who led the<br />
UCSD team that submitted an unsuccessful proposal to NSF in 1985 for an <strong>Engineering</strong> Research Center<br />
Program award under the title “Center for the <strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s”. Fung proposed the term<br />
again at a 1987 panel meeting that w<strong>as</strong> considering future directions for the NSF’s Directorate for<br />
<strong>Engineering</strong> Bioengineering and Research to Aid the Handicapped Program; strong interest in the concept<br />
within NSF led to a special panel meeting on tissue engineering at NSF in the fall <strong>of</strong> 1987 and then to the<br />
Lake Granlibakken, CA workshop <strong>of</strong> 1988, the first formal scientific meeting <strong>of</strong> this emerging field. This<br />
workshop, and succeeding symposia in 1990 and 1992 , helped “seed” the scientific literature with this<br />
new concept. More widespread awareness <strong>of</strong> the term tissue engineering appears to have followed with<br />
the 1993 publication <strong>of</strong> a review article in Science by Robert Langer and Joseph Vacanti, a paper which<br />
cites, among others, funding support from NSF.<br />
<strong>The</strong> definitions <strong>of</strong> the concept presented in the published proceedings <strong>of</strong> the Granlibakken workshop and<br />
in the Langer/Vacanti review have provided the framework within which most researchers who published<br />
later have situated their work. Langer and Vacanti defined tissue engineering <strong>as</strong> “an interdisciplinary<br />
field that applies the principles <strong>of</strong> engineering and life sciences toward the development <strong>of</strong> biological<br />
substitutes that restore, maintain, or improve tissue function”, and identified three general strategies<br />
employed in tissue engineering: use <strong>of</strong> isolated cells or cell substitutes, use <strong>of</strong> tissue-inducing substances,<br />
and use <strong>of</strong> cells placed on or within matrices. However, actual usage <strong>of</strong> the term reflects an ongoing<br />
ambiguity in scope and focus, notably with respect to how far applications can stray into purely molecular<br />
(rather than cellular) approaches and still be considered tissue engineering, and with respect to the role <strong>of</strong><br />
hybrid and external organ replacement devices. Experts interviewed in the study used the recently-coined<br />
terms “reparative medicine” and “regenerative medicine” largely <strong>as</strong> synonyms <strong>of</strong> “tissue engineering.”<br />
During the years since 1987, the number <strong>of</strong> researchers who consider themselves to be working in tissue<br />
engineering h<strong>as</strong> grown substantially, <strong>as</strong> newly-trained and established researchers have entered the field,<br />
<strong>as</strong> established researchers have come to recognize their existing lines <strong>of</strong> work <strong>as</strong> tissue engineering, and<br />
<strong>as</strong> the scope <strong>of</strong> tissue engineering h<strong>as</strong> implicitly expanded when adjacent fields report advances that<br />
address core challenges in tissue engineering.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 5
B<strong>as</strong>ed on discussions with figures prominent in the tissue engineering community, the single most<br />
influential research paper in the field from a substantive point <strong>of</strong> view is a 1988 paper, also by the<br />
Langer/Vacanti team, that described the method <strong>of</strong> using resorbable polymer matrices <strong>as</strong> a vehicle for cell<br />
transplantation. This method rapidly became the most important enabling technology and organizing<br />
concept in the field and catalyzed a flurry <strong>of</strong> work on a wide range <strong>of</strong> tissue and organ systems,<br />
overshadowing to some extent fundamental efforts to address other knowledge gaps in are<strong>as</strong> such <strong>as</strong><br />
scaffold materials, cell sourcing, immune response, chemical signaling, v<strong>as</strong>cularization, bioreactors and<br />
bioprocessing, tissue preservation, and methods for characterization and functional <strong>as</strong>sessment <strong>of</strong><br />
bioengineered tissues.<br />
Given the range <strong>of</strong> topics/foci characteristic <strong>of</strong> the field, we find an <strong>as</strong>sortment <strong>of</strong> investigators pursuing<br />
work in TE. Analysis <strong>of</strong> a sample <strong>of</strong> 231 individuals representing a majority <strong>of</strong> non-physician faculty<br />
active in tissue engineering <strong>as</strong> well <strong>as</strong> a selection <strong>of</strong> prominent clinician-researchers and individuals active<br />
in the corporate sector pointed to some generalizations about the cadre <strong>of</strong> tissue engineers (ple<strong>as</strong>e see<br />
Appendices 1 and 2 for a discussion on methodology and for the list <strong>of</strong> tissue engineers). While not<br />
meant to be an exhaustive listing <strong>of</strong> tissue engineers, some trends are apparent. <strong>The</strong>y are indeed<br />
predominantly engineers, with chemical engineering the most frequent field <strong>of</strong> their training by a wide<br />
margin, followed by bioengineering and mechanical engineering. Current academic department<br />
affiliations are also strongly weighted toward engineering, but with bioengineering or biomedical<br />
engineering the leading disciplinary affiliation by a wide margin, followed by chemical engineering and,<br />
distantly, by mechanical engineering. Biological science affiliations are few, and are weighted toward<br />
b<strong>as</strong>ic medical science departments. Clinical and clinical science affiliations are strongly weighted toward<br />
surgery and surgical specialties, notably orthopedics.<br />
More than 70 universities are represented in the list <strong>of</strong> institutions from which tissue engineers in this<br />
sample set received their non-clinical doctorates and more are sure to exist. Of the major institutions with<br />
groups <strong>of</strong> researchers in this list pursuing tissue engineering, MIT trained the largest number <strong>of</strong><br />
individuals, followed by the University <strong>of</strong> Pennsylvania, Rice University, the University <strong>of</strong> Michigan, the<br />
University <strong>of</strong> Minnesota, Columbia University, Stanford University, and the University <strong>of</strong> California at<br />
Berkeley. When postdoctoral training relationships are traced <strong>as</strong> well, the relative weight <strong>of</strong> MIT in this<br />
group incre<strong>as</strong>es further. Finally, within this cohort the great majority <strong>of</strong> individuals active in tissue<br />
engineering are involved on a part-time b<strong>as</strong>is, simultaneously maintaining a number <strong>of</strong> lines <strong>of</strong> research<br />
both in tissue engineering and in other are<strong>as</strong>.<br />
A separate analysis <strong>of</strong> key genealogic relationships within this emerging field is also described.<br />
Discussions with experts in the field, document review, and analysis <strong>of</strong> funding abstracts pointed to six<br />
major centers <strong>of</strong> activity in the United States, the focus <strong>of</strong> the study, <strong>as</strong> having played central roles in<br />
research or training since the earliest days <strong>of</strong> the field. <strong>The</strong>se six were selected for further analysis and<br />
included: Boston (MIT and Harvard), the University <strong>of</strong> California at San Diego, Rice University, Georgia<br />
Tech/Emory University, Columbia University, and the University <strong>of</strong> Pennsylvania. Research suggests<br />
that, to date, MIT h<strong>as</strong> played the most prominent role, and within MIT the laboratory <strong>of</strong> Robert Langer.<br />
<strong>The</strong>re is fair but not complete overlap between the key players identified in the bibliometric review and<br />
the literature review.<br />
While academia remains the primary source <strong>of</strong> fundamental advancement in the field, the corporate sector<br />
h<strong>as</strong> also played a notable role in the development <strong>of</strong> this unique field, mostly due to the high level <strong>of</strong><br />
corporate R&D funding injected into the field <strong>as</strong> compared to the relatively small influx <strong>of</strong> funds from the<br />
federal government. Given TE’s traditional perception <strong>as</strong> a high-risk investment, few agencies in the<br />
government were willing to support early work in the field forcing those pursuing research objectives to<br />
locate alternate sources <strong>of</strong> funding, such <strong>as</strong> by bootstrapping funds from other grants, patent revenue, or<br />
by bringing their ide<strong>as</strong> to the private sector. Corporate R&D h<strong>as</strong> focused on the creation <strong>of</strong> proprietary<br />
intellectual content centered on the challenges <strong>of</strong> bringing products to market, and less on the solution <strong>of</strong><br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 6
oader challenges in science or engineering. Today, there are over 70 start-up companies in the field<br />
specializing in structural, metabolic, and cellular TE applications, and other enabling technologies, many<br />
<strong>of</strong> these with founding links to major universities with TE programs.<br />
Patenting in the area is incre<strong>as</strong>ing steadily. Patenting in tissue engineering h<strong>as</strong> been trending up since<br />
1980 and h<strong>as</strong> not yet peaked. In particular, in the l<strong>as</strong>t 5 years patenting h<strong>as</strong> incre<strong>as</strong>ed 226% over the<br />
previous 5 years, which in turn w<strong>as</strong> an incre<strong>as</strong>e <strong>of</strong> 138% over the prior 5 years. Most <strong>of</strong> the patents are<br />
coming from US inventors and <strong>as</strong>signees. <strong>The</strong> bulk <strong>of</strong> the innovation is coming from the US (especially<br />
from MIT, Advanced <strong>Tissue</strong> Sciences, and Regen Biologics Inc.). Over seventy percent <strong>of</strong> the global<br />
tissue engineering patents are invented in the US, followed by 18% in Europe (led by Germany and UK)<br />
and 6% in Japan. <strong>The</strong> highest cited patents are also US-b<strong>as</strong>ed. MIT h<strong>as</strong> the most highly cited patents.<br />
Among the most effective patenting companies is Regen Biologics Inc., which h<strong>as</strong> 8 <strong>of</strong> its 11 patents<br />
among the highly cited set.<br />
Today tissue engineering remains an eclectic mix <strong>of</strong> topical foci and research styles, with work <strong>of</strong> an ad<br />
hoc character continuing to play a strong role not only in the corporate sector but in academia <strong>as</strong> well. An<br />
important contribution <strong>of</strong> engineers during the events that led to the emergence <strong>of</strong> the field in the 1980s<br />
w<strong>as</strong> to articulate the need for rationalization and systematization <strong>of</strong> the field. However, to date little<br />
progress h<strong>as</strong> been made in this respect. Assessed in terms <strong>of</strong> the number and character <strong>of</strong> its products that<br />
have either reached or approached commercialization, tissue engineering h<strong>as</strong> made only incremental<br />
progress toward its ultimate goal <strong>of</strong> developing practical and viable therapeutic products.<br />
<strong>The</strong> National Science Foundation, in particular the Directorate for <strong>Engineering</strong>, appears to have played an<br />
important role in the emergence <strong>of</strong> tissue engineering <strong>as</strong> a recognized field <strong>of</strong> activity, and in shaping the<br />
character and determining the direction <strong>of</strong> the field. Prescient leaders in the Directorate, such <strong>as</strong> Allan<br />
Zelman and Frederick Heineken, were instrumental in making tissue engineering a priority within their<br />
Divisions and in gaining the support and involvement <strong>of</strong> other agencies in TE activities, such <strong>as</strong> the<br />
MATES working group and the WTEC study on TE.<br />
In terms <strong>of</strong> financial support, the amount <strong>of</strong> NSF funding for tissue engineering h<strong>as</strong> been growing over<br />
time, but represents a relatively small fraction <strong>of</strong> the total resources available to support academic<br />
research in the field. In terms <strong>of</strong> absolute dollar amounts, a more important early sponsor <strong>of</strong> institutional<br />
development in support <strong>of</strong> tissue engineering h<strong>as</strong> been the Whitaker Foundation, through its role in<br />
building the field <strong>of</strong> biomedical engineering, and especially in providing institutional development funds<br />
for the creation and expansion <strong>of</strong> bioengineering departments. <strong>The</strong> Directorate for <strong>Engineering</strong> h<strong>as</strong> been<br />
able to leave a mark on the field, however, through its provision <strong>of</strong> support to several important<br />
conferences, workshops, and other networking activities since the field’s inception. <strong>The</strong>y have also<br />
provided targeted support to <strong>Tissue</strong> <strong>Engineering</strong> Centers at MIT, the University <strong>of</strong> W<strong>as</strong>hington, and the<br />
Georgia Institute <strong>of</strong> Technology—groups that currently represent hubs <strong>of</strong> training and research activity in<br />
the field.<br />
<strong>The</strong> NSF Directorate for <strong>Engineering</strong> h<strong>as</strong> also provided important early career development support for a<br />
large number <strong>of</strong> promising young researchers in tissue engineering, a role that may not be fully<br />
appreciated by researchers who have not themselves been direct beneficiaries <strong>of</strong> NSF’s support. NSF also<br />
appears to have played a role in bringing the biomechanics community into this emerging field in a timely<br />
way, and more recently, is working to address a key gap in the field by exerting a similar effort to engage<br />
biologists. <strong>The</strong> role <strong>of</strong> Frederick Heineken in particular is key in the Directorate especially in initiating<br />
cross-agency coordination. This is reflected in NSF’s recent collaborations with other federal agencies,<br />
through the Multi-Agency <strong>Tissue</strong> <strong>Engineering</strong> Science Working Group (MATES) which also sponsored a<br />
WTEC report to document international <strong>Tissue</strong> <strong>Engineering</strong> research, and with the National Institutes <strong>of</strong><br />
Health’s National Institute for Biomedical Imaging and Bioengineering (NIBIB).<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 7
1.0 Introduction<br />
NSF provides the funding that sustains many research fields <strong>as</strong> advances in these fields expand<br />
the boundaries <strong>of</strong> knowledge. Equally important, the agency provides seed capital to catalyze<br />
emerging opportunities in research and education. It supports a portfolio <strong>of</strong> investments that<br />
reflects the interdependence among fields, promoting disciplinary strength while embracing<br />
interdisciplinary activities. Its investments promote the emergence <strong>of</strong> new disciplines, fields and<br />
technologies. 1<br />
<strong>Engineering</strong> and technology are not static bodies <strong>of</strong> knowledge and practice, but dynamic processes<br />
characterized by constant change. In supporting fundamental research in engineering, the National<br />
Science Foundation is necessarily planting the seeds <strong>of</strong> continued change, for the knowledge gained is<br />
itself the fuel for this ongoing transformation.<br />
But new knowledge does not affect solely the particulars <strong>of</strong> specific technologies and branches <strong>of</strong><br />
engineering. More fundamentally, it may transform our understanding <strong>of</strong> knowledge itself, <strong>of</strong> its<br />
organization and <strong>of</strong> the means <strong>of</strong> creating and utilizing it most effectively, pointing to new ways <strong>of</strong><br />
thinking about engineering challenges and, ultimately to the emergence <strong>of</strong> new are<strong>as</strong> <strong>of</strong> research and<br />
practice that in time come to be recognized <strong>as</strong> distinct fields <strong>of</strong> activity. Thus, in fulfilling its mission to<br />
preserve and enhance the vitality <strong>of</strong> engineering in service <strong>of</strong> the nation, NSF must constantly be alert not<br />
only to opportunities for continuing advances within established lines <strong>of</strong> inquiry, but also to the<br />
possibility that entirely new directions for research may <strong>of</strong>fer compelling benefits for engineering and for<br />
society – indeed, that they may be essential to continued progress.<br />
In practice, to what extent h<strong>as</strong> NSF served <strong>as</strong> a catalyst for the timely emergence <strong>of</strong> productive new<br />
domains <strong>of</strong> engineering research? What are the specific mechanisms by which it h<strong>as</strong> done so?<br />
<strong>The</strong>y are difficult questions to answer, for the innovation system <strong>of</strong> which engineering research is a part –<br />
and in which NSF plays an important role – is actually a complex ecosystem characterized by noisy<br />
signals traversing tangled pathways <strong>of</strong> influence and feedback among the system components. Gathering<br />
the data that may enable one to make sense <strong>of</strong> the system is challenging, both because the system is only<br />
imperfectly “instrumented” with routine me<strong>as</strong>ures <strong>of</strong> its behavior, and because ad hoc observations are<br />
costly both to the system and to its observers. Finally, the complexity <strong>of</strong> the pathways <strong>of</strong> influence that<br />
govern the system can make attribution <strong>of</strong> causality problematic, and the idiosyncratic variety <strong>of</strong> the<br />
particulars in different domains <strong>of</strong> engineering and innovation make generalization perilous.<br />
This report examines the emergence <strong>of</strong> the research field <strong>of</strong> tissue engineering (TE), focusing on<br />
developments in the United States. Its purpose is to document the evolution <strong>of</strong> tissue engineering into a<br />
distinct area recognized <strong>as</strong> such by scholars, to document NSF’s involvement through its Directorate for<br />
<strong>Engineering</strong>, and to evaluate the significance <strong>of</strong> NSF’s role in the broader context <strong>of</strong> the field’s evolution.<br />
As a topic <strong>of</strong> study, tissue engineering is interesting for several re<strong>as</strong>ons. First is the field’s inherent<br />
human interest. <strong>The</strong> ultimate goal <strong>of</strong> the field is to develop powerful new therapies – “biological<br />
substitutes” – for structural and functional disorders <strong>of</strong> human health that have proven difficult or<br />
impossible to address successfully with the existing tools <strong>of</strong> medicine. This goal is made all the more<br />
provocative by its science-fiction vision <strong>of</strong> man-made, living “replacement parts” for the human body,<br />
1<br />
“NSF’s Role”, p. iv, NSF GPRA Strategic Plan FY 2001-2006, September 30, 2000,<br />
http://www.nsf.gov/pubs/2001/nsf0104/nsf0104.pdf (URL verified December 30, 2002).<br />
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and more compelling by its framing in terms <strong>of</strong> the lives lost through the ultimately irremediable shortage<br />
<strong>of</strong> transplantable organs.<br />
Of special interest to research managers is the unusual breadth and depth <strong>of</strong> TE’s interdisciplinarity: the<br />
knowledge needed to meet the technical challenges posed by TE spans many subdisciplines not only <strong>of</strong><br />
engineering, but also <strong>of</strong> science and <strong>of</strong> clinical medicine. To reach their ultimate goal – successful<br />
therapies – tissue engineers must integrate many very different kinds <strong>of</strong> knowledge and ways <strong>of</strong> thinking.<br />
Finally, from the perspective <strong>of</strong> an evaluator, the study <strong>of</strong> an emerging, strongly interdisciplinary field – a<br />
complex, ill-defined, moving target – represents a challenge <strong>of</strong> the first order, demanding ingenuity and<br />
flexibility <strong>as</strong> much <strong>as</strong> narrowly-defined methodological rigor, in pursuit <strong>of</strong> the real prize: qualitative<br />
insight that is well-founded in empirical observation and credible in its logic.<br />
Where does one begin such a study? In the contemporaneous historical analysis <strong>of</strong> an emerging, strongly<br />
cross-disciplinary field, it can be difficult to specify the object or scope <strong>of</strong> the inquiry precisely at the<br />
outset. Almost by definition, the conceptual frameworks that define the substantive extent <strong>of</strong> the field<br />
remain fluid, while the field’s institutional infr<strong>as</strong>tructure is typically both limited and not fully apparent to<br />
a superficial review. <strong>The</strong> investigation will <strong>of</strong>ten take on a “bootstrap” character, in which part <strong>of</strong> the t<strong>as</strong>k<br />
<strong>of</strong> the inquiry is to delimit its own scope through analysis <strong>of</strong> the evidence that is gathered.<br />
Within a biomedical context, the term “tissue engineering” points naturally to a central concept that is<br />
simple, powerful and intuitive: the creation <strong>of</strong> living tissues for therapeutic purposes. It is not obvious,<br />
however, how far this concept should extend. What counts <strong>as</strong> a “tissue”? (For example, are encapsulated<br />
pancreatic cells that function autonomously a tissue? Is blood a tissue? Are unorganized stem cells a<br />
tissue?) Must the “engineering” be done in vitro, or is induction <strong>of</strong> tissue growth in situ in a living<br />
organism also “tissue engineering”? Must the engineered product be implanted, or is improvement <strong>of</strong> the<br />
function <strong>of</strong> extracorporeal devices through the introduction <strong>of</strong> living cells to be considered “tissue<br />
engineering”? Must the product be directly therapeutic, or is the use <strong>of</strong> complex, cell-b<strong>as</strong>ed products in<br />
diagnostic applications also a type <strong>of</strong> “tissue engineering”? To what extent or under what circumstances<br />
should fundamental research on underlying concepts or enabling technologies be considered tissue<br />
engineering?<br />
Thus, the present study began not with a precise definition <strong>of</strong> tissue engineering, but rather with a set <strong>of</strong><br />
plausible entry points for inquiry: the names <strong>of</strong> a few key researchers widely considered synonymous<br />
with the field, a handful <strong>of</strong> review papers, a list <strong>of</strong> NSF awards in support <strong>of</strong> TE research and ancillary<br />
activities – and the term “tissue engineering” itself, which could be presented <strong>as</strong> a filter to search engines<br />
used to scan bibliographic and research funding datab<strong>as</strong>es <strong>as</strong> well <strong>as</strong> the Internet. Following a chain <strong>of</strong><br />
referrals, citations and links from these initial sources, the investigation accumulated many alternative<br />
definitions for the term, <strong>as</strong> well <strong>as</strong> a growing list <strong>of</strong> suggestions by expert interviewees <strong>of</strong> domains <strong>of</strong><br />
research activity that they believed could or should be considered part <strong>of</strong> the field.<br />
A central and ongoing t<strong>as</strong>k <strong>of</strong> the study w<strong>as</strong> to analyze the character and overall coherence <strong>of</strong> the scope <strong>of</strong><br />
activity delineated in this way. Specific findings in this respect are presented in appropriate context in the<br />
later sections <strong>of</strong> this report. However, it is worth noting here that no simple boundary-setting rule could<br />
be identified that maps cleanly to the scope <strong>of</strong> activity <strong>of</strong> researchers who think <strong>of</strong> themselves, or who are<br />
thought <strong>of</strong> by others, <strong>as</strong> being tissue engineers. In the end, our own concept <strong>of</strong> tissue engineering<br />
remained a pragmatic and operational one. In particular, because part <strong>of</strong> the charge for this project w<strong>as</strong> to<br />
understand the role <strong>of</strong> NSF in shaping the field, and because funding agencies act through support <strong>of</strong><br />
people and their activities, final judgment <strong>of</strong> what to include in the story w<strong>as</strong> shaped <strong>as</strong> much by the<br />
sociological structure <strong>of</strong> the field – the people and institutions involved – <strong>as</strong> by its intellectual or<br />
substantive structure.<br />
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To understand the emergence <strong>of</strong> a research field, one must understand also something <strong>of</strong> what came<br />
before. Thus, we begin in Chapter 2 by examining the roots <strong>of</strong> tissue engineering in existing are<strong>as</strong> <strong>of</strong><br />
research. In Chapter 3, we discuss the emergence and evolution <strong>of</strong> a shared concept for this new<br />
enterprise, delineating what participants believed to be its essence, through an examination <strong>of</strong> the origin<br />
and varying meanings and usages <strong>of</strong> the term “tissue engineering”. Chapters 4 and 5 address the reality<br />
<strong>of</strong> tissue engineering: Chapter 4 discusses its scope and substantive character and Chapter 5 describes the<br />
community <strong>of</strong> tissue engineers, outlining some <strong>of</strong> its general characteristics and introducing specific<br />
individuals and institutions that have played central roles in the emergence and growth <strong>of</strong> the field and the<br />
most important genealogic relationships among them. Chapter 6 provides an overview to activities and<br />
major contributions in the emerging years <strong>of</strong> the corporate sector. Chapter 7 completes the spectrum <strong>of</strong><br />
participants in the field by reviewing other prominent institutions participating in the goal <strong>of</strong> tissue<br />
engineering. Finally, we end in Chapter 8 with a discussion <strong>of</strong> the role <strong>of</strong> the National Science<br />
Foundation and its Directorate for <strong>Engineering</strong> in the emergence <strong>of</strong> tissue engineering. Supporting<br />
material is presented in the appendices. Appendix 1 describes our approach to data collection for the<br />
study; Appendix 2 presents a roster <strong>of</strong> individuals currently active or who have previously played an<br />
important role in tissue engineering, with information about their training and (where applicable) current<br />
employment; Appendix 3 lists the personnel interviewed for this study; and Appendix 4 contains our<br />
interview protocols. Finally, Appendix 5 includes a separate analysis conducted by CHI research on<br />
bibliometrics and patents, key findings from which are also included in the main report. A separate wall<br />
chart graphically illustrates the genealogy <strong>of</strong> the field.<br />
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2.0 Precursors <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong><br />
<strong>Tissue</strong> engineering represents the confluence <strong>of</strong> a complex array <strong>of</strong> pre-existing 2 lines <strong>of</strong> work from three<br />
quite different domains: the worlds <strong>of</strong> clinical medicine, engineering, and science. This section <strong>of</strong>fers a<br />
brief overview <strong>of</strong> the range and character <strong>of</strong> these different contributing elements, to provide a context for<br />
the discussion in later sections <strong>of</strong> intellectual and institutional developments in TE.<br />
2.1 Roots in Clinical Medicine<br />
Perhaps the most obvious precursors to TE lie in the clinical domain. <strong>The</strong>se are best understood <strong>as</strong><br />
specific examples <strong>of</strong> general problem-solving strategies employed by physicians.<br />
Consider, for example, the b<strong>as</strong>ic dilemma faced by a surgeon. While the removal <strong>of</strong> organs or body<br />
structures that are damaged beyond repair by dise<strong>as</strong>e or trauma can be life-saving, the patient must cope<br />
with the functional effects <strong>of</strong> tissue loss and, in some c<strong>as</strong>es, the psychological impacts <strong>of</strong> disfigurement.<br />
And for those vital organs whose complete removal is incompatible with life, the surgeon’s hard-earned<br />
skill is, by itself, <strong>of</strong> no avail: the procedure cannot be done unless there is some way <strong>of</strong> replacing or<br />
reconstituting essential functions.<br />
<strong>The</strong> resourceful application <strong>of</strong> virtuosic craft through the tools and materials at hand to meet the<br />
distinctive needs <strong>of</strong> each patient is central to the ethos <strong>of</strong> surgery. Thus, surgeons have sought to<br />
reconstruct anatomic structures using the patient’s own tissues <strong>as</strong> raw material; they have pressed<br />
artificial materials into service <strong>as</strong> prostheses; and, most spectacularly, they have brought patients back<br />
from the brink <strong>of</strong> death by transplanting an ever-wider range <strong>of</strong> vital organs – primarily living organs, but<br />
in a few c<strong>as</strong>es, with only very limited success to date, prototype artificial organs <strong>as</strong> well.<br />
However, with experience, surgeons have come to understand in detail not only the benefits <strong>of</strong> such<br />
me<strong>as</strong>ures, but their limitations <strong>as</strong> well. Anatomic reconstruction using the patient’s own tissues can cause<br />
substantial morbidity at the donor site; the improvised structures are usually functionally inferior to the<br />
natural organs they replace, and less durable <strong>as</strong> well. Poor compatibility between artificial materials and<br />
mechanical systems and the internal environment and physiologic requirements <strong>of</strong> the human body can<br />
lead to dysfunctional interactions and new failure modes. Transplantation <strong>of</strong> living organs brings with it<br />
pr<strong>of</strong>ound immunologic complications, and the number <strong>of</strong> patients who can be treated in this way will<br />
always be severely constrained by the limited supply <strong>of</strong> organs suitable for use.<br />
For a surgeon, then, the development <strong>of</strong> engineered tissues is a logical next step in the ongoing effort to<br />
improve the match between the surgeon’s various reparative and reconstructive contrivances and the<br />
requirements <strong>of</strong> human anatomy and physiology.<br />
Physicians in a range <strong>of</strong> internal medicine specialties <strong>as</strong> well have found themselves impelled to explore<br />
clinical solutions that incorporate living cells. Generally, internists seek to identify therapies that can<br />
repair or reconstitute physiologic functions with sufficient effectiveness to enable patients to avoid<br />
surgery. Often these therapies are pharmacologic – physicians may use small molecules, or, incre<strong>as</strong>ingly,<br />
complex, genetically-engineered biological macromolecules, to replace critical molecular species that are<br />
in short supply within the body, to counter the effects <strong>of</strong> molecules that are in harmful oversupply, or to<br />
intervene in more subtle ways in regulatory pathways that control critical functions. Other therapies rely<br />
on physico-chemical effects – sometimes implemented through external artificial devices – to replace<br />
2<br />
For present purposes, a substantively relevant line <strong>of</strong> work is considered to have been “pre-existing” if it w<strong>as</strong><br />
underway prior to 1987, the point at which the conscious involvement <strong>of</strong> NSF in tissue engineering began.<br />
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critical filtering functions that maintain electrolyte balance and remove metabolic w<strong>as</strong>tes from the body.<br />
Yet the metabolic functions <strong>of</strong> human organs are so complex and interrelated that simple pharmacologic<br />
or physico-chemical approaches, while they can be life-saving, nevertheless <strong>of</strong>ten constitute highly<br />
imperfect solutions whose limitations become incre<strong>as</strong>ingly apparent in chronic use. In such situations, the<br />
notion <strong>of</strong> leveraging the kinds <strong>of</strong> complex, integrated physiologic functions that are accessible only at the<br />
level <strong>of</strong> intact cells or tissues becomes compelling.<br />
2.2 Contributing Research Domains in <strong>Engineering</strong> and Science<br />
<strong>The</strong> clinical perspective on tissue engineering is strongly applications-oriented. Viewed the “other way<br />
around”, in terms <strong>of</strong> enabling knowledge and technologies, TE is remarkable for the breadth <strong>of</strong> its<br />
“footprint” in fundamental and applied biomedical research. Table 2.1 identifies a range <strong>of</strong> fields and<br />
subfields that have played important roles in TE. 3 Research in all <strong>of</strong> these are<strong>as</strong> substantially predates the<br />
emergence <strong>of</strong> a generalized concept <strong>of</strong> tissue engineering, and continues in parallel with TE.<br />
Table 2.1: Research Fields and Subfields that have Contributed to <strong>Tissue</strong> <strong>Engineering</strong><br />
Cell and developmental biology<br />
Cell differentiation, morphogenesis and tissue <strong>as</strong>sembly<br />
Cell-cell and cell-matrix interactions<br />
Growth factors<br />
Cell isolation and selection<br />
Cell culture<br />
Angiogenesis<br />
Stem cells<br />
B<strong>as</strong>ic medical and veterinary sciences<br />
anatomy<br />
cytology<br />
physiology and pathophysiology<br />
Transplantation science<br />
Applied immunology – immunosuppression, immunomodulation and immunoisolation<br />
Organ preservation<br />
Biomaterials<br />
Natural and synthetic, biodegradable and non-biodegradable polymers<br />
Polymer chemistry<br />
Ceramics<br />
Cell interactions with biomaterials<br />
Controlled rele<strong>as</strong>e <strong>of</strong> bioactive molecules<br />
Microencapsulation<br />
Micr<strong>of</strong>abrication techniques<br />
3D fabrication techniques<br />
Surface Chemistry<br />
3<br />
<strong>The</strong> list <strong>of</strong> fields presented here is not intended to represent a definitive taxonomy <strong>of</strong> the knowledge underlying<br />
tissue engineering; the intent is simply to provide a qualitative appreciation for the breadth, depth and character<br />
<strong>of</strong> the “inputs” to the field.<br />
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Biophysics and biomechanics<br />
Molecular and cell transport<br />
Micro- and macrocirculatory dynamics<br />
Cell and tissue mechanics<br />
Biomedical engineering<br />
Bioreactors<br />
Membranes and filtration<br />
Musculoskeletal joint engineering<br />
Biomedical sensors<br />
Biomedical signal processing, feedback and control<br />
Electrical and mechanical engineering <strong>of</strong> biohybrid systems<br />
<strong>Engineering</strong> design and systems analysis<br />
Quantitative tissue characterization<br />
Biosensors and biolectronics<br />
2.3 Examples<br />
Landmark conceptual developments prerequisite for a concept <strong>of</strong> tissue engineering have emerged over a<br />
period <strong>of</strong> decades within the problem-solving traditions <strong>of</strong> clinical medicine. In some clinical domains,<br />
physicians and non-clinician researchers reached the stage <strong>of</strong> incorporating living cells into prototype<br />
tissue-engineered clinical solutions years before the emergence <strong>of</strong> a generalized concept <strong>of</strong> tissue<br />
engineering. <strong>The</strong> following examples illustrate the depth and breadth <strong>of</strong> activity prior to 1987:<br />
V<strong>as</strong>cular grafts <strong>The</strong> earliest explorations by surgeons <strong>of</strong> the possibility <strong>of</strong> transplanting blood vessels<br />
took place more than a century ago; the renowned surgical researcher Alexis Carrel w<strong>as</strong> awarded the 1912<br />
Nobel prize in physiology or medicine for his demonstration <strong>of</strong> successful techniques for the an<strong>as</strong>tomosis<br />
<strong>of</strong> blood vessels and the extension <strong>of</strong> these techniques from the transplantation <strong>of</strong> vessels to the<br />
transplantation <strong>of</strong> entire solid organs. 4 Over the succeeding decades, experimental use <strong>of</strong> rigid gl<strong>as</strong>s and<br />
metal tubes <strong>as</strong> v<strong>as</strong>cular grafts yielded disappointing results. 5 In the early 1950s, Voorhees demonstrated<br />
the first use <strong>of</strong> tubes <strong>of</strong> synthetic fabric <strong>as</strong> arterial prostheses. With the expanded use <strong>of</strong> a range <strong>of</strong><br />
synthetic grafts in clinical practice and ongoing research into the characteristics <strong>of</strong> a range <strong>of</strong> alternative<br />
materials, surgeons and biomaterials researchers gained a deeper appreciation <strong>of</strong> thrombogenesis and<br />
other problems arising from the interaction between synthetic materials and the blood and perigraft tissues<br />
with which they came in contact. 6 <strong>The</strong> concept <strong>of</strong> a resorbable v<strong>as</strong>cular graft w<strong>as</strong> introduced in the<br />
1960s, and the first fully-resorbable graft w<strong>as</strong> reported in 1979. Improvement in the healing process <strong>of</strong><br />
Dacron v<strong>as</strong>cular grafts via pre-seeding with endothelial cells w<strong>as</strong> reported in 1978. Finally, the first<br />
attempt to create entirely biologic v<strong>as</strong>cular structures in vitro, using collagen and cultured v<strong>as</strong>cular cells,<br />
w<strong>as</strong> reported in 1982. 7<br />
4<br />
5<br />
6<br />
7<br />
Alexis Carrel – Biography and Nobel Lecture, http://www.nobel.se/medicine/laureates/1912/carrel-bio.html and<br />
http://www.nobel.se/medicine/laureates/1912/carrel-lecture.html (URL verified July 13, 2002).<br />
Voorhees AB, “How it all Began”, pp. 3-4 in Sawyer PN, Kaplitt MJ, V<strong>as</strong>cular Grafts (New York: Appleton-<br />
Century-Cr<strong>of</strong>ts, 1978).<br />
Callow AD, “Historical Overview <strong>of</strong> Experimental and Clinical Development <strong>of</strong> V<strong>as</strong>cular Grafts”, pp. 11-25 in<br />
Stanley JC, Burkel WE, Lindenauer SM et al., eds., Biologic and Synthetic V<strong>as</strong>cular Prostheses (New York:<br />
Grune & Stratton, 1982).<br />
Xue L and Greisler HP, “Blood Vessels”, pp. 427-446 in Lanza RP et al., eds., Principles <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong>; Burkel WE, Ford JW, Vinter DW et al., “Endothelial Seeding <strong>of</strong> Enzymatically Derived and<br />
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Skin grafts For centuries, physicians have attempted to cover severe wounds with grafts from a variety <strong>of</strong><br />
sources, including cadavers and living humans. By the early decades <strong>of</strong> the 20 th century, researchers were<br />
investigating the immunologic b<strong>as</strong>is for rejection <strong>of</strong> skin allografts, though there w<strong>as</strong> no apparent<br />
progress toward any practical solution. 8 <strong>The</strong> marked incre<strong>as</strong>e during World War II in the number <strong>of</strong> burn<br />
victims for whom a skin allograft w<strong>as</strong> not fe<strong>as</strong>ible provided a renewed impetus for research on skin<br />
replacement. During this era, the distinguished immunologist Peter Medawar made important<br />
contributions both to further progress in the understanding <strong>of</strong> the immunology <strong>of</strong> graft rejection, 9 and to<br />
the in vitro culture <strong>of</strong> epithelial cells drawn from a patient. By 1953, Billingham and Reynolds<br />
demonstrated in animal models that the products <strong>of</strong> a brief culture <strong>of</strong> epidermal cells could be applied to a<br />
graft bed to reconstitute an epidermis. 10<br />
Despite these early successes, more efficient means <strong>of</strong> cultivation were needed to provide enough cells to<br />
sustain transplantation. Overgrowth <strong>of</strong> certain cell types, such <strong>as</strong> fibrobl<strong>as</strong>ts, suggested that existing<br />
culture techniques would not be effective in producing large quantities <strong>of</strong> cells. Research in the 1960s<br />
and 70s identified growth factors that could be added to culture medium to induce greater proliferation <strong>of</strong><br />
epidermal cells. 11 Starting in the mid-1970s, three research groups working independently at MIT<br />
reported a series <strong>of</strong> milestones in the development <strong>of</strong> skin replacements. In 1975, Green and Rheinwald<br />
described the co-culture method, a technique for serial cultivation <strong>of</strong> human epidermal keratinocytes from<br />
small biopsy samples. 12 Using the technique, one sample <strong>of</strong> cells w<strong>as</strong> sufficient to generate enough thick,<br />
multilayered skin to resurface the entire body <strong>of</strong> a burn victim. Some differentiation among epidermal<br />
cells to mimic that <strong>of</strong> the epidermis w<strong>as</strong> also visible. In 1979, Green and colleagues, building on the<br />
work <strong>of</strong> Bellingham and Reynolds, demonstrated that cultured cells can be grown in sheets in a petri dish<br />
and transferred intact, rather than <strong>as</strong> disaggregated cells, to a graft wound bed. 13<br />
That same year, Bell and colleagues described the use <strong>of</strong> fibrobl<strong>as</strong>ts to condense a hydrated collagen<br />
lattice to a tissue-like structure potentially suitable for wound healing. 14 <strong>The</strong>se findings led to the first<br />
functional living skin equivalent (LSE) in 1981, consisting <strong>of</strong> fibrobl<strong>as</strong>ts suspended in a collagenglycosaminoglycan<br />
matrix. 15 Yann<strong>as</strong> identified the components <strong>of</strong> the underlying matrix structure <strong>of</strong> skin<br />
Cultured Cells on Prosthetic Grafts”, 1982. pp. 631-651 in Stanley JC et al., eds., Biologic and Synthetic<br />
V<strong>as</strong>cular Prostheses, 1992.<br />
8<br />
9<br />
10<br />
11<br />
12<br />
13<br />
14<br />
15<br />
Duquesnoy RJ, “History <strong>of</strong> Transplant Immunobiology (Part 1 <strong>of</strong> 2)”,<br />
http://tpis.upmc.edu/tpis/immuno/wwwHISTpart1.htm (URL verified December 31, 2002).<br />
Duquesnoy RJ, “Early History <strong>of</strong> Transplantation Immunology (Part 2 <strong>of</strong> 2)”,<br />
http://tpis.upmc.edu/tpis/immuno/wwwHistpart2.html (URL verified December 31, 2002).<br />
Billingham RE, Reynolds J, “Transplantation Studies on Sheets <strong>of</strong> Pure Epidermal Epithelium and on<br />
Epidermal Cell Suspensions”, Br J Pl<strong>as</strong>t Surg 1953;6:25-36.<br />
Cohen S, “Epidermal Growth Factor”, Nobel lecture, 8 December 1986,<br />
http://www.nobel.se/medicine/laureates/1986/cohen-lecture.pdf (URL verified December 31, 2002).<br />
Rheinwald JG, Green H, “Serial Cultivation <strong>of</strong> Human Epidermal Keratinocytes: the Formation <strong>of</strong> Keratinizing<br />
Colonies from Single Cells”, Cell 1975 Nov;6(3):331-43.<br />
Green H, Kehinde O, Thom<strong>as</strong> J, “Growth <strong>of</strong> Cultured Human Epidermal Cells into Multiple Epithelia Suitable<br />
for Grafting”, Proc. Natl. Acad. Sci. U.S.A. 1979 Nov;76(11):5665-68.<br />
Bell E, Ivarsson B, Merrill E, “Production <strong>of</strong> a <strong>Tissue</strong>-Like Structure by Contraction <strong>of</strong> Collagen Lattices by<br />
Human Fibrobl<strong>as</strong>ts <strong>of</strong> Different Proliferative Potential In Vitro”, Proc. Natl. Acad. Sci. U.S.A. 1979<br />
Mar;76(3):1274.<br />
Bell E, Ehrlich HP, Buttle DJ, Nakatsuji T, “Living <strong>Tissue</strong> Formed In Vitro and Accepted <strong>as</strong> Skin Equivalent<br />
<strong>Tissue</strong> <strong>of</strong> Full Thickness”, Science 1981 Mar 6;211:1052-54.<br />
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and used this knowledge to develop a dermal regeneration template which, when implanted and seeded<br />
with autologous b<strong>as</strong>al cells, stimulated re-growth <strong>of</strong> functional skin. 16 All <strong>of</strong> these lines <strong>of</strong> research,<br />
continuing into the 1990s, proceeded to the development <strong>of</strong> commercial products.<br />
Kidney A number <strong>of</strong> investigators experimented sporadically with kidney transplantation during the early<br />
part <strong>of</strong> the 20 th century, but planned renal transplantation efforts began only in the late 1940s. During the<br />
war years in the Netherlands, Kolff developed the first dialysis machine; its design w<strong>as</strong> refined at the<br />
Peter Bent Brigham Hospital in Boston and used in patients for the first time in 1948. In turn, the<br />
availability <strong>of</strong> effective short-term dialysis facilitated progress on transplantation, culminating in the<br />
successful transplant <strong>of</strong> a donated kidney from a twin by Murray and colleagues at Brigham and<br />
Women’a Hospital in 1954. 17 Subsequent advances in immunosuppression for transplantation and further<br />
development <strong>of</strong> Kolff’s dialysis machine made both techniques practical for widespread, routine use,<br />
transforming the management <strong>of</strong> end-stage renal dise<strong>as</strong>e. However, the limited supply <strong>of</strong> organs suitable<br />
for transplantation, combined with recognition <strong>of</strong> the therapeutic limitations <strong>of</strong> the dialysis machine,<br />
motivated the formulation <strong>of</strong> the concept <strong>of</strong> the bioartificial kidney, which would mimic more faithfully<br />
the physiologic functions <strong>of</strong> the kidney and thus avoid the debilitating side effects <strong>of</strong> chronic dialysis.<br />
During the late 1960s and early 1970s, Wolf experimented with combinations <strong>of</strong> kidney cells with hollow<br />
synthetic fibers <strong>as</strong> conduits for nutrients and w<strong>as</strong>te. Subsequent work on growing liver cells on the<br />
outside <strong>of</strong> hollow fibers by Wolf and independently by Knazek led to the demonstration <strong>of</strong> hollow-fiber<br />
bioreactors. 18 In the mid-1980s Galletti and colleagues furthered development <strong>of</strong> the bioartificial kidney<br />
concept through their research on hollow-fiber bioreactors employing renal epithelial cells. 19<br />
Pancre<strong>as</strong> / islet cells Although the introduction <strong>of</strong> insulin more than 70 years ago had a miraculous<br />
impact on the lives <strong>of</strong> diabetes patients, with prolonged survival it became apparent that the highly<br />
imperfect glycemic control typical <strong>of</strong> routine insulin therapy w<strong>as</strong> <strong>as</strong>sociated with severe long-term<br />
complications for a variety <strong>of</strong> organ systems. <strong>The</strong> first insulin pumps appeared in the 1960s, but the<br />
sensor and control technology required for a complete “closed loop” system to mimic the adaptive<br />
character <strong>of</strong> physiologic glucose control w<strong>as</strong> not available. <strong>The</strong> first pancre<strong>as</strong> transplant, in conjunction<br />
with a simultaneous kidney transplant, w<strong>as</strong> performed by Lillehei in 1966. 20 Lacy reported a method for<br />
isolation <strong>of</strong> intact islets in 1967, and isolated islet cells were first transplanted in 1970, though without a<br />
solution to the problem <strong>of</strong> immune rejection. <strong>The</strong> use <strong>of</strong> microencapsulated islets <strong>as</strong> artificial beta cells<br />
w<strong>as</strong> proposed by Chang <strong>as</strong> early <strong>as</strong> the mid-1960s. 21 During the 1970s, Chick and colleagues, building on<br />
the work <strong>of</strong> Knazek, developed a “hybrid artificial pancre<strong>as</strong>” consisting <strong>of</strong> beta cells cultured on synthetic<br />
semipermeable hollow fibers, and demonstrated the ability <strong>of</strong> this device to restore glucose homeost<strong>as</strong>is<br />
16<br />
17<br />
18<br />
19<br />
20<br />
21<br />
Yann<strong>as</strong> IV, Burke JF, Orgill DP, Skrabut EM, “Wound <strong>Tissue</strong> Can Utilize a Polymeric Template to Synthesize<br />
a Functional Extension <strong>of</strong> Skin”, Science 1982 Jan 8;215:174-76.<br />
Alexis Carrel – Nobel Lecture, see note 2; Joseph E. Murray – Nobel Lecture,<br />
http://www.nobel.se/medicine/laureates/1990/murray-lecture.html, accessed July 20, 2002.<br />
Lewis R, “A Compelling Need”, <strong>The</strong> Scientist 1995 Jul 24;9(15), http://www.thescientist.com/yr1995/july/tissue_950724.html,<br />
accessed July 20, 2002.<br />
Aebischer P, Ip TK, Panol G, Galletti PM, “<strong>The</strong> Bioartificial Kidney: Progress Towards an Ultrafiltration<br />
Device with Renal Epithelial Cells Processing”, Life Support Syst 1987 Apr-Jun;5(2):159-68.<br />
United Network for Organ Sharing, “Milestones”, http://www.unos.org/Newsroom/critdata_milestones.htm,<br />
accessed July 21, 2002.<br />
Chang TMS, Artificial Cells (Springfield, IL: Charles C. Thom<strong>as</strong>, 1972).<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 15
in rats when connected to the circulatory system via shunt. 22 Sun and colleagues reported similar work in<br />
the 1970s, followed by studies <strong>of</strong> implanted microencapsulated islets beginning in 1980. 23 Investigation<br />
<strong>of</strong> different ways <strong>of</strong> “packaging” islet cells to provide effective and durable glycemic control continued<br />
through the 1980s and beyond.<br />
Liver <strong>The</strong> first successful liver transplant w<strong>as</strong> carried out by Starzl in 1967, 24 but in the absence <strong>of</strong> an<br />
adequate supply <strong>of</strong> transplantable organs, researchers and clinicians have continued to pursue alternative<br />
approaches to the replacement <strong>of</strong> hepatic function. Over more than four decades, clinicians have<br />
attempted in a variety <strong>of</strong> ways to provide extracorporeal support to patients suffering from liver failure.<br />
Nonbiological approaches that have been explored include hemodialysis, hemoperfusion over charcoal or<br />
resins or immobilized enzymes, pl<strong>as</strong>mapheresis, and pl<strong>as</strong>ma exchange. However, these approaches have<br />
met with limited success, presumably because the complex synthetic and metabolic functions <strong>of</strong> the liver<br />
are inadequately replaced by these systems. 25 Work on cell-b<strong>as</strong>ed therapies and bioartificial systems h<strong>as</strong><br />
reflected the same themes observed in the c<strong>as</strong>e <strong>of</strong> pancreatic islet cells. Wolf and Munkelt reported in<br />
1975 on a bioreactor containing a rat hepatoma cell line cultured on the surface <strong>of</strong> semipermeable hollow<br />
fibers within a pl<strong>as</strong>tic housing. 26 Sutherland and colleagues reported in 1977 on the use <strong>of</strong> transplanted<br />
hepatocytes in the treatment <strong>of</strong> drug-induced liver failure in rats, 27 and Sun and colleagues in the mid-<br />
1980s explored approaches to microencapsulation <strong>of</strong> hepatocytes. 28<br />
Bone and cartilage A variety <strong>of</strong> materials generally perceived <strong>as</strong> chemically inert, such <strong>as</strong> various metals<br />
and alloys, have been used for many years to replace damaged bone or to provide support for healing<br />
bones. With experience, however, it h<strong>as</strong> become clear that non-biologic materials do not remain<br />
biologically inert in the environment <strong>of</strong> the human body, but rather elicit reactions whose intensity is<br />
related to a variety <strong>of</strong> factors such <strong>as</strong> implantation site, the type <strong>of</strong> trauma at the time <strong>of</strong> surgery, and the<br />
precise material in use. Beginning in the 1970’s, bioactive materials, such <strong>as</strong> porous gl<strong>as</strong>s and<br />
hydroxyapatite ceramic, were examined <strong>as</strong> alternatives, <strong>as</strong> they were shown to elicit the formation <strong>of</strong><br />
normal tissue on their surfaces. 29<br />
Aside from novel biomaterial development, the growth and regenerative capacities inherent in bone have<br />
also been intense topics <strong>of</strong> scientific and clinical study for decades. In a 1945 publication in Nature,<br />
Lacroix hypothesized that osteogenin, a substance in bone, w<strong>as</strong> responsible for its growth. Twenty years<br />
later in 1965, Marshall Urist proved that there w<strong>as</strong>, indeed, some substance or combination <strong>of</strong> substances<br />
22<br />
23<br />
24<br />
25<br />
26<br />
27<br />
28<br />
29<br />
Chick WL, Like AA, Lauris V et al., “A Hybrid Artificial Pancre<strong>as</strong>”, Trans Am Soc Artif Intern Organs<br />
1975;21:8-15; Whittemor AD, Chick WL, Galletti PM et al.,”Effects <strong>of</strong> the Hybrid Artificial Pancre<strong>as</strong> in<br />
Diabetic Rats”, Trans Am Soc Artif Intern Organs 1977;23:336-41.<br />
Lim AF, Sun AM, “Microencapsulated Islets <strong>as</strong> Bioartificial Endocrine Pancre<strong>as</strong>”, Science 1980 Nov<br />
21;210:908-10.<br />
UNOS, “Milestones”, see note 19.<br />
Allen JA, H<strong>as</strong>sanein T, Bhatia SN, “Advances in Bioartificial Liver Devices”, Hepatology 2001;34(3):447-55.<br />
Wolf CF, Munkelt BE; “Bilirubin Conjugation by an Artificial Liver Composed <strong>of</strong> Cultured Cells and<br />
Synthetic Capillaries”, Trans Am Soc Artif Intern Organs 1975; 21:16-27.<br />
Sutherland DE, Numata M, Mat<strong>as</strong> AJ et al., “Hepatocellular Transplantation in Acute Liver Failure”, Surgery<br />
1977 Jul;82(1):124-32.<br />
Sun AM, Cai Z, Shi Z et al., “Microencapsulated Hepatocytes: an In Vitro and In Vivo Study”, Biomater Artif<br />
Cells Artif Organs 1987;15(2):483-96.<br />
Ducheyne P, El-Ghannam A, Shapiro I, “Effect <strong>of</strong> Bioactive Gl<strong>as</strong>s Templates on Osteobl<strong>as</strong>t Proliferation and In<br />
Vitro Synthesis <strong>of</strong> Bone-Like <strong>Tissue</strong>”, J Cell Biochem 1994; 56: 162-167.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 16
present in demineralized bone, which when transplanted, could induce growth <strong>of</strong> new bone. 30 Urist’s<br />
landmark finding encouraged many to investigate the precise factors which trigger bone induction.<br />
During the 1970s and 80s, research demonstrated that the process is mediated by a category <strong>of</strong> growth<br />
factors, termed bone morphogenetic proteins or BMPs, which act in a multistep c<strong>as</strong>cade highly<br />
reminiscent <strong>of</strong> embryonic bone morphogenesis. 31 Reddi and colleagues developed techniques to isolate<br />
these proteins from the extracellular matrix <strong>of</strong> bone. 32 <strong>The</strong> findings are promising, too, for induction <strong>of</strong><br />
cartilage <strong>as</strong> BMPs initially induce a c<strong>as</strong>cade <strong>of</strong> chondrogenesis and might just <strong>as</strong> e<strong>as</strong>ily be called cartilage<br />
morphogenetic proteins. 33 Work on isolation, purification, and proliferation <strong>of</strong> BMPs continued<br />
throughout the 1980s.<br />
30<br />
31<br />
32<br />
33<br />
Urist, MR, “Bone Formation by Autoinduction”, Science 1965; 150: 893-899.<br />
Reddi, AH, “Morphogenetic Messages are in the Extracellular Matrix: Biotechnology from Bench to Bedside”,<br />
Biochem Soc Trans 2000; 28: 345-349.<br />
Sampath TK, Reddi AH, “Dissociative Extraction and Reconstitution <strong>of</strong> Extracellular Matrix Components<br />
Involved in Local Bone Differentiation”, Proc Natl Acad Sci USA 1981 Dec; 78(12): 7599-603.<br />
Reddi, AH, “Morphogenetic Messages”, see note 30.<br />
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3.0 <strong>Emergence</strong> and Evolution <strong>of</strong> a Shared Concept<br />
It is unclear who first used the term “tissue engineering” to mean what it does today. Not surprisingly for<br />
a coinage that seems so natural in hindsight, a number <strong>of</strong> the individuals interviewed for this study<br />
suggested that the term may have been invented several times independently before it came into<br />
sufficiently broad usage that a wide range <strong>of</strong> researchers can be expected to have encountered it in<br />
publications or in discussion. Indeed, the first appearance <strong>of</strong> the term in print <strong>of</strong> which the study team is<br />
aware – also the earliest revealed through a PubMed search – w<strong>as</strong> an incidental, almost <strong>of</strong>fhand usage in a<br />
1984 publication that described the organization <strong>of</strong> an endothelium-like membrane on the surface <strong>of</strong> a<br />
long-implanted, synthetic ophthalmic prosthesis. 34<br />
However, the origin <strong>of</strong> “tissue engineering” <strong>as</strong> it is recognized today can be clearly traced to a specific<br />
individual. In 1985, Y.C. Fung, a pioneer <strong>of</strong> the field <strong>of</strong> biomechanics and <strong>of</strong> bioengineering more<br />
broadly, submitted a proposal to NSF for an <strong>Engineering</strong> Research Center to be entitled “Center for the<br />
<strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s”. 35 Fung’s concept drew on the traditional definition <strong>of</strong> “tissue” <strong>as</strong> a<br />
fundamental level <strong>of</strong> analysis <strong>of</strong> living organisms, between cells and organs:<br />
<strong>The</strong> study <strong>of</strong> organs and organ systems h<strong>as</strong> historically been the domain <strong>of</strong> the physiologist and<br />
physician. <strong>The</strong>re is, therefore, a relative wealth <strong>of</strong> practical information about organs, codified in<br />
terms <strong>of</strong> medical practice. On the other hand, tissues are composed <strong>of</strong> cells, having specialized<br />
internal organelles and, ultimately, chemical constituents. <strong>The</strong> composition <strong>of</strong> the cell and its<br />
constituents h<strong>as</strong> been dealt with by cell biologist and biochemist [sic]. <strong>The</strong>re are relatively few<br />
focused efforts at bridging the gap between these extremes. A clear understanding <strong>of</strong> phenomena<br />
at the tissue level is prerequisite to the engineering <strong>of</strong> tissues [emph<strong>as</strong>is in original]…<br />
Fung’s proposal w<strong>as</strong> not accepted. Nevertheless, the concept <strong>of</strong> an engineering approach to the level <strong>of</strong><br />
biological organization between cells and organs surfaced again at NSF in the spring <strong>of</strong> 1987, at a panel<br />
meeting convened to review proposals to the Bioengineering and Research to Aid the Handicapped<br />
(BRAH) Program within the <strong>Engineering</strong> Directorate. Fung w<strong>as</strong> present at this meeting, and is recalled <strong>as</strong><br />
having volunteered the term “tissue engineering” in the course <strong>of</strong> a discussion that w<strong>as</strong> seeking to<br />
crystallize the concept. 36<br />
34<br />
Wolter JR, Meyer RF, “Sessile Macrophages Forming Clear Endothelium-like Membrane on Inside <strong>of</strong><br />
Successful Keratoprosthesis”, Trans Am Ophthalmol Soc 1984;82:187-202. “After observing the facts <strong>of</strong> the<br />
present c<strong>as</strong>e, one is drawn to the conclusion that the reactive cellular components contribute toward the eye’s<br />
purpose by attempting to prevent light scattering even under totally unusual conditions…. Nature impresses us<br />
with a great variety <strong>of</strong> reactive possibilities in the adaptation <strong>of</strong> its tissues to new conditions and substances.<br />
Sound progress in medicine is e<strong>as</strong>iest when we work along with the physiological currents <strong>of</strong> beneficial reaction<br />
and adaptation. To understand the direction and limits <strong>of</strong> nature’s reactions is always the first step toward<br />
progress in tissue engineering [emph<strong>as</strong>is added]. It is in this sense that the observations in the unusual present<br />
c<strong>as</strong>e will contribute to progress in the creation <strong>of</strong> artificial windows in the shell <strong>of</strong> the eye with the aim to<br />
maintain and possibly also to correct vision.” Interestingly, the chapter on the cornea in Principles <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong> does not cite this paper, even though, despite 16 years <strong>of</strong> scientific progress, it retains its<br />
predecessor’s focus on the body’s response to corneal replacements made <strong>of</strong> purely synthetic materials, placing<br />
it similarly outside <strong>of</strong> the TE mainstream.<br />
35<br />
36<br />
“A Proposal to the National Science Foundation for An <strong>Engineering</strong> Research Center at UCSD, CENTER FOR<br />
THE ENGINEERING OF LIVING TISSUES”, UCSD #865023, courtesy <strong>of</strong> Y.C. Fung, August 23, 2001.<br />
Allen Zelman, interview, July 17, 2001; Y.C. Fung, interview, August 23, 2001.<br />
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Further discussions between the program directors for the BRAH Program, which looked at whole<br />
organs, and the Directoratefor <strong>Engineering</strong>’s Biotechnology (BIOTECH) Program, which focused on the<br />
cellular level, led to the convening <strong>of</strong> a special Panel Meeting on <strong>Tissue</strong> <strong>Engineering</strong> at NSF on October<br />
28, 1987. For this meeting, Allen Zelman, a Program Director for BRAH, prepared a draft definition <strong>of</strong><br />
tissue engineering:<br />
<strong>The</strong> term “tissue engineering” indicates a new inter-disciplinary initiative which h<strong>as</strong> the goal <strong>of</strong><br />
growing tissues or organs directly from a single cell taken from an individual.<br />
Interestingly, in his “statement <strong>of</strong> the problem”, Zelman pointed to the avoidance <strong>of</strong> immune rejection<br />
through the growth <strong>of</strong> tissues or organs from a patient’s own cells <strong>as</strong> the key benefit <strong>of</strong> tissue engineering.<br />
Zelman envisioned the development <strong>of</strong> a large and vigorous new industry producing internal organs, but<br />
tempered this vision with the caveat that production <strong>of</strong> complex internal organs, such <strong>as</strong> the kidney,<br />
“would be considered far too ambitious <strong>as</strong> a starting point” and that “tissues, being more simple than<br />
organs, should be investigated initially”. 37<br />
During the discussions at the October 28 meeting, Maurice Averner, Program manager for NASA’s<br />
Controlled Ecological Life Support Systems Program, proposed another definition <strong>of</strong> tissue engineering:<br />
the production <strong>of</strong> large amounts <strong>of</strong> functional tissues for research and applications through the elucidation<br />
<strong>of</strong> b<strong>as</strong>ic mechanisms <strong>of</strong> tissue development combined with fundamental engineering production<br />
processes. This definition reflected the tenor <strong>of</strong> the discussion more generally, in which problems <strong>of</strong><br />
production and distribution <strong>of</strong> tissue-engineered materials featured prominently. In the end, however,<br />
after different opinions were expressed concerning how precise and explicit a field definition needed to<br />
be, no formal definition w<strong>as</strong> adopted; further clarification on this point w<strong>as</strong> left <strong>as</strong> a t<strong>as</strong>k for an envisioned<br />
workshop. 38<br />
Subsequent to this meeting, a Forum on Issues, Expectations, and Prospects for Emerging Technology<br />
Initiation w<strong>as</strong> held in W<strong>as</strong>hington, DC, under the sponsorship <strong>of</strong> the Division <strong>of</strong> Emerging <strong>Engineering</strong><br />
Technologies within NSF. This forum recommended that tissue engineering be designated <strong>as</strong> an<br />
emerging engineering technology, and that a workshop be held to identify appropriate are<strong>as</strong> for research<br />
in this technology. This proposed workshop, organized by Zelman, Frederick Heineken, and Duane<br />
Bruley –all <strong>of</strong> NSF—w<strong>as</strong> held at Granlibakken Resort, Lake Tahoe, California, in February 1988. 39<br />
With the exception <strong>of</strong> a re-publication <strong>of</strong> the 1984 ophthalmology paper in another ophthalmology journal<br />
in 1985, the next known appearance <strong>of</strong> the term “tissue engineering” in print w<strong>as</strong> in the proceedings <strong>of</strong><br />
the Granlibakken workshop. 40 A preface to these proceedings defined the term more broadly than did any<br />
<strong>of</strong> the provisional definitions floated up to that point, to encomp<strong>as</strong>s a wider range <strong>of</strong> potential therapeutic<br />
interventions that could be enabled by research carried out under this new perspective:<br />
“<strong>Tissue</strong> <strong>Engineering</strong>” is the application <strong>of</strong> principles and methods <strong>of</strong> engineering and life sciences<br />
toward fundamental understanding <strong>of</strong> structure-function relationships in normal and pathological<br />
mammalian tissues and the development <strong>of</strong> biological substitutes to restore, maintain, or improve<br />
tissue function.<br />
37<br />
38<br />
39<br />
40<br />
Zelman A, “<strong>Tissue</strong> <strong>Engineering</strong>: A Fundamentally New Concept in Health Care”, internal discussion memo,<br />
first draft, Sept. 22, 1987, courtesy <strong>of</strong> NSF.<br />
Skalak R, notes from Panel Meeting on <strong>Tissue</strong> <strong>Engineering</strong> , Oct. 28, 1987, courtesy <strong>of</strong> NSF.<br />
Heineken FG, Skalak R, “<strong>Tissue</strong> <strong>Engineering</strong>: A Brief Overview”, J Biomech Eng 1991 May;113(2):111-2.<br />
Skalak R, Fox CF, eds., <strong>Tissue</strong> <strong>Engineering</strong> (New York: Alan R. Liss, Inc., 1988).<br />
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<strong>The</strong> b<strong>as</strong>ic point <strong>of</strong> the above definition is that tissue engineering involves the use <strong>of</strong> living cells<br />
plus their extracellular products in development <strong>of</strong> biological substitutes for replacements <strong>as</strong><br />
opposed to the use <strong>of</strong> inert implants. <strong>The</strong> definition is intended to encomp<strong>as</strong>s procedures in<br />
which the replacements may consist <strong>of</strong> cells in suspension, cells implanted on a scaffold such <strong>as</strong><br />
collagen and c<strong>as</strong>es in which the replacement consists entirely <strong>of</strong> cells and their extracellular<br />
products.<br />
<strong>The</strong> term did not appear in the title or abstract <strong>of</strong> an indexed biomedical journal again until 1989, 41 after<br />
the proceedings <strong>of</strong> the February 1988 Granlibakken workshop had been published in book form, but again<br />
representing the publication <strong>of</strong> meeting proceedings. Abstracts <strong>of</strong> the April 1990 UCLA symposium<br />
(later to become the Keystone symposia) in tissue engineering were published in 1990 42 and selected<br />
papers in 1991. 43<br />
At the 1992 UCLA symposium on tissue engineering, Eugene Bell defined tissue engineering in terms <strong>of</strong><br />
a more specific list <strong>of</strong> goals:<br />
1) providing cellular prostheses or replacement parts for the human body;<br />
2) providing formed acellular replacement parts capable <strong>of</strong> inducing regeneration;<br />
3) providing tissue or organ-like model systems populated with cells for b<strong>as</strong>ic research and for<br />
many applied uses such <strong>as</strong> the study <strong>of</strong> dise<strong>as</strong>e states using aberrant cells;<br />
4) providing vehicles for delivering engineered cells to the organism; and<br />
5) surfacing non-biological devices. 44<br />
<strong>The</strong>se early meeting proceedings can be said to have “seeded” the term tissue engineering into the<br />
biomedical literature. However, on the whole, interviews conducted for the present study made clear that<br />
broad awareness <strong>of</strong> the term “tissue engineering”, and its usage <strong>as</strong> a unifying concept for a wide range <strong>of</strong><br />
concurrent lines <strong>of</strong> research, can be dated to the publication <strong>of</strong> a review paper by Robert Langer and<br />
Joseph P. Vacanti in the May 14, 1993 issue <strong>of</strong> Science. 45 This paper acknowledges NSF support, <strong>as</strong> well<br />
<strong>as</strong> support from other sources.<br />
Langer and Vacanti referenced the definition from the Granlibakken proceedings, presenting it in<br />
condensed form:<br />
<strong>Tissue</strong> engineering is an interdisciplinary field that applies the principles <strong>of</strong> engineering and the<br />
life sciences toward the development <strong>of</strong> biological substitutes that restore, maintain, or improve<br />
tissue function.<br />
Thus, perhaps the single most cited and influential paper in the field, cites the Granlibakken workshop<br />
and builds upon its pioneering definition <strong>of</strong> the tissue engineering. With this definition <strong>as</strong> a foundation,<br />
they added substance to the notion <strong>of</strong> common themes underlying a seeming diversity <strong>of</strong> research by<br />
identifying three general strategies for the creation <strong>of</strong> new tissue – the use <strong>of</strong>:<br />
41<br />
42<br />
43<br />
44<br />
45<br />
Matsuda T, Akutsu T, Kira K, Matsumoto H, ”Development <strong>of</strong> Hybrid Compliant Graft: Rapid Preparative<br />
Method for Reconstruction <strong>of</strong> a V<strong>as</strong>cular Wall”, ASAIO Trans 1989 Jul-Sep;35(3):553-5.<br />
“19 th Annual UCLA Symposium: <strong>Tissue</strong> <strong>Engineering</strong>. Abstracts”, J Cell Biochem Suppl 1990;14E:227-56.<br />
“<strong>Tissue</strong> <strong>Engineering</strong>. Selected Papers from the UCLA Symposium <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong>. Keystone, Colorado,<br />
April 6-12, 1990”, J Biomech Eng 1991 May;113(2):111-207.<br />
Bell E, “<strong>Tissue</strong> <strong>Engineering</strong>, an Overview”, pp. 3-15 in Bell E, ed., <strong>Tissue</strong> <strong>Engineering</strong>: Current Perspectives<br />
(Boston, MA: Birkhäuser, 1993).<br />
Langer R, Vacanti JP, “<strong>Tissue</strong> <strong>Engineering</strong>”, Science 1993 May 14;260:920-6.<br />
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• isolated cells or cell substitutes;<br />
• tissue-inducing substances; or<br />
• cells placed on or within matrices.<br />
In the body <strong>of</strong> the paper, they briefly introduced ongoing efforts across a wide range <strong>of</strong> organ systems,<br />
cl<strong>as</strong>sified by their embryologic origin – <strong>as</strong> ectoderm, endoderm, or mesoderm. Finally, they concluded by<br />
identifying further common themes, this time in the form <strong>of</strong> enabling knowledge or technologies <strong>of</strong> broad<br />
significance that should be targets for future research, in the are<strong>as</strong> <strong>of</strong> cell biology, cell sourcing and<br />
preservation, and materials.<br />
<strong>The</strong> number <strong>of</strong> PubMed title/abstract “hits” on the term “tissue engineering” first exceeded 10 in 1994,<br />
the year after the Langer/Vacanti review appeared (see Table 1) . <strong>The</strong> number <strong>of</strong> appearances doubled in<br />
1996, and again in 1998 and 1999, reaching 153 in 1999 and continuing to grow to 214 in 2000. 46 This<br />
figure surely understates the extent to which researchers <strong>as</strong>sociated the concept “tissue engineering” with<br />
their work; once the concept is established, there is no re<strong>as</strong>on for a researcher to call it out explicitly in<br />
titles or abstracts unless there is a specific point to be made by doing so.<br />
46<br />
Bibliometric analysis by CHI Research, Inc.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 21
Table 1. Number <strong>of</strong> papers using the term “tissue engineering” in their titles or abstracts since 1984 47<br />
Category 1st Papers % 1984 1985 … 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001<br />
year Share<br />
All papers 1984 685 100% 1 1 1 1 8 9 7 11 14 30 30 79 153 214 126<br />
Research 1984 466 68% 1 1 1 1 3 3 4 2 8 18 18 55 103 137 111<br />
Review 1991 199 29% 4 5 3 8 6 11 11 23 46 71 11<br />
Other 1991 20 3% 1 1 1 1 1 1 4 6 4<br />
Ophthalmology 1984 6 1% 1 1 3 1<br />
Cardiov<strong>as</strong>cular 1989 77 11% 1 1 2 2 2 1 1 2 11 15 28 11<br />
General 1990 83 12% 1 2 4 2 3 2 3 6 9 13 27 11<br />
Bone & Cartilage 1991 149 22% 2 4 3 5 5 18 38 49 25<br />
B<strong>as</strong>ic 1991 147 21% 1 2 3 1 3 11 7 19 24 42 34<br />
Outside field 1991 48 7% 1 1 1 2 1 5 10 13 14<br />
Liver 1991 15 2% 1 1 1 1 1 2 5 3<br />
Skin 1995 38 6% 2 2 3 8 8 10 5<br />
Pancre<strong>as</strong> 1995 4 1% 1 1 1 1<br />
Neural 1996 16 2% 1 2 2 7 4<br />
Dentistry 1996 14 2% 1 1 1 3 6 2<br />
Tendon & 1996 10 1% 1 7 2<br />
Ligament<br />
Kidney 1996 7 1% 2 2 2 1<br />
Muscle 1997 9 1% 2 1 4 2<br />
Genitourinary 1998 27 4% 2 5 13 7<br />
Gene <strong>The</strong>rapy 1999 9 1% 7 2<br />
Other tissue 1999 9 1% 3 4 2<br />
Meniscus 1999 6 1% 4 2<br />
Stem Cells 1999 4 1% 1 3<br />
Digestive 1999 4 1% 2 2<br />
Lung 2001 3 0% 3<br />
<strong>The</strong> definitions elaborated during the 1987-93 period provided the b<strong>as</strong>ic terms <strong>of</strong> reference for discussions<br />
<strong>of</strong> tissue engineering through the 1990s. <strong>Tissue</strong> engineering researchers seeking to situate their work<br />
within a broader context typically cited either the Granlibakken workshop definition or the<br />
Langer/Vacanti framing <strong>of</strong> the field. Even those who did not directly cite these sources <strong>of</strong>fered<br />
definitions that reflected some combination <strong>of</strong> the elements contained in the definitions outlined here,<br />
with the exception <strong>of</strong> Eugene Bell’s final point about surfacing non-biological devices, which seems to<br />
have been ignored for the most part.<br />
<strong>The</strong>se early definitions left at le<strong>as</strong>t two important ambiguities. One involved the role <strong>of</strong> cells in tissue<br />
engineering. In many formulations <strong>of</strong> the concept, the unique <strong>as</strong>pect <strong>of</strong> tissue engineering compared to<br />
traditional biomedical engineering or to pharmaceutical development w<strong>as</strong> that its products incorporated<br />
living cells. Bell’s 1992 definition, allowing for “acellular replacement parts capable <strong>of</strong> inducing<br />
regeneration”, reflected an emerging recognition that physiologic reactions to biomaterials were not<br />
necessarily just a nuisance to be suppressed, but might under some circumstances <strong>of</strong>fer a means <strong>of</strong><br />
inducing useful adaptations in the body. However, this conceptual advance also blurred the distinction<br />
between this new field and the studies <strong>of</strong> acellular biomaterials that had been a mainstay <strong>of</strong> biomedical<br />
engineering and materials science. Langer and Vacanti went one step further, defining the use <strong>of</strong> “tissue-<br />
47 See Bibliometric Analysis by CHI Research Inc., Appendix 5<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 22
inducing substances” more generally <strong>as</strong> one <strong>of</strong> the strategies <strong>of</strong> tissue engineering. Including growth<br />
factors or other “signaling molecules” within the domain <strong>of</strong> tissue engineering represented progress<br />
toward an integrated understanding <strong>of</strong> the factors that govern tissue development in vivo, but also broke<br />
down the boundaries between tissue engineering and modern pharmaceutical research, which draws<br />
incre<strong>as</strong>ingly on the latest findings <strong>of</strong> cellular and molecular biologists. In the words <strong>of</strong> tissue engineer<br />
Jeffrey Hubbell, “Doing tissue engineering with factors to stimulate cells in the body is really just fancy<br />
drug delivery. One is delivering a drug – like a protein, a morphogenic factor – that stimulates cellular<br />
responses at a site with the goal <strong>of</strong> ending up with some overall tissue reconstruction or regeneration at<br />
that site.” 48<br />
A second ambiguity concerned the role <strong>of</strong> hybrid devices in tissue engineering, and the related question <strong>of</strong><br />
whether therapeutic products <strong>of</strong> tissue engineering were necessarily intended to be implanted into the<br />
body. Several lines <strong>of</strong> research typically referred to <strong>as</strong> tissue engineering pursue the development <strong>of</strong><br />
external bioreactors that can replace critical metabolic functions. From both a conceptual and a historical<br />
perspective, this work arguably represents an incremental advance on the dialysis machine. <strong>The</strong> longterm<br />
vision <strong>of</strong> researchers working on hybrid devices typically extends to more compact, self-contained<br />
versions that can be implanted. However, even when miniaturized, current “bioartificial organs” remain<br />
more machines than living organs, closer to today’s mechanical artificial heart than to the vision <strong>of</strong> an<br />
adaptive biological implant that is seamlessly incorporated into the body’s reparative and homeostatic<br />
mechanisms.<br />
<strong>The</strong> linkage <strong>of</strong> TE research with clinical medicine, although inevitable and desirable in view <strong>of</strong> the goals<br />
<strong>of</strong> the endeavor, nevertheless h<strong>as</strong> also served <strong>as</strong> something <strong>of</strong> an obstacle to the sharpening <strong>of</strong> a definition<br />
<strong>of</strong> tissue engineering <strong>as</strong> an academic discipline. For example, orthopedic surgeons have been<br />
investigating many different kinds <strong>of</strong> implant that may promote bone regeneration. From a clinical<br />
perspective, what matters is not so much whether the active agent in an implanted matrix consists <strong>of</strong> stem<br />
cells, bone morphogenetic proteins, or gene therapy vectors, but whether it is therapeutically effective.<br />
Similarly, a nephrologist may view the dialysis machine, the external biohybrid “artificial kidney” or<br />
functional, histocompatible “microrenal” units created via nuclear transplantation <strong>as</strong> possibilities along a<br />
seamless spectrum <strong>of</strong> therapeutic options rather than in terms <strong>of</strong> the radically different underlying<br />
technologies they represent.<br />
Recent developments in nomenclature reflect this persistent ambiguity in scope and focus. <strong>The</strong> National<br />
Institutes <strong>of</strong> Health Bioengineering Consortium (BECON) symposium on tissue engineering, held at NIH<br />
in June, 2001, w<strong>as</strong> entitled “Reparative Medicine: Growing <strong>Tissue</strong>s and Organs”. <strong>The</strong> proceedings <strong>of</strong> the<br />
symposium <strong>of</strong>fer multiple competing – and to some extent conflicting – definitions <strong>of</strong> reparative<br />
medicine, <strong>of</strong> tissue engineering, and <strong>of</strong> the relationship between the two. At one extreme, reparative<br />
medicine is defined very broadly <strong>as</strong> “the replacement, repair, or functional enhancement <strong>of</strong> tissues and<br />
organs”, a definition that is not much narrower than all <strong>of</strong> clinical medicine, although most <strong>of</strong> the<br />
examples cited have a surgical flavor; tissue engineering is viewed <strong>as</strong> one strategy among many for<br />
reparative medicine. 49 At the other, reparative medicine is defined <strong>as</strong> a synonym for tissue engineering:<br />
48<br />
49<br />
Henry CM, “Drug Delivery”, Chemical & <strong>Engineering</strong> News 2002 Aug 26;80(34):39-47. NSF h<strong>as</strong> itself, on at<br />
le<strong>as</strong>t one occ<strong>as</strong>ion, extended the definition <strong>of</strong> tissue engineering beyond even this point, to encomp<strong>as</strong>s the use <strong>of</strong><br />
controlled rele<strong>as</strong>e polymers to deliver anticancer drugs in the brain. “Nifty 50: <strong>Tissue</strong> <strong>Engineering</strong>”,<br />
http://www.nsf.gov/od/lpa/nsf50/nsfoutreach/htm/n50_z2/pages_z3/45_pg.htm (URL verified December 31,<br />
2002).<br />
Sipe JD, “<strong>Tissue</strong> <strong>Engineering</strong> and Reparative Medicine”, pp. 1-9 in Sipe JD, Kelley CA, McNicol LA, eds.,<br />
Reparative Medicine: Growing <strong>Tissue</strong>s and Organs (Annals <strong>of</strong> the New York Academy <strong>of</strong> Sciences, vol. 961,<br />
June 2002).<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 23
Reparative medicine, sometimes referred to <strong>as</strong> regenerative medicine or tissue engineering, is the<br />
regeneration and remodeling <strong>of</strong> tissue in vivo for the purpose <strong>of</strong> repairing, replacing, maintaining<br />
or enhancing organ function, and the engineering and growing <strong>of</strong> functional tissue substitutes in<br />
vitro for implantation in vivo <strong>as</strong> a biological substitute for damaged or dise<strong>as</strong>ed tissues and<br />
organs. 50<br />
This definition <strong>of</strong> tissue engineering is noteworthy for excluding extracorporeal bioartifical organs, and<br />
indeed, such devices gain only a p<strong>as</strong>sing mention in the proceedings, 51 which otherwise cover a very<br />
broad scope.<br />
<strong>The</strong> term “regenerative medicine”, <strong>of</strong>fered <strong>as</strong> a further synonym, appears to have been coined by William<br />
H<strong>as</strong>eltine, to capture for promotional purposes his view <strong>of</strong> the future <strong>of</strong> medicine. 52 Contrary to the usage<br />
at the BECON symposium, H<strong>as</strong>eltine’s conception positions TE <strong>as</strong> a subset – a “thread” or “ph<strong>as</strong>e” – <strong>of</strong><br />
regenerative medicine, not <strong>as</strong> a synonym for it, emph<strong>as</strong>izing the in vitro construction <strong>of</strong> human organs for<br />
implantation, using specialized biocompatible materials, signaling molecules, and adult human cells. In<br />
practice, however, there is little to distinguish H<strong>as</strong>eltine’s “regenerative medicine” from other conceptions<br />
<strong>of</strong> tissue engineering.<br />
Despite these alternative forms <strong>of</strong> the term, however, the true sentiment <strong>of</strong> the field appears to have been<br />
captured early on at the NSF meetings <strong>of</strong> 1987 and 1988. It is this concept <strong>of</strong> the field, which h<strong>as</strong> been<br />
carried on by its leading proponents and remains highly referenced today.<br />
50<br />
51<br />
52<br />
Nerem R, Sage H, Kelley CA, McNicol LA, “Symposium Summary”, pp. 386-9 in Sipe JD, Kelley CA,<br />
McNicol LA, eds., Reparative Medicine: Growing <strong>Tissue</strong>s and Organs (Annals <strong>of</strong> the New York Academy <strong>of</strong><br />
Sciences, vol. 961, June 2002).<br />
Nikl<strong>as</strong>on LE, Ratcliffe A, et al., “Bioreactors and Bioprocessing: Breakout Session Summary”, pp. 220-2 in<br />
Sipe JD, Kelley CA, McNicol LA, eds., Reparative Medicine: Growing <strong>Tissue</strong>s and Organs (Annals <strong>of</strong> the<br />
New York Academy <strong>of</strong> Sciences, vol. 961, June 2002).<br />
H<strong>as</strong>eltine WA, “<strong>The</strong> <strong>Emergence</strong> <strong>of</strong> Regenerative Medicine: A New Field and a New Society”, e-biomed: <strong>The</strong><br />
Journal <strong>of</strong> Regenerative Medicine 2001;2:17-23.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 24
4.0 Development <strong>of</strong> the Field: 1987-2002<br />
<strong>The</strong> publication record indicates that the volume <strong>of</strong> research carried out under the rubric <strong>of</strong> tissue<br />
engineering h<strong>as</strong> incre<strong>as</strong>ed substantially since 1987, and especially since the mid-1990s, though it is<br />
difficult to determine this volume exactly because <strong>of</strong> the challenge inherent in attempting to precisely<br />
specify the scope <strong>of</strong> the field.<br />
A convenient proxy for the scope <strong>of</strong> TE today is arguably the pair <strong>of</strong> reference volumes Principles <strong>of</strong><br />
<strong>Tissue</strong> <strong>Engineering</strong> (first edition published in 1997, second edition in 2000) and Methods <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong> (published in 2002), which cover an impressively broad range <strong>of</strong> research subtopics and<br />
researchers. 53 <strong>The</strong> chapter-end bibliographies <strong>of</strong> Methods alone record thousands <strong>of</strong> citations to the<br />
research literature, with well over 5,000 individual researchers represented in the corpus <strong>of</strong> research thus<br />
defined. 54 <strong>The</strong> scope <strong>of</strong> research referenced by these volumes overstates to some extent the reach <strong>of</strong><br />
tissue engineering today, because many <strong>of</strong> the citations refer to prior art or to adjacent fields from which<br />
current lines <strong>of</strong> research have drawn concepts and methods. Much <strong>of</strong> the scope <strong>of</strong> knowledge represented<br />
in these volumes w<strong>as</strong> created through research efforts not originally conceptualized <strong>as</strong> investigations in<br />
tissue engineering, but which have, nevertheless, contributed to the field’s emergence.<br />
Nevertheless, the growth in tissue engineering proper – defined here <strong>as</strong> work perceived or designated by<br />
its participants <strong>as</strong> TE – h<strong>as</strong> been substantial. This growth derives from multiple sources:<br />
• New graduates or established researchers who have chosen to enter the field have initiated or<br />
expanded work under established research themes.<br />
• Established researchers who have begun to collaborate with tissue engineers, or who have<br />
recognized similarities between their own work and that <strong>of</strong> tissue engineers <strong>as</strong> awareness <strong>of</strong> the<br />
field h<strong>as</strong> grown, have relabeled existing lines <strong>of</strong> research <strong>as</strong> TE. One example is an apparent<br />
incre<strong>as</strong>e in the propensity <strong>of</strong> researchers in orthopedic surgery to conceive <strong>of</strong> their work <strong>as</strong> tissue<br />
engineering.<br />
• <strong>The</strong> definition <strong>of</strong> the field undergoes an implicit expansion when adjacent fields report advances<br />
that appear to address core challenges in tissue engineering. A prominent example <strong>of</strong> this<br />
phenomenon is the explosion <strong>of</strong> research on stem cells within the p<strong>as</strong>t few years, in the wake <strong>of</strong><br />
discoveries in the late 1990s related to embryonic stem cells. Sourcing and cultivation <strong>of</strong> cells<br />
with desired and stably expressed properties h<strong>as</strong> been recognized <strong>as</strong> a central research challenge<br />
for TE since it w<strong>as</strong> defined <strong>as</strong> a field. In the words <strong>of</strong> one prominent researcher, however, “prior<br />
to the burst <strong>of</strong> stem cell activity, there would have been surprisingly little to say regarding<br />
progress in living cell therapy or knowledge <strong>of</strong> the conditions that would enable the practical use<br />
<strong>of</strong> cells in tissue engineering beyond skin.” 55 Today, stem cell research is a vigorous and<br />
important component <strong>of</strong> TE, partly through pursuit by researchers who consider themselves tissue<br />
engineers, and partly by extension <strong>of</strong> the concept <strong>of</strong> TE to incorporate the freshly relevant work<br />
<strong>of</strong> investigators who see their research <strong>as</strong> situated within other intellectual domains.<br />
53<br />
54<br />
55<br />
Lanza RP, Langer R, Vacanti J, eds., Principles <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> (San Diego: Academic Press, 2000);<br />
Atala A, Lanza RP, eds., Methods <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> (San Diego: Academic Press, 2002).<br />
<strong>Abt</strong> <strong>Associates</strong> analysis.<br />
Parenteau NL, “Cells”, pp. 19-32 in McIntire LV, Greisler HP, Griffith L et al., WTEC Panel Report on <strong>Tissue</strong><br />
<strong>Engineering</strong> Research (Baltimore, MD: International Technology Research Institute, January 2002), available<br />
at http://www.wtec.org/loyola/te/final/te_final.pdf (URL verified Sept. 7, 2002).<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 25
<strong>The</strong> individuals interviewed for this study found it difficult to identify seminal papers, events or specific<br />
discoveries or technical advances that could be characterized <strong>as</strong> having defined the direction or character<br />
<strong>of</strong> the field. <strong>Tissue</strong> engineering’s growth and development might be better described <strong>as</strong> the result <strong>of</strong><br />
incremental progress along several originally independent lines <strong>of</strong> work, rather than the product <strong>of</strong> a<br />
handful <strong>of</strong> major breakthroughs or discoveries. Interviews and bibliometric analysis, pointed to two early<br />
papers that have played especially important roles in shaping the overall character <strong>of</strong> the field. While the<br />
1987 Granlibakken conference <strong>of</strong>ficially presented and defined the term “tissue engineering”, the 1993<br />
Langer/Vacanti review paper in Science introduced the concept <strong>of</strong> tissue engineering to a wider audience,<br />
alerted many researchers who were independently pursuing related work that others shared similar<br />
interests within a larger framework, and provided a convenient label for these activities. <strong>The</strong><br />
Langer/Vacanti collaboration w<strong>as</strong> also responsible for the paper that h<strong>as</strong> probably been most influential<br />
from a substantive point <strong>of</strong> view, an article published at the beginning <strong>of</strong> 1988 describing the method <strong>of</strong><br />
using resorbable polymer matrices <strong>as</strong> a vehicle for cell transplantation. 56<br />
On the face <strong>of</strong> it, the work presented in this paper represented a modest advance. Conceptually, it<br />
reflected a logical combination <strong>of</strong> existing approaches – cell-seeding <strong>of</strong> two-dimensional matrices <strong>of</strong><br />
biological origin, <strong>as</strong> in the early work on artificial skin; three-dimensional cell culture on synthetic<br />
matrices; 57 and selective cell transplantation, <strong>as</strong> in the early work on islet cell transplantation. However,<br />
the method <strong>of</strong> seeding cells on resorbable polymer scaffolds w<strong>as</strong> unique and rapidly became both the<br />
most important enabling technology and the most important organizing concept in the field, serving <strong>as</strong> a<br />
common element across lines <strong>of</strong> research addressing a wide range <strong>of</strong> therapeutic challenges. As a<br />
technique for building tangible objects, it also became a vehicle for enhanced public visibility – if not<br />
enhanced public understanding – <strong>of</strong> the field and its goal <strong>of</strong> “growing organs”. 58<br />
<strong>The</strong> scaffolds-and-cell-seeding technique catalyzed a flurry <strong>of</strong> tinkering on a wide range <strong>of</strong> tissue and<br />
organ systems, overshadowing to some extent the more fundamental efforts proceeding in parallel to<br />
develop the underlying knowledge needed to make the products <strong>of</strong> this technique viable <strong>as</strong> therapies.<br />
Beyond the obvious need for new scaffold materials with properties optimized for specific tissue<br />
engineering applications, key knowledge gaps in the late 1980’s and early 1990’s included, among others:<br />
• sources <strong>of</strong> large quantities <strong>of</strong> cells reliably and controllably expressing desired phenotypes<br />
• details <strong>of</strong> the immune response to implanted tissues, and means <strong>of</strong> controlling it<br />
• the role <strong>of</strong> chemical and physical signals in morphogenesis and in the in vivo remodeling <strong>of</strong><br />
implanted tissues<br />
• means <strong>of</strong> controlling angiogenesis in order to achieve adequate v<strong>as</strong>cularization <strong>of</strong> threedimensional<br />
tissue constructs<br />
• design principles to create and optimize bioreactors and bioprocessing techniques for the<br />
manufacture <strong>of</strong> specific tissue-engineered products<br />
• means <strong>of</strong> preserving TE products between the point <strong>of</strong> manufacture and the time <strong>of</strong> usage<br />
56<br />
57<br />
58<br />
Vacanti JP, Morse MA, Saltzman WM et al., “Selective Cell Transplantation Using Bioabsorbable Polymers <strong>as</strong><br />
Matrices”, J Pediatr Surg 1988 Jan;23(1 Pt 2):3-9.<br />
Bottaro DP, Liebmann-Vinson A, Heidaran MA, “Molecular Signaling in Bioengineered <strong>Tissue</strong><br />
Microenvironments”, pp. 143-53 in Sipe JD, Kelley CA, McNicol LA, eds., Reparative Medicine: Growing<br />
<strong>Tissue</strong>s and Organs (Annals <strong>of</strong> the New York Academy <strong>of</strong> Sciences, vol. 961, June 2002).<br />
This w<strong>as</strong> notoriously so in the c<strong>as</strong>e <strong>of</strong> the tissue-engineered “ears” grown by implantation <strong>of</strong> suitably-shaped<br />
polymer templates, seeded with chondrocytes, on the backs <strong>of</strong> mice. Cao Y, Vacanti JP, Paige KT et al.,<br />
“Transplantation <strong>of</strong> Chondrocytes Utilizing a Polymer-Cell Construct to Produce <strong>Tissue</strong>-Engineered Cartilage<br />
in the Shape <strong>of</strong> a Human Ear”, Pl<strong>as</strong>t Reconstr Surg 1997 Aug;100(2):297-302; “Artificial Liver ‘Could be<br />
Grown’”, BBC News Online, 25 April 2002, http://news.bbc.co.uk/1/low/health/1949073.stm (URL verified<br />
Dec. 26, 2002).<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 26
• methods for characterization and functional <strong>as</strong>sessment <strong>of</strong> engineered tissues both in vitro<br />
and in vivo<br />
Many researchers began – or continued – to pursue these questions in their own work, and to draw<br />
relevant insights from developments in research outside <strong>of</strong> tissue engineering.<br />
In 2002, after 15 years since the initial NSF meetings, TE remains a mix <strong>of</strong> topical foci and research<br />
styles, reflecting in part the heterogeneous origins, intellectual traditions, and disciplinary affiliations <strong>of</strong><br />
the mix <strong>of</strong> clinicians, engineers and scientists who work in the field.<br />
Although recognition <strong>of</strong> the importance <strong>of</strong> gaps in the fundamental knowledge underlying tissue<br />
engineering is widespread, many <strong>of</strong> the individuals interviewed for this study referred to the persistently<br />
“Edisonian” 59 character <strong>of</strong> much <strong>of</strong> the work in TE, by which they meant a sort <strong>of</strong> inspired, ad hoc<br />
tinkering focused on the solution <strong>of</strong> specific practical problems in the creation <strong>of</strong> usable products. Some<br />
considered this a positive attribute while others viewed it <strong>as</strong> a drawback, reflecting a persistent tension<br />
between two different strategies for TE. Is it best to invest in fundamental research that will lay strong<br />
theoretical and methodological foundations for the long-term productivity <strong>of</strong> TE, or are clinicallysignificant<br />
products sufficiently close to being within reach <strong>as</strong> to warrant an Edisonian sprint toward their<br />
creation?<br />
It might be expected that Edisonian approaches would be most strongly <strong>as</strong>sociated with TE research and<br />
development efforts in the corporate sector, while the academic sector would be more strongly focused on<br />
fundamentals. <strong>The</strong> former is certainly true, and because the corporate sector h<strong>as</strong> accounted for the great<br />
majority <strong>of</strong> the funds invested in TE, 60 it necessarily follows that the character <strong>of</strong> corporate R&D h<strong>as</strong> had<br />
a substantial impact on the character <strong>of</strong> the TE enterprise overall.<br />
Many <strong>of</strong> our informants observed that corporate R&D efforts in tissue engineering have had a modest<br />
effect on the progress <strong>of</strong> the field. Corporate R&D h<strong>as</strong> focused on the creation <strong>of</strong> proprietary intellectual<br />
content centered on the challenges <strong>of</strong> bringing products to market, and less on the solution <strong>of</strong> broader<br />
challenges in science or engineering. Knowledge transfer from industry back to academia h<strong>as</strong> been<br />
limited.<br />
However, many respondents suggest that the Edisonian approach remains a powerful force within the<br />
academic sector <strong>as</strong> well. In part, this reflects the natural inclination <strong>of</strong> some workers in the field, many<br />
but not all <strong>of</strong> these clinicians who bring to their work a strong practical bent. Some observers believe that<br />
another influence – a deleterious one – h<strong>as</strong> been the combined effect <strong>of</strong> a shortage <strong>of</strong> funding from<br />
traditional sources <strong>of</strong> support for academic research together with the incentives created by the venturecapital-funded<br />
boom in biotechnology startup companies during select periods in the 1980s and 1990s,<br />
that h<strong>as</strong> induced some researchers to attempt prematurely to “productize” their ide<strong>as</strong> or research findings.<br />
Given the eclectic nature <strong>of</strong> the field, it is difficult to make judgments <strong>as</strong> to the level <strong>of</strong> progress that h<strong>as</strong><br />
been made in the years since 1987. One way <strong>of</strong> interpreting the significance <strong>of</strong> the events <strong>of</strong> 1987 is that<br />
they marked the beginning <strong>of</strong> an attempt by engineers to systematize and formalize the field <strong>of</strong> tissue<br />
engineering. <strong>The</strong> principle <strong>of</strong> rational design is central to the engineering approach. In turn, rational<br />
59<br />
60<br />
<strong>The</strong> term “Edisonian” w<strong>as</strong> used independently by several researchers we spoke to during the course <strong>of</strong> our<br />
interviews. <strong>The</strong> term itself originates from the book P<strong>as</strong>teur’s Quadrant: B<strong>as</strong>ic Science and Technological<br />
Innovation (Brookings Institution Press, 1997) by Donald E. Stokes.<br />
Investment in TE h<strong>as</strong> been tracked most systematically in a series <strong>of</strong> studies by Michael Lysaght; the most<br />
recently published installment in the series is Lysaght MJ, Reyes J, “<strong>The</strong> Growth <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong>”, <strong>Tissue</strong><br />
Eng 2001 Oct;7(5):485-493.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 27
design is made possible by the elucidation <strong>of</strong> theoretical principles <strong>of</strong> broad generalizability and by the<br />
systematic characterization <strong>of</strong> available materials and methods in terms <strong>of</strong> the parameters that comprise<br />
these theoretical models. In the tissue engineering context, some <strong>of</strong> these principles would need to come<br />
from engineering – for example, those related to mechanical <strong>as</strong>pects <strong>of</strong> tissues, the behavior <strong>of</strong><br />
biomaterials, and processes for producing, preserving and distributing TE products. Others would need to<br />
come from biology – for example, the behavior <strong>of</strong> cells and <strong>of</strong> growth factors. Still others would need to<br />
come from clinical medicine – for example, principles <strong>of</strong> physiology and pathophysiology. No matter<br />
whether their disciplinary roots have been in medicine, in engineering or in biology, TE researchers have<br />
from the earliest days <strong>of</strong> their involvement recognized that the future success <strong>of</strong> the field depends heavily<br />
on strengthening the b<strong>as</strong>e <strong>of</strong> systematic knowledge underlying TE applications. Yet it w<strong>as</strong> engineers who<br />
first sought to articulate this point clearly and make it the foundation for a formalization <strong>of</strong> the field. 61<br />
While this principle is sound, however, the development <strong>of</strong> the field since 1987 reflects little progress<br />
toward a systematization <strong>of</strong> TE through the creation <strong>of</strong> a foundation <strong>of</strong> broadly applicable theory or even<br />
a well-structured phenomenology. Although a great deal <strong>of</strong> new knowledge h<strong>as</strong> been accumulated,<br />
deficits in fundamental understanding cataloged in recent reviews 62 are similar in general outline to those<br />
recognized in the late 1980s and early 1990s. Researchers today have gained a much more detailed and<br />
sophisticated understanding <strong>of</strong> the specific challenges that must be addressed, however, and some<br />
progress h<strong>as</strong> been made in framing research challenges in particular are<strong>as</strong> <strong>of</strong> TE in a more systematic<br />
way. 63<br />
Perhaps the most important explanation for this slow progress is simply that the rationalization <strong>of</strong> TE<br />
represents an intellectual challenge <strong>of</strong> enormous magnitude. Construction <strong>of</strong> replacement tissues and<br />
organs, or controlled induction <strong>of</strong> endogenous reparative capacities to restore tissue structure and<br />
function, represent extraordinarily difficult systems engineering problems, and knowledge both <strong>of</strong> the<br />
behavior <strong>of</strong> the system components and <strong>of</strong> the necessary principles <strong>of</strong> systems integration remains<br />
primitive in relation to what is required.<br />
Another factor affecting the rate <strong>of</strong> progress may be important gaps in the intellectual resources that have<br />
been brought to bear on the challenges <strong>of</strong> tissue engineering, and in the degree <strong>of</strong> cross-disciplinary<br />
integration that h<strong>as</strong> been achieved. In her plenary address at the 2001 BECON symposium, Nancy<br />
Parenteau articulated these concerns:<br />
<strong>The</strong> need for cell therapy is well recognized even by the nonscientist, <strong>as</strong> evidenced by the<br />
perceived need for some form <strong>of</strong> stem cell research. Yet the complex nature <strong>of</strong> dealing with<br />
actual cells themselves to achieve an outcome is still not fully realized. While there is<br />
burgeoning information on the genetics front, advances in technology for rapid proteomic<br />
analysis, rapidly growing information on factors that effect (sic) cell lineage, identification <strong>of</strong><br />
transcription factors involved in the development <strong>of</strong> tissue structure and control <strong>of</strong><br />
morphogenesis, and advancing preclinical and clinical research on cell implantation, there is a<br />
very important need to bring all <strong>as</strong>pects together. Engineers and physician scientists have been<br />
61<br />
62<br />
63<br />
<strong>The</strong> 1985 ERC proposal from UCSD is emphatic and articulate on this point. Pp. 8-9, “A Proposal to the<br />
National Science Foundation for An <strong>Engineering</strong> Research Center at UCSD, CENTER FOR THE<br />
ENGINEERING OF LIVING TISSUES”, UCSD #865023, courtesy <strong>of</strong> Y.C. Fung, August 23, 2001.<br />
WTEC Panel Report on <strong>Tissue</strong> <strong>Engineering</strong> Research (Baltimore, MD: International Technology Research<br />
Institute, January 2002), available at http://www.wtec.org/loyola/te/final/te_final.pdf (URL verified Sept. 7,<br />
2002); Sipe JD, Kelley CA, McNicol LA, eds., Reparative Medicine: Growing <strong>Tissue</strong>s and Organs (Annals <strong>of</strong><br />
the New York Academy <strong>of</strong> Sciences, vol. 961, June 2002).<br />
See, for example, Butler DL, Goldstein SA, Guilak F, “Functional <strong>Tissue</strong> <strong>Engineering</strong>; <strong>The</strong> Role <strong>of</strong><br />
Biomechanics”, J Biomech Eng 2000 December;122:570-575.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 28
instrumental in leading the way in academic tissue engineering research, although they<br />
desperately need the participation <strong>of</strong> workers in other disciplines, such <strong>as</strong> molecular biologists<br />
and cell biologists, to fill the important gaps in understanding between them. We must not be<br />
naïve.<br />
How do we stimulate interest in critical are<strong>as</strong> such <strong>as</strong> applied research in cell biology and foster<br />
interdisciplinary collaboration? How do we provide academic recognition for being an important<br />
part <strong>of</strong> a significant achievement? Academic laboratories must be given an incentive to work on<br />
common goals…. New paradigms and metrics must be established both in academics and<br />
industry <strong>as</strong> we delve into complex biological problems that are well beyond a single scientific or<br />
engineering discipline…. 64<br />
With respect to its headline goal <strong>as</strong> well – to create living replacement parts for the human body – the<br />
progress <strong>of</strong> TE h<strong>as</strong> been slow. As with the underlying scientific challenges, the work <strong>of</strong> the p<strong>as</strong>t fifteen<br />
years in tissue engineering h<strong>as</strong> served above all to clarify our understanding <strong>of</strong> how difficult it will be to<br />
achieve the full extent <strong>of</strong> TE’s therapeutic vision.<br />
In his 1987 draft concept memo, NSF’s Allan Zelman identified a list <strong>of</strong> “types <strong>of</strong> tissues most likely to<br />
bring early success”. In Zelman’s words, these were:<br />
1. Skin: replacement <strong>of</strong> existing skin damaged from burns, scars, etc.<br />
2. Bone: present artificial hips and other joints could be replaced with hips and joints composed<br />
primarily from the patients’ own tissue<br />
3. Blood vessels: arteriovenous shunts for hemodialysis patients and heart byp<strong>as</strong>s patients<br />
would benefit greatly<br />
4. Cornea: this could eliminate rejection, bring sight to those who reject corneal transplants and<br />
<strong>as</strong> success grows possibly provide an alternative to eye gl<strong>as</strong>ses<br />
5. Cartilage: providing cartilage replacement for arthritic patients could bring relief from pain<br />
to millions<br />
6. Nerves: every year thousands <strong>of</strong> paraplegics are generated and this may be the means to<br />
reconnect nervous tissue too damaged for self-repair<br />
7. Blood or blood components: production <strong>of</strong> viral free blood and blood components could<br />
justify a great research effort 65<br />
Preliminary progress h<strong>as</strong> been made in the development <strong>of</strong> many <strong>of</strong> these tissues, though it is understood<br />
that much more work is required before “<strong>of</strong>f-the-shelf” products will be available:<br />
Skin. Skin is perhaps the most successful <strong>of</strong> the tissue engineered therapies, with several products having<br />
completed clinical trials, met with FDA approval, and made the transition to market. In 1997, the FDA<br />
approved TransCyte 66 , a skin replacement tissue made by Advanced <strong>Tissue</strong> Sciences, which consists <strong>of</strong><br />
dermal keratinocytes grown on a biodegradable polymer. TransCyte serves <strong>as</strong> a temporary wound cover<br />
64<br />
65<br />
66<br />
Parenteau NL, Young JH, “<strong>The</strong> Use <strong>of</strong> Cells in Reparative Medicine”, pp. 27-39 in Sipe JD, Kelley CA,<br />
McNicol LA, eds., Reparative Medicine: Growing <strong>Tissue</strong>s and Organs (Annals <strong>of</strong> the New York Academy <strong>of</strong><br />
Sciences, vol. 961, June 2002).<br />
Zelman A, “<strong>Tissue</strong> <strong>Engineering</strong>: A Fundamentally New Concept in Health Care”, internal discussion memo,<br />
first draft, Sept. 22, 1987, courtesy <strong>of</strong> NSF.<br />
TransCyte is now sold by Smith 7 Nephew, see: http://www.smith-nephew.com/businesses/W_TransCyte.html<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 29
for burns <strong>as</strong> new tissue forms. Apligraf 67 , manufactured by Organogenesis, utilizes live human skin cells<br />
to form a dual layer skin equivalent approved by the FDA to treat diabetic leg and foot ulcers.<br />
Recent advances in skin tissue engineering have resulted in the following examples <strong>of</strong> products in the l<strong>as</strong>t<br />
5 or so years:<br />
- EpiDex 68 , from Swiss-b<strong>as</strong>ed Modex <strong>The</strong>rapeutics for treatment <strong>of</strong> chronic skin ulcers; EpiDex<br />
grafts are grown from hair follicle stem cells.<br />
- Dermagraft 69 w<strong>as</strong> introduced in 1998 by Advanced <strong>Tissue</strong> Sciences. Dermagraft is a<br />
cryopreserved human fibrobl<strong>as</strong>t-derived dermal substitute, composed <strong>of</strong> fibrobl<strong>as</strong>ts, extracellular<br />
matrix, and a bioabsorbable scaffold.<br />
- Integra – Integra is a two-layered dressing and is completely acellular. <strong>The</strong> top layer serves <strong>as</strong> a<br />
temporary synthetic epidermis; the layer below serves <strong>as</strong> a foundation for re-growth <strong>of</strong> dermal<br />
tissue. <strong>The</strong> underlying layer is made <strong>of</strong> collagen fibers that act <strong>as</strong> a lattice through which the body<br />
can begin to align cells to recreate its own dermal tissue.<br />
- Epicel, also manufactured by Genzyme Biosurgery, is the only autologous skin graft that can<br />
permanently close a burn wound 70 . Epicel w<strong>as</strong> developed b<strong>as</strong>ed on original research done by<br />
Howard Green.<br />
- Alloderm 71 (LifeCell) is a cell-seeded allogenic skin replacement. <strong>The</strong> product consists <strong>of</strong> human<br />
dermal collagen seeded with allogenic fibrobl<strong>as</strong>ts. <strong>The</strong> material h<strong>as</strong> recently been launched in the<br />
US - initially for patients with third degree burns and limited donor-site tissue.<br />
- Xenoderm, another product from LifeCell consists <strong>of</strong> porcine dermis used <strong>as</strong> a replacement for<br />
burn wounds. LifeCell claims that experimental data shows consistent incorporation <strong>of</strong> the matrix<br />
into the wound bed, low immunogenicity, and re-population with host cells.<br />
Companies have approached the development <strong>of</strong> skin equivalents from different perspectives: autologous<br />
cellular replacements (Genzyme Biosurgery), allogeneic cellular replacements (Advanced <strong>Tissue</strong><br />
Sciences and Organogenesis), and completely acellular replacements (Integra). Each <strong>of</strong> these appear to<br />
achieve success <strong>as</strong> wound coverings. However, scar tissue formation and wound contraction issues<br />
remain problematic. Available products also fail in several ways to mimic the structure and function <strong>of</strong><br />
native skin. Substitutes have long acted <strong>as</strong> p<strong>as</strong>sive wound covers, lacking certain essential<br />
67<br />
68<br />
69<br />
70<br />
71<br />
Apligraf is indicated for the treatment <strong>of</strong> non-infected partial and full-thickness skin ulcers due to venous<br />
insufficiency <strong>of</strong> greater than 1 month duration and which have not adequately responded to conventional<br />
therapy, and also for the treatment <strong>of</strong> full-thickness neuropathic diabetic foot ulcers <strong>of</strong> greater than three weeks<br />
duration which have not adequately responded to conventional ulcer therapy and which extend through the<br />
dermis but without tendon, muscle, capsule or bone exposure. Apligraf prescribing information, Novartis<br />
Pharmaceuticals Corporation, June 2000.<br />
http://www.epidex.com<br />
Dermagraft is now marketed by Smith and Nephew, see: http://wound2.snwmdus.com/us/Product.<strong>as</strong>p?NodeId=2550<br />
(URL verified April 12, 2002)<br />
Epicel w<strong>as</strong> first introduced in 1987, but is still a popular treatment for severe burns:<br />
www.genzymebiosurgery.com (URL verified April 12, 2002)<br />
http://www.lifecell.com/healthcare/products/alloderm/index.cfm (URL verified April 12, 2002)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 30
functions/components—including hair follicles, and glands 72 . Development <strong>of</strong> such enhancements are the<br />
focus <strong>of</strong> current research in living skin equivalents and suggests the use <strong>of</strong> stem cells <strong>as</strong> a b<strong>as</strong>is for<br />
development <strong>of</strong> fully differentiated skin equivalents. Choice <strong>of</strong> matrix support to maintain fibrobl<strong>as</strong>ts and<br />
keratinocytes is also still being investigated.<br />
V<strong>as</strong>cular grafting. Progress to date in the development <strong>of</strong> tissue engineered v<strong>as</strong>cular grafts h<strong>as</strong> focused<br />
on mimicking the three layers <strong>of</strong> the normal muscular artery, using combinations <strong>of</strong> live cells,<br />
bioresorbable and non-bioresorbable scaffolding constructs. At present, there are no FDA approved live<br />
v<strong>as</strong>cular replacement therapies. Several techniques are in pre-clinical trial but face challenges that may<br />
prevent their widespread use/application in the near future.” 73<br />
Huynh and colleagues at Organogenesis and Duke University, for example have used porcine intestine <strong>as</strong><br />
a graft b<strong>as</strong>e for seeding <strong>of</strong> endothelial cells, which will grow and develop into vessel like structures 74 .<br />
<strong>The</strong> use <strong>of</strong> porcine cells, while important for clinical research, have unknown effects if transplanted into<br />
humans. Other sources for graft b<strong>as</strong>es are also being explored, including fibrillar collagen and bovine<br />
collagen gels. However, none <strong>of</strong> these have produced a v<strong>as</strong>cular substitute with the mechanical properties<br />
and strength <strong>of</strong> native blood vessels. Traditional problems plaguing the field, including clotting and scar<br />
tissue formation also persist in cellular replacements and prevent laboratory products from making it to<br />
the clinical trial stage. To combat such problems, researchers have attempted to embed the graft materials<br />
with antibiotics and antithrombotic coatings with limited success. <strong>The</strong>re is also the need to create a<br />
functional nerve supply and capillary network in vitro to support live v<strong>as</strong>cular tissues. Until such<br />
challenges are remedied, prosthetic grafts, made <strong>of</strong> substances like Dacron and polytetrafluoroethylene,<br />
will continue to serve <strong>as</strong> the major therapy.<br />
Kidney. As a highly complex organ, whole kidney replacement organs are far from being a reality.<br />
However, progress h<strong>as</strong> been made in development <strong>of</strong> temporary replacement devices, such <strong>as</strong><br />
extracorporeal kidney <strong>as</strong>sist devices. Dr. David Humes, Chairman <strong>of</strong> <strong>The</strong> Department <strong>of</strong> Internal<br />
Medicine at <strong>The</strong> University <strong>of</strong> Michigan, Ann Arbor, h<strong>as</strong> successfully completed in vivo testing <strong>of</strong> a<br />
Renal Tubule Assist Device (RAD) for treating acute renal failure 75 . <strong>The</strong> only other treatments currently<br />
available for acute renal failure are hem<strong>of</strong>iltration and dialysis. Extracorporeal devices may improve the<br />
outcomes <strong>of</strong> these patients while making treatment much less costly.<br />
Pancre<strong>as</strong>/Islet cells. Islet cell transplantation techniques have consisted <strong>of</strong> two major approaches:<br />
perfusion devices and microencapsulation. Perfusion devices, though developed <strong>as</strong> early <strong>as</strong> 1970, have<br />
failed to make it to the clinical trial stage to due long-term biocompatibility issues, membrane breakage,<br />
and size limitations (a problem which plagues bioartificial implantable livers <strong>as</strong> well).<br />
Microencapsulation, h<strong>as</strong> also been in existence for several decades. Refinements to this technique over<br />
time involved improving the biocompatibility <strong>of</strong> the encapsulating materials. Some researchers suggest<br />
that widespread clinical application <strong>of</strong> microencapsulation techniques is just around the corner. 76<br />
Several commercial tissue engineering approaches to repair/replace pancreatic function describe the<br />
current state <strong>of</strong> the field:<br />
72<br />
73<br />
74<br />
75<br />
76<br />
Bren L, “Helping Wounds Heal”, FDA Consumer, May-June 2002,<br />
http://www.fda.gov/fdac/features/2002/302_heal.html, (URL verified September 2, 2002).<br />
Nikl<strong>as</strong>on, LE. “Replacement Arteries Made to Order.” Science, 286: 19 November 1999; 1493-1494.<br />
Huynh T, et al. Nature Biotechnology. 17(1083); 1999.<br />
<strong>The</strong> technology is now being developed by Nephros <strong>The</strong>rapeutics; see<br />
http://www.nephrostherapeutics.com/news/pr/pr-20020918-01.htm (URL verified April 12, 2002)<br />
Macluf M., Atala A. “<strong>Tissue</strong> <strong>Engineering</strong>: Emerging Concepts.” Graft. 1(1): March-April, 1998.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 31
• Metabolex is developing proprietary technologies for the microencapsulation <strong>of</strong> insulin-producing<br />
tissues using thin, conforming, biocompatible coatings.<br />
• BetaGene is a privately held biotechnology company developing innovative strategies for the<br />
detection and treatment <strong>of</strong> diabetes. This company w<strong>as</strong> formed for the purpose <strong>of</strong> developing<br />
proprietary technology originating at the University <strong>of</strong> Tex<strong>as</strong> Southwestern Medical Center.<br />
BetaGene retains exclusive license to <strong>as</strong>pects <strong>of</strong> this technology including the use <strong>of</strong> engineered<br />
cell lines for the treatment <strong>of</strong> type I and Type 2 diabetes and the use <strong>of</strong> these cells for bulk insulin<br />
production.<br />
• Circe Biomedical h<strong>as</strong> developed the PancreAssist System, consisting <strong>of</strong> a single tubular<br />
membrane surrounded by insulin-producing islets, which are, in turn, enclosed within a diskshaped<br />
housing. <strong>The</strong> tubular membrane is porous and permeable to glucose and insulin. 77<br />
Liver. Several bioartificial liver (BAL) bioreactor designs have been developed in the laboratory to<br />
replace liver function. <strong>The</strong> b<strong>as</strong>ic design <strong>of</strong> a BAL device consists <strong>of</strong> circulating patient pl<strong>as</strong>ma<br />
extracoporeally through a bioreactor that houses/maintains liver cells (hepatocytes) sandwiched between<br />
artificial plates or capillaries. 78 Bioreactor materials have either a spherical shape, large surface area,<br />
large pores or high porosity, or are hydrophilic and biocompatible. 79 <strong>The</strong>se features can help to achieve<br />
the high density cultures <strong>of</strong> hepatocytes required. However, there is no one material that possess all <strong>of</strong><br />
these desired properties. Researchers are actively seeking a support matrix that could provide all these<br />
properties in order to have a BAL with improved efficiency and effectiveness. Clinical trials <strong>of</strong> some<br />
BAL devices are already underway in the United States and the UK Circe Biomedical currently h<strong>as</strong> the<br />
HepatAssist liver device in clinical trial, which is a extracorporeal device consisting <strong>of</strong> a hollow-fiber<br />
bioreactor lined with porcine cells 80 .<br />
Numerous other challenges plague the development <strong>of</strong> tissue engineered livers:<br />
• Human hepatocytes are limited in supply which make harvest and culture for liver <strong>as</strong>sist<br />
devices difficult<br />
• Hepatocytes are extremely difficult to stabilize and maintain in culture and lose their<br />
specificity rapidly. Several devices have made it to clinical trial but fail to seek FDA<br />
approval b<strong>as</strong>ed on the lack <strong>of</strong> stabilization <strong>of</strong> the cellular component.<br />
• <strong>The</strong> liver is so complex and varied in its functions that generating a replacement device that<br />
performs all these duties is far from a reality.<br />
• Microencapsulation techniques have also been tried, but have been unsuccessful, again, due<br />
to the rapid loss <strong>of</strong> functionality <strong>of</strong> liver cells once removed from the body.<br />
Bone, cartilage. Like skin, tissue engineering <strong>of</strong> bone and cartilage h<strong>as</strong> experienced relative success <strong>as</strong><br />
compared to other tissue engineered products. Current strategies consist <strong>of</strong> two major approaches:<br />
77<br />
78<br />
79<br />
80<br />
http://www.circebio.com/technology/pancre<strong>as</strong>sist.html (URL verified April 12, 2002)<br />
Strain A, Neuberger JM. “A Bioartificial Liver—State <strong>of</strong> the Art.” Science. 295(5557): 8 Feb 2002; 1005-1009.<br />
http://mtel.ucsd.edu/publications/Advances_in_Bioartificial_Liver_Devices.pdf (URL verified April 12, 2002)<br />
http://www.circebio.com/technology/hepat<strong>as</strong>sist.html (URL verified April 12, 2002)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 32
transplantation <strong>of</strong> osteochondral grafts and transplantation <strong>of</strong> chondrocytes 81 . Cell populations from<br />
cultured periosteum have the ability to form new bone and cartilage under the appropriate conditions and<br />
with the addition <strong>of</strong> the appropriate growth factors. 82 Transplantation <strong>of</strong> osteochondral grafts, however,<br />
runs a possible risk <strong>of</strong> rejection in the recipient.<br />
Current products and strategies include:<br />
• Carticel 83 , by Genzyme Biosurgery <strong>of</strong> Cambridge, MA, which h<strong>as</strong> received FDA approval to<br />
replace damaged knee cartilage. <strong>The</strong> product uses autologous chondrocytes and grows them in a<br />
biodegradable matrix, which is then transplanted in place <strong>of</strong> the damaged tissue.<br />
• Stryker Biotech <strong>of</strong> Hopkinton, MA h<strong>as</strong> an FDA approved OP-1 Implant under the Humanitarian<br />
Device Exemption (HDE). <strong>The</strong> OP-1 Implant is now available across the country and is indicated<br />
for use <strong>as</strong> an alternative to patients’ own bone in recalcitrant long bone nonunions where an<br />
autograft is unfe<strong>as</strong>ible and alternative treatments have failed. 84<br />
• Arnold Caplan <strong>of</strong> C<strong>as</strong>e Western Reserve h<strong>as</strong> performed mesenchymal stem cell (MSC)<br />
transplants in animals, and is working on similar transplants in humans. MSC’s have been found<br />
to induce bone and connective tissue growth.<br />
• Antonios Mikos at Rice University h<strong>as</strong> developed an injectable copolymer that hardens quickly in<br />
the body and provides a surface to guide severed long bone regeneration 85 .<br />
To our knowledge, no other allogeneic, cell-b<strong>as</strong>ed organ- or tissue-replacement product is close to<br />
market. Autologous efforts remain dominant. Efforts to bring to market tissue-engineered products that<br />
address defects in complex metabolic functions or replace vital organs will require more time and effort<br />
before reaching success. Research and development programs on various approaches to the bioartificial<br />
pancre<strong>as</strong> are said to have consumed over $200 million <strong>of</strong> private sector funds to date, but designs capable<br />
<strong>of</strong> routine success in large animal models are yet unavailable, while encapsulated cell therapy h<strong>as</strong> failed<br />
to demonstrate efficacy in ph<strong>as</strong>e III clinical trials. 86 Extracorporeal replacement <strong>of</strong> critical metabolic<br />
functions <strong>of</strong> the kidney and liver h<strong>as</strong> reached the stage <strong>of</strong> small clinical trials – Ph<strong>as</strong>e I (safety) for the<br />
former and Ph<strong>as</strong>e II (preliminary safety and efficacy) for the latter. 87 In both c<strong>as</strong>es, the devices’ mode <strong>of</strong><br />
operation involves extracorporeal blood circulation comparable to that <strong>of</strong> a dialysis machine, and both are<br />
initially targeted toward treatment <strong>of</strong> acute, life-threatening metabolic failure. <strong>The</strong> tissue-engineered<br />
replacement heart remains a distant vision. 88<br />
81<br />
82<br />
83<br />
84<br />
85<br />
86<br />
87<br />
88<br />
Macluf M., Atala A. “<strong>Tissue</strong> <strong>Engineering</strong>: Emerging Concepts.” Graft. 1(1): March-April, 1998.<br />
Breitbart AS, Grande DA, M<strong>as</strong>on JM, Barcia M, James T, Grant RT. Gene-enhanced tissue engineering:<br />
applications for bone healing using cultured periosteal cells transduced retrovirally with the BMP-7 gene. Ann<br />
Pl<strong>as</strong>t Surg 1999; 42:488-495.<br />
http://www.carticel.com (URL verified April 14, 2003)<br />
http://www.op1.com (URL verified April 14, 2003)<br />
Ferber D. “From the Lab to the Clinic.” Science 284(5413); 16 April 1999: 423.<br />
Michael Lysaght, interview, July 2, 2001.<br />
See http://www.nephrostherapeutics.com (Nephros <strong>The</strong>rapeutics Renal Assist Device) and<br />
http://www.vgen.com (Vitagen ELAD ® Artificial Liver device) URLs verified September 6, 2002).<br />
Sefton MV, “<strong>The</strong> LIFE Initiative: Creating Transplant Organs Through <strong>Tissue</strong> <strong>Engineering</strong>”, e-biomed: <strong>The</strong><br />
Journal <strong>of</strong> Regenerative Medicine 2002;3:25-28.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 33
As noted previously, from the beginning, more subtle conceptions <strong>of</strong> TE have extended its scope to<br />
encomp<strong>as</strong>s not only the production <strong>of</strong> replacement parts that embody the necessary structure and function,<br />
but the possibility <strong>of</strong> induction <strong>of</strong> endogenous reparative capabilities <strong>as</strong> well. In principle, such induction<br />
may be achieved via a variety <strong>of</strong> approaches, including implantation <strong>of</strong> cells that express growth factor<br />
molecules, implantation <strong>of</strong> non-living materials (for example, a collagen sponge) containing growth factor<br />
molecules, delivery <strong>of</strong> genes that encode the required growth factor, or by local or systemic infusion <strong>of</strong><br />
growth factor molecules. <strong>The</strong> observed physiologic effects <strong>of</strong> the “skin replacement” products in<br />
promoting wound healing suggest that they might also be described <strong>as</strong> the first “induced repair” products<br />
rather than <strong>as</strong> replacement organs. Acellular “skin replacement” products on the market, such <strong>as</strong> the<br />
INTEGRA ® dermal regeneration template derived from the work <strong>of</strong> Yann<strong>as</strong>, 89 are designed to function in<br />
this way. After more than 30 years <strong>of</strong> research on bone morphogenetic proteins, a BMP product h<strong>as</strong> also<br />
recently reached the market – Medtronic’s INFUSE bone graft product, incorporating recombinant<br />
human bone morphogenetic protein rhBMP-2. 90 Several companies market acellular matrix materials for<br />
bulk applications in orthopedic and reconstructive surgery.<br />
In bringing therapeutic products to market, tissue engineers must surmount not only daunting technical<br />
challenges, but regulatory and business obstacles <strong>as</strong> well. <strong>The</strong> regulatory environment for cell-containing<br />
products is complex and still at an early stage in its evolution; it imposes a substantial financial burden on<br />
the product development process, directly through the efficacy standards the product must meet and<br />
through the cost <strong>of</strong> funding the trials needed to demonstrate that efficacy, and indirectly through the<br />
financial effects <strong>of</strong> delay in bringing products to market. Finally, for a product to be viable, it must be<br />
possible to develop it, achieve regulatory approval, manufacture it, distribute it and market it at a price<br />
adequate to yield a positive economic return.<br />
<strong>The</strong> difficulty <strong>of</strong> companies like Organogenesis and Advanced <strong>Tissue</strong> Sciences in recent times also raises<br />
concerns around the financial viability <strong>of</strong> some tissue engineered products. As <strong>of</strong> this writing, both<br />
Organogenesis and Advanced <strong>Tissue</strong> Sciences are undergoing reorganization under Chapter 11<br />
bankruptcy protection, and on trends to date it appears unlikely that revenues from their artificial skin<br />
products will ever cover the cost <strong>of</strong> the capital invested in their development. At the aggregate level,<br />
cumulative investment in tissue engineering research h<strong>as</strong> been estimated to exceed $3.5 billion, <strong>of</strong> which<br />
well over 90% h<strong>as</strong> been provided by private sources, with negligible financial return. 91 Such concerns are<br />
well known by individuals in the public and private sectors and will be important considerations in<br />
strategy development for building not only clinically viable, but commercially viable products.<br />
It is clear from these examples that despite notable contributions and advancements, tissue engineering is<br />
still a field in its infancy. Whether tissue engineering <strong>as</strong> we know it today will prove to be a powerful<br />
general strategy for developing therapeutic products and methods that can meet the dual hurdles <strong>of</strong><br />
therapeutic efficacy and commercial viability remains to be seen. A strong research effort is underway,<br />
89<br />
90<br />
91<br />
INTEGRA ® Dermal Regeneration Template product description, http://www.integra-ls.com/busskin_product.shtml<br />
(URL verified December 25, 2002).<br />
“INFUSE Bone Graft / LT-CAGE Lumbar Tapered Fusion Device”, Medtronic S<strong>of</strong>amor Danek press<br />
rele<strong>as</strong>e, July 2, 2002 (http://www.s<strong>of</strong>amordanek.com/press-infuse.html, accessed Sept. 7, 2002). An additional<br />
BMP, Curis’ OP-1, h<strong>as</strong> been approved by the FDA for limited use under a Humanitarian Device Exemption,<br />
and h<strong>as</strong> also been approved for sale in certain international markets. “Curis’ OP-1 Received HDE Status in the<br />
United States”, Curis press rele<strong>as</strong>e, October 18, 2001 (http://www.curis.com/news_101801.html, URL verified<br />
Sept. 7, 2002). Hematopoietic growth factors (such <strong>as</strong> recombinant erythropoietin), have been on the market for<br />
a number <strong>of</strong> years, but this line <strong>of</strong> research h<strong>as</strong> not been characterized <strong>as</strong> tissue engineering by any <strong>of</strong> the<br />
informants consulted by the study team.<br />
Lysaght MJ, Reyes J, “<strong>The</strong> Growth <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong>”, <strong>Tissue</strong> <strong>Engineering</strong> 2001 Oct;7(5):485-493.<br />
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however, and advances in other emerging are<strong>as</strong> <strong>of</strong> science, such <strong>as</strong> stem cell research, are likely to make<br />
significant contributions toward helping tissue engineering to become a viable field.<br />
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5.0 Who Are the <strong>Tissue</strong> Engineers?<br />
This section examines the people and institutions that are active in tissue engineering or, in a few c<strong>as</strong>es,<br />
played a key role in the p<strong>as</strong>t. We review some characteristics <strong>of</strong> the community <strong>of</strong> tissue engineers<br />
viewed in aggregate, introduce specific individuals and six major centers <strong>of</strong> activity that have played<br />
central roles in research or training since the earliest days <strong>of</strong> the emergence <strong>of</strong> tissue engineering, and<br />
conclude with a few observations on the corporate sector. Our focus here is on those who are actually<br />
doing tissue engineering; the role <strong>of</strong> funding agencies is addressed in a later section.<br />
Our analysis draws heavily on a roster <strong>of</strong> 231 tissue engineers compiled by the study team, and presented<br />
in Appendix 2. <strong>The</strong>se include individuals who have published in the realm <strong>of</strong> tissue engineering, have<br />
trained with notable names in the field, or have otherwise self-proclaimed themselves <strong>as</strong> tissue engineers.<br />
<strong>The</strong> roster is not intended to be a definitive list <strong>of</strong> those who should be considered tissue engineers –<br />
rather, it should be viewed <strong>as</strong> a convenience sample intended to shed light in a qualitative sense on the<br />
nature <strong>of</strong> tissue engineering and its participants, and to provide an overall sense <strong>of</strong> trends affecting the<br />
character <strong>of</strong> the field. With that purpose in mind, however, we believe that the list does contain the great<br />
majority <strong>of</strong> academic, non-physician researchers with faculty appointments in the United States and<br />
Canada who have identified tissue engineering explicitly <strong>as</strong> an important component <strong>of</strong> their research<br />
interests. In addition, the list includes a selection <strong>of</strong> the most prominent physician-researchers in the<br />
field, along with a small sampling <strong>of</strong> individuals in the corporate sector.<br />
5.1 <strong>The</strong> <strong>Tissue</strong> Engineers <strong>as</strong> a Group<br />
Disciplinary affiliations <strong>of</strong> tissue engineers are difficult to analyze in a precise quantitative way, because<br />
the specific mix <strong>of</strong> research are<strong>as</strong> that are included in a department with a given name or are <strong>as</strong>sociated<br />
with a degree with a given designation, and the number and character <strong>of</strong> departmental affiliations awarded<br />
to faculty, vary from one institution to another in idiosyncratic ways. Nevertheless, overall trends emerge<br />
clearly from a rough tally <strong>of</strong> the available data.<br />
Viewed in terms <strong>of</strong> both the departments by which their doctoral degrees were awarded and the<br />
departments in which those who are in academia now hold faculty appointments, tissue engineers are<br />
indeed predominantly engineers.<br />
By training, more than half <strong>of</strong> the individuals for whom we have specific data are engineers.<br />
Approximately one fifth <strong>of</strong> the tissue engineers in our sample hold medical or dental degrees, <strong>of</strong>ten in<br />
conjunction with an engineering or science doctorate. In view <strong>of</strong> the critical importance <strong>of</strong> cells and <strong>of</strong><br />
physiology in tissue engineering, the fraction <strong>of</strong> individuals who hold only a doctorate in biological<br />
sciences (for example, biology, biochemistry, or non-clinical medical sciences such <strong>as</strong> physiology or<br />
anatomy) is remarkably small – roughly one out <strong>of</strong> ten. Chemical engineering is by a wide margin the<br />
engineering discipline most frequently encountered in this cohort, followed by biomedical or<br />
bioengineering, and by mechanical engineering. A more liberal interpretation <strong>of</strong> which <strong>as</strong>pects <strong>of</strong><br />
contemporary orthopedics and biomechanics research should be considered part <strong>of</strong> tissue engineering<br />
would perhaps have yielded somewhat incre<strong>as</strong>ed weights for biomedical and mechanical engineering in<br />
the sample.<br />
Current academic departmental affiliations <strong>of</strong> these tissue engineers are also strongly weighted toward<br />
engineering. However, here bioengineering or biomedical engineering is the leading disciplinary<br />
affiliation by a wide margin, followed by chemical engineering and, in a distant third place, mechanical<br />
engineering. This pattern may reflect the relatively recent emergence <strong>of</strong> biomedical engineering <strong>as</strong> a<br />
discipline, and the migration <strong>of</strong> faculty – especially recent trainees taking their first faculty appointments<br />
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– from some <strong>of</strong> the cl<strong>as</strong>sical engineering disciplines to newer and <strong>of</strong>ten growing departments <strong>of</strong><br />
biomedical engineering.<br />
Biological science affiliations are few, and are weighted toward b<strong>as</strong>ic medical science departments.<br />
Clinical and clinical science departmental affiliations are strongly weighted toward surgery and surgical<br />
specialties, notably orthopedics. This latter pattern may to some extent be an artifact <strong>of</strong> selection bi<strong>as</strong> in<br />
construction <strong>of</strong> the sample; for example, it is likely that a more liberal definition <strong>of</strong> tissue engineering to<br />
include a greater part <strong>of</strong> islet cell transplantation research and a correspondingly more aggressive search<br />
for clinicians who have been involved in such work would have resulted in the inclusion <strong>of</strong> more<br />
endocrinologists in the roster. Nevertheless, we would expect surgeons to dominate in any re<strong>as</strong>onably<br />
representative sample <strong>of</strong> clinician-scientists active in tissue engineering.<br />
More than 70 universities are represented in the list <strong>of</strong> institutions from which the tissue engineers in our<br />
sample received their non-clinical (i.e., PhD and ScD) doctorates. Appendix 2 shows that MIT trained,<br />
by a wide margin, the largest number <strong>of</strong> individuals in this group, followed by the University <strong>of</strong><br />
Pennsylvania, Rice University, the University <strong>of</strong> Michigan, the University <strong>of</strong> Minnesota, Columbia<br />
University, Stanford University, and the University <strong>of</strong> California at Berkeley. Again, a more liberal<br />
definition <strong>of</strong> relevant orthopedics and biomechanics research would perhaps have yielded a slightly<br />
stronger representation for Rice, Columbia, the University <strong>of</strong> California at San Diego (UCSD), and<br />
Georgia Tech. When postdoctoral training relationships are traced <strong>as</strong> well, the relative weight <strong>of</strong> MIT in<br />
this group incre<strong>as</strong>es further.<br />
At present, most <strong>of</strong> the individuals active in this representative sample <strong>of</strong> tissue engineers entered the<br />
field after completing dissertations in other are<strong>as</strong>. Because <strong>of</strong> the interdisciplinary character <strong>of</strong> tissue<br />
engineering, the field will likely continue to have a relatively high proportion <strong>of</strong> post-doctoral-training<br />
entrants. However, over time, the fraction <strong>of</strong> individuals whose thesis research w<strong>as</strong> explicitly in tissue<br />
engineering, and the representation <strong>of</strong> universities other than MIT with broad platforms <strong>of</strong> research and<br />
training activity in tissue engineering, such <strong>as</strong> Rice, UCSD and Georgia Tech, should incre<strong>as</strong>e <strong>as</strong> a<br />
proportion <strong>of</strong> any roster <strong>of</strong> researchers active in TE.<br />
One l<strong>as</strong>t characteristic <strong>of</strong> this cohort is noteworthy here. <strong>The</strong> great majority <strong>of</strong> individuals are involved in<br />
TE on only a part-time b<strong>as</strong>is. That is, academic tissue engineers typically maintain a number <strong>of</strong> lines <strong>of</strong><br />
research, some <strong>of</strong> which meet any re<strong>as</strong>onable definition <strong>of</strong> tissue engineering, some <strong>of</strong> which straddle the<br />
ill-defined boundary that delineates the field, and some <strong>of</strong> which are clearly situated within other<br />
intellectual domains. By this me<strong>as</strong>ure, tissue engineering could be viewed more <strong>as</strong> a tactic than <strong>as</strong> a<br />
discipline – <strong>as</strong> part <strong>of</strong> an interdisciplinary <strong>as</strong>sault on unsolved therapeutic challenges that draws<br />
opportunistically on an ever-wider range <strong>of</strong> knowledge and tools from science and engineering.<br />
5.2 Notable Participants in <strong>Tissue</strong> <strong>Engineering</strong> and Leading Centers in the<br />
Field<br />
A bibliometric analysis <strong>of</strong> papers important to the field <strong>of</strong> tissue engineering revealed a list <strong>of</strong> more than<br />
350 US institutions active in research. Our interviews with experts in the field <strong>as</strong> well <strong>as</strong> extensive<br />
secondary research 92 validated this list and also pointed toward several other institutions <strong>as</strong> being highly<br />
92<br />
In compiling these groups <strong>of</strong> researchers, we examined all major research universities in the country which had<br />
bioengineering departments—given the strong link between the field <strong>of</strong> bioengineering and tissue<br />
engineering—and scoured faculty research pages for individuals in those departments to see which <strong>of</strong> these may<br />
participate in TE. <strong>The</strong> research groups above were selected to appear in this report since, in our judgment, they<br />
had made significant research contributions or were comprised <strong>of</strong> multiple faculty or graduates who are<br />
considered major players in the field.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 37
influential in the field—not only in terms <strong>of</strong> their research contributions, but also in their training <strong>of</strong><br />
personnel currently active in the field. Below we highlight a sample <strong>of</strong> the key loci <strong>of</strong> tissue engineering<br />
research.<br />
Boston Area: MIT and Harvard<br />
Perhaps the single most prominent geographical and institutional locus <strong>of</strong> research in tissue engineering<br />
h<strong>as</strong> been in the Boston area, centered on the M<strong>as</strong>sachusetts Institute <strong>of</strong> Technology (MIT) in Cambridge<br />
and the Harvard Medical School (HMS) in Boston, although researchers at other Boston-area institutions<br />
have been involved <strong>as</strong> well.<br />
MIT w<strong>as</strong> the site <strong>of</strong> three independent, seminal lines <strong>of</strong> research on substitutes for human skin. During a<br />
period from the mid-1970s through the mid-1980s, the laboratory <strong>of</strong> cell biologist Howard Green, MD (in<br />
the biology department at MIT until 1980, subsequently in the cell biology department at Harvard<br />
Medical School) achieved a breakthrough in the cultivation <strong>of</strong> human keratinocytes, developed it into a<br />
method for growing epithelial grafts from a small piece <strong>of</strong> autologous epidermis, and demonstrated the<br />
viability <strong>of</strong> this method in the treatment <strong>of</strong> burn victims. 93 In 1987, this technique became the b<strong>as</strong>is for a<br />
startup company called BioSurface Technology that <strong>of</strong>fered cultured epidermal autografts commercially.<br />
<strong>The</strong> company w<strong>as</strong> acquired by Genzyme in 1994 and became Genzyme <strong>Tissue</strong> Repair (now Genzyme<br />
Biosurgery), and the service is still <strong>of</strong>fered under the name Epicel ® . 94 Dr. Green himself h<strong>as</strong> continued<br />
his career <strong>as</strong> a cell biologist at HMS, but h<strong>as</strong> not been prominent in the subsequent development <strong>of</strong> tissue<br />
engineering.<br />
Ioannis Yann<strong>as</strong> joined the faculty in the mechanical engineering department at MIT in 1966, after<br />
completing his PhD at Princeton. From the start, his research focused on the properties <strong>of</strong> collagen and its<br />
role in connective tissues, using approaches from chemistry, physics, and biomechanics. By the 1970s,<br />
Yann<strong>as</strong> w<strong>as</strong> investigating the use <strong>of</strong> acellular collagen-glycosaminoglycan matrices <strong>as</strong> wound dressings<br />
designed to serve <strong>as</strong> biodegradable templates for the regeneration <strong>of</strong> viable skin. In 1977, Yann<strong>as</strong>, in<br />
collaboration with M<strong>as</strong>sachusetts General Hospital and Shriners Burns Institute surgeon John F. Burke,<br />
w<strong>as</strong> awarded a patent for a “multilayer membrane useful <strong>as</strong> synthetic skin”. 95 In 1980, they published the<br />
first in a series <strong>of</strong> papers outlining design considerations for what they called an “artificial skin”, and<br />
shortly thereafter, they reported the successful use <strong>of</strong> such an artificial skin in the treatment <strong>of</strong> extensive<br />
burn injury. 96 This research resulted in the development <strong>of</strong> a commercial product, Integra ® Dermal<br />
Regeneration Template, which is currently licensed to and manufactured by Integra LifeSciences<br />
93<br />
94<br />
95<br />
96<br />
Rheinwald JG, Green H, “Serial Cultivation <strong>of</strong> Strains <strong>of</strong> Human Epidermal Keratinocytes: the Formation <strong>of</strong><br />
Keratinizing Colonies from Single Cells”, Cell 1975 Nov;6(3):331-43; Green H, Kehinde O, Thom<strong>as</strong> J,<br />
“Growth <strong>of</strong> Cultured Human Epidermal Cells into Multiple Epithelia Suitable for Grafting”, Proc Natl Acad Sci<br />
USA 1979 Nov;76(11)5665-8; and Gallico GG 3 rd , O’Connor NE, Compton CC et al., “Permanent Coverage <strong>of</strong><br />
Large Burn Wounds with Autologous Cultured Human Epithelium”, N Engl J Med 1984 Aug 16;311(7):448-51.<br />
Epicel® (cultured epidermal autografts) product information,<br />
http://www.genzymebiosurgery.com/opage_print.<strong>as</strong>p?ogroup=1&olevel=2&opage=96 (URL verified October<br />
26, 2002).<br />
Yann<strong>as</strong> IV, Burke JF, Gordon PL, Huang C, “Multilayer Membrane Useful <strong>as</strong> Synthetic Skin”, US Patent<br />
4,060,081, November 29, 1977.<br />
Yann<strong>as</strong> IV, Burke JF, “Design <strong>of</strong> an Artificial Skin”, J Biomed Mater Res 1980 Jan;14(1):65-81; Burke JF,<br />
Yann<strong>as</strong> IV, Quinby WC Jr et al., “Successful Use <strong>of</strong> a Physiologically Acceptable Artificial Skin in the<br />
Treatment <strong>of</strong> Extensive Burn Injury”, Ann Surg 1981 Oct;194(4):413-28; and Yann<strong>as</strong> IV, Burke JF, Orgill JP,<br />
Skrabut EM, “Would <strong>Tissue</strong> Can Utilize a Polymeric Template to Synthesize a Functional Extension <strong>of</strong> Skin”,<br />
Science 1982 Jan 8;215(4529):174-6.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 38
Corporation. 97 Pr<strong>of</strong>. Yann<strong>as</strong> h<strong>as</strong> continued to maintain an active research program on the principles and<br />
applications <strong>of</strong> induced tissue regeneration. 98<br />
Eugene Bell, a long-time faculty member in the biology department at MIT, also pursued in the 1970s a<br />
line <strong>of</strong> research that examined interactions between collagen and skin cells. In 1979, Bell and colleagues<br />
published a paper describing the production in vitro <strong>of</strong> a tissue-like structure, obtained via contraction <strong>of</strong> a<br />
collagen lattice seeded with fibrobl<strong>as</strong>ts. 99 In 1981 Bell’s group reported the successful grafting <strong>of</strong> a<br />
“living skin equivalent” consisting <strong>of</strong> fibrobl<strong>as</strong>ts c<strong>as</strong>t in collagen lattices and seeded with epidermal<br />
cells. 100 A patent w<strong>as</strong> obtained for this “tissue-equivalent” in 1984, 101 and Bell left MIT in 1986 to found<br />
Organogenesis, Inc. and pursue commercial development <strong>of</strong> the product. He left Organogenesis in 1991<br />
to return briefly to MIT, but left again in 1992 to found <strong>Tissue</strong> <strong>Engineering</strong> Inc. (now TEI Biosciences).<br />
Bell h<strong>as</strong> led an active proprietary research program at TEI Biosciences, focusing on the further refinement<br />
<strong>of</strong> collagen fiber-b<strong>as</strong>ed scaffolds and the enrichment <strong>of</strong> these scaffolds with signaling molecules that<br />
induce stem cell development and tissue regeneration, but h<strong>as</strong> published little in the peer-reviewed<br />
biomedical literature in recent years. 102<br />
Although these three lines <strong>of</strong> research are widely recognized <strong>as</strong> milestones in the emergence <strong>of</strong> tissue<br />
engineering, in terms <strong>of</strong> visibility, and arguably in terms <strong>of</strong> scientific influence <strong>as</strong> well, they have long<br />
since been eclipsed by the network <strong>of</strong> TE researchers that grew up around Robert Langer and Joseph (Jay)<br />
Vacanti. Langer and Vacanti are widely recognized <strong>as</strong> coauthors on two seminal papers: the 1993 review<br />
article in Science that marked the “coming out” <strong>of</strong> tissue engineering <strong>as</strong> a field, and, with additional<br />
coauthors, the 1988 paper in the Journal <strong>of</strong> Pediatric Surgery that introduced the strategy <strong>of</strong> using<br />
resorbable artificial polymer matrices seeded with cells <strong>as</strong> a vehicle for cell transplantation. 103 However,<br />
their acquaintance and scientific collaboration predated these papers by more than a decade.<br />
Langer’s graduate studies were carried out under the supervision <strong>of</strong> yet another MIT researcher active<br />
during the “prehistory” <strong>of</strong> TE, Clark Colton <strong>of</strong> the chemical engineering department. Colton’s own PhD,<br />
completed in the same department in 1969 under the supervision <strong>of</strong> Kenneth A. Smith, w<strong>as</strong> entitled<br />
Permeability and Transport Studies in Batch and Flow Dialyzers with Applications to Hemodialysis.<br />
Colton’s research on filtration technologies relevant to artificial organs continued following the<br />
completion <strong>of</strong> his PhD, and he collaborated with William Chick at Harvard Medical School, Pierre<br />
Galletti at Brown University and colleagues on the research which led to a 1975 publication in the<br />
97<br />
98<br />
99<br />
100<br />
101<br />
102<br />
103<br />
Integra® Dermal Regeneration Template Product Description, http://www.integra-ls.com/busskin_product.shtml<br />
(URL verified October 26, 2002).<br />
Yann<strong>as</strong> IV, “Synthesis <strong>of</strong> Organs: In vitro or In vivo?” Proc Natl Acad Sci USA 2000 Aug 15;97(17):9354-6;<br />
and Yann<strong>as</strong> IV, <strong>Tissue</strong> and Organ Regeneration in Adults (New York: Springer, 2001).<br />
Bell E, Ivarsson B, Merrill C, “Production <strong>of</strong> a <strong>Tissue</strong>-Like Structure by Contraction <strong>of</strong> Collagen Lattices by<br />
Human Fibrobl<strong>as</strong>ts <strong>of</strong> Different Proliferative Potential in Vitro”, Proc Natl Acad Sci USA 1979<br />
Mar;76(3):1274-8.<br />
Bell E, Ehrlich HP, Buttle DJ, Nakatsuji T, “Living <strong>Tissue</strong> Formed in Vitro and Accepted <strong>as</strong> Skin-Equivalent<br />
<strong>Tissue</strong> <strong>of</strong> Full Thickness”, Science 1981 Mar 6;211(4486):1052-4.<br />
Bell E, “<strong>Tissue</strong>-Equivalent and Method for Preparation <strong>The</strong>re<strong>of</strong>”, US Patent 4,485,096, November 27, 1984.<br />
Dai J, Kumar J, Feng Y et al., “<strong>The</strong> Specificity <strong>of</strong> Phenotypic Induction <strong>of</strong> Mouse and Human Stem Cells by<br />
Signaling Complexes”, In Vitro Cell Dev Biol Anim 2002 Apr;38(4):198-204; and “Platform Technologies”<br />
description, TEI Biosciences web site, http://www.teibio.com (URL verified October 27, 2002).<br />
Langer R, Vacanti JP, “<strong>Tissue</strong> <strong>Engineering</strong>”, Science 1993 May 14;260(5110):920-6; and Vacanti JP, Morse<br />
MA, Saltzman WM et al., “Selective Cell Transplantation Using Bioabsorbable Artificial Polymers <strong>as</strong><br />
Matrices”, J Pediatr Surg 1988 Jan;23(1 Pt 2):3-9.<br />
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Transactions <strong>of</strong> the American Society for Artificial Internal Organs on a “hybrid artificial pancre<strong>as</strong>” for<br />
rats consisting <strong>of</strong> beta cells cultured on synthetic semipermeable hollow fibers. 104 Colton (with coauthors,<br />
graduate student Keith Dionne and postdoctoral fellow Martin Yarmush) w<strong>as</strong> the only senior MIT<br />
researcher represented with a paper at the Granlibakken workshop in 1988.<br />
Although contemporaneous with this early work on artificial organ technologies in Colton’s lab, the<br />
research that formed the b<strong>as</strong>is for Langer’s 1974 ScD in chemical engineering w<strong>as</strong> part <strong>of</strong> a separate line<br />
<strong>of</strong> work being pursued by Colton in the area <strong>of</strong> enzyme engineering. 105 Langer proceeded to a<br />
postdoctoral fellowship in the laboratory <strong>of</strong> Dr. Judah Folkman at Harvard Medical School and Children’s<br />
Hospital in Boston. Folkman’s pathbreaking work on implantable drug delivery systems and on<br />
angiogenesis in cancer addressed a number <strong>of</strong> fundamental issues that were to be <strong>of</strong> broader significance<br />
for tissue engineering, including identification and analysis <strong>of</strong> the factors that govern the growth and<br />
differentiation <strong>of</strong> blood vessels, and the design <strong>of</strong> delivery systems to enable the sustained rele<strong>as</strong>e <strong>of</strong><br />
bioactive proteins and other molecules in a desired location in order to influence tissue growth. Langer’s<br />
first publication in the area <strong>of</strong> polymeric drug delivery systems, a line <strong>of</strong> research that w<strong>as</strong> to become the<br />
foundation <strong>of</strong> the work <strong>of</strong> his own laboratory at MIT, w<strong>as</strong> written in collaboration with Folkman and<br />
appeared in Nature in 1976. 106<br />
Langer’s entry into tissue engineering w<strong>as</strong> catalyzed by a collaboration with Jay Vacanti. Vacanti earned<br />
his MD at the University <strong>of</strong> Nebr<strong>as</strong>ka, and came to Boston in 1974 to begin his postgraduate training in<br />
surgery. He completed a residency in general surgery at the M<strong>as</strong>sachusetts General Hospital during 1974-<br />
1981, followed by a fellowship in pediatric surgery at Children’s Hospital from 1981-1983. During the<br />
period <strong>of</strong> his residency at MGH, he spent two years – from 1977 to 1979 – in the laboratory <strong>of</strong> Dr.<br />
Folkman, where his collaboration with Robert Langer began. <strong>The</strong>ir first joint publication, written in<br />
collaboration with Folkman and two other colleagues, reported on experiments in the inhibition <strong>of</strong> tumor<br />
growth in animal models by regional infusion <strong>of</strong> a cartilage-derived angiogenesis inhibitor. 107<br />
Returning to MIT following his postdoctoral work with Folkman, Robert Langer built a highly productive<br />
research and training program focused primarily on polymer-b<strong>as</strong>ed drug delivery systems and their<br />
applications. Vacanti, following his pediatric surgery fellowship, received two further years <strong>of</strong> clinical<br />
training in the renowned transplantation program at the University <strong>of</strong> Pittsburgh, then returned to Boston<br />
in 1985 to join the staff at Children’s Hospital and launch his own clinical and research program.<br />
Vacanti’s clinical experience in transplantation in Pittsburgh, and then in launching a pediatric liver<br />
transplantation program in Boston, confronted him with the intractable problem <strong>of</strong> organ supply.<br />
Following his return to Children’s Hospital in Boston in 1985, he began to explore with Langer the<br />
problem <strong>of</strong> how to extend to three dimensions the early success <strong>of</strong> Eugene Bell in growing flat sheets <strong>of</strong><br />
tissue from skin cells. From this emerged the concept <strong>of</strong> using a porous, resorbable, three-dimensional<br />
polymer scaffold <strong>as</strong> a template for cell growth, and the 1988 paper the Journal <strong>of</strong> Pediatric Surgery<br />
reporting its experimental application. This technique w<strong>as</strong> to be enormously influential in shaping the<br />
work <strong>of</strong> other investigators who entered the field – indeed, it could be said that it provided the intellectual<br />
104<br />
105<br />
106<br />
107<br />
Chick WL, Like AA, Lauris V et al., “A Hybrid Artificial Pancre<strong>as</strong>”, Trans Am Soc Artif Intern Organs<br />
1975;21:8-15.<br />
Langer RS, Enzymatic Regeneration <strong>of</strong> ATP, <strong>The</strong>sis (ScD), M<strong>as</strong>sachusetts Institute <strong>of</strong> Technology Department<br />
<strong>of</strong> Chemical <strong>Engineering</strong>, 1974.<br />
Langer R, Folkman J, “Polymers for the Sustained Rele<strong>as</strong>e <strong>of</strong> Proteins and Other Macromolecules”, Nature<br />
1976 Oct 28;263(5580):797-800.<br />
Langer R, Conn H, Vacanti J et al., “Control <strong>of</strong> Tumor Growth in Animals by Infusion <strong>of</strong> an Angiogenesis<br />
Inhibitor”, Proc Natl Acad Sci USA 1980 Jul;77(7):4331-5.<br />
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“scaffolding” for the work <strong>of</strong> an entire cadre <strong>of</strong> investigators who shared the long-term vision <strong>of</strong> creating<br />
“replacement” solid organs for therapeutic purposes.<br />
Although Langer himself is not primarily a tissue engineer, TE projects have remained an active line <strong>of</strong><br />
research in his laboratory. He h<strong>as</strong> mentored an extraordinary number <strong>of</strong> doctoral and postdoctoral<br />
trainees, some <strong>of</strong> whom focused their work specifically on tissue engineering applications. Many have<br />
gone on to establish independent academic careers in which tissue engineering research h<strong>as</strong> played an<br />
important part.<br />
Most lead authors in <strong>Tissue</strong> <strong>Engineering</strong> have worked at le<strong>as</strong>t once with Langer and Jay Vacanti <strong>as</strong> shown<br />
in Table F.1 in Appendix 5. Papers by Langer and Vacanti list over 250 coauthors. Several leading<br />
authors appear to have started <strong>as</strong> students <strong>of</strong> Langer or Vacanti, and several more appear only <strong>as</strong> their coauthors.<br />
Important alumni <strong>of</strong> the Langer laboratory who are active in tissue engineering include former<br />
graduate students:<br />
• Elazer Edelman (PhD, 1984), currently Pr<strong>of</strong>essor <strong>of</strong> Health Sciences and Technology at MIT and<br />
director <strong>of</strong> the Harvard-MIT Biomedical <strong>Engineering</strong> Center)<br />
• Cato Laurencin (PhD, 1987), currently Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at Drexel University)<br />
• W. Mark Saltzman (PhD, 1987), currently Goizueta Foundation Pr<strong>of</strong>essor <strong>of</strong> Chemical and<br />
Biomedical <strong>Engineering</strong> at Yale University)<br />
• Lisa Freed (PhD, 1988), currently Principal Research Scientist in Langer’s laboratory)<br />
• David Mooney (PhD, 1992), currently Pr<strong>of</strong>essor <strong>of</strong> Dentistry at the University <strong>of</strong> Michigan)<br />
• Michael Y<strong>as</strong>zemski (PhD, 1995), currently Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering at Mayo<br />
Medical School)<br />
• Jennifer Elisseeff (PhD, 1999), currently Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at Johns<br />
Hopkins University)<br />
• Guillermo Ameer (ScD, 1999), currently Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at<br />
Northwestern University<br />
Former Langer postdoctoral or research fellows include:<br />
• Kam W. Leong (currently Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at Johns Hopkins University)<br />
• Linda Griffith (currently Associate Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at MIT)<br />
• Peter Ma (currently Associate Pr<strong>of</strong>essor <strong>of</strong> Biologic and Materials Sciences at the University <strong>of</strong><br />
Michigan School <strong>of</strong> Dentistry)<br />
• Antonios Mikos (currently Pr<strong>of</strong>essor in Bioengineering and Chemical <strong>Engineering</strong> at Rice<br />
University)<br />
• Laura Nikl<strong>as</strong>on (currently Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at Duke University)<br />
• Kristi Anseth (currently Associate Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at the University <strong>of</strong><br />
Colorado)<br />
• Christine Schmidt (currently Associate Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at the University <strong>of</strong><br />
Tex<strong>as</strong> at Austin)<br />
• Gordana Vunjak-Novakovic (currently Principal Research Scientist in Langer’s laboratory and<br />
Adjunct Pr<strong>of</strong>essor <strong>of</strong> Chemical and Biological <strong>Engineering</strong> at Tufts University).<br />
• Michael Pishko (currently Associate Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at Penn State University)<br />
• Venkatram Pr<strong>as</strong>ad Sh<strong>as</strong>tri (currently Research Assistant Pr<strong>of</strong>essor at the University <strong>of</strong><br />
Pennsylvania School <strong>of</strong> Medicine)<br />
• David Lynn (currently Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at the University <strong>of</strong><br />
Wisconsin, Madison)<br />
Jay Vacanti continues an active research program in his <strong>Tissue</strong> <strong>Engineering</strong> and Organ Fabrication<br />
Laboratory at the M<strong>as</strong>sachusetts General Hospital. Together with junior colleagues including brother<br />
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Charles Vacanti and Anthony Atala, he h<strong>as</strong> helped define a branch <strong>of</strong> tissue engineering that h<strong>as</strong> earned<br />
substantial public visibility with a fairly aggressive approach to early demonstration <strong>of</strong> potential new<br />
clinical applications. He h<strong>as</strong> also played an important role in developing the infr<strong>as</strong>tructure <strong>of</strong> the field<br />
through his active involvement in the creation and early leadership <strong>of</strong> the journal <strong>Tissue</strong> <strong>Engineering</strong> and<br />
the <strong>Tissue</strong> <strong>Engineering</strong> Society.<br />
Another prolific source <strong>of</strong> researchers who have gone on to be active in tissue engineering is the<br />
laboratory <strong>of</strong> Dougl<strong>as</strong> Lauffenburger, Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> and Director <strong>of</strong> the<br />
Biotechnology Process <strong>Engineering</strong> Center, an NSF-funded <strong>Engineering</strong> Research Center at MIT, and<br />
formerly a faculty member at the University <strong>of</strong> Pennsylvania and the University <strong>of</strong> Illinois. As with<br />
Langer, Lauffenburger’s own research h<strong>as</strong> been centered away from the core <strong>of</strong> tissue engineering,<br />
focusing primarily at the molecular level on quantitative physicochemical principles governing ligandand<br />
architecture-controlled cell behavior.<br />
Graduates from Lauffenburger’s tenure at the University <strong>of</strong> Pennsylvania who are active in tissue<br />
engineering include:<br />
• Robert Tranquillo (PhD in Chemical <strong>Engineering</strong>, 1986), currently Distinguished McKnight<br />
University Pr<strong>of</strong>essor <strong>of</strong> Bioengineering at the University <strong>of</strong> Minnesota<br />
• Helen Buettner (PhD in Chemical <strong>Engineering</strong>, 1987), currently Associate Pr<strong>of</strong>essor <strong>of</strong><br />
Biomedical <strong>Engineering</strong> at Rutgers University<br />
• Paul DiMilla (PhD in Chemical <strong>Engineering</strong>, 1991), who served <strong>as</strong> a postdoctoral fellow in the<br />
laboratory <strong>of</strong> George Whitesides at Harvard, w<strong>as</strong> Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at<br />
Carnegie Mellon University and most recently served on the staff <strong>of</strong> Organogenesis, Inc.<br />
From Lauffenburger’s tenure at the University <strong>of</strong> Illinois:<br />
• Christine Schmidt (PhD in Chemical <strong>Engineering</strong>, 1995) completed a postdoctoral fellowship<br />
with Robert Langer and is now Associate Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at the University<br />
<strong>of</strong> Tex<strong>as</strong> at Austin.<br />
From Lauffenburger’s tenure at MIT:<br />
• Sean Palecek (PhD in Chemical <strong>Engineering</strong>, 1998) is now Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical<br />
<strong>Engineering</strong> at the University <strong>of</strong> Wisconsin, Madison<br />
• David Schaffer (PhD in Chemical <strong>Engineering</strong>, 1998) is now Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical<br />
<strong>Engineering</strong> at the University <strong>of</strong> California, Berkeley<br />
• Anand Asthagiri (PhD in Chemical <strong>Engineering</strong>, 2000) is now Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical<br />
<strong>Engineering</strong> at the California Institute <strong>of</strong> Technology<br />
Former Lauffenburger postdoctoral fellows include:<br />
• Peter Zandstra, now Assistant Pr<strong>of</strong>essor in the Department <strong>of</strong> Chemical <strong>Engineering</strong> and Applied<br />
Chemistry at the University <strong>of</strong> Toronto<br />
• Fred Allen, now Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at Drexel University<br />
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Another important laboratory active in tissue engineering, with links to both Harvard and MIT, is the<br />
Center for <strong>Engineering</strong> in Medicine / Laboratory <strong>of</strong> Surgical Science and <strong>Engineering</strong> at the<br />
M<strong>as</strong>sachusetts General Hospital, led by Ronald G. Tompkins, who also serves <strong>as</strong> Chief <strong>of</strong> Staff and<br />
Director <strong>of</strong> Research at the Shriners Burns Hospital in Boston. Dr. Tompkins earned his MD at Tulane<br />
University in 1976, and his ScD in chemical engineering at MIT in 1983, under the supervision <strong>of</strong> Clark<br />
Colton and Kenneth A. Smith. Another long-serving senior member <strong>of</strong> the lab and Colton postdoctoral<br />
alumnus, Martin Yarmush, MD, PhD, h<strong>as</strong> recently <strong>as</strong>sumed the leadership <strong>of</strong> the Department <strong>of</strong><br />
Biomedical <strong>Engineering</strong> at Rutgers University. A third lab member, Mehmet Toner, earned his PhD in<br />
1989 from the Medical <strong>Engineering</strong> and Medical Physics Program in the Harvard-MIT Division <strong>of</strong> Health<br />
Sciences and Technology, under the supervision <strong>of</strong> Ernest Cravalho. Tompkins, Toner, Yarmush and<br />
other colleagues have been collaborating on fundamental research intended to lay the foundations for<br />
rational design <strong>of</strong> a bioartificial liver. Yarmush/Tompkins postdoctoral fellow Howard Matthew h<strong>as</strong><br />
established a research group at Wayne State University focusing on biomaterials for tissue engineering.<br />
Toner alumna Sangeeta Bhatia (PhD in the HST Program, 1997) is now Associate Pr<strong>of</strong>essor <strong>of</strong><br />
Bioengineering and head <strong>of</strong> the Microscale <strong>Tissue</strong> <strong>Engineering</strong> Laboratory at the University <strong>of</strong> California,<br />
San Diego, and Toner/Cravalho alumnus Jens Karlsson (PhD in Mechanical <strong>Engineering</strong>, 1994) is now<br />
Associate Pr<strong>of</strong>essor <strong>of</strong> Mechanical <strong>Engineering</strong> at Georgia Institute <strong>of</strong> Technology and a member <strong>of</strong> the<br />
Georgia Tech/Emory Center for the <strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s.<br />
Alan Grodzinsky, who earned his ScD in electrical engineering at MIT in 1974, under the supervision <strong>of</strong><br />
James Melcher, with a thesis on membrane electromechanics, is now Pr<strong>of</strong>essor <strong>of</strong> Electrical, Mechanical,<br />
Bioengineering and Biological <strong>Engineering</strong> and Director <strong>of</strong> the Center for Biomedical <strong>Engineering</strong> at<br />
MIT. Grodzinsky leads a wide-ranging research program on the mechanical, chemical and electrical<br />
properties <strong>of</strong> connective tissue, including studies on cartilage tissue engineering. Grodzinsky lab alumnus<br />
Robert Sah (ScD in the HST Medical <strong>Engineering</strong> and Medical Physics Program, 1990) is now Associate<br />
Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and leads the Cartilage <strong>Tissue</strong> <strong>Engineering</strong> Laboratory at the University <strong>of</strong><br />
California, San Diego.<br />
Donald Ingber, another physician-researcher who served <strong>as</strong> a postdoctoral fellow in Judah Folkman’s<br />
laboratory during the mid-1980’s, now maintains his own laboratory <strong>as</strong> a Pr<strong>of</strong>essor <strong>of</strong> Pathology at<br />
Harvard Medical School and Children’s Hospital. Ingber’s work h<strong>as</strong> been distinctive for its focus on<br />
mathematical and mechanical engineering approaches to molecular and cellular structures. Collaborators<br />
in recent years have included George Whitesides <strong>of</strong> the chemistry department at Harvard, and Whitesides’<br />
postdoctoral fellow from 1994-96, Milan Mrksich, who is now <strong>as</strong>sociate pr<strong>of</strong>essor in the chemistry<br />
department at the University <strong>of</strong> Chicago.<br />
Other Boston-area alumni prominent in tissue engineering through their own work and/or through those<br />
they have trained include:<br />
• Nichol<strong>as</strong> Pepp<strong>as</strong> completed his ScD in Chemical <strong>Engineering</strong> at MIT in 1974, under the<br />
supervision <strong>of</strong> Edward Merrill, and did postdoctoral work at the MIT Arterisclerosis Center under<br />
HST faculty member Robert Lees. Pepp<strong>as</strong> h<strong>as</strong> been on the faculty at Purdue University since<br />
1976 and is presently the Showalter Distinguished Pr<strong>of</strong>essor in the School <strong>of</strong> Chemical<br />
<strong>Engineering</strong>; he will be moving to the University <strong>of</strong> Tex<strong>as</strong> at Austin in December, 2002.<br />
Pepp<strong>as</strong>’s work h<strong>as</strong> focused primarily on polymers and drug delivery technology. He supervised<br />
Antonios Mikos’s m<strong>as</strong>ter’s and doctoral theses at Purdue.<br />
• Michael Sefton completed an ScD in Chemical <strong>Engineering</strong> at MIT in 1974, under the<br />
supervision <strong>of</strong> Edward Merrill, and is now director <strong>of</strong> the Institute <strong>of</strong> Biomaterials and<br />
Biomedical <strong>Engineering</strong> at the University <strong>of</strong> Toronto<br />
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• Barry Solomon, PhD served <strong>as</strong> a postdoctoral fellow at MIT from 1975-77 and published in<br />
collaboration with Clark Colton, and h<strong>as</strong> pursued research on biohybrid artificial organ systems at<br />
Amicon, WR Grace, and most recently at Circe Biomedical<br />
• Rena Bizios completed her PhD in Chemical <strong>Engineering</strong> at MIT in 1979 under the supervision<br />
<strong>of</strong> Robert Lees. She is presently Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> and leads an active TE<br />
research program at Rensselaer Polytechnic Institute.<br />
• Elliot Chaik<strong>of</strong>, MD, PhD completed a residency in general surgery at M<strong>as</strong>sachusetts General<br />
Hospital and a PhD in Chemical <strong>Engineering</strong> at MIT in 1989, under the supervision <strong>of</strong> Edward<br />
Merrill; he is now Chief <strong>of</strong> the Division <strong>of</strong> V<strong>as</strong>cular Surgery at Emory University and a member<br />
<strong>of</strong> the Georgia Tech / Emory Center for the <strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s<br />
<strong>The</strong>re is no single institutional or programmatic locus for tissue engineering in the Boston area.<br />
“Regenerative biological technologies”, defined <strong>as</strong> encomp<strong>as</strong>sing tissue engineering, micro- and nanoscale<br />
biomedical engineering, and hybrid systems, h<strong>as</strong> become one <strong>of</strong> three major research thrust are<strong>as</strong> <strong>of</strong><br />
the Harvard-MIT Division <strong>of</strong> Health Sciences and Technology (HST). <strong>The</strong> Department <strong>of</strong> Chemical<br />
<strong>Engineering</strong>, the Division <strong>of</strong> Biological <strong>Engineering</strong> and the Center for Biomedical <strong>Engineering</strong> at MIT<br />
are also central to the network <strong>of</strong> tissue engineering researchers at Harvard and MIT, and most <strong>of</strong> the<br />
more prominent researchers have multiple appointments in these and other units while maintaining<br />
numerous collaborations that cross formal departmental or program boundaries.<br />
University <strong>of</strong> California, San Diego<br />
<strong>Tissue</strong> engineering at the University <strong>of</strong> California, San Diego (UCSD) is centered on the Department <strong>of</strong><br />
Bioengineering, the latest incarnation <strong>of</strong> one <strong>of</strong> the oldest bioengineering programs in the United States.<br />
<strong>The</strong> program’s origins can be traced to 1964-65, when Benjamin Zweifach, a physiologist with a lifelong<br />
interest in the study <strong>of</strong> blood microcirculation, took a sabbatical from his pr<strong>of</strong>essorship at New York<br />
University to serve <strong>as</strong> a visiting pr<strong>of</strong>essor at the California Institute <strong>of</strong> Technology. While at Caltech,<br />
Zweifach had the opportunity to share ide<strong>as</strong> with Harold Wayland, a pioneer in the engineering study <strong>of</strong><br />
microcirculation, and his colleagues Y.C. Fung, Pr<strong>of</strong>essor <strong>of</strong> Aeronautics and Applied Mathematics at<br />
Caltech, and research fellow Marcos Intaglietta, who had completed his PhD in Applied Mechanics at<br />
Caltech in 1963. In 1966, Zweifach, Fung and Intaglietta moved to the then-new UCSD to launch a new<br />
bioengineering program in its Department <strong>of</strong> Applied Mechanics and <strong>Engineering</strong> Sciences.<br />
In addition to his pioneering activities in biomechanics and bioengineering, Fung w<strong>as</strong> to play a central<br />
role in the creation <strong>of</strong> the concept <strong>of</strong> tissue engineering <strong>as</strong> we know it today. As noted previously in<br />
Chapter 3, in 1985, Fung submitted a proposal to NSF for an <strong>Engineering</strong> Research Center to be entitled<br />
“Center for the <strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s”. 108 Reflecting its intellectual origins, the proposal<br />
envisioned a program <strong>of</strong> research with a strong biomechanics and engineering flavor. Although this<br />
proposal w<strong>as</strong> not accepted, the UCSD research program continued to develop through support from other<br />
sources, notably the Whitaker Foundation, and the tissue engineering concept stayed alive, to be raised by<br />
Fung at the spring 1987 review panel meeting <strong>of</strong> NSF’s Bioengineering and Research to Aid the<br />
Handicapped Program.<br />
<strong>The</strong> development <strong>of</strong> the UCSD Program w<strong>as</strong> bolstered during this period by the arrival from Columbia<br />
University in 1988 <strong>of</strong> two other pioneering researchers in biomechanics and the study <strong>of</strong> the<br />
microcirculation – Richard Skalak and Shu Chien. As Director <strong>of</strong> Columbia’s Bioengineering Institute,<br />
Skalak had been a participant in the special Panel Meeting on <strong>Tissue</strong> <strong>Engineering</strong> at NSF in October<br />
108<br />
“A Proposal to the National Science Foundation for An <strong>Engineering</strong> Research Center at UCSD, CENTER FOR<br />
THE ENGINEERING OF LIVING TISSUES”, UCSD #865023, courtesy <strong>of</strong> Y.C. Fung, August 23, 2001.<br />
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1987, and helped to coordinate the Granlibakken workshop in February 1988 along with Fung and Fred<br />
Fox <strong>of</strong> the University <strong>of</strong> California, Los Angeles. Additional UCSD researchers represented at the<br />
Granlibakken workshop were John Hansbrough and Savio L.Y. Woo. Hansbrough, a surgeon and leader<br />
in research on burn treatment, had begun to investigate skin substitutes in the mid-1980s and maintained<br />
an active line <strong>of</strong> research in this area until his untimely death in 2001. Although not a member <strong>of</strong> the<br />
bioengineering program proper, Hansbrough held an affiliation with the cross-departmental UCSD<br />
Institute for Biomedical <strong>Engineering</strong> (now the Whitaker Institute <strong>of</strong> Biomedical <strong>Engineering</strong>). 109 Woo, an<br />
engineer who h<strong>as</strong> focused on biomechanics <strong>of</strong> connective tissue, led the Orthopedic Bioengineering<br />
Laboratory at UCSD until his departure in 1990 for the University <strong>of</strong> Pittsburgh.<br />
At present, the Department <strong>of</strong> Bioengineering at UCSD supports a wide range <strong>of</strong> fundamental and applied<br />
research that is relevant to tissue engineering. Core faculty who specifically identify their research <strong>as</strong><br />
focused at le<strong>as</strong>t in part on tissue engineering include:<br />
• Sangeeta Bhatia MD, PhD (PhD in Health Sciences and Technology, MIT, 1997, under Mehmet<br />
Toner) is Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and head <strong>of</strong> the Microscale <strong>Tissue</strong> <strong>Engineering</strong><br />
Laboratory, focusing on hepatic tissue engineering and BioMEMS (biological micro-electromechanical<br />
systems).<br />
• Shu Chien, MD, PhD, formerly <strong>of</strong> Columbia University, is Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and<br />
Medicine, and Director <strong>of</strong> WIBE, leads the V<strong>as</strong>cular Bioengineering Laboratory, investigating<br />
molecular mechanisms by which mechanical forces affect cellular functions such <strong>as</strong> proliferation,<br />
migration and apoptosis.<br />
• Andrew McCullough (PhD in <strong>The</strong>oretical and Applied Mechanics, University <strong>of</strong> Auckland, NZ,<br />
1986) is Pr<strong>of</strong>essor <strong>of</strong> Bioengineering, and leads the Cardiac Mechanics research group. Group<br />
member Jeffrey Omens (PhD in Applied Mechanics and <strong>Engineering</strong> Sciences (Bioengineering),<br />
UCSD, 1988, under Y.C. Fung) is Associate Adjunct Pr<strong>of</strong>essor <strong>of</strong> Medicine and Bioengineering.<br />
• Bernhard Palsson, PhD, Pr<strong>of</strong>essor <strong>of</strong> Bioengineering, joined the department in 1995 from a prior<br />
faculty position at the University <strong>of</strong> Michigan, and leads the Genetic Circuits research group; his<br />
TE-related work focuses on tissue engineering <strong>of</strong> bone marrow.<br />
• Robert Sah, MD, ScD (Medical <strong>Engineering</strong> and Medical Physics in the HST Program at MIT<br />
under Alan Grodzinsky, 1990) is Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and leads the Cartilage<br />
<strong>Tissue</strong> <strong>Engineering</strong> laboratory.<br />
• John A. Frangos (PhD in Chemical <strong>Engineering</strong> (Bioengineering) at Rice University under Larry<br />
McIntire, 1987) w<strong>as</strong> an active member <strong>of</strong> the department core faculty from 1994-2002; he is<br />
currently Adjunct Pr<strong>of</strong>essor, and continues to lead research on bone and v<strong>as</strong>cular tissue<br />
engineering <strong>as</strong> president <strong>of</strong> the new La Jolla Bioengineering Institute.<br />
109<br />
<strong>The</strong> UCSD Institute for Biomedical <strong>Engineering</strong>, which w<strong>as</strong> renamed the Whitaker Institute for Biomedical<br />
<strong>Engineering</strong> (WIBE) in 1999 in recognition <strong>of</strong> support from the Whitaker Foundation, is a cross-departmental<br />
unit that promotes and coordinates interdisciplinary research at the interfaces <strong>of</strong> engineering, biology and<br />
medicine. <strong>The</strong> Institute includes among its membership faculty from the Department <strong>of</strong> Bioengineering <strong>as</strong> well<br />
<strong>as</strong> other departments from the schools <strong>of</strong> engineering, medicine and natural science and other affiliated<br />
organizations. WIBE, directed by Shu Chien, h<strong>as</strong> identified “tissue engineering research” <strong>as</strong> one <strong>of</strong> its major<br />
research thrusts.<br />
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Rice University<br />
At Rice University, faculty active in tissue engineering are b<strong>as</strong>ed in the Institute <strong>of</strong> Biosciences and<br />
Bioengineering (IBB) and the Department <strong>of</strong> Bioengineering, both chaired by Larry McIntire. <strong>The</strong> IBB<br />
w<strong>as</strong> founded in 1986, and serves <strong>as</strong> a coordinating mechanism for cross-disciplinary research in<br />
biological, chemical and engineering disciplines involving researchers at Rice and at Tex<strong>as</strong> Medical<br />
Center, the Johnson Space Center, industry, and other collaborators. Early efforts to organize a research<br />
focus in tissue engineering at Rice were bolstered by a special opportunity award from the Whitaker<br />
Foundation to IBB in 1994, and a large development grant from the Whitaker Foundation in 1996 made<br />
possible the creation <strong>of</strong> the Department <strong>of</strong> Bioengineering.<br />
McIntire completed his PhD at Princeton University in 1970, with a thesis in the area <strong>of</strong> fluid dynamics.<br />
In connection with artificial heart-related research in Houston during the 1970s, he became involved in<br />
studies <strong>of</strong> the effects <strong>of</strong> hemodynamics on blood coagulation, later extending that work to effects on<br />
endothelial cells and blood vessels. Within this still-ongoing line <strong>of</strong> work, he h<strong>as</strong> supervised the PhD<br />
research <strong>of</strong> the following individuals who have established independent careers in tissue engineering,<br />
including:<br />
• Jeffrey Hubbell (PhD in Chemical <strong>Engineering</strong>, 1986), now Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong><br />
and director <strong>of</strong> the Institute for Biomedical <strong>Engineering</strong> at the Eidgenössische Technische<br />
Hochschule (ETH) in Zürich<br />
• John A. Frangos (PhD in Chemical <strong>Engineering</strong>, 1987)<br />
• Timothy M. Wick (PhD in Chemical <strong>Engineering</strong>, 1988), currently Associate Pr<strong>of</strong>essor <strong>of</strong><br />
Chemical <strong>Engineering</strong> at Georgia Tech, and a member <strong>of</strong> the Georgia Tech/Emory Center for the<br />
<strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s<br />
• B. Rita Alevriadou (PhD in Chemical <strong>Engineering</strong>, 1992), currently Assistant Pr<strong>of</strong>essor <strong>of</strong><br />
Biomedical <strong>Engineering</strong> at Johns Hopkins University<br />
• Charles W. Patrick, Jr. (PhD in Chemical <strong>Engineering</strong>, 1994), now Assistant Pr<strong>of</strong>essor and<br />
Director <strong>of</strong> Research, Department <strong>of</strong> Pl<strong>as</strong>tic Surgery, MD Anderson Cancer Center, and Adjunct<br />
Assistant Pr<strong>of</strong>essor in the Department <strong>of</strong> Bioengineering at Rice University<br />
• Julia M. Ross (PhD in Chemical <strong>Engineering</strong>, 1995), now Associate Pr<strong>of</strong>essor <strong>of</strong> Chemical and<br />
Biomedical <strong>Engineering</strong> at the University <strong>of</strong> Maryland, Baltimore County<br />
Another cornerstone <strong>of</strong> the tissue engineering program at Rice h<strong>as</strong> been Antonios Mikos, who earned his<br />
PhD in chemical engineering under Nichol<strong>as</strong> Pepp<strong>as</strong> at Purdue, then completed a postdoctoral fellowship<br />
with Robert Langer at MIT. Mikos joined the faculty at Rice in 1992 and is now John W. Cox Pr<strong>of</strong>essor<br />
<strong>of</strong> Bioengineering and Chemical <strong>Engineering</strong>. Mikos leads a broad research program known especially<br />
for contributions to bone tissue engineering and to the further development <strong>of</strong> polymer and scaffolding<br />
technology for TE applications. In 1993 he created the continuing education course “Advances in <strong>Tissue</strong><br />
<strong>Engineering</strong>” that continues to be <strong>of</strong>fered annually at Rice. Mikos lab alumni active in tissue engineering<br />
include:<br />
• Susan Ishaug-Riley (PhD in Chemical <strong>Engineering</strong>, 1996), who joined the staff <strong>of</strong> Advanced<br />
<strong>Tissue</strong> Sciences<br />
• Susan Peter (PhD in Chemical <strong>Engineering</strong>, 1998), who joined the staff <strong>of</strong> Osiris <strong>The</strong>rapeutics<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 46
• V<strong>as</strong>ilios Sikavits<strong>as</strong> (postdoctoral fellow) who is now Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical<br />
<strong>Engineering</strong> and Materials Science at the University <strong>of</strong> Oklahoma<br />
• Aaron Goldstein (postdoctoral fellow) who is Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at<br />
Virginia Polytechnic Institute and State University<br />
• Julia Babensee (postdoctoral fellow) who is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at<br />
Georgia Institute <strong>of</strong> Technology, and is active in the Georgia Tech/Emory Center for the<br />
<strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s<br />
Other Rice core faculty in TE include:<br />
• Kyriacos Athan<strong>as</strong>iou (PhD under Van Mow, Columbia University, 1989), leads the<br />
Musculoskeletal Bioengineering Laboratory.<br />
• Kyriacos Zygourakis, PhD, Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and Chair <strong>of</strong> the Chemical <strong>Engineering</strong><br />
Department, maintains a research track in TE <strong>as</strong> part <strong>of</strong> a diverse research program in<br />
bioengineering and chemical engineering.<br />
• Jennifer West (PhD thesis under Jeffrey Hubbell during his tenure at the University <strong>of</strong> Tex<strong>as</strong> at<br />
Austin, 1996) is Associate Pr<strong>of</strong>essor in the Department <strong>of</strong> Bioengineering.<br />
Other Rice alumni active in TE include:<br />
• Konstantinos Konstantopoulos (PhD in Chemical <strong>Engineering</strong> under J. David Hellums, 1995),<br />
now Assistant Pr<strong>of</strong>essor <strong>of</strong> Chemical <strong>Engineering</strong> at Johns Hopkins University<br />
• Brenda K. Mann, (PhD in Chemical <strong>Engineering</strong>, under Jacqueline V. Shanks, 1997), now<br />
Assistant Pr<strong>of</strong>essor in the Keck Graduate Institute <strong>of</strong> Applied Life Science, Claremont, CA<br />
Georgia Institute <strong>of</strong> Technology / Emory University<br />
<strong>The</strong> Georgia Tech/Emory Center for the <strong>Engineering</strong> <strong>of</strong> Living <strong>Tissue</strong>s (GTEC) is a National Science<br />
Foundation-sponsored <strong>Engineering</strong> Research Center established in 1998 within the context <strong>of</strong> an evolving<br />
institutional framework for research and education in biomedical engineering linking the Georgia Institute<br />
<strong>of</strong> Technology with the Emory University School <strong>of</strong> Medicine. A key milestone in the development <strong>of</strong><br />
bioengineering at Georgia Tech w<strong>as</strong> the 1993 receipt <strong>of</strong> a Whitaker Foundation Biomedical <strong>Engineering</strong><br />
Development Award, which provided funds for faculty and institutional development and the creation <strong>of</strong><br />
a new PhD program. Today, the major institutional elements in which bioengineering is centered are the<br />
Parker H. Pettit Institute for Bioengineering and Bioscience (IBB) at Georgia Tech and the joint Georgia<br />
Tech/Emory Wallace H. Coulter Department <strong>of</strong> Biomedical <strong>Engineering</strong>.<br />
Both GTEC and IBB are led by Robert Nerem, who joined the Georgia Tech faculty in 1987. Nerem<br />
received his PhD from Ohio State University in 1964, and served on the faculty <strong>of</strong> the Department <strong>of</strong><br />
Aeronautical and Astronautical <strong>Engineering</strong> at Ohio State and the Department <strong>of</strong> Mechanical <strong>Engineering</strong><br />
at the University <strong>of</strong> Houston before coming to Georgia Tech. He h<strong>as</strong> been active in bioengineering<br />
research for more than thirty years, starting with work on cardiov<strong>as</strong>cular fluid dynamics and expanding<br />
into the study <strong>of</strong> the effects <strong>of</strong> physical forces on anchorage-dependent mammalian cells, especially <strong>as</strong><br />
found in blood vessels. Nerem w<strong>as</strong> represented at the 1988 Granlibakken workshop with a paper on the<br />
implications for the development <strong>of</strong> endothelialized synthetic v<strong>as</strong>cular grafts <strong>of</strong> cell responses to shear<br />
stress.<br />
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This paper is among the top 10% papers<br />
most cited in the TE review articles.<br />
Ziegler T<br />
Nerem RM<br />
Sambanis A<br />
Nerem RM, 1991, Ann Biomed Eng p529<br />
Ziegler T, 1994, J Cell Biochem p204<br />
Ziegler T, 1995, Ann Biomed Eng p216<br />
Nerem RM, 1995, <strong>Tissue</strong> <strong>Engineering</strong> p3<br />
Tziampazis E, 1995, Biotechnol Progr p115<br />
Nerem RM, 2000, Yonsei Medical Journal p735<br />
Georgia Institute <strong>of</strong> Technology<br />
Legend<br />
*<br />
Paper Author<br />
Patent Inventor<br />
Lead Author<br />
Lead Inventor<br />
Paper or patent<br />
acknowledging<br />
NSF support<br />
Other author(s)<br />
appearing on one<br />
paper only<br />
Lead author<br />
institutions<br />
1991<br />
1994<br />
1995<br />
2000<br />
Figure 5.1: Nerem h<strong>as</strong> been active in bioengineering for more than 25 years. He h<strong>as</strong> conducted<br />
fundamental research on problems in cardiov<strong>as</strong>cular fluid dynamics. This Figure shows his work<br />
on the influence <strong>of</strong> physical forces on anchorage-dependent mammalian cells, with much <strong>of</strong> this<br />
work focusing on the cells which make up a blood vessel, and some work on modeling the<br />
pancre<strong>as</strong>. (From CHI Report Appendix 5)<br />
<strong>The</strong> Georgia Tech/Emory tissue engineering program w<strong>as</strong> initiated in 1994 and expanded with the support<br />
<strong>of</strong> the NSF ERC award beginning in 1998. GTEC lists 29 faculty participants, whose primary faculty<br />
appointments are concentrated in the joint Biomedical <strong>Engineering</strong> department, the Mechanical<br />
<strong>Engineering</strong> department at Georgia Tech, and the Surgery and Orthopedic Surgery departments at Emory.<br />
Georgia Tech/Emory alumni active in tissue engineering include:<br />
• Kacey Marra, now Assistant Pr<strong>of</strong>essor <strong>of</strong> Surgery at the University <strong>of</strong> Pittsburgh, and Janine<br />
Orban, now a research scientist at the DePuy Orthobiologics division <strong>of</strong> Johnson & Johnson,<br />
former postdoctoral fellows <strong>of</strong> Elliot Chaik<strong>of</strong><br />
• Naomi Chesler, currently Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at the University <strong>of</strong><br />
Wisconsin, Madison, who carried out postdoctoral research with David Ku and Zorina Galis<br />
Columbia University<br />
Bioengineering studies have been ongoing at Columbia University since 1962, notably in the are<strong>as</strong> <strong>of</strong><br />
cardiac and orthopedic biomechanics, although a formal department <strong>of</strong> biomedical engineering w<strong>as</strong> not<br />
created until 2000. Three <strong>of</strong> the leaders in the development <strong>of</strong> bioengineering at Columbia have played<br />
prominent roles in the emergence <strong>of</strong> tissue engineering.<br />
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Richard Skalak received his PhD in civil engineering and engineering mechanics from Columbia in 1954,<br />
and joined the faculty in that department upon completing his doctorate. His early research w<strong>as</strong> focused<br />
on fluid mechanics, but by the mid-1960s he began to combine engineering mechanics and biomedical<br />
sciences in a series <strong>of</strong> pioneering investigations, notably in the area <strong>of</strong> blood rheology. As noted<br />
previously, Skalak w<strong>as</strong> a participant in the special Panel Meeting on <strong>Tissue</strong> <strong>Engineering</strong> at NSF in<br />
October 1987, and helped to coordinate the 1988 Granlibakken workshop. Skalak served <strong>as</strong> director <strong>of</strong><br />
Columbia’s Bioengineering Institute, a forerunner <strong>of</strong> today’s academic department, until his departure for<br />
the University <strong>of</strong> California at San Diego in 1988. He died in 1997.<br />
Following completion <strong>of</strong> his medical training in Taiwan, Shu Chien came to the United States to study<br />
physiology at Columbia, receiving his PhD in 1957 with a thesis on the role <strong>of</strong> the sympathetic nervous<br />
system in compensatory mechanisms to hemorrhage. Chien continued this line <strong>of</strong> research <strong>as</strong> a faculty<br />
member at Columbia, and by the mid-1960s w<strong>as</strong> focusing on blood rheology. Starting in the late 1960s<br />
he conducted important work in this area in collaboration with Richard Skalak. Shu Chien moved to<br />
UCSD in 1988 <strong>as</strong> well, where he h<strong>as</strong> continued his research on blood rheology at the molecular and<br />
cellular level, and h<strong>as</strong> served <strong>as</strong> director <strong>of</strong> WIBE and chair <strong>of</strong> the Department <strong>of</strong> Bioengineering.<br />
Van C. Mow earned his doctorate in applied mechanics at Rensselaer Polytechnic Institute in 1966. As a<br />
faculty member at RPI in the early 1970s, he began to focus on orthopedic biomechanics. He joined the<br />
Department <strong>of</strong> Orthopedic Surgery at the Columbia University College <strong>of</strong> Physicians and Surgeons and<br />
the Department <strong>of</strong> Mechanical <strong>Engineering</strong> in the School <strong>of</strong> <strong>Engineering</strong> and Applied Sciences at<br />
Columbia in 1986, and currently serves <strong>as</strong> director <strong>of</strong> the Orthopedic Research Laboratory and chairman<br />
<strong>of</strong> the new Department <strong>of</strong> Biomedical <strong>Engineering</strong>. Mow participated in the Granlibakken workshop in<br />
1988. Former Mow doctoral students active in tissue engineering include:<br />
• Kyriacos Athan<strong>as</strong>iou (PhD, 1989), now Pr<strong>of</strong>essor <strong>of</strong> Bioengineering at Rice University<br />
• Gerard Ateshian (PhD, 1991), currently Pr<strong>of</strong>essor <strong>of</strong> Mechanical <strong>Engineering</strong> and Bioengineering<br />
at Columbia<br />
• Louis Soslowsky (PhD, 1991), currently Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering at the University<br />
<strong>of</strong> Pennsylvania<br />
• Farshid Guilak (PhD, 1992), now Assistant Pr<strong>of</strong>essor <strong>of</strong> Orthopedic Surgery at Duke University<br />
University <strong>of</strong> Pennsylvania<br />
<strong>The</strong> University <strong>of</strong> Pennsylvania h<strong>as</strong> <strong>of</strong>fered graduate degrees in bioengineering since 1961, and its<br />
Department <strong>of</strong> Bioengineering, established in 1973, w<strong>as</strong> one <strong>of</strong> the earliest in the field. Penn currently<br />
<strong>of</strong>fers a PhD program track in Cell and <strong>Tissue</strong> <strong>Engineering</strong>. More generally, however, <strong>as</strong> one <strong>of</strong> the most<br />
productive bioengineering departments, with long-standing research activities in many <strong>as</strong>pects <strong>of</strong> the<br />
application <strong>of</strong> mechanics to biomedical problems, the bioengineering department at Penn h<strong>as</strong> trained a<br />
number <strong>of</strong> researchers currently active in tissue engineering.<br />
Current Penn bioengineering faculty active in tissue engineering include:<br />
• Paul Ducheyne (PhD in Materials Science, Katholieke Universiteit Leuven), Pr<strong>of</strong>essor <strong>of</strong><br />
Bioengineering<br />
• Keith Gooch (PhD in Chemical <strong>Engineering</strong>, Penn State, 1995, under John A. Frangos), Assistant<br />
Pr<strong>of</strong>essor <strong>of</strong> Bioengineering<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 49
• Steven Nicoll (PhD in Bioengineering, University <strong>of</strong> California, Berkeley and San Francisco,<br />
2000), Assistant Pr<strong>of</strong>essor <strong>of</strong> Bioengineering<br />
• Solomon Pollack (PhD in Physics, University <strong>of</strong> Pennsylvania, 1961), Pr<strong>of</strong>essor <strong>of</strong><br />
Bioengineering<br />
• Louis Soslowsky (PhD in <strong>Engineering</strong> Mechanics, Columbia, 1991, under Van C. Mow),<br />
Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering<br />
Penn bioengineering alumni active in the field include:<br />
• Fred Allen (PhD, 1996, under Solomon Pollack) is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical<br />
<strong>Engineering</strong> at Drexel University<br />
• Kristen Billiar (PhD, 1998, under Michael Sacks) worked at Organogenesis after completing her<br />
doctorate, and is now Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong> at Worcester Polytechnic<br />
Institute<br />
• Andres Garcia (PhD, 1996, under David Boettiger and Paul Ducheyne) is Assistant Pr<strong>of</strong>essor <strong>of</strong><br />
Mechanical <strong>Engineering</strong> at Georgia Tech and a participant in GTEC<br />
• Kevin Healy (PhD, 1990, under Paul Ducheyne) is Associate Pr<strong>of</strong>essor <strong>of</strong> Bioengineering and<br />
Materials Science and <strong>Engineering</strong> at the University <strong>of</strong> California, Berkeley<br />
• Clark Hung (PhD, 1995, under Solomon Pollack) is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical<br />
<strong>Engineering</strong> at Columbia University<br />
• David Kohn (PhD, 1989, under Paul Ducheyne) is Associate Pr<strong>of</strong>essor <strong>of</strong> Biologic and Materials<br />
Sciences at the University <strong>of</strong> Michigan School <strong>of</strong> Dentistry<br />
• Michelle LaPlaca (PhD, 1996, under Lawrence Thibault) is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical<br />
<strong>Engineering</strong> at Georgia Tech, and a member <strong>of</strong> GTEC<br />
• Helen Lu (PhD, 1998, under Solomon Pollack) is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical <strong>Engineering</strong><br />
at Columbia University<br />
• David Shreiber (PhD, 1998, under David Meaney) is Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical<br />
<strong>Engineering</strong> at Rutgers University<br />
Chemical <strong>Engineering</strong> graduates from Dougl<strong>as</strong> Lauffenburger’s tenure at the University <strong>of</strong> Pennsylvania<br />
have been noted previously.<br />
5.3 Collaborations Among <strong>Tissue</strong> Engineers<br />
We examined patterns <strong>of</strong> co-authorship for several prominent authors in tissue engineering in order to<br />
understand the nature <strong>of</strong> collaboration occurring in the field. Through an analysis <strong>of</strong> primary and<br />
secondary authors on a selection <strong>of</strong> tissue engineering papers, CHI Research found several core<br />
collaborations which appear to have produced fruitful results. Appendix 5 summarizes CHI’s conclusions<br />
about co-authorship patterns. <strong>The</strong> analysis revealed the interweaving <strong>of</strong> public and private knowledge<br />
and the public and private sectors in the development <strong>of</strong> tissue engineering research. Figure 5.3 is<br />
included <strong>as</strong> an illustration (with Figure 5.2 <strong>as</strong> legend). <strong>The</strong> Figure shows that Jay Vacanti and Langer are<br />
prominent not only because <strong>of</strong> their highly cited Science paper referred to above; nor because they have<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 50
double or triple the number <strong>of</strong> papers compared to any other lead author; but also because <strong>of</strong> the highly<br />
collaborative nature <strong>of</strong> their work. Nine <strong>of</strong> the other lead authors shown in this Figure co-authored papers<br />
with Vacanti and/or Langer. Many <strong>of</strong> these might be PhD students who became established in their own<br />
right, including Mooney, Atala, Mikos and Ma.<br />
Authors A & B collaborated with Vacanti<br />
and/or Langer in 1993, 1994 and - for author<br />
A only - 1995 & 1996<br />
Authors A & B collaborated<br />
with Vacanti and/or Langer in<br />
1994 on the same paper.<br />
Author<br />
1st year<br />
Papers<br />
Pre-1990<br />
1990<br />
1991<br />
1992<br />
1993<br />
1994<br />
1995<br />
1996<br />
1997<br />
1998<br />
1999<br />
2000<br />
2001<br />
A 19XX T N = Number <strong>of</strong> N N N N N N N/M N N<br />
papers author<br />
B 19XX T<br />
published each year<br />
that are in the set. N N N N N N N N N<br />
C 19XX T N N N N N N N N N<br />
D 19XX T N N N N<br />
Authors B & C work<br />
together on all or almost all<br />
<strong>of</strong> their papers (i.e.<br />
equivalent to dots and bars<br />
connecting the authors in<br />
every year.)<br />
Total number <strong>of</strong> papers<br />
Year <strong>of</strong> author's first paper in the set.<br />
Authors C & D collaborated<br />
in 1994 & 1997.<br />
M = number <strong>of</strong> papers<br />
acknowledging NSF support.<br />
Figure 5.2: Legend for Overview <strong>of</strong> Lead Author Coauthorship (to explain Figure 5.3)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 51
1st year<br />
Papers<br />
Pre-1990<br />
1990<br />
1991<br />
Author<br />
Vacanti JP 1988 92 2 1 3 4 13/2 12/3 7/2 8/3 7/3 2 14 15 4<br />
Langer R 1985 76 2 3 7 1 11/3 11/3 8/3 6/3 8/3 6/2 9 2 2<br />
Vacanti CA 1991 31 2 3 10/1 2 3 2 1 1 2 5<br />
Mooney DJ 1990 53 1 1 2 2 5/2 4/2 5/3 4/1 7/5 10/2 10/2 2<br />
Ingber DE 1987 17 5 1 2 1 4 1 1 1 1<br />
Atala A 1992 28 2 4 2 2 1 5 4 7 1<br />
Yoo JJ 1997 10 1 2 3 3 1<br />
Mikos AG 1993 25 5/1 3/3 1 2 2 4 4 3 1<br />
Freed LE 1993 20 2 4 1 2 4 5 1 1<br />
Vunjaknovakovic G 1993 18 1 3 1 2 4 5 1 1<br />
Ma PX 1995 15 2 2 3 1 3 1 3<br />
Grande DA 1987 12 2 2 1 1 1 3 1 1<br />
Caplan AI 1989 27 2 2 4 4 3 2 4 4 2<br />
Goldberg VM 1989 17 2 2 3 2 1 1 4 3 1<br />
Bruder SP 1990 10 1 1 4 3 1<br />
Yann<strong>as</strong> IV 1967 21 7 2 1 1 2 5 1 1/1 1<br />
Spector M 1997 14 3 3 2 4/1 2<br />
1992<br />
1993<br />
1994<br />
Galletti PM 1977 10 9 1<br />
Aebischer P 1987 26 8 1 4 3/1 1 2 2 1 2 1 1<br />
Winn SR 1987 14 4 3 1 2 1 3<br />
Hollinger JO 1986 14 2 2 3 1 2 3 1<br />
Wozney JM 1988 11 1 2 2 3 2 1<br />
Boyan BD 1988 14 3 1 1 5/1 1/1 2 1<br />
Schwartz Z 1988 10 2 1 3/1 1/1 2 1<br />
Athan<strong>as</strong>iou KA 1995 11 1 3 1 2 3 1<br />
Reddi AH 1972 13 5 5 1 1 1<br />
Green H 1975 11 10 1<br />
Bell E 1981 11 8 3<br />
Hansbrough JF 1988 11 3 3 2 1 1 1<br />
Figure 5.3: Overview <strong>of</strong> Lead Author Coauthorship Patterns<br />
1995<br />
1996<br />
1997<br />
1998<br />
1999<br />
2000<br />
2001<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 52
6.0 Activities in the Corporate Sector<br />
<strong>Tissue</strong> engineering remains, in many respects, an eclectic mix <strong>of</strong> topical foci and research styles, with<br />
work <strong>of</strong> an ad hoc or “Edisonian” character continuing to play a strong role especially in the corporate<br />
sector. Overall, the corporate sector is recognized <strong>as</strong> having played a notable role in the development <strong>of</strong><br />
this unique field, mostly due to the high level <strong>of</strong> corporate R&D funding injected into the field <strong>as</strong><br />
compared to the relatively small influx <strong>of</strong> funds from the federal government.<br />
As many <strong>of</strong> our interviewees note, TE h<strong>as</strong> traditionally been considered a high-risk investment. As a<br />
result, few agencies or program <strong>of</strong>ficers in the government—NSF’s Division <strong>of</strong> Bioengineering and<br />
Environmental Systems (BES) being a notable exception—were willing to provide funds for such new<br />
and creative research. Many interested in pursuing research in TE were <strong>of</strong>ten forced to find alternate<br />
means <strong>of</strong> funding, such <strong>as</strong> by bootstrapping funds from other grants, patent revenue or clinical department<br />
revenues, or by bringing their ide<strong>as</strong> to the private sector. Thus, much <strong>of</strong> the work in tissue engineering in<br />
the corporate sector is a result <strong>of</strong> a direct transfer <strong>of</strong> academic work to industry in a rush to bring viable<br />
products to market. However, because corporate R&D h<strong>as</strong> traditionally focused on the creation <strong>of</strong><br />
proprietary intellectual content and less on the solution <strong>of</strong> broader challenges in science or engineering,<br />
knowledge transfer from industry back to academia h<strong>as</strong> been limited.<br />
<strong>The</strong> WTEC 110 report on tissue engineering provides a brief overview to the corporate state <strong>of</strong> affairs:<br />
In a little over a decade, more than $3.5 billion h<strong>as</strong> been invested in worldwide research and<br />
development in tissue engineering. Over 90% <strong>of</strong> this financial investment h<strong>as</strong> been from the<br />
private sector (Lysaght and Reyes 2001). Currently there are over 70 start-up companies or<br />
business units in the world, with a combined annual expenditure <strong>of</strong> over $600 million dollars.<br />
<strong>Tissue</strong>-engineering firms have incre<strong>as</strong>ed spending at a compound annual rate <strong>of</strong> 16% since 1990.<br />
An interesting recent tend h<strong>as</strong> been the emergence <strong>of</strong> significant activity in tissue engineering<br />
outside the United States. At le<strong>as</strong>t 15 European companies are now active (Lysaght, MJ, and<br />
Reyes 2001).<br />
<strong>The</strong> types <strong>of</strong> TE firms can be divided into four major categories: (1) structural applications, (2) metabolic<br />
applications, (3) cellular applications, and (4) other enabling technologies (some firms may actually fall<br />
into multiple categories, but are cl<strong>as</strong>sified here by their primary focus are<strong>as</strong>). In Chapter 4, we provided<br />
information on some <strong>of</strong> the major tissue engineered products and the companies which produce them. In<br />
this section, we examine 28 firms that started before 1994, in order to understand the character and<br />
influence <strong>of</strong> such firms during the period when tissue engineering w<strong>as</strong> just beginning to emerge. Figure<br />
6.1 lists the years the companies began. Since our goal w<strong>as</strong> to investigate private sector activity in the<br />
early years <strong>of</strong> tissue engineering, we limited our exploration to companies that started before 1994. Table<br />
6.1 on the next several pages lists US-b<strong>as</strong>ed companies in the early days <strong>of</strong> the field, and (consistent with<br />
the theme <strong>of</strong> this report) examines their origins.<br />
110 http://www.wtec.org/loyola/te/final/te_final.pdf<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 53
Table 6. 1: A Sample <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> Companies and their Origins<br />
Name<br />
Interpore Cross<br />
International, Inc.<br />
BioHybrid<br />
Technologies<br />
Year<br />
Started<br />
Founded By Founder Affiliation (if known) Origin/Institutional Links<br />
1975 Edwin Shors c<strong>of</strong>ounder,<br />
Company founded on patent held <strong>The</strong> company originated <strong>as</strong> a product <strong>of</strong> the ide<strong>as</strong> <strong>of</strong> 3 people from Penn State University and<br />
Edward by inventor at Pennsylvania State Penn State College in early to mid 1970s. Eugene White, a material scientist from Penn w<strong>as</strong><br />
Funk, Ingeborg University<br />
interested in uses <strong>of</strong> a scanning electron microscope, he had a colleague (now dece<strong>as</strong>ed) at the<br />
Funk,<br />
Department <strong>of</strong> Marine Geology who w<strong>as</strong> interested in corals <strong>as</strong> indicators <strong>of</strong> geological events.<br />
White's nephew Rodney White (now chief <strong>of</strong> v<strong>as</strong>cular surgery at UCLA) w<strong>as</strong> looking for a job.<br />
<strong>The</strong>y collectively came up with the notion <strong>of</strong> making materials with inteconnected porosity (similar<br />
to corals) which may be optimal for connective tissue growth bone growth. <strong>The</strong>y made a variety <strong>of</strong><br />
implants and realized the medical value <strong>of</strong> the experiments (particularly in the area <strong>of</strong><br />
cardiv<strong>as</strong>icular applications paticularly prostheses). <strong>The</strong> company w<strong>as</strong> eventually founded on that<br />
principle. <strong>The</strong> concept w<strong>as</strong> patented with Penn State holding the patent. <strong>The</strong> group called their<br />
work tissue gardening .<br />
1985 Founded by Bill Harvard Medical School Bill Chick had set up a diabetes unit at U M<strong>as</strong>s Worcester, and w<strong>as</strong> interested in developing<br />
Chick and John L.<br />
artificial pancre<strong>as</strong> using insulin-producing microreactors; found that expensive to fund with grants;<br />
Hayes<br />
started to look - together with John Hayes - for funding from industry. First 8 years <strong>of</strong> company<br />
supported by WR Grace. In 1992, WR Grace and Biohybrid parted, and Grace bank-rolled Cerce<br />
(put artifical pancre<strong>as</strong> project on ice). Biohybrid went on its own with microencapsulation<br />
technology; funded by NIST ATP 4 year grants, JDF grant; NSF SBIR grant; no university<br />
affiliations; had advisory boards that have academics and academic consultants<br />
Celox<br />
Laboratories, Inc.<br />
(merged with<br />
Protide in 2001)<br />
Creative<br />
BioMolecules,<br />
Inc.(now Curis Inc<br />
after merger with<br />
Ontogeny and<br />
Reprogenesis)<br />
1985 Milo R. Polovina<br />
h<strong>as</strong> been President,<br />
Chief Executive<br />
Officer, Tre<strong>as</strong>urer,<br />
and Secretary <strong>of</strong><br />
the Company and<br />
h<strong>as</strong> served <strong>as</strong> a<br />
Director since<br />
1985.<br />
1985 Charles Cohen,<br />
Fred Craves,<br />
Roberto Crea<br />
Company started to research, develop, manufacture and market cell biology products that are<br />
used in the propagation <strong>of</strong> cells derived from mammals, including humans and other species;<br />
Global marketing agreement with ICN Pharmaceuticals; signed an option agreement with the<br />
University <strong>of</strong> Minnesota Office <strong>of</strong> Patents and Technology Marketing for an infusible grade solution<br />
for non-cryopreserved human hematopoietic stem cells. This option agreement allowed Protide to<br />
have the exclusive right to evaluate the technology and possibly commence negotiations with the<br />
University for worldwide commercialization.<br />
Jay Vacanti and Bob Langer <strong>of</strong> MIT thought about a way <strong>of</strong> using polymers and cells to make new<br />
tissues, and that led to Neomorphics, which subsequently merged with Advanced <strong>Tissue</strong><br />
Sciences. A portion <strong>of</strong> these patents got licensed to Reprogenesis, which is now part <strong>of</strong> Curis;<br />
Reprogenesis also had start-up support from Pfizer. Curis h<strong>as</strong> collaborations with Stryker<br />
Corporation, Biogen, Inc.<br />
LifeCell<br />
Corporation<br />
1986 Steve Livesay University <strong>of</strong> Tex<strong>as</strong>, Austin University <strong>of</strong> Tex<strong>as</strong>, Austin; More than 15 years ago, in a laboratory at the University <strong>of</strong> Tex<strong>as</strong>, Dr<br />
Stephen Livesey, MD, PhD, and his colleagues were studying the formation <strong>of</strong> different structures<br />
<strong>of</strong> ice. <strong>The</strong>ir goal w<strong>as</strong> to develop a method <strong>of</strong> freeze-drying biological tissues and cells without<br />
damaging their structural or biochemical integrity. What they invented w<strong>as</strong> the first <strong>of</strong> the patented<br />
preservation technologies which form the b<strong>as</strong>is <strong>of</strong> LifeCell's technology today. Livesay transferred<br />
this cryopreservation technology from the University into the start-up. Now company h<strong>as</strong> links with<br />
Boston Scientific; h<strong>as</strong> received many NIH SBIR grants and DOD ATP grants<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 54
Organogenesis,<br />
Inc.<br />
Advanced <strong>Tissue</strong><br />
Sciences, Inc.<br />
Protein Polymer<br />
Technologies<br />
Cytotherapeutics<br />
(Stem Cell Inc.)<br />
ETEX<br />
Corporation<br />
Integra<br />
LifeSciences<br />
Corporation<br />
REGEN Biologics,<br />
Inc.<br />
1986 Eugene Bell and<br />
two postdoctoral<br />
students (Christian<br />
Weinberg and<br />
unknown)<br />
MIT<br />
Product marketed by Novartis Pharma AG<br />
1987 Gail Naughton New York University Company b<strong>as</strong>ed on Naughton patent; Jay Vacanti and Bob Langer thought about a way <strong>of</strong> using<br />
polymers and cells to make new tissues, and that led to Neomorphics, which subsequently merged<br />
with Advanced <strong>Tissue</strong> Sciences. Smith and Nephew h<strong>as</strong> provided support for cartilage and skin<br />
development since 1994.<br />
1988 No information<br />
1989 David Scharp, Paul<br />
Lacy, Michael<br />
Lysaght (Baxter)<br />
Michael J. Lysaght, Associate<br />
Pr<strong>of</strong>essor <strong>of</strong> Artificial Organs<br />
(Research) at Brown University.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 55<br />
Brown University, Other partners include: California Institute <strong>of</strong> Technology (Technology Licensing<br />
Agreement), Oregon Health Science University, Scripps Institute. Company split into successor<br />
companies: Stem Cells Inc. (Palo Alto, CA), Neurotech Corp. (Lincoln, RI), and Modex<br />
<strong>The</strong>rapeutics SA (Lausunne Switzerland). In 1989, Lysaght left Baxter to help start<br />
Cyto<strong>The</strong>rapeutics. He served <strong>as</strong> Vice President and chief technical executive at Cyto<strong>The</strong>rapeutics<br />
from 1989 through 1994.<br />
1989 D. Duke Lee Lee is the Chairman, Chief Agreement with several pharma companies: Biomet Merck <strong>as</strong> the exclusive distributor <strong>of</strong> Biobon in<br />
Scientific Officer and the scientific Europe and Latin America; DePuy Orthopaedics, Inc. a Johnson & Johnson company, for<br />
founder <strong>of</strong> ETEX. He is on the distribution <strong>of</strong> ETEX alpha-BSM ®, Bone Substitute Material, for orthopaedic indications, and joint<br />
faculty <strong>of</strong> Harvard Medical School research and development <strong>of</strong> future products; S<strong>of</strong>amor Danek Division <strong>of</strong> Medtronic, Inc, to jointly<br />
and also serves <strong>as</strong> Director <strong>of</strong> the develop products for spinal applications.<br />
Harvard/MIT Biomaterials<br />
Training Program.<br />
1989 Richard Caruso No further information<br />
1990 Kevin Robert Stone Privately funded by Sulzer Medica, Sanderling, Sequoia Capital, and Allen & Company<br />
Synthecon, Inc. 1990 Charles Anderson NASA contractor company Co-founders C.D. "Andy" Anderson and Ray Schwarz worked for a NASA medical services<br />
contract company. As members <strong>of</strong> a Space Bioreactor Project Team, their charge w<strong>as</strong> to develop<br />
a bioreactor that would enable scientists to study the effects <strong>of</strong> space on human tissue and help<br />
them understand why <strong>as</strong>tronauts suffered bone and muscle loss in orbit. With <strong>as</strong>sistance from<br />
NASA <strong>as</strong>tronaut David Wolf, M.D., and medical contractor Tinh Trinh, Schwarz invented a fluidfilled<br />
rotary wall vessel (RWV) bioreactor that enabled NASA scientists to successfully grow,<br />
maintain and study three-dimensional human tissue in space for extended periods <strong>of</strong> time.<br />
A<strong>as</strong>trom<br />
Biosciences, Inc.<br />
1991 Bernhard Palsson,<br />
Michael Clarke,<br />
Stephen Emerson<br />
Hematologists at the U Mich<br />
School <strong>of</strong> Medicine; Palsson is<br />
now a Pr<strong>of</strong>essor <strong>of</strong><br />
Bioengineering and Adjunct<br />
Pr<strong>of</strong>essor <strong>of</strong> Medicine at the<br />
University <strong>of</strong> California, San<br />
Diego<br />
A 1989 research agreement with the University <strong>of</strong> Michigan, and licensing patents b<strong>as</strong>ed on<br />
University-conducted research (relating to the ex vivo production <strong>of</strong> human cells), collaborations<br />
also with University <strong>of</strong> Colorado (to insert cell-destruction genes into AIDS patients' stem cells,<br />
which then would be expanded in the bioreactor and transplanted back into the patient). First<br />
approached by large pharmaceutical firm but then given away to venture capital firm.
Layton<br />
BioScience, Inc.<br />
1991 James Eberwine,<br />
Virginia M.-Y. Lee,<br />
and John Q.<br />
Trojanowski<br />
<strong>The</strong> three founding scientists<br />
were all neuroscientists at<br />
University <strong>of</strong> Pennsylvania<br />
<strong>The</strong> technologies initially being developed were discovered in the laboratories <strong>of</strong> the company's<br />
founding scientists and licensed from Stanford University (Stanford) and the University <strong>of</strong><br />
Pennsylvania (Penn). Cooperation, Licensing and/or Other Agreements with: Incyte Genomics,<br />
Inc, Merck & Co, PerkinElmer Life Sciences, Stanford University, Stratagene Corp, University <strong>of</strong><br />
Florida (U. S.), University <strong>of</strong> Pennsylvania, and University <strong>of</strong> Tex<strong>as</strong><br />
ORTEC<br />
INTERNATIONAL<br />
1991 Steven Katz, Ron<br />
Lipstein, Mark<br />
Eisenberg, Alain M<br />
Klapholz<br />
Orthovita, Inc. 1992 Paul Ducheyne University <strong>of</strong> Pennsylvania,<br />
Bioengineering and Orthopaedic<br />
Surgery Research<br />
Ortec’s technology is b<strong>as</strong>ed on the technology developed by Mark Eisenberg, an Australian<br />
physician<br />
Ducheyne is currently Chairman Emeritus and Director <strong>of</strong> Orthovita. Since 1997, Dr. Ducheyne<br />
h<strong>as</strong> been the Director <strong>of</strong> the Center for Bioactive Materials and <strong>Tissue</strong> <strong>Engineering</strong> at the<br />
University <strong>of</strong> Pennsylvania<br />
TEI Biosciences 1992 Eugene Bell MIT No information provided<br />
Prizm<br />
Pharmaceuticals,<br />
Inc., (merged with<br />
1992 Andrew Baird,<br />
Samuel Ward<br />
C<strong>as</strong>sells, III,<br />
Andrew Baird (then at Scripps),<br />
Ward C<strong>as</strong>sells, University <strong>of</strong><br />
Tex<strong>as</strong>) started Prism. Steven<br />
Matrigen licensed technology from U Michigan; Prizm licensed technology from Scripps Clinic;<br />
Prizm started by private venture firms DOMAIN ASSOCIATES and OXFORD BIOSCIENCE<br />
PARTNERS they started it <strong>as</strong> a company to stop cell proliferation - toxin conjugated to a growth<br />
Matrigen, Inc. in (Prism) Steven Goldstein (University <strong>of</strong> Michigan) factor. Idea w<strong>as</strong> that the body will internalize growth factor, body will stop cell proliferating. W<strong>as</strong> not<br />
1998 to form<br />
Selective<br />
Genetics)<br />
Goldstein, Robert<br />
Levy (Matrigen)<br />
and Robert Levy, (Childrens<br />
hospital) started Matrigen<br />
fe<strong>as</strong>ible. Method worked only with toxicity - had to abandon technology. In 1998, met up with<br />
another company simulating cell growth (matrigen) resulting company Selective Genetics to<br />
explore tissue repair and regeneration<br />
Fibrogen 1993 Thom<strong>as</strong> Neff Neff w<strong>as</strong> an investment banker<br />
with both PaineWebber and<br />
Lazard Freres & Co., and for<br />
many years he h<strong>as</strong> followed<br />
commercial and scientific<br />
developments relating to<br />
molecular biology<br />
Guilford<br />
Pharmaceuticals<br />
Osiris<br />
<strong>The</strong>rapeutics, Inc.<br />
1993 Scios Nova Inc.,<br />
and Solomon<br />
Snyder and Craig<br />
Smith<br />
1993 Arnold Kaplan,<br />
Steven Hanesworth<br />
(cell biologist),<br />
Victor Goldberg<br />
(orthopedic<br />
surgeon), James<br />
Burns, VC and<br />
Unnamed<br />
Businessman<br />
Kaplan, Hanesworth, C<strong>as</strong>e<br />
Western Reserve University, had<br />
collaborations with Goldberg at<br />
the University Hospital<br />
A 1996 collaborative agreement with the University <strong>of</strong> Pittsburgh Medical Center re: biotech liver<br />
system.<br />
Bob Langer <strong>of</strong> MIT conceived <strong>of</strong> degradable polyanhydride systems, and licensed that originally to<br />
a company called Nova Pharmaceuticals. <strong>The</strong>y merged with Scios, and then they spun <strong>of</strong>f<br />
Guilford.<br />
Kaplan worked with Burns in 1992 to get company started, founders stayed involved till 1997-98<br />
through their participation on a scientific review board, the company also continued collaboration<br />
with the founders through about 1995 when it moved to Baltimore. Current CSO Marshak also<br />
holds an appointment <strong>as</strong> Adjunct Associate Pr<strong>of</strong>essor <strong>of</strong> Oncology and <strong>of</strong> Molecular Biology &<br />
Genetics at the Johns Hopkins University School <strong>of</strong> Medicine. Marshak h<strong>as</strong> served on several NIH<br />
Study Sections, the Medical and Scientific Advisory Board <strong>of</strong> the Dystonia Medical Research<br />
Foundation, and the Editorial Board <strong>of</strong> the Journal <strong>of</strong> Biological Chemistry.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 56
OsteoBiologics,<br />
Inc.<br />
1993 c<strong>of</strong>ounders faculty<br />
at Univeristy <strong>of</strong><br />
Tex<strong>as</strong> Heath<br />
Science Center<br />
(Barbara Boyan,<br />
Athan<strong>as</strong>iou) one<br />
business founder<br />
<strong>The</strong>rics 1993 Brad Vale (J&J<br />
development<br />
corporation), Walter<br />
Flamenbaum; serial<br />
founder <strong>of</strong><br />
companies starting<br />
at NYC's Mt. Sinai<br />
School <strong>of</strong> Medicine)<br />
licenisng tech develoepd own,<br />
have R&D agreements with other<br />
cooperations, company,<br />
collaborators at Universities<br />
Licensed technology developed at<br />
MIT (work <strong>of</strong> Linda Griiffith,<br />
Michael Cima, and Ely Sachs)<br />
<strong>The</strong> technologies initially being developed were discovered in the laboratories <strong>of</strong> the company's<br />
founding scientists and licensed from Stanford University and the University <strong>of</strong> Pennsylvania.<br />
Began by licensing technology developed at the University <strong>of</strong> Tex<strong>as</strong> Health Science Center<br />
Boston University (U. S.) (Technology Licensing Agreement), M<strong>as</strong>sachusetts Institute <strong>of</strong><br />
Technology (U. S.) (Technology Licensing Agreement)<br />
Ximerex 1993 William<br />
Beschorner.<br />
Founder w<strong>as</strong> at Johns Hopkins<br />
Hospital came up with the idea,<br />
developed it, filed patent and<br />
started company,<br />
H<strong>as</strong> links with the University <strong>of</strong> Nebr<strong>as</strong>ka, started out at Johns Hopkins (1993-95), private lab, in<br />
1997 moved to Omaha<br />
Islet Technology 1994 Scott Wiele Founder's daughter diagnosed with Type1 diabetes; father wanted to know if cure (rather than<br />
management) w<strong>as</strong> possible; starterd searching and found a program at UC Davis. Kent Cochrum<br />
had technology for encapsulating islets from transplants and w<strong>as</strong> funded by another compay, but<br />
<strong>as</strong>ked Wiele to help him raise more money. Wiele licensed technology. Company h<strong>as</strong> worked<br />
closely with U Minn and Diabetes Institute (Barnard Hering) via licensing arrangment<br />
MultiCell<br />
<strong>Associates</strong><br />
1994 Galletti and<br />
Jauregui with<br />
Jayanta Roy<br />
Chawdhury, and<br />
Alfred V<strong>as</strong>concellos<br />
Albert Einstein School <strong>of</strong> Medicine Wholly owned subsidiary (2001) <strong>of</strong> Exten CA<br />
Orquest, Inc. 1994 strategic partners are other firms http://www.orquest.com/wt/sec/strat_partners<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 57
Figure 6.1: New <strong>Tissue</strong> <strong>Engineering</strong> Companies by Year (1994 and earlier)<br />
6<br />
5<br />
4<br />
3<br />
2<br />
1<br />
0<br />
Before<br />
1985<br />
1986 1988 1990 1992 1994<br />
<strong>The</strong> focus are<strong>as</strong> <strong>of</strong> these firms were <strong>as</strong> follows:<br />
Area<br />
Structural applications<br />
Cellular<br />
Metabolic<br />
Enabling technologies<br />
(bone, tissue, muscle,<br />
v<strong>as</strong>culature, scaffolding,<br />
extracellular matrix, anything<br />
related to structural support)<br />
(use <strong>of</strong> specialized cells, cell<br />
culture, stem cell research)<br />
(bioartificial organ<br />
development, including<br />
whole organ development,<br />
microencapsulation<br />
techniques)<br />
(anything related to the<br />
above, but indirectly, such <strong>as</strong><br />
informatics)<br />
Number <strong>of</strong> Sample Companies<br />
Companies<br />
13 Interpore, Organogenesis,<br />
ATS, PPTI, Etex, Integra,<br />
Ortec, Orthovita, TEI<br />
Biosciences, Guildford,<br />
Osiris, Osteobiologics,<br />
Orquest<br />
8 Celox, Creative<br />
Biomolecules, Regen,<br />
A<strong>as</strong>trom, Layton, TEI,<br />
Osiris,, Prizm<br />
3 Biohybrid, Islet<br />
Technology, Multicell<br />
3 Lifecell, Synthacon,<br />
<strong>The</strong>rics, <strong>Tissue</strong>Informatics<br />
All others 1 Ximerics<br />
<strong>The</strong> companies listed above were clustered in specific parts <strong>of</strong> the country. Of the 28 companies<br />
examined, eight were in California, five in M<strong>as</strong>sachusetts, three each in New Jersey and Tex<strong>as</strong>, and<br />
two each in Minnesota and Rhode Island. Michigan, Delaware, Maryland, Nebr<strong>as</strong>ka, and New York,<br />
all had one company each.<br />
<strong>The</strong>ir locations parallel the locations <strong>of</strong> many <strong>of</strong> the major research centers in TE, which supports the<br />
hypothesis that many <strong>of</strong> these companies have close ties to academia—at le<strong>as</strong>t at the start-up ph<strong>as</strong>e.<br />
In fact, sixteen <strong>of</strong> the 28 companies had at le<strong>as</strong>t one founder in academia. Only five <strong>of</strong> the 28<br />
companies had co-founders that were neither currently nor formerly academics (i.e. were b<strong>as</strong>ed in<br />
business or venture capital) 111 .<br />
Twenty one companies licensed or transferred intellectual property from academia (without<br />
necessarily having an academic co-founder). Two did not (Synthecon – NASA contractor, and Ortec,<br />
111 We have no information on the founders <strong>of</strong> the remaining seven.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 58
Australian physician) 112 . Table 6.1 above summarizes the origins <strong>of</strong> these companies. As Table 6.2<br />
below shows, the universities involved in start-ups were:<br />
Table 6.2: University Start-ups in <strong>Tissue</strong> <strong>Engineering</strong><br />
Name <strong>of</strong> University<br />
Number Name <strong>of</strong> Company<br />
MIT/Harvard 6 Creative Biomolecules, Organogenesis, Etex,<br />
TEI Biosciences, Guilford, <strong>The</strong>rics<br />
University <strong>of</strong> Pennsylvania 3 Layton Biosciences, Orthovita,<br />
Osteobiologics<br />
University <strong>of</strong> Michigan 2 A<strong>as</strong>trom, Prizm<br />
University <strong>of</strong> Tex<strong>as</strong> 2 Lifecell, Prizm<br />
Pennsyvania State University 1 Interpore<br />
University <strong>of</strong> M<strong>as</strong>sachusetts,<br />
1 Biohybrid<br />
Worcester<br />
New York University 1 ATS<br />
Brown University 1 Cytotherapeutics<br />
University <strong>of</strong> California at Davis 1 Islet Technology<br />
C<strong>as</strong>e Western Reserve University 1 Osiris<br />
Johns Hopkins University 1 Ximerics<br />
Stanford University 1 Osteobiologics<br />
Yeshiva University 1 Multicell<br />
University <strong>of</strong> Pittsburgh 1 Fibrogen<br />
Of the 28 companies, 12 are public and 14 continue to be privately held (no information w<strong>as</strong> available<br />
on the status <strong>of</strong> the remaining two firms).<br />
Financial support for these companies came from a variety <strong>of</strong> sources <strong>as</strong> shown in Table 6.3 below.<br />
Table 6.3: Financial Support <strong>of</strong> Corporate Start-ups<br />
Supporter<br />
Number <strong>of</strong> Names <strong>of</strong> Companies<br />
companies<br />
NIH/SBIR 9 Organogenesis, ATS, Cytotherapeutics, A<strong>as</strong>tyrom, Osiris,<br />
Osteobiologics, Layon, Fobrogen, Ximerics<br />
NIST/ATP 7 Biohybrid, Organogenesis, ATS, A<strong>as</strong>trom, TEI, Osiris,<br />
Ximerics<br />
Foundations 2 Lifecell, ATS<br />
Universities 2 Lifecell, ATS<br />
DOD/DARPA/Army 2 Lifecell, Osiris<br />
NSF/SBIR 1 Biohybrid<br />
NASA 1 Synthecon<br />
State 1 A<strong>as</strong>trom<br />
Private Investors<br />
Almost all firms have had private investors<br />
All <strong>of</strong> the firms listed here were still in existence through the close <strong>of</strong> 2001 in one form or another<br />
(many have merged with others to form new companies, but none have disappeared altogether) and<br />
112 We have no information on five companies.<br />
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collectively employ (in 2001) about 2000 people. <strong>The</strong> overall number <strong>of</strong> firms and, consequently,<br />
employees in tissue engineering, h<strong>as</strong> steadily incre<strong>as</strong>ed since 1994 113 .<br />
Little data is available on the specific training <strong>of</strong> the researchers employed by private companies<br />
active in tissue engineering, and it is very difficult to paint a precise picture <strong>of</strong> the characteristics <strong>of</strong><br />
the individuals that make up this group. However, the fragmentary data available to the study team<br />
suggest that few <strong>of</strong> the scientists and engineers employed by companies active in tissue engineering<br />
possess formal credentials in the field. Rather, companies seek individuals who have broadlyapplicable<br />
technical knowledge and skills relevant to the research and development t<strong>as</strong>ks they face,<br />
and <strong>as</strong>sign these individuals to specific projects <strong>as</strong> required; employees in the corporate sector may<br />
enter or leave tissue engineering <strong>as</strong> an activity quite freely. Flexibility is especially important in that<br />
no start-up company in the field that h<strong>as</strong> attempted to develop cell-b<strong>as</strong>ed products h<strong>as</strong> yet established<br />
a successful business, and the ability to redirect staff to the most promising lines <strong>of</strong> work – <strong>of</strong>ten<br />
away from initially ambitious product concepts to simpler ones with more likely prospects <strong>of</strong><br />
reaching the market in the near term – can be critical for corporate survival.<br />
With the caveat that our data are limited, we encountered no evidence that movement <strong>of</strong> newlytrained<br />
junior researchers from academia to industry h<strong>as</strong> been an important mechanism <strong>of</strong> technology<br />
transfer in tissue engineering. At the senior level, although a handful <strong>of</strong> investigators have left<br />
academia to <strong>as</strong>sume full-time roles leading start-up companies, more frequently senior academics in<br />
the field will serve <strong>as</strong> advisors or board members for companies licensed to develop technologies or<br />
product concepts that emerge from their laboratories.<br />
Review <strong>of</strong> Patent Activity: Domestic and International<br />
As an alternative means <strong>of</strong> understanding the origins <strong>of</strong> tissue engineering and progress made in the<br />
field, we also examined patenting in the field over the p<strong>as</strong>t twenty or so years. <strong>The</strong> full patent analysis<br />
is included <strong>as</strong> Appendix 5 at the end <strong>of</strong> this report.<br />
As the adjoining figure shows, the earliest<br />
patenting activity occurred in the mid-tolate<br />
80’s with a more dramatic incre<strong>as</strong>e in<br />
the 1990s; consistent with the overall<br />
growth in awareness <strong>of</strong> the field. As the<br />
Figure shows, patenting in tissue<br />
engineering h<strong>as</strong> been trending up since<br />
1980 and h<strong>as</strong> not yet peaked. In<br />
particular, in the l<strong>as</strong>t 5 years, patenting h<strong>as</strong><br />
incre<strong>as</strong>ed 226% over the previous 5 years,<br />
which in turn w<strong>as</strong> an incre<strong>as</strong>e <strong>of</strong> 138%<br />
over the prior 5 years.<br />
<strong>The</strong> bulk <strong>of</strong> this innovation w<strong>as</strong> USb<strong>as</strong>ed<br />
114 , <strong>as</strong> shown in Figure 6.2. Over<br />
No. <strong>of</strong> Patent Families<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Figure 6.1 - <strong>Tissue</strong> <strong>Engineering</strong> Patent<br />
Families by Year<br />
80 83 85 87 89 91 93 95 97 99 01<br />
Year<br />
113<br />
<strong>The</strong>re is considerable variation in employment estimates. For example, a study sponsored by the Pittsburgh<br />
<strong>Tissue</strong> <strong>Engineering</strong> Initiative (PTEI) conducted in the Spring <strong>of</strong> 2000 lists 67 active firms in tissue<br />
engineering employing a total <strong>of</strong> more than 4,700 employees. “An Industry Emerges: A Pr<strong>of</strong>ile <strong>of</strong><br />
Pittsburgh’s Growing TE Sector.” www.ptei.org/industry/pdf/industry.pdf.<br />
114 As Appendix 5 explains, to compile the datab<strong>as</strong>e <strong>of</strong> international patenting in tissue engineering, patents<br />
from more than 60 countries were searched using CHI’s internal US, EP, and PCT datab<strong>as</strong>es <strong>as</strong> well <strong>as</strong><br />
Derwent’s World Patent Index.<br />
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seventy percent <strong>of</strong> the global tissue engineering patents are invented in the US, followed by 18% in<br />
Europe (led by Germany and UK) and 6% in Japan.<br />
Figure 6.2 - Priority (Inventor) Country <strong>of</strong> Worldwide <strong>Tissue</strong><br />
<strong>Engineering</strong> Patents (1980-2001): N=567<br />
Japan<br />
6%<br />
Other<br />
5%<br />
Europe<br />
18%<br />
United States<br />
71%<br />
Given that most <strong>of</strong> the invention is coming from the US, it is not surprising to see that most <strong>of</strong> the<br />
patent <strong>as</strong>signees are US institutions <strong>as</strong> well. Figure 6.3 shows all <strong>as</strong>signees with 4 or more global<br />
patent families 115 . <strong>The</strong> institutions holding the most highly cited patents are listed in Table 6.4.<br />
International institutions are depicted in gray.<br />
A list <strong>of</strong> the 100 most highly cited tissue engineering patent families is also given in Appendix 5 in<br />
Table G. <strong>The</strong> Table shows that the highest relative cited patent family is a 1999 Isotis (a biosurgery<br />
company b<strong>as</strong>ed in Netherlands founded in 1996) patent that h<strong>as</strong> received 11 citations already. Since a<br />
typical 1999 patent family h<strong>as</strong> just over 1 citation, this patent is cited 7.5 times <strong>as</strong> <strong>of</strong>ten <strong>as</strong> expected.<br />
<strong>The</strong> highest overall cited patent family is an Advanced <strong>Tissue</strong> Science invention “Three-dimensional<br />
cell and tissue culture system.” This 1990 patent h<strong>as</strong> received 162 citations from later patents, which<br />
is almost 6 times the expected number (28.3) for a 1990 tissue engineering patent family. Many <strong>of</strong> the<br />
highly cited patents are coming from the patenting leaders. This is further illustrated in Table 6.4<br />
below, where we see that MIT and Advanced <strong>Tissue</strong> Sciences have the most highly cited patents by<br />
far. Among the most effective patenting companies is Regen Biologics Inc., which h<strong>as</strong> 8 <strong>of</strong> its 11<br />
patents among the highly cited set.<br />
115<br />
Note that a patent family is a set <strong>of</strong> equivalent patent documents from different countries. For example,<br />
when a scientist invents something, he/she will typically file the patent in his/her home country, and then<br />
file equivalent patents in every country for which he/she wishes to have patent protection.<br />
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Figure 6.3 - Assignees with 4 or more TE Global Patent Families<br />
(1980-2001)<br />
Advance <strong>Tissue</strong> Sciences<br />
MIT<br />
Procter & Gamble<br />
Regen Biologics<br />
University Of Michigan<br />
Isotis BV<br />
Johnson & Johnson<br />
NASA<br />
University Of California<br />
Childrens Medical Center Corp<br />
Grace (WR) & Co<br />
Organogenesis<br />
Baxter International<br />
C<strong>as</strong>e Western Reserve University<br />
Cytotherapeutics<br />
Fidia Advanced Biopolymers Srl<br />
Focal<br />
Kerapl<strong>as</strong>t Technologies Ltd<br />
Osteobiologics<br />
Collagen Corp<br />
Cryolife<br />
<strong>Tissue</strong> <strong>Engineering</strong><br />
University Of Pittsburgh<br />
University Of Tex<strong>as</strong><br />
Wl Gore & Assoc<br />
5<br />
5<br />
5<br />
5<br />
5<br />
5<br />
5<br />
4<br />
4<br />
4<br />
4<br />
4<br />
4<br />
12<br />
11<br />
10<br />
9<br />
9<br />
8<br />
8<br />
7<br />
7<br />
7<br />
44<br />
43<br />
*US Assignees in Black; Foreign<br />
Assignees in Gray.<br />
0 10 20 30 40 50<br />
# Patent Families<br />
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Table 6.4: Share <strong>of</strong> patents that are highly cited by <strong>as</strong>signee<br />
%<br />
Standardized Assignee<br />
Families<br />
Highly<br />
Cited<br />
Highly<br />
Cited<br />
Advanced <strong>Tissue</strong> Sciences Inc 44 15 34%<br />
MIT 43 20 47%<br />
Procter & Gamble Co, <strong>The</strong> 12 0 0%<br />
Regen Biologics Inc 11 8 73%<br />
University Of Michigan 10 1 10%<br />
Isotis BV 9 1 11%<br />
Johnson & Johnson 9 0 0%<br />
NASA 8 2 25%<br />
University Of California 8 0 0%<br />
Childrens Medical Center Corp 7 3 43%<br />
Grace (W.R.) & Co 7 1 14%<br />
Organogenesis Inc 7 2 29%<br />
Baxter International Inc 5 1 20%<br />
C<strong>as</strong>e Western Reserve University 5 2 40%<br />
Cytotherapeutics Inc 5 1 20%<br />
Fidia Advanced Biopolymers Srl 5 2 40%<br />
Focal Inc 5 3 60%<br />
Kerapl<strong>as</strong>t Technologies Ltd 5 2 40%<br />
Osteobiologics Inc 5 1 20%<br />
Collagen Corp 4 1 25%<br />
Cryolife Inc 4 2 50%<br />
<strong>Tissue</strong> <strong>Engineering</strong> Inc 4 0 0%<br />
University <strong>of</strong> Pittsburgh 4 0 0%<br />
University <strong>of</strong> Tex<strong>as</strong> 4 2 50%<br />
Wl Gore & Assoc Inc 4 0 0%<br />
In terms <strong>of</strong> subject matter, <strong>of</strong> the top 100 most cited patents examined in this analysis, the majority<br />
can be cl<strong>as</strong>sified <strong>as</strong> cellular, including those which describe methods for cell culture or differentiation<br />
and the medium used to support such methods; or structural, such <strong>as</strong> those which describe novel<br />
biomaterials, bone and cartilage substitutes. In terms <strong>of</strong> the organs or tissues targeted by many <strong>of</strong> the<br />
patents, bone and cartilage stand out, in keeping with the advanced state <strong>of</strong> research for these tissues<br />
<strong>as</strong> compared to other more complicated organ systems, such <strong>as</strong> the kidney, lung, or heart, which will<br />
require considerably more research and development before patents and supporting methodologies are<br />
seen.<br />
Finally, CHI found that <strong>of</strong> the 100 or so patents examined, nineteen were declared by the inventors to<br />
have resulted fully or partially from a government grant. Of these, NIH had eight, NASA six, NSF<br />
three, and DHEW 116 two.<br />
116 Currently organized <strong>as</strong> Health and Human Services (HHS) but formerly referred to <strong>as</strong> the Department <strong>of</strong><br />
Health, Education and Welfare (DHEW).<br />
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7.0 Institutional Support <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong><br />
In addition to the individual researchers in academia and industry, key players in a field can include<br />
the federal agencies that provide financial support, pr<strong>of</strong>essional societies and other institutions<br />
designed to promote and advance a field’s mission. Pr<strong>of</strong>essional societies may promote educational<br />
programs, research applications, and the development <strong>of</strong> pr<strong>of</strong>essional standards in an overall effort to<br />
advance the dissemination <strong>of</strong> knowledge in a particular field or research area. As networking<br />
facilitators, conferences, meetings, and other symposia supported by societies may be instrumental in<br />
bringing together researchers who work on similar topics but may not otherwise collaborate. Several<br />
groups have emerged in tissue engineering’s development.<br />
<strong>The</strong> National Science Foundation is one <strong>of</strong> many organizations – including the U.S. Federal<br />
government and foreign governments, industry and non-pr<strong>of</strong>it foundations – that have funded tissue<br />
engineering research in the United States and around the world. <strong>The</strong> WTEC report estimates that<br />
nearly $3.5 billion dollars have been spent on tissue engineering in the l<strong>as</strong>t decade. Of this, less than<br />
10% h<strong>as</strong> come from the U.S. Federal government 117 . According to their definition, the National<br />
Science Foundation, primarily through its Directorate for <strong>Engineering</strong>, provided less than 1% <strong>of</strong><br />
worldwide support for tissue engineering, but nearly 7% <strong>of</strong> U.S. Federal government support.<br />
Table 7.1 below and the accompanying Figure 7.1 examine U.S. Federal government funding <strong>of</strong><br />
tissue engineering in greater detail, using a more restrictive definition. <strong>The</strong>y provide a partial glimpse<br />
into Federal support <strong>of</strong> TE using data from RaDiUS, a datab<strong>as</strong>e that tracks the research and<br />
development activities and resources <strong>of</strong> the Federal government. 118 Of all Federal agencies supporting<br />
biomedical science and engineering, NSF is second only to NIH in providing financial support to TE,<br />
and h<strong>as</strong> incre<strong>as</strong>ed both its level and share <strong>of</strong> Federal funding in the p<strong>as</strong>t few years. This chapter<br />
summarizes the support <strong>of</strong> the field by the key federal agencies involved: National Institutes <strong>of</strong> Health<br />
(NIH), National Institute <strong>of</strong> Standards and Technology (NIST), National Aeronautics and Space<br />
Administration (NASA), Food and Drug Administration (FDA), and finally, NSF.<br />
Before turning to NSF’s role in supporting tissue engineering, we provide brief descriptions <strong>of</strong> major<br />
efforts <strong>of</strong> other Federal agencies that have been active in tissue engineering in different ways.<br />
117 It is worth pointing out that the WTEC analysis uses a more expansive definition <strong>of</strong> “tissue engineering”,<br />
which includes elements such <strong>as</strong> gene therapy/gene transfer, scaffolding, cell culturing, cell adhesion, DNA<br />
delivery, stem cell technology, functional tissue engineering (e.g., mechanical properties <strong>of</strong> tissues), and tissue<br />
preservation. This is in contr<strong>as</strong>t with the more restrictive definition employed in a search <strong>of</strong> the RaDiUS<br />
datab<strong>as</strong>e <strong>as</strong> shown in Table 7.1 or the definition employed in this study.<br />
118 Description <strong>of</strong> our approach and limitations <strong>of</strong> the tool are addressed in a separate memo to Linda Parker,<br />
COTR.<br />
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Table 7.1 Federal Awards for <strong>Tissue</strong> <strong>Engineering</strong> Research 1993 – 2000, by Agency (000 $)*<br />
1993 1994 1995 1996 1997 1998 1999 2000 TOTAL<br />
NIST 0 0 620 0 3,612 2,454 2,749 600 10,035<br />
DOD* 0 0 0 0 0 0 0 0<br />
DOE 0 0 0 0 0 0 0 50 50<br />
NIH 2,317 3,892 9,519 13,259 5,625 16,761 6,797 8,917 67,086<br />
DVA 0 135 295 89 204 340 449 388 1,900<br />
NASA 0 0 1,033 1,274 1,394 776 1,147 496 6,120<br />
NSF 588 1,218 1,364 934 1,858 4,429 6,421 5,993 22,806<br />
TOTAL 2,905 5,244 12,831 15,557 12,693 24,760 17,563 16,445 107,997<br />
NSF % 20% 23% 11% 6% 15% 18% 37% 36% 21%<br />
* While RaDiUS did not pull any records from DOD, we are aware <strong>of</strong> DARPA’s role in supporting activities<br />
related to <strong>Tissue</strong> <strong>Engineering</strong>. In the l<strong>as</strong>t five years, DARPA h<strong>as</strong> funded research in cell-b<strong>as</strong>ed biosensors.<br />
$ (in thousands)<br />
18,000<br />
16,000<br />
14,000<br />
12,000<br />
10,000<br />
8,000<br />
6,000<br />
NIST<br />
DOE<br />
NIH<br />
DVA<br />
NASA<br />
NSF<br />
4,000<br />
2,000<br />
0<br />
1993 1994 1995 1996 1997 1998 1999 2000<br />
Figure 7.1 Federal Awards for <strong>Tissue</strong> <strong>Engineering</strong> Research, by Year and by Agency<br />
(1993 –2000 )<br />
7.1 National Institutes <strong>of</strong> Health (NIH)<br />
* Source: RaDiUS datab<strong>as</strong>e, grants containing term “tissue engineering”<br />
Support <strong>of</strong> tissue engineering from the NIH h<strong>as</strong> come in several forms over the years. While an<br />
<strong>of</strong>ficial program/focus area in tissue engineering did not begin until the late 1990’s, many key<br />
researchers in the field attribute much <strong>of</strong> the early support they received <strong>as</strong> coming from the NIH.<br />
Traditionally known for its support <strong>of</strong> fundamental research, NIH h<strong>as</strong> supported many <strong>of</strong> the b<strong>as</strong>ic<br />
science advancements, which led to tissue engineering <strong>as</strong> we know it today. Much <strong>of</strong> the p<strong>as</strong>t work<br />
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done on cell culture methods, for example, w<strong>as</strong> supported by NIH funding. Nonetheless, NIH w<strong>as</strong> a<br />
relative newcomer to tissue engineering per se. In a 1998 article in Science, for example, researchers<br />
berated NIH’s lack <strong>of</strong> interest in the field:<br />
“To a large extent, NIH really h<strong>as</strong>n't been responsive," charges Robert Nerem, then director<br />
<strong>of</strong> the Parker H. Petit Institute for Bioengineering and Bioscience at the Georgia Institute <strong>of</strong><br />
Technology in Atlanta. Nerem chaired a consultants' group that in 1995 urged the creation <strong>of</strong><br />
"a central focus for b<strong>as</strong>ic bioengineering research ... at the highest level" at NIH. But "we're<br />
still, <strong>as</strong> a community, waiting to see what NIH is going to do," Nerem says. 119<br />
In more recent years, NIH’s focus on TE h<strong>as</strong> incre<strong>as</strong>ed dramatically: 120<br />
• Division <strong>of</strong> Biomimetics, Biomaterials, and <strong>Tissue</strong> <strong>Engineering</strong>, headed by Dr. Elani<br />
Kousvelari <strong>of</strong> NIDR, h<strong>as</strong> been in existence for the p<strong>as</strong>t 6 years. Biomimetics relies on the<br />
simulation <strong>of</strong> human “parts”. A major early goal <strong>of</strong> the program is to reconstruct cranial and<br />
facial constructs. Of the three (biomimetics, biomaterials , tissue engineering), tissue<br />
engineering is the only component which h<strong>as</strong> a cellular focus.<br />
• In 1997, Harold Varmus centralized several research efforts in BECON, the Biomedical<br />
<strong>Engineering</strong> Consortium, which h<strong>as</strong> been central for progress in TE, biomedical engineering,<br />
and bioengineering.<br />
In 2000, the NIH launched its newest institute, the National Institute for Biomedical Imaging and<br />
Bioengineering (NIBIB), which aims to “…improve health by promoting fundamental discoveries,<br />
design and development, and translation and <strong>as</strong>sessment <strong>of</strong> technological capabilities in biomedical<br />
imaging and bioengineering, enabled by relevant are<strong>as</strong> <strong>of</strong> information science, physics, chemistry,<br />
mathematics, materials science, and computer sciences 121 .”<br />
7.2 National Institute for Standards and Technology (NIST)<br />
NIST’s Advanced Technology Program (ATP) began in 1988 and w<strong>as</strong> designed to focus on<br />
commercial applications <strong>of</strong> high-risk cutting edge b<strong>as</strong>ic scientific research, such <strong>as</strong> biology, a field<br />
NIST did not yet participate in. <strong>The</strong> first ATP competition w<strong>as</strong> held in 1990-91 and the first TE<br />
award w<strong>as</strong> made in the 2 nd round <strong>of</strong> competition to Acerm Biosciences, a company growing stems<br />
cells from bone marrow. In the years subsequent, NIST added projects at the rate <strong>of</strong> 1-2 per year on<br />
topics such <strong>as</strong> building better scaffolding, bioreactors, and xenotransplantation. 122<br />
Serious efforts in tissue engineering, however, did not occur until the mid-late 1990s. In 1993-94, a<br />
two day conference w<strong>as</strong> held on cutting-edge biotechnology and involved individuals from several<br />
agencies including Francis Collins <strong>of</strong> NIST, Fred Heineken <strong>of</strong> NSF, and Kiki Hellman <strong>of</strong> FDA. <strong>The</strong><br />
group identified ‘hot topics’ in a hierarchy—tissue engineering being one <strong>of</strong> those near the top <strong>of</strong> the<br />
list. For each, a set <strong>of</strong> key issues w<strong>as</strong> identified and listed: in what are<strong>as</strong> is there enough b<strong>as</strong>ic science<br />
research and where is there a black hole? Other technologies identified at this meeting included DNA<br />
diagnostics, TE, vaccines, gene therapy, and biosensors. Approaches for the development <strong>of</strong> specific<br />
industries w<strong>as</strong> discussed. Stan Abramowitz, who headed the early NIST/ATP efforts w<strong>as</strong> heavily<br />
119 http://www.becon.nih.gov/sciencebioengineeringarticle.htm<br />
120 Elani Kousvelari interview, August 23, 2001.<br />
121 see: http://www.nibib.nih.gov/about/mission.html<br />
122 Rosemarie Hunziker interview, May 29, 2001.<br />
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involved in this. Staff attended conferences to “find the right people” to get advice, and to head these<br />
initiatives. As a follow-up to these efforts, a series <strong>of</strong> white papers were solicited in 1995 in<br />
preparation for a focused competition in TE. <strong>The</strong> first focused program w<strong>as</strong> initiated in 1997 when<br />
56 proposals were submitted and 12 awarded (for a total <strong>of</strong> $12 million that year). Focused<br />
competitions in tissue engineering ended for ATP in 1998, however.<br />
<strong>The</strong> ATP Program h<strong>as</strong> been instrumental in funding high-risk commercial applications <strong>of</strong> ide<strong>as</strong> that<br />
venture capitalists are unlikely to support—typically these are multidisciplinary projects which<br />
require academic collaboration. Dr. Rosemarie Hunziker, a former Program Officer at ATP, believes<br />
that NIST/ATP support <strong>of</strong> TE gave it credibility, an important action, especially in light <strong>of</strong> its heavy<br />
private sector orientation 123 .<br />
7.3 National Aeronautics and Space Administration (NASA)<br />
Beginning in the late 1970’s, NASA’s efforts in tissue engineering have focused on development <strong>of</strong><br />
techniques for three-dimensional cell and tissue culture. <strong>The</strong> agency’s interest in tissue engineering<br />
comes from a need to understand how cells and tissue behave in space. Laboratory cultures which<br />
mimic live human tissue can be used <strong>as</strong> models to conduct space research and research on deadly<br />
dise<strong>as</strong>es, such <strong>as</strong> cancer—eliminating the need for human test subjects. In the late 1980’s, the work<br />
<strong>of</strong> Milbourne and Wolf <strong>of</strong> the Johnson Space Center culminated in the development <strong>of</strong> the rotating<br />
bioreactor, a horizontal rotating wall vessel with a center oxygen membrane, which promoted cell and<br />
tissue growth under a variety <strong>of</strong> conditions. A patent on the device w<strong>as</strong> filed in 1988 and issued in<br />
1991 124 .<br />
While initially referred to under the agency’s biotechnology heading, NASA <strong>of</strong>ficially recognized<br />
these efforts <strong>as</strong> “tissue engineering” when the term appeared for the first time in a 1994 program<br />
update. Since then, NASA h<strong>as</strong> continued to fund selective research on bioreactors and related topics<br />
and h<strong>as</strong> provided a steady stream <strong>of</strong> funding to individuals in this area. Much <strong>of</strong> the work done by<br />
Lisa Freed and Gordana Vunjak-Novakovic <strong>of</strong> MIT h<strong>as</strong> been supported by NASA’s Cellular<br />
Biotechnology Area.<br />
7. 4 Food and Drug Administration (FDA)<br />
<strong>The</strong> FDA h<strong>as</strong> taken an interest in tissue engineering since the early 1990’s. In 1990, the Center for<br />
Devices and Radiological Health (CDRH) in conjunction with the State <strong>of</strong> Maryland held a<br />
conference to examine biological applications with device use. Among the topics raised w<strong>as</strong> tissue<br />
engineering. Dr. Kiki Hellman, head <strong>of</strong> the CDRH, saw potential in the field and became interested<br />
in exploring it further. Two years later, a workshop w<strong>as</strong> held to examine promising new<br />
technologies—tissue engineering being one <strong>of</strong> them.<br />
From an agency perspective, the FDA w<strong>as</strong> proactively involved in the technology’s development. 125<br />
According to Dr. Hellman, the FDA made a concerted effort to deal with in-house needs (staff<br />
training, education) so that they could anticipate the technology and be prepared to deal with the any<br />
technical or scientific issues that would arise.<br />
123 Kiki Hellman interview, August 3, 2001.<br />
124 Goodwin TJ, Jessup JM, Wolf DA. Morphologic differentiation <strong>of</strong> colon carcinoma cell lines HT-29 and<br />
HT-29 KM in rotating-wall vessels. In Vitro Cell Dev Biol 1992 Jan/ 28A(1):47-60.<br />
125 Kiki Hellman interview, August 3, 2001.<br />
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Many <strong>of</strong> our interviewees also state that the FDA h<strong>as</strong> been instrumental in allowing products to move<br />
to market, encouraging the development <strong>of</strong> standards to me<strong>as</strong>ure devices (in conjunction with the<br />
ASTM Committee F04 Medical and Surgical Materials and Devices). In all, many experts in the field<br />
laud their efforts, stating that the FDA is not a force standing in the way <strong>of</strong> progress.<br />
7.5 Other Institutions involved in <strong>Tissue</strong> <strong>Engineering</strong><br />
<strong>The</strong> <strong>Tissue</strong> <strong>Engineering</strong> Society International (TESI)<br />
In 1995, Charles Vacanti started <strong>The</strong> <strong>Tissue</strong> <strong>Engineering</strong> Society (now known <strong>as</strong> <strong>Tissue</strong> <strong>Engineering</strong><br />
Society International or TESI). In its early days, the society served to foster communication between<br />
individuals in the tissue engineering world through sponsorship <strong>of</strong> meetings and conferences. In<br />
1995, the Society published the first issue <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong>, the first dedicated journal in the<br />
field. Despite the placement <strong>of</strong> several prominent tissue engineers on its editorial board, the journal<br />
lacked popularity. Many researchers continue to preferentially publish in more traditional<br />
disciplinary journals or general peer-reviewed publication like Science or Nature. More recently, the<br />
society h<strong>as</strong> grown to include a more international focus and serves <strong>as</strong> a networking organization to<br />
foster dialogue between international researchers in the field 126 .<br />
<strong>The</strong> Pittsburgh <strong>Tissue</strong> <strong>Engineering</strong> Initiative<br />
A unique and somewhat unusual contributor to the field <strong>of</strong> tissue engineering h<strong>as</strong> been the Pittsburgh<br />
<strong>Tissue</strong> <strong>Engineering</strong> Initiative (PTEI). <strong>The</strong> organization w<strong>as</strong> founded by Peter Johnson (founded<br />
1994) a former surgeon at the University <strong>of</strong> Pittsburgh. After becoming chairman <strong>of</strong> the department<br />
<strong>of</strong> pl<strong>as</strong>tic surgery, Johnson w<strong>as</strong> in a unique position to form a network <strong>of</strong> scientists in the Pittsburgh<br />
area. B<strong>as</strong>ed largely upon his own interest in tissue engineering and its potential, Johnson pushed to<br />
develop a joint technology transfer policy between the major Pittsburgh area universities, and PTEI<br />
w<strong>as</strong> born. In its beginnings, PTEI served mostly <strong>as</strong> a networking mechanism—to raise funds to<br />
provide support to TE research in the surrounding area. <strong>The</strong> initiative had four key components: (1)<br />
technology development grants, (2) summer research internships to incre<strong>as</strong>e student b<strong>as</strong>e in TE, (3)<br />
biotech exposure (with a minority focus), and (4) a guest speaker program (a coordinated effort to<br />
bring big names in the field to Pittsburgh) 127 . PTEI raised money and support and led the 1 st TE<br />
biotech company in the area. Currently, there are at eight firms in the area. PTEI h<strong>as</strong> encouraged an<br />
amalgamation and growth <strong>of</strong> the critical m<strong>as</strong>s necessary to sustain development in TE for the<br />
Pittsburgh community. As a result, Pittsburgh is rapidly becoming a center for informatics—a new<br />
branch in the field <strong>of</strong> tissue engineering. PTEI also serves <strong>as</strong> a model for other cities to advance<br />
research and development in TE. Toronto is expanding their TE workforce utilizing the PTEI model.<br />
126 Vacanti, C. Interview June 20, 2001.<br />
127 www.ptei.org<br />
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<strong>The</strong> Whitaker Institute for Biomedical <strong>Engineering</strong><br />
<strong>The</strong> mission <strong>of</strong> <strong>The</strong> Whitaker Foundation is to promote better human health through advancements in<br />
medicine. This is accomplished through a series <strong>of</strong> competitive grant programs that support research<br />
and education in biomedical engineering at academic institutions in the United States and Canada 128 .<br />
Whitaker h<strong>as</strong> been instrumental in funding bioengineering programs around the country. Most<br />
notable for TE, they, in 1999, established the Whitaker Institute for Biomedical <strong>Engineering</strong> (WIBE)<br />
at UCSD under the leadership <strong>of</strong> Y.C. Fung. Much <strong>of</strong> the fundamental work supported under this<br />
institute will contribute to advancements in the field <strong>of</strong> TE. However, the foundation h<strong>as</strong> been<br />
reluctant to cl<strong>as</strong>sify TE <strong>as</strong> an independent entity, but rather a sub-field <strong>of</strong> bioengineering 129 .<br />
Multi-Agency <strong>Tissue</strong> <strong>Engineering</strong> Sciences (MATES) Working Group<br />
More recently, many agencies <strong>of</strong> the federal government have become interested in supporting the<br />
mission <strong>of</strong> tissue engineering. In an effort to coordinate this support, representatives from each <strong>of</strong><br />
several federal agencies came together in 2000, under the leadership <strong>of</strong> Drs. Fred Heineken (NSF)<br />
and Kiki Hellman (FDA) to form the Multi-Agency <strong>Tissue</strong> <strong>Engineering</strong> Science (MATES) Working<br />
Group. MATES h<strong>as</strong> three major goals: (1) to facilitate communication (and prevent redundancy <strong>of</strong><br />
funding) across departments/agencies by regular information exchanges and a common web site, and<br />
(2) enhance cooperation through co-sponsorship <strong>of</strong> scientific meetings and workshops, and facilitate<br />
the development <strong>of</strong> standards, and (3) to monitor technology by undertaking cooperative <strong>as</strong>sessments<br />
<strong>of</strong> the status <strong>of</strong> the field 130 . MATES h<strong>as</strong> developed a web-site which they hope will become “onestop-shopping”<br />
for those seeking information on the field (such <strong>as</strong> information about federal funding,<br />
scientific meetings, regulatory guidance and standards development). Participating agencies in<br />
MATES include the Department <strong>of</strong> Commerce (NIST), the Department <strong>of</strong> Energy (DOE), the<br />
Department <strong>of</strong> Defense (DARPA), the Department <strong>of</strong> Health and Human Services (FDA, NIH), the<br />
National Aeronautics and Space Administration (NASA), and the National Science Foundation<br />
(NSF). <strong>The</strong> panel, co-chaired by Drs. Frederick Heineken <strong>of</strong> NSF and Kiki Hellman <strong>of</strong> the FDA also<br />
focuses on some regulatory, legal, and ethical issues for TE. A particular area <strong>of</strong> interest h<strong>as</strong> been a<br />
global regulatory initiative for TE—an effort that will require the development <strong>of</strong> standards for<br />
testing tissue engineered products.<br />
A major contribution <strong>of</strong> the MATES group is the recent World Technology Evaluation Center<br />
(WTEC) study on tissue engineering, which attempts to summarize the technical contributions <strong>of</strong><br />
current work in TE and to estimate the funding for TE from each <strong>of</strong> the federal agencies 131 . <strong>The</strong> study<br />
h<strong>as</strong> become a focal point for activities <strong>of</strong> the working group, under the auspices <strong>of</strong> the Subcommittee<br />
on Biotechnology, Committee on Science <strong>of</strong> the President’s National Science and Technology<br />
Council (NSTC). <strong>The</strong> results <strong>of</strong> the WTEC study were used by MATES to plan a joint interagency<br />
program announcement in tissue engineering issued under the new National Institute for Biomedical<br />
Imaging and Bioengineering, which solicits research aimed at addressing specific gaps in tissue<br />
engineering.<br />
128 www.whitaker.org<br />
129 Peter Katona, President, Whitaker Foundation, Interview, August 16, 2002.<br />
130 http://www.tissueengineering.gov/<br />
131 see: http://www.wtec.org/loyola/te/<br />
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8.0 <strong>The</strong> Role <strong>of</strong> the National Science Foundation<br />
(NSF)<br />
<strong>The</strong> National Science Foundation, particularly through its Directorate for <strong>Engineering</strong>, appears to<br />
have played an important role in the emergence <strong>of</strong> tissue engineering <strong>as</strong> a recognized field <strong>of</strong> activity,<br />
and in shaping the character and in determining the direction <strong>of</strong> the field. In addition to introducing<br />
and defining the larger concept <strong>of</strong> tissue engineering, the Foundation h<strong>as</strong> provided support to key<br />
people, ide<strong>as</strong>, and institutions <strong>as</strong> discussed below.<br />
8.1 Financial Support<br />
From an examination <strong>of</strong> F<strong>as</strong>tlane Award data <strong>as</strong> an illustration <strong>of</strong> NSF support for tissue engineering,<br />
it is evident that the majority <strong>of</strong> NSF support goes toward individual investigator awards and Centers<br />
research (Table 8.1) 132 . NSF is also a strong supporter <strong>of</strong> workshops, conferences and other meetings,<br />
which suggest a prominent role in support <strong>of</strong> networking activities among individuals active in the<br />
field. Analysis <strong>of</strong> NSF funding by division shows that the v<strong>as</strong>t majority <strong>of</strong> the agency’s support <strong>of</strong><br />
tissue engineering—more than 80%--emanates from the Bioengineering and Environmental Systems<br />
(BES) and <strong>Engineering</strong>, Education and Centers (EEC) Divisions—both <strong>of</strong> which reside under NSF’s<br />
Directorate for <strong>Engineering</strong>. <strong>The</strong> role NSF funding h<strong>as</strong> played in research will be explored in the<br />
next section.<br />
Table 8.1: NSF Funding <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> 1988 – 2001, by Award Type<br />
Number <strong>of</strong> Awards (between 1988 - 2001) 92<br />
Total Dollar Value <strong>of</strong> NSF Awards (Current Dollars) (between 1988 - 2001) 70,543,307<br />
Awards for Individual Investigator Research (only) 12,576,301 17.8%<br />
Exploratory Awards (SGERs) 216,866 0.3%<br />
Awards for Instrumentation 851,689 1.2%<br />
Awards for Curriculum Development 820,602 1.2%<br />
Awards for Networking and Meetings 258,000 0.4%<br />
Awards for Diversity 1,000,000 1.4%<br />
Center Awards* 50,349,031 71.4%<br />
Career Development Awards (POWRE, PYI, etc.) 4,070,835 5.8%<br />
SBIR Awards 399,983 0.6%<br />
Total Dollar Value <strong>of</strong> NSF Awards (Current Dollars) 70,543,307 100.0%<br />
Source: F<strong>as</strong>tLane Award Data keyword search using term “tissue engineering” supplemented by additional data from the<br />
Directorate <strong>of</strong> engineering<br />
* <strong>The</strong> Center Award supports includes funds for three Centers – the Georgia Tech/Emory Center for the <strong>Engineering</strong> <strong>of</strong><br />
Live <strong>Tissue</strong>s, the University <strong>of</strong> W<strong>as</strong>hington Engineered Biomaterials (UWEB) ERC, and MIT’s Biotechnology Process<br />
Research Center (BPEC). Data on these l<strong>as</strong>t two Centers w<strong>as</strong> not pulled from F<strong>as</strong>tLane using the keyword “tissue<br />
engineering”. <strong>The</strong>ir dollar amounts were added manually to the total represented here. As a result, the final dollar value<br />
<strong>of</strong> Table 8.1 does not match that <strong>of</strong> Table 8.2, which is exclusively pulled from F<strong>as</strong>tLane.<br />
132 NSF F<strong>as</strong>tLane search for the period 1988-2001 using the keyword “tissue engineering”<br />
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Table 8.2: NSF Funding <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> 1988 – 2001, by Division<br />
Current Dollars Percent<br />
BCS Total 11,000 0.0%<br />
BES Total 12,671,526 38.5%<br />
CTS Total 311,798 0.9%<br />
DBI Total 1,919,379 5.8%<br />
DMI Total 399,983 1.2%<br />
DMR Total 1,008,863 3.1%<br />
DUE Total 74,780 0.2%<br />
EEC Total 13,535,560 41.1%<br />
EPS Total 2,316,325 7.0%<br />
HRD Total 117,579 0.4%<br />
IBN Total 214,441 0.7%<br />
INT Total 29,000 0.1%<br />
MCB Total 300,000 0.9%<br />
NSF Total 32,910,234 100.0%<br />
Source: F<strong>as</strong>tLane Award Data kyword search using term “<strong>Tissue</strong> <strong>Engineering</strong>”<br />
Note: BCS: Behavioral and Cognitive Sciences, BES: Bioengineering & Environmental Systems, CTS: Chemical and<br />
Transport Systems, DBI: Biological Infr<strong>as</strong>tructure, DMI: Design, Manufacture and Industry, DMR: Division <strong>of</strong> Materials<br />
Research, DUE: Division <strong>of</strong> Undergraduate Education, EEC: <strong>Engineering</strong> Education & Centers, EPS: Experimental<br />
Program to Stimulate Competitive Research, HRD: Human Resource Development, IBN: Integrative Biology and<br />
Neuroscience, INT: International; MCB: Molecular and Cellular Biosciences<br />
8.2 Researcher Support<br />
While the interviews did not shed much light on<br />
the role <strong>of</strong> NSF <strong>as</strong> a funder, bibliometric<br />
analysis (see Figure 8.1 and Table 8.3 below, <strong>as</strong><br />
well <strong>as</strong> Appendix 5 for the full bibliometrics and<br />
patent analysis) revealed that NSF h<strong>as</strong> had a<br />
significant role in supporting lead researchers in<br />
the field 133 . Figure 8.1 illustrates the relative<br />
role <strong>of</strong> NSF support <strong>of</strong> TE over the years. NSF<br />
support h<strong>as</strong> been acknowledged on 12% <strong>of</strong> the<br />
papers revealed by the bibliometric analysis.<br />
<strong>The</strong> influence <strong>of</strong> NSF funding on top researchers<br />
in the field, however, h<strong>as</strong> been<br />
disproportionately large. Table 8.3 shows that<br />
three <strong>of</strong> the most prolific researchers – Vacanti,<br />
Langer and Mooney - acknowledge NSF funding<br />
on 19%-37% <strong>of</strong> their papers, including on the<br />
Figure 8.1 Number <strong>of</strong> NSF Funded Papers<br />
80<br />
NSF<br />
70<br />
Other<br />
60<br />
No funding acknowledged<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
61 70 75 80 85 90 95 00<br />
133 In an analysis carried out for this project, subcontractor CHI Research tallied the funding sources<br />
acknowledged by papers retrieved through a PubMed search carried out in September 2001, using a search<br />
filter that heavily weighted the scaffolds-and-cell-seeding concept <strong>of</strong> TE. In the group <strong>of</strong> 1,056 papers<br />
generated by this search, 727 explicitly acknowledged a funding source. Of these, 89 papers or 12%<br />
acknowledged NSF support. In the absence <strong>of</strong> an exhaustive manual review <strong>of</strong> the funding histories <strong>of</strong><br />
individual researchers active in tissue engineering, there is no way to determine what the corresponding<br />
fraction would be for a more inclusive definition <strong>of</strong> tissue engineering [than used in the bibliometric study].<br />
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1993 Science paper (this percentage may, in fact, be even higher, <strong>as</strong> not all papers list<br />
acknowledgement <strong>of</strong> research funding and, further, some researchers fail to mention all <strong>of</strong> the funding<br />
sources that should be cited in acknowledgements). Given the wide range <strong>of</strong> tissue engineering<br />
activities, it is not surprising that NSF support <strong>of</strong> researchers varies considerably. Notable<br />
researchers such <strong>as</strong> Linda Griffith, Jeffrey Hubbell, P.M. Kaufmann, and Mark Saltzman also<br />
acknowledge NSF on a third or more <strong>of</strong> their papers, while NSF appears to have had no role in<br />
supporting other prominent researchers such <strong>as</strong> Arnold Caplan, Lisa Freed, V.M. Goldberg or<br />
Gordana Vunjak-Novakovic.<br />
Table 8.3: Sources <strong>of</strong> Support for Prominent Authors and <strong>The</strong>ir Papers in <strong>Tissue</strong> <strong>Engineering</strong><br />
Funding type<br />
Author<br />
TE<br />
Papers<br />
#<br />
agencies<br />
# <strong>of</strong> NIH<br />
institutes % NSF NSF Other<br />
No funding<br />
acknowledged<br />
Vacanti JP 92 10 8 19% 13 57 22<br />
Langer R 76 11 6 26% 17 48 11<br />
Mooney DJ 53 5 5 37% 17 29 7<br />
Vacanti CA 31 4 1 5% 1 18 12<br />
Atala A 28 2 1 3 25<br />
Caplan AI 27 4 5 27<br />
Aebischer P 26 4 2 6% 1 15 10<br />
Mikos AG 25 6 6 17% 4 20 1<br />
Yann<strong>as</strong> IV 21 8 4 7% 1 14 6<br />
Freed LE 20 4 3 20<br />
Goldberg VM 19 4 3 19<br />
Kim BS 18 4 2 43% 6 8 4<br />
Vunjaknovakovic G 18 4 3 18<br />
Ingber DE 17 8 3 25% 4 12 1<br />
Mayer JE 17 5 1 12 5<br />
Schloo B 16 3 13% 2 13 1<br />
Ma PX 15 5 2 8 7<br />
Boyan BD 14 7 3 15% 2 11 1<br />
Cima LG 14 5 3 40% 4 6 4<br />
Hollinger JO 14 4 6 6 8<br />
Hubbell JA 14 5 2 75% 9 3 2<br />
Spector M 14 5 8% 1 12 1<br />
Winn SR 14 2 4 6 8<br />
Reddi AH 13 4 2 6 7<br />
Upton J 13 4 1 10% 1 9 3<br />
Grande DA 12 4 1 9 3<br />
Allcock HR 11 5 1 11% 1 8 2<br />
Athan<strong>as</strong>iou KA 11 2 4 7<br />
Bell E 11 3 1 4 7<br />
Green H 11 3 3 9 2<br />
Hansbrough JF 11 2 2 8 3<br />
Wozney JM 11 5 2 7 4<br />
Bruder SP 10 2 4 10<br />
Galletti PM 10 4 3 4 6<br />
Schwartz Z 10 7 2 22% 2 7 1<br />
Yoo JJ 10 2 1 1 9<br />
See Appendix 5 for a more extensive listing <strong>of</strong> authors published in tissue engineering.<br />
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NSF funding, however, is not evenly distributed across all <strong>as</strong>pects <strong>of</strong> tissue engineering. NSF support<br />
is clearly targeted toward the application <strong>of</strong> engineering principles, especially with the aim <strong>of</strong><br />
advancing engineering knowledge. Table 8.4 uses the bibliometric study to identify the sub-fields <strong>of</strong><br />
tissue engineering where NSF-funded researchers have been most active and demonstrates that the<br />
agency h<strong>as</strong> held true to its stated mission and goals. Almost 90% <strong>of</strong> NSF-supported papers are in<br />
fields related to engineering or fields that promote the application <strong>of</strong> engineering principles to solve<br />
problems in a variety <strong>of</strong> realms. Table 8.4 also shows that NSF support h<strong>as</strong> been highest for<br />
biomedical engineering (30 <strong>of</strong> 145 papers or 21%) and general/miscellaneous biomedical research (27<br />
<strong>of</strong> 212 papers or 13%).<br />
Both the interviews and the bibliometrics <strong>as</strong>sessment explored the role <strong>of</strong> NSF in supporting the<br />
establishment and growth <strong>of</strong> TE in institutions. Table 8.5 below lists the top institutions with which<br />
authors <strong>of</strong> TE papers were affiliated according to acknowledgements in the papers (a more extensive<br />
listing <strong>of</strong> institutions involved in tissue engineering can be found in Appendix 5). 134 As the Table<br />
shows, NSF supported 12% <strong>of</strong> the papers produced by authors working at these institutions. <strong>The</strong><br />
Table shows that, among the TE papers (1) by authors from the leading TE research institutions and<br />
(2) that contained acknowledgements <strong>of</strong> underlying research sponsorship(s), 17% <strong>of</strong> the papers<br />
contained acknowledgements <strong>of</strong> NSF support.<br />
134 Note that papers whose authors were at more than one institution were multiple-counted. Ple<strong>as</strong>e see the<br />
Appendix for a more complete listing <strong>of</strong> institutions. Only the top publishing institutions appear in this<br />
excerpt.<br />
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Table 8.4 <strong>Tissue</strong> <strong>Engineering</strong> Research Papers, by Acknowledged Sponsor, Field <strong>of</strong> Journal, and Character <strong>of</strong> Research 135<br />
% Share<br />
National Science Foundation Other funders No explicit funding acknowledgements<br />
TE Papers<br />
Field<br />
% Share<br />
TE Papers<br />
Field<br />
% Share<br />
TE Papers<br />
Field<br />
37% 30 Biomedical <strong>Engineering</strong> 14% 83 Orthopedics 15% 41 Urology<br />
22% 18 Misc Biomedical Research 13% 78 Biomedical <strong>Engineering</strong> 14% 40 Surgery<br />
11% 9 General Biomedical Research 12% 70 General Biomedical Research 14% 38 General Biomedical Research<br />
6% 5 Neurology & Neurosurg 11% 63 Surgery 13% 37 Biomedical <strong>Engineering</strong><br />
6% 5 Cell Biology, Cytology & Histology 9% 53 Misc Biomedical Research 9% 24 Misc Biomedical Research<br />
5% 4 Biochemistry & Molec Biology 7% 39 Cell Biology, Cytology & Histology 8% 21 Orthopedics<br />
2% 2 Polymers 6% 37 Neurology & Neurosurg 7% 19 Biochemistry & Molec Biology<br />
2% 2 Biophysics 4% 26 Biochemistry & Molec Biology 4% 11 Dentistry<br />
2% 2 Endocrinology 4% 21 Dentistry 3% 9 Cell Biology, Cytology & Histology<br />
1% 1 Orthopedics 3% 19 Immunology 3% 7 Neurology & Neurosurg<br />
1% 1 Surgery 3% 17 General & Internal Medicine 2% 5 General & Internal Medicine<br />
1% 1 General Chemistry 2% 13 Dermatology & Venereal Dise<strong>as</strong>e 2% 5 Dermatology & Venereal Dise<strong>as</strong>e<br />
1% 1 General Biology 2% 10 Endocrinology 1% 4 Endocrinology<br />
100% 81 Total papers covered by ISI 1% 8 Urology 1% 4 Immunology<br />
8 Not covered by ISI 1% 5 Cancer 1% 4 Cardiov<strong>as</strong>cular Systm<br />
1% 5 Polymers 1% 3 Misc Clinical Medicine<br />
1% 4 General Biology 1% 3 Pharmacology<br />
1% 4 Biophysics 1% 2 Otorhinolaryngology<br />
1% 3 Pharmacology 0% 1 Pathology<br />
1% 3 Cardiov<strong>as</strong>cular System 0% 1 G<strong>as</strong>troenterology<br />
1% 3 Hematology 0% 1 General Chemistry<br />
1% 3 Otorhinolaryngology 100% 280 Total papers covered by ISI<br />
0% 2 Pathology 49 Not covered by ISI<br />
0% 2 Inorganic & Nuclear Chemistry<br />
0% 2 Genetics & Heredity<br />
0% 1 Misc Clinical Medicine<br />
0% 1 Geriatrics<br />
0% 1 Physical Chemistry Notes: Papers not covered by ISI could<br />
0% 1 Embryology not be allocated to a field<br />
0% 1 Anatomy & Morphology<br />
0% 1 General Chemistry<br />
100% 579 Total papers covered by ISI<br />
59 Not covered by ISI<br />
135 ISI does not include new journals, some proceedings journals, and some technology journals. New journals are added periodically after they demonstrate<br />
quality and importance.<br />
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Table 8.5: <strong>Tissue</strong> <strong>Engineering</strong> Papers by Lead Author’s US Institutional Affiliation and Research<br />
Sponsor Acknowledged in Papers<br />
Institution<br />
8.3 Institutional Development<br />
TE<br />
papers NSF Other<br />
Funding Source Cited<br />
No<br />
funding<br />
acknowle<br />
dged<br />
% funded<br />
that are<br />
NSF<br />
Harvard University 317 38 192 87 17%<br />
MIT 239 50 148 41 25%<br />
University <strong>of</strong> Michigan 156 34 75 47 31%<br />
Childrens Hospital Med Ctr/Boston 142 13 90 39 13%<br />
University <strong>of</strong> Tex<strong>as</strong> 124 24 71 29 25%<br />
C<strong>as</strong>e Western Reserve University 83 1 78 4 1%<br />
University <strong>of</strong> California at San Diego 81 5 62 14 7%<br />
M<strong>as</strong>sachusetts General Hospital 62 1 42 19 2%<br />
Rice University 55 6 42 7 13%<br />
Johns Hopkins University 48 6 29 13 17%<br />
University <strong>of</strong> Pennsylvania 36 11 16 9 41%<br />
Brown University 35 2 18 15 10%<br />
University <strong>of</strong> M<strong>as</strong>sachusetts 34 18 16<br />
Northwestern University 30 30<br />
University Miami 30 25 5<br />
Univeristy <strong>of</strong> Virginia 29 1 17 11 6%<br />
Brigham & Women's Hospital 28 1 21 6 5%<br />
New York University 26 17 9<br />
Yale University 26 23 3<br />
University Minnesota 25 12 9 4 57%<br />
University <strong>of</strong> Pittsburgh 25 1 17 7 6%<br />
W<strong>as</strong>hington University 24 15 9<br />
University W<strong>as</strong>hington 23 20 3<br />
Genet Inst Inc 22 13 9<br />
University Rochester 22 20 2<br />
NSF h<strong>as</strong> played a small but significant role in developing institutions and networks in the field <strong>of</strong><br />
<strong>Tissue</strong> <strong>Engineering</strong>. A sample set <strong>of</strong> activities is listed below.<br />
Conferences and Workshops As discussed in depth in earlier chapters, NSF h<strong>as</strong> been an early<br />
sponsor <strong>of</strong> workshops and conferences related to TE. To repeat from Chapter 3, the term “tissue<br />
engineering” itself w<strong>as</strong> proposed at a 1987 panel meeting convened to consider future directions for<br />
the <strong>Engineering</strong> Directorates’s Bioengineering and Research to Aid the Handicapped Program.<br />
Strong interest in this concept within the <strong>Engineering</strong> Directorate (especially through the efforts <strong>of</strong><br />
Allan Zelman and Frederick Heineken) led to a special panel meeting on tissue engineering, again at<br />
NSF, in the fall <strong>of</strong> 1987, and then to the Granlibakken workshop <strong>of</strong> 1988, now considered to be the<br />
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first formal scientific meeting <strong>of</strong> the emerging field <strong>of</strong> tissue engineering (see Executive Summary<br />
and Chapter 3 for a more in-depth discussion <strong>of</strong> these early conferences).<br />
In all, about one percent <strong>of</strong> NSF’s total TE support in the period 1987-2001 w<strong>as</strong> devoted to<br />
networking and conference support, and many <strong>of</strong> the individual investigator awards in TE were funds<br />
to support presentations <strong>of</strong> results from research conducted with the NSF support and attendance at<br />
non-NSF conferences and meetings.<br />
MATES As a founder and critical participant in the MATES Working Group, the <strong>Engineering</strong><br />
Directorate, through the leadership <strong>of</strong> Frederick Heineken, Kiki Hellman, and others, h<strong>as</strong> made a<br />
pronounced effort in recent years to engage participation from a range <strong>of</strong> disciplines (a more detailed<br />
discussion <strong>of</strong> MATES purpose and objectives can be found in Chapter 7 above). <strong>The</strong> MATES group<br />
aims to enhance collaboration and cooperation amongst several federal agencies so that gaps in tissue<br />
engineering research can be addressed. An important example is an outgrowth <strong>of</strong> the MATES<br />
initiative, a study published through WTEC, which summarizes the global status <strong>of</strong> the field 136 and<br />
notes where progress is needed.<br />
NIBIB Aside from its participation in MATES, NSF continues to collaborate with other Federal<br />
agencies and programs on TE related research and education. In particular, NSF h<strong>as</strong> ongoing<br />
collaboration with the newest <strong>of</strong> the NIH Institutes, the National Institute for Biomedical Imaging and<br />
Bioengineering (NIBIB), established in 2000. <strong>The</strong> first "<strong>of</strong>ficial" NIBIB interagency activity w<strong>as</strong> a<br />
joint NIH/NSF Workshop on Bioengineering and Bioinformatics Education and Training. Since then,<br />
the two agencies have established the Bioengineering and Bioinformatics Summer Institutes (BBSI)<br />
Program to provide students majoring in the biological sciences, computer sciences, engineering,<br />
mathematics, and physical sciences with interdisciplinary bioengineering or bioinformatics research<br />
and education experiences 137 .<br />
Another important outgrowth <strong>of</strong> the NIBIB is a recent solicitation (dated December 30, 2002), likely<br />
influenced by the work <strong>of</strong> MATES and the WTEC report, seeking proposals to address key research<br />
challenges in TE 138 . <strong>The</strong> initiative is expected to draw biologists, clinicians, and engineers to work<br />
together to address issues such <strong>as</strong> cell sourcing, cell identification and characterization, engineering<br />
design, and other enabling technologies necessary to move the field forward. A total <strong>of</strong> $8 million<br />
dollars h<strong>as</strong> been earmarked for the initiative.<br />
Center Support NSF’s Directorate for <strong>Engineering</strong> h<strong>as</strong> provided significant support toward<br />
institutional development for TE through its funding <strong>of</strong> Centers. <strong>The</strong>se include the Georgia<br />
Tech/Emory ERC, which w<strong>as</strong> awarded in 1998, and the University <strong>of</strong> W<strong>as</strong>hington Engineered<br />
Biomaterials (UWEB) Center. Aside from NSF, the bulk <strong>of</strong> institutional support in TE h<strong>as</strong> been<br />
provided by the Whitaker Foundation, through its role in building the field <strong>of</strong> biomedical engineering,<br />
and especially in providing institutional development funds for the creation and expansion <strong>of</strong><br />
bioengineering departments– not only at the academic centers highlighted in Chapter 5, but at many<br />
other institutions across the nation. <strong>The</strong>se departments are incre<strong>as</strong>ingly taking over from departments<br />
<strong>of</strong> chemical and mechanical engineering <strong>as</strong> the focus <strong>of</strong> academic research activity in tissue<br />
engineering, and the drive to create and expand TE focus are<strong>as</strong> in many <strong>of</strong> these emerging<br />
departments h<strong>as</strong> created opportunities for young investigators completing their training at the<br />
institutions that have led the way in TE research.<br />
136 http://www.wtec.org/loyola/te/final/te_final.pdf<br />
137 http://bbsi.eeicom.com/<br />
138 http://grants1.nih.gov/grants/guide/rfa-files/FRA-EB-010.html<br />
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Not evident in these funding analyses, but worthy <strong>of</strong> note, is that NSF h<strong>as</strong> been an important source<br />
<strong>of</strong> support over the years for the work <strong>of</strong> Dougl<strong>as</strong> Lauffenburger, a highly productive researcher on<br />
the fringes <strong>of</strong> tissue engineering who h<strong>as</strong> trained many younger investigators involved in the field.<br />
Since 1999, Lauffenburger h<strong>as</strong> served <strong>as</strong> director <strong>of</strong> the MIT Biotechnology Process <strong>Engineering</strong><br />
Center (BPEC), an NSF-funded ERC, in its second incarnation in 1995. BPEC h<strong>as</strong> developed new<br />
research thrusts that have moved the focus <strong>of</strong> its activity toward the boundary between tissue<br />
engineering and several adjacent fields, with projects led by several MIT investigators prominent in<br />
tissue engineering.<br />
Young Researcher Support As a complement to the bibliometric study, review <strong>of</strong> NSF’s own<br />
records in F<strong>as</strong>tLane indicates that during the 1987-2002 period NSF h<strong>as</strong> provided important early<br />
career development support for a large number <strong>of</strong> promising young researchers in tissue engineering,<br />
both through specially-designated young investigator and career development awards and through<br />
regular project awards, including (listed with current affiliation) 139 :<br />
• Kristi Anseth (University <strong>of</strong> Colorado)<br />
• Ravi Bellamkonda (C<strong>as</strong>e Western Reserve University)<br />
• John Frangos (La Jolla Bioengineering Institute)<br />
• Linda Griffith (MIT)<br />
• Jeffrey Hubbell (ETH Zurich)<br />
• Jens Karlsson (Georgia Tech)<br />
• Tony Keaveny (University <strong>of</strong> California Berkeley)<br />
• Michelle LaPlaca (Georgia Tech)<br />
• Cato Laurencin (Drexel University)<br />
• Surya Mallapragada (Iowa State University)<br />
• Howard Matthew (Wayne State University)<br />
• Andrew McCulloch (University <strong>of</strong> California, San Diego)<br />
• Prabh<strong>as</strong> Moghe (Rutgers University)<br />
• David Mooney (University <strong>of</strong> Michigan)<br />
• David Odde (University <strong>of</strong> Minnesota)<br />
• Michael V. Pishko (Penn State University)<br />
• Robert Sah (University <strong>of</strong> California, San Diego)<br />
• W. Mark Saltzman (Yale University)<br />
• Christine Schmidt (University <strong>of</strong> Tex<strong>as</strong>, Austin)<br />
• Lonnie D. Shea (Northwestern University)<br />
• Darrell Velegol (Pennsylvania State University)<br />
• Jennifer West (Rice University)<br />
• Joyce Wong (Boston University)<br />
• Martin Yarmush (Rutgers University)<br />
8.4 Overall Assessment<br />
While available evidence suggests that no single organization engendered monumental changes in the<br />
field <strong>of</strong> tissue engineering, NSF’s Directorate for <strong>Engineering</strong> did create an environment that<br />
encouraged the crystallization <strong>of</strong> an emerging concept, both with its innovative <strong>Engineering</strong> Research<br />
Centers (ERC) Program and its ongoing internal efforts to define productive future directions for its<br />
bioengineering program. NSF hosted the first meetings at which the concept <strong>of</strong> tissue engineering <strong>as</strong><br />
139 <strong>The</strong> data here are not meant to be exhaustive and w<strong>as</strong> gathered by entering the names listed in Appendix 2:<br />
Roster <strong>of</strong> <strong>Tissue</strong> Engineers into the F<strong>as</strong>tLane Awards datab<strong>as</strong>e and manually filtering the records retrieved<br />
for those applicable to tissue engineering.<br />
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a focus <strong>of</strong> research w<strong>as</strong> defined and strategies for its future growth and potential discussed. <strong>The</strong> field<br />
definition drafted at the October NSF 1987 meeting and reported in the preface <strong>of</strong> the Granlibakken<br />
workshop proceedings w<strong>as</strong> to become a standard citation in later articles, including the well-known<br />
1993 paper by Langer and Vacanti (which listed NSF <strong>as</strong> a funding source).<br />
While the Directorate for <strong>Engineering</strong> h<strong>as</strong> no doubt provided funding support to key researchers in<br />
the field, it is more difficult to attribute specific research contributions and breakthroughs to the<br />
Directorate. In fact, in general, the broad and interdisciplinary nature <strong>of</strong> the field make it difficult to<br />
cl<strong>as</strong>sify any number <strong>of</strong> research contributions <strong>as</strong> seminal. As documented in Chapter 2, efforts to<br />
“engineer” tissues to restore structure or function predate the events <strong>of</strong> 1987-88 by many years.<br />
However, if there is a research development that marked the emergence <strong>of</strong> a recognizably distinct<br />
field on this foundation <strong>of</strong> many related, pre-existing lines <strong>of</strong> research, it appears that the consensus in<br />
the research community and through our own best judgment points to the January 1988 publication by<br />
Langer, Vacanti and colleagues describing the strategy <strong>of</strong> using resorbable artificial polymer matrices<br />
seeded with cells <strong>as</strong> a vehicle for cell transplantation. This early ph<strong>as</strong>e <strong>of</strong> the Langer/Vacanti<br />
collaboration, catalyzed by the shared experience <strong>of</strong> working under Folkman, brought together at le<strong>as</strong>t<br />
four <strong>of</strong> the conceptual elements that are central to tissue engineering today: the use <strong>of</strong> polymeric<br />
materials in biological applications, the use <strong>of</strong> live cells to restore lost physiologic function, the vision<br />
<strong>of</strong> controlling tissue morphogenesis through the use <strong>of</strong> signaling molecules, and the powerful<br />
motivation <strong>of</strong> the shortage <strong>of</strong> transplantable organs.<br />
Further, the seminal development in awareness <strong>of</strong> tissue engineering in the scientific community <strong>as</strong> a<br />
distinct domain <strong>of</strong> research is also attributable to Langer and Vacanti. <strong>The</strong> October 1987 Panel<br />
Meeting at NSF and the subsequent Granlibakken workshop in 1988 and Keystone workshops in<br />
1990 and 1992, while significant, appear to have “spoken” to a much narrower audience; among our<br />
group <strong>of</strong> interviewees, few who were not directly involved in one or the other <strong>of</strong> these events report<br />
any awareness <strong>of</strong> their direct impact, although, again, the field definition drafted at the October<br />
meeting is acknowledged.<br />
So, where does NSF fit within the larger picture <strong>of</strong> support for tissue engineering over the fifteen<br />
years since 1987? Comments by our interviewees suggest that while NSF funding is highly valued by<br />
those who have received it, the agency is not widely perceived <strong>as</strong> a major force in the field. <strong>The</strong><br />
Foundation is seen today to play a less critical overall role, but rather, an important and distinctive<br />
niche role related to its early career support for several now prominent young researchers and its role<br />
in bringing in new disciplines to the field. As a founder and critical participant in the MATES<br />
Working Group, NSF’s Directorate for <strong>Engineering</strong> h<strong>as</strong> made a pronounced effort in recent years to<br />
engage participation from a range <strong>of</strong> agencies and disciplines. Examples <strong>of</strong> such efforts include<br />
support <strong>of</strong> the WTEC study, and the close collaboration with NIH, which h<strong>as</strong> produced a new<br />
solicitation to support research in fundamental knowledge gaps in TE.<br />
NSF’s Directorate for <strong>Engineering</strong> also appears to have played a large role in incorporating the<br />
biomechanics community into the emerging field. <strong>The</strong> events <strong>of</strong> 1987-88 engaged pioneers <strong>of</strong> an<br />
engineering approach to orthopedics and hemodynamics, such <strong>as</strong> Richard Skalak, Van Mow, and<br />
Robert Nerem, in the development <strong>of</strong> a shared concept for the field just <strong>as</strong> the emergence <strong>of</strong> the<br />
scaffolds-and-cell-seeding approach, occurring in parallel with and independently <strong>of</strong> the Foundation’s<br />
activities, w<strong>as</strong> providing a renewed and powerful impetus for efforts to construct cell-b<strong>as</strong>ed<br />
therapeutic solutions.<br />
One might also note the delayed efforts <strong>of</strong> the Foundation to engage biologists in the endeavor. All <strong>of</strong><br />
the participants in the Foundation’s 1987 discussions were well-aware <strong>of</strong> the importance <strong>of</strong><br />
fundamental research in biology <strong>as</strong> part <strong>of</strong> the mix required to make tissue engineering a success. As<br />
an agency concerned with the full range <strong>of</strong> fundamental research and not directly with clinical<br />
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applications, NSF might have been the natural locus for an effort to mobilize b<strong>as</strong>ic biological<br />
scientists <strong>as</strong> well. However, <strong>as</strong> an NSF initiative, tissue engineering arose from the engineering<br />
directorate, and judged by data available from the NSF F<strong>as</strong>tLane grants datab<strong>as</strong>e, remained largely<br />
contained within the engineering directorate.<br />
As noted earlier, tissue engineering continues to be characterized by a tension between ad hoc and<br />
more fundamental or systematic approaches, with many observers concerned that the balance remains<br />
too far toward the ad hoc. On this deeper level, the involvement <strong>of</strong> engineers should be an important<br />
contribution to making TE truly an engineering discipline, characterized by rational design b<strong>as</strong>ed on<br />
integration <strong>of</strong> fundamental principles. In practice, however, this theoretical rationalization h<strong>as</strong> not<br />
made much progress. <strong>The</strong> challenges addressed by tissue engineering are hard problems. This<br />
perception underlines a dilemma faced by the Foundation <strong>as</strong> a whole. In the future, NSF will be<br />
challenged to define and fulfill a role that allows it to continue to have a noticeable impact on the<br />
field.<br />
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Appendix 1: Approach to Data Collection<br />
Literature Review<br />
Bibliographic searches, general Internet searches, advice from expert informants, and citations and<br />
other leads within retrieved documents pointed to a wide range <strong>of</strong> pr<strong>of</strong>essional, institutional and<br />
popular literature relevant to the study. Documents <strong>of</strong> the following types were reviewed:<br />
• Articles in peer-reviewed scientific journals, including review articles and original research<br />
papers published in general scientific and medical journals such <strong>as</strong> Science, Nature, and the<br />
New England Journal <strong>of</strong> Medicine <strong>as</strong> well <strong>as</strong> in biological, medical and engineering specialty<br />
and subspecialty journals such <strong>as</strong> Journal <strong>of</strong> Cellular Biochemistry, Journal <strong>of</strong> V<strong>as</strong>cular<br />
Surgery, Journal <strong>of</strong> Biomedical Materials Research, and <strong>Tissue</strong> <strong>Engineering</strong>.<br />
• Conference agend<strong>as</strong> and proceedings, including key events such <strong>as</strong> the 1987 NSF special<br />
panel meeting, 1988 Granlibakken TE workshop, the 1992 Keystone symposium, and the<br />
2001 BECON symposium.<br />
• Prospectuses, promotional materials and other documents from pr<strong>of</strong>essional societies and<br />
private-sector development initiatives, such <strong>as</strong> the <strong>Tissue</strong> <strong>Engineering</strong> Society and the<br />
Pittsburgh <strong>Tissue</strong> <strong>Engineering</strong> Initiative.<br />
• Program announcements, project abstracts, reports and background documents from<br />
Federal funding agencies and collaborative initiatives, including NSF, NIH, NIST, and<br />
NASA, and the NIH BECON and interagency MATES initiatives.<br />
• Annual reports and miscellaneous documents from private foundations such <strong>as</strong> the<br />
Whitaker Foundation.<br />
• Special t<strong>as</strong>k force reports, notably including the January 2002 WTEC Panel Report on<br />
<strong>Tissue</strong> <strong>Engineering</strong> Research.<br />
• Announcements, bulletins, research abstracts, course syllabi and other materials from<br />
academic programs in tissue engineering.<br />
• Textbooks, including two recently-published, comprehensive volumes: Principles <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong>, 2 nd Ed. (Academic Press, 2000) and Methods <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> (Academic<br />
Press, 2002).<br />
• Promotional materials and annual reports from companies engaged in tissue engineering.<br />
• Articles from trade publications and general-interest periodicals such <strong>as</strong> <strong>The</strong> Scientist,<br />
Scientific American, Discover, Business Week, and Time.<br />
• A convenience sample <strong>of</strong> TE-related patents identified through exploratory searches <strong>of</strong> the<br />
US Patent and Trademark Office datab<strong>as</strong>e, using the term “tissue engineering” or the names<br />
<strong>of</strong> researchers or organizations prominent in the field <strong>as</strong> search terms.<br />
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Expert Interviews<br />
An iterative process <strong>of</strong> literature review, Internet searches, and discussions with expert informants<br />
produced a list <strong>of</strong> 126 individuals presently or formerly active <strong>as</strong> participants in or observers <strong>of</strong> TE,<br />
including researchers b<strong>as</strong>ed in academia, researchers and managers from private companies, present<br />
and former program managers for funding agencies, and investment and venture capital pr<strong>of</strong>essionals.<br />
<strong>The</strong> study team w<strong>as</strong> able to interview a total <strong>of</strong> 46 people from this list, either in person or by<br />
telephone, including most <strong>of</strong> the individuals identified by consensus among our informants <strong>as</strong><br />
especially influential in shaping the field during the earliest years <strong>of</strong> its emergence.<br />
A m<strong>as</strong>ter protocol <strong>of</strong> study questions w<strong>as</strong> developed, from which separate interview guides were<br />
derived for use in discussions with individuals working in academic, government, and corporate<br />
settings. A complete list <strong>of</strong> interviewees can be found in Appendix 3, and copies <strong>of</strong> the interview<br />
protocols can be found in Appendix 4.<br />
Bibliometric Analysis<br />
A formal bibliometric analysis w<strong>as</strong> carried out by CHI Research, Inc., using reference sets <strong>of</strong><br />
publications and patents identified <strong>as</strong> related to tissue engineering. Full details are provided in a<br />
separate Appendix 5 to this report. 140<br />
Search for Data on Research Sponsorship<br />
To inform analysis <strong>of</strong> NSF’s role <strong>as</strong> a research sponsor in the emergence <strong>of</strong> tissue engineering, an<br />
attempt w<strong>as</strong> made to collect systematic data on the quantity and character <strong>of</strong> related research projects<br />
funded and on the amount <strong>of</strong> money expended by Federal agencies in support <strong>of</strong> TE. Sources utilized<br />
included the following:<br />
• RaDiUS, a comprehensive datab<strong>as</strong>e on Federally-funded research and development,<br />
maintained by the RAND Corporation.<br />
• Project datab<strong>as</strong>es <strong>of</strong> individual Federal agencies, including NSF, NIH and NASA.<br />
• Documents provided by program managers at Federal agencies.<br />
• Bibliometric analysis <strong>of</strong> funding acknowledgments in published papers and patents.<br />
It became apparent from intensive exploratory analysis <strong>of</strong> RaDiUS and the agency-specific project<br />
datab<strong>as</strong>es that there is no way to construct either a definitive list <strong>of</strong> TE projects funded by the Federal<br />
government or to calculate anything more than an order-<strong>of</strong>-magnitude estimate <strong>of</strong> the amount <strong>of</strong><br />
funding provided for TE by the government. In part, this is a consequence <strong>of</strong> the boundary-drawing<br />
problem, and <strong>of</strong> the related difficulty <strong>of</strong> specifying a search filter that is both sensitive and specific for<br />
TE-related research. However, technical limitations <strong>of</strong> these datab<strong>as</strong>es – notably in the consistency <strong>of</strong><br />
the largely investigator-reported data on which these systems are b<strong>as</strong>ed – imposed severe constraints<br />
on the analysis <strong>as</strong> well.<br />
Once the roster <strong>of</strong> tissue engineers w<strong>as</strong> completed, the datab<strong>as</strong>e <strong>of</strong> NSF awards accessible through<br />
F<strong>as</strong>tLane w<strong>as</strong> searched for evidence <strong>of</strong> NSF support for the listed researchers.<br />
140<br />
Bibliometric Analysis <strong>of</strong> Core Papers Fundamental to <strong>Tissue</strong> <strong>Engineering</strong>, CHI Research Inc., March 25,<br />
2002.<br />
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Although it w<strong>as</strong> impossible to develop a precise quantitative accounting <strong>of</strong> the roles <strong>of</strong> different<br />
research sponsors, the available data, combined with qualitative information obtained via interviews<br />
<strong>of</strong> program <strong>of</strong>ficers, funded researchers and other observers, provided substantial qualitative insight.<br />
Review <strong>of</strong> NSF Historical Data<br />
We also analyzed data in the NSF Awards Datab<strong>as</strong>e provided via CD-ROM by Linda Parker for five<br />
key researchers: Eugene Bell, Howard Green, Robert Langer, Jay Vacanti, and Ioannis Yann<strong>as</strong>. A<br />
total <strong>of</strong> 28 records were retrieved for these 5 names. <strong>The</strong> breakdown <strong>of</strong> awards is <strong>as</strong> follows:<br />
Eugene Bell: 19 awards<br />
Howard Green: no awards<br />
Robert Langer: 4 awards<br />
Jay Vacanti: no awards<br />
Ioannis Yann<strong>as</strong>: 4 awards<br />
B<strong>as</strong>ed on the information provided in the datab<strong>as</strong>e, it is unclear which Directorate at NSF sponsored<br />
these awards. For many <strong>of</strong> these awards, the records are so old they are tracked instead by a<br />
‘historical’ number HST#, rather than under a Directorate heading. Abstracts for these awards are<br />
also missing, which make it difficult to understand the precise scope <strong>of</strong> each award.<br />
Only one <strong>of</strong> Langer’s 4 awards retrieved by the datab<strong>as</strong>e actually pertains to tissue engineering and<br />
describes “Novel Degradable Polymers for Cellular Adhesion.” <strong>The</strong> other 3 awards are more<br />
specifically related to his work on drug delivery technology, which Langer himself considers a largely<br />
separate line <strong>of</strong> work from his efforts in tissue engineering.<br />
In the c<strong>as</strong>e <strong>of</strong> Yann<strong>as</strong> and Bell, it appears that the awards listed in the NSF datab<strong>as</strong>e supported<br />
research in b<strong>as</strong>ic and developmental biology, which are no doubt important inputs to the development<br />
<strong>of</strong> tissue engineering and most certainly contributed to the efforts <strong>of</strong> these two researchers in<br />
developing the methods and materials which allowed them to develop their early skin substitutes.<br />
Adoption <strong>of</strong> this viewpoint shows NSF <strong>as</strong> a key supporter <strong>of</strong> Eugene Bell in the years prior to his<br />
major discoveries in skin replacement technology. It should also be noted, however, that though NSF<br />
appears to have provided some initial support to these researchers, none <strong>of</strong> the awards listed represent<br />
work that directly related to the development <strong>of</strong> the first living skin equivalents, which took place in<br />
the late 1970’s and early 1980’s. Again, however, without the grant abstracts, this is a surface<br />
judgment b<strong>as</strong>ed only on the title <strong>of</strong> the award and not necessarily the substance <strong>of</strong> the research.<br />
Thus, b<strong>as</strong>ed on the information contained in this datab<strong>as</strong>e, combined with our previous analysis <strong>of</strong><br />
NSF award abstracts listed in F<strong>as</strong>tLane, we do not believe there to be convincing evidence to support<br />
additional discussion in our final report which cites NSF h<strong>as</strong> having provided a framework for key<br />
advances in tissue engineering (for these researchers or otherwise). It is true that there are some<br />
records missing, post-1996, which are contained under separate heading at NSF. However, given the<br />
late date <strong>of</strong> these awards, we do not believe that these provide evidence that NSF provided early<br />
support to enable fundamental advances in the field.<br />
Construction <strong>of</strong> Roster <strong>of</strong> <strong>Tissue</strong> Engineers<br />
To enable an analysis <strong>of</strong> genealogic relationships among researchers active in tissue engineering, a<br />
roster <strong>of</strong> tissue engineers w<strong>as</strong> constructed with information about their training and employment.<br />
(Appendix 2). <strong>The</strong> majority <strong>of</strong> the information in this table w<strong>as</strong> extracted from documents obtained<br />
via Google search <strong>of</strong> the World Wide Web, including investigators’ CVs and laboratory pages,<br />
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departmental overviews and histories, news reports, and a variety <strong>of</strong> other articles and documents.<br />
References located via PubMed were used to identify research collaborations not otherwise<br />
documented and to corroborate relationships suggested by other sources. Additional information w<strong>as</strong><br />
obtained from other sources identified above under “Literature Review”.<br />
As with data on research project funding, the absence <strong>of</strong> a precise definition <strong>of</strong> the field makes<br />
decisions about the inclusion <strong>of</strong> a given individual somewhat arbitrary. Our selection w<strong>as</strong> intended to<br />
include individuals who have identified themselves <strong>as</strong> active in the field, usually by describing their<br />
own work with the term “tissue engineering”, and for whom TE-related work constitutes an important<br />
component <strong>of</strong> their overall portfolio <strong>of</strong> activity. We believe that the list does contain the great<br />
majority <strong>of</strong> academic, non-physician researchers with faculty appointments in the United States and<br />
Canada who meet these criteria.<br />
In addition, the list includes several <strong>of</strong> the most prominent physician-researchers in the field, along<br />
with a small sampling <strong>of</strong> individuals in the corporate sector. In general, less information w<strong>as</strong><br />
available on the web about physicians whose primary academic appointments were in clinical<br />
departments than about faculty in engineering or b<strong>as</strong>ic science departments, and almost no<br />
information w<strong>as</strong> available about employees <strong>of</strong> private companies.<br />
A few dece<strong>as</strong>ed individuals who played prominent roles in the emergence <strong>of</strong> the field are included in<br />
the roster.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 83
Appendix 2: Roster <strong>of</strong> <strong>Tissue</strong> Engineers<br />
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Aebischer, Patrick<br />
Akins, Robert E.<br />
Pr<strong>of</strong>., Ecole<br />
Polytechnique<br />
Federale de Lausanne,<br />
1995 to date;<br />
President <strong>of</strong> EPFL,<br />
2000 to date<br />
Research Assist. Pr<strong>of</strong>.,<br />
Thom<strong>as</strong> Jefferson<br />
Univ., head <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong> and<br />
Regenerative<br />
Medicine lab, duPont<br />
Hospital for Children<br />
Brown Univ., 1984-92;<br />
CHUV Lausanne,<br />
1992-95<br />
MD, University <strong>of</strong><br />
Geneva, 1980; PhD,<br />
Neuroscience,<br />
University <strong>of</strong> Geneva,<br />
1983<br />
PhD, Biology, Univ.<br />
<strong>of</strong> Pennsylvania, 1992<br />
L'activite Naturelle des<br />
Cellules de la Substance<br />
Noire du Primate<br />
Comme Image Positive<br />
de l'Akinesie<br />
Parkinsonienne<br />
Calcium Transport in<br />
the Chick<br />
Chorioallantoic<br />
Membrane: Isolation<br />
and Characterization <strong>of</strong><br />
Constituent Cells,<br />
Evidence for Cellular<br />
Compartmentalization,<br />
and Techniques for the<br />
Biochemical Analysis <strong>of</strong><br />
Transport Related<br />
Protein Components<br />
Rocky S. Tuan<br />
Orthopedics,<br />
Thom<strong>as</strong> Jefferson<br />
Univ.; research,<br />
duPont Hospital for<br />
Children,<br />
Wilmington, DE<br />
Robert F.<br />
Valentini<br />
(1993); Ravi<br />
V.<br />
Bellamkonda<br />
(1994); John<br />
P. Ranieri<br />
(1994)<br />
Alevriadou, B. Rita<br />
Allen, Fred D.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ., 1993<br />
to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Drexel<br />
Univ., 2000? to date<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1992<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1996<br />
Interaction <strong>of</strong> Platelets<br />
in Flowing Blood with<br />
Collagen-Coated<br />
Surfaces: Effect <strong>of</strong><br />
Inhibitors <strong>of</strong> Platelet<br />
Function or von<br />
Willebrand Factor<br />
Binding Domains<br />
A Study <strong>of</strong> Fluid Flow<br />
Induced Intracellular<br />
Calcium Changes in<br />
Osteobl<strong>as</strong>t-Like Cells<br />
Larry V.<br />
McIntire<br />
Solomon R.<br />
Pollack?<br />
Scripps Research<br />
Institute, La Jolla,<br />
1992-93<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger,<br />
1997-2000<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 84
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Ameer, Guillermo A. Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Northwestern Univ.<br />
Andreadis, Stelios T.<br />
Anseth, Kristi S.<br />
Applegate, Dawn R.<br />
Asthagiri, Anand R.<br />
Atala, Anthony<br />
Ateshian, Gerard<br />
Athan<strong>as</strong>iou, Kyriacos<br />
A.<br />
Assist. Pr<strong>of</strong>., SUNY<br />
Buffalo, 1998 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Colorado, Boulder,<br />
1996 to date<br />
Advanced <strong>Tissue</strong><br />
Sciences Director <strong>of</strong><br />
Technology<br />
Development; now ?<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>,<br />
California Institute <strong>of</strong><br />
Technology, 2002 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
Harvard Medical<br />
School / Children's<br />
Hospital, 1992 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
<strong>Engineering</strong> and<br />
Bioengineering,<br />
Columbia Univ.<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Rice<br />
Univ., 1990s to date<br />
ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1999<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Michigan, 1996<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Colorado, Boulder,<br />
1994<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1993<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
2000<br />
MD, Univ. <strong>of</strong><br />
Louisville<br />
PhD, Mechanical<br />
<strong>Engineering</strong>,<br />
Columbia Univ., 1991<br />
PhD, Columbia Univ.,<br />
1989<br />
Investigation <strong>of</strong><br />
Extracorporeal<br />
Immobilized Enzyme<br />
Device: a Potential<br />
Treatment for Blood<br />
Deheparinization<br />
Dynamics <strong>of</strong> Retrovirus-<br />
Mediated Gene Transfer<br />
Photopolymerization <strong>of</strong><br />
Multifunctional<br />
Monomers: Reaction<br />
Mechanisms and<br />
Polymer Structural<br />
Evolution<br />
Quantitative and<br />
Mechanistic Effects <strong>of</strong><br />
Bubble Aeration on<br />
Animal Cells in Culture<br />
Dynamics <strong>of</strong> Adhesionand<br />
Growth Factor-<br />
Mediated Signals<br />
Regulating Cell Cycle<br />
Progression<br />
Biomechanics <strong>of</strong><br />
Diarthrodial Joints:<br />
Applications to the<br />
Thumb Carpometacarpal<br />
Joint<br />
Biomechanical<br />
Assessment <strong>of</strong> Articular<br />
Cartilage Healing and<br />
Interspecies Variability<br />
Robert S.<br />
Langer<br />
David J.<br />
Mooney,<br />
Bernhard O.<br />
Palsson<br />
Christopher N.<br />
Bowman<br />
Daniel I.C.<br />
Wang<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Van C. Mow<br />
Van C. Mow?<br />
Langer postdoc?<br />
M. Yarmush,<br />
HMS, 1996-98<br />
Nichol<strong>as</strong> Pepp<strong>as</strong>,<br />
Purdue Univ.,<br />
1995; Robert S.<br />
Langer, MIT,<br />
1995-96<br />
Harvard Medical<br />
School/Children's<br />
Hospital (J.<br />
Vacanti?), 1990-92<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 85
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Auger, Francois A.<br />
Babensee, Julia E.<br />
Badylak, Stephen F.<br />
Pr<strong>of</strong>essor, Universite<br />
Laval<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Georgia<br />
Tech<br />
Senior Research<br />
Scientist, Dept. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Purdue<br />
Univ.<br />
PhD<br />
PhD, Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto,<br />
1996<br />
DVM, Purdue Univ.,<br />
1976; PhD, Purdue<br />
Univ., 1981; MD,<br />
Indiana Univ., 1985<br />
Morphological Michael V.<br />
Assessment <strong>of</strong> HEMA- Sefton<br />
MMA Microcapsules for<br />
Liver Cell<br />
Transplantation<br />
Clinicopathologic and<br />
Morphologic Alterations<br />
in Naturally-Occurring<br />
Hepatic Dise<strong>as</strong>e and<br />
Experimentally-Induced<br />
Glucocorticoid<br />
Hepatopathy in the Dog<br />
Antonios G.<br />
Mikos, Rice Univ.,<br />
1996-99<br />
Nicol<strong>as</strong><br />
L'Heureux<br />
(1996)<br />
Bagli, Darius J.<br />
Baroc<strong>as</strong>, Victor H.<br />
Bell, Eugene<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Surgery, Univ. <strong>of</strong><br />
Toronto, 1995 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Minnesota, 2000 to<br />
date<br />
<strong>Tissue</strong> <strong>Engineering</strong><br />
Inc. (TEI Biosciences)<br />
1992 to date<br />
Univ. <strong>of</strong> Colorado,<br />
Boulder, 1997-2000<br />
MIT, 1960s (?) until<br />
1986; Organogenesis<br />
1986-91; MIT 1991-92<br />
MD, McGill Univ.,<br />
1984<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota, 1996<br />
PhD, Biology, Brown<br />
Univ., 1954<br />
Anisotropic Biph<strong>as</strong>ic<br />
Modeling <strong>of</strong> Cell-<br />
Collagen Mechanical<br />
Interactions in <strong>Tissue</strong><br />
Equivalents<br />
Some Effects <strong>of</strong><br />
Ultr<strong>as</strong>ound on the<br />
Mouse Liver<br />
Robert T.<br />
Tranquillo<br />
Urology residency,<br />
HMS/New<br />
England<br />
Deaconess, Glenn<br />
Steele, 1989-93<br />
Robert T.<br />
Tranquillo, Linda<br />
R. Petzold, Univ.<br />
<strong>of</strong> Minnesota, 1996<br />
Bellamkonda, Ravi<br />
V.<br />
Bhatia, Sangeeta N.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, C<strong>as</strong>e<br />
Western Reserve<br />
Univ., 1995 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering,<br />
UCSD, 1999? to date<br />
PhD, Medical<br />
Sciences, Section <strong>of</strong><br />
Artificial Organs,<br />
Biomaterials and<br />
Cellular Technology,<br />
Brown Univ., 1994<br />
MD, Harvard Medical<br />
School, 1990; PhD,<br />
Health Sciences and<br />
Technology, 1997<br />
Development <strong>of</strong> a<br />
Three-Dimensional<br />
Extracellular Matrix<br />
Equivalent for Neural<br />
Cells and Nerve<br />
Regeneration<br />
Controlling Cell-Cell<br />
Interactions in Hepatic<br />
<strong>Tissue</strong> <strong>Engineering</strong><br />
Using Micr<strong>of</strong>abrication<br />
Patrick<br />
Aebischer<br />
Mehmet Toner<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 86
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Bhatnagar, Rajendra<br />
S.<br />
Billiar, Kristen L.<br />
Bisch<strong>of</strong>, John C.<br />
Bizios, I. Rena<br />
Boden, Scott<br />
Bonadio, Jeffrey<br />
Pr<strong>of</strong>. <strong>of</strong> Biochemistry,<br />
School <strong>of</strong> Dentistry,<br />
Univ. <strong>of</strong> California,<br />
San Francisco, 1974 to<br />
date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Worcester Polytechnic<br />
Inst., 2002 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota, 1993 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, RPI,<br />
1981 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedics,<br />
Emory Univ.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> W<strong>as</strong>hington<br />
Organogenesis, 1998-<br />
2002<br />
Univ. <strong>of</strong> Michigan,<br />
1990s<br />
PhD, Biochemistry,<br />
Duke Univ., 1964<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1998<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
California, Berkeley,<br />
1992<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1979<br />
MD, Univ. <strong>of</strong><br />
Pennsylvania<br />
MD, Medical College<br />
<strong>of</strong> Wisconsin, 1979<br />
<strong>The</strong> Effect <strong>of</strong><br />
Lathyrogens on<br />
Collagen Metabolism in<br />
Embryonic Chick Bones<br />
in Culture<br />
A Structurally Guided<br />
Constitutive Model for<br />
Aortic Valve Prostheses:<br />
Effects <strong>of</strong><br />
Glutaraldehyde<br />
Treatment and<br />
Mechanical Fatigue<br />
<strong>The</strong> Freezing <strong>of</strong><br />
Biological <strong>Tissue</strong><br />
Metabolism <strong>of</strong><br />
Arachidonic Acid by<br />
Platelets in<br />
Hyperlipoproteinemia<br />
Michael S.<br />
Sacks<br />
Boris Rubinsky HMS/Shriners<br />
Surgical Research<br />
Laboratory, 1992-<br />
93<br />
Robert S. Lees,<br />
Angelina C.A.<br />
Carvalho, Klaus<br />
Biemann<br />
Visiting pr<strong>of</strong>. or<br />
scientist in<br />
chemical<br />
engineering, Rice<br />
Univ., 1987-88 and<br />
1996; and MIT,<br />
1995<br />
Steven Nicoll<br />
(2000)<br />
Bon<strong>as</strong>sar, Lawrence<br />
J.<br />
Research Assist. Pr<strong>of</strong>.<br />
<strong>of</strong> Anesthesiology and<br />
Cell Biology, Univ. <strong>of</strong><br />
M<strong>as</strong>sachusetts<br />
Medical School<br />
PhD, Materials<br />
Science and<br />
<strong>Engineering</strong>, MIT,<br />
1995<br />
Matrix<br />
Metalloprotein<strong>as</strong>e<br />
Activity and Inhibition<br />
in Articular Cartilage:<br />
Effects on Composition<br />
and Biophysical<br />
Properties and<br />
Relevance to<br />
Osteoarthritis<br />
Alan J.<br />
Grodzinsky<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 87
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Boyan, Barbara D.<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 2002 to date<br />
Univ. <strong>of</strong> Tex<strong>as</strong> HSC<br />
San Antonio, 1981 -<br />
2002<br />
PhD, Biology, Rice<br />
Univ., 1974 (conferred<br />
1975)<br />
Mineral Metabolism in<br />
Pulmonate Molluscs<br />
Boyce, Steven T.<br />
Bruder, Scott P.<br />
Buettner, Helen M.<br />
Butler, David L.<br />
Cahn, Frederick<br />
Research Assoc. Pr<strong>of</strong>.<br />
<strong>of</strong> Surgery, Univ. <strong>of</strong><br />
Cincinnati<br />
Vice President, DePuy<br />
Orthobiologics<br />
Assoc, Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ.<br />
Adjunct. Pr<strong>of</strong>. <strong>of</strong><br />
Orthopedic Surgery,<br />
Univ. <strong>of</strong> Cincinnati<br />
Senior Vice President,<br />
Integra LifeSciences<br />
Corp.<br />
PhD, Molecular,<br />
Cellular and<br />
Developmental<br />
Biology, Univ. <strong>of</strong><br />
Colorado, 1985<br />
MD, C<strong>as</strong>e Western<br />
Reserve Univ., 1992;<br />
PhD, Biomedical<br />
<strong>Engineering</strong>, C<strong>as</strong>e<br />
Western Reserve<br />
Univ., 1990<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pennsylvania, 1987<br />
PhD, <strong>Engineering</strong><br />
Mechanics and<br />
Biomechanics,<br />
Michigan State Univ.,<br />
1976<br />
PhD, Biology, MIT,<br />
1972<br />
Cultured Human<br />
Epidermal<br />
Keratinocytes: Growth,<br />
Differentiation, and<br />
Fe<strong>as</strong>ibility Studies for<br />
Medical Applications<br />
Characterization <strong>of</strong> the<br />
Osteogenic Cell Lineage<br />
Quantitative Analysis <strong>of</strong><br />
Leukocyte Chemotaxis<br />
in the Millipore Filter<br />
Assay<br />
A Constitutive Equation<br />
for Mammalian Skeletal<br />
Muscle <strong>Tissue</strong> in the<br />
P<strong>as</strong>sive and Fully<br />
Stimulated States<br />
Chemical and Physical<br />
Alterations in Ribosome<br />
Structure and Function<br />
Arnold I.<br />
Caplan<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Alexander Rich<br />
David J. Odde<br />
(1995)<br />
Campbell, Phil G.<br />
Senior Research<br />
Scientist, CMU<br />
Institute for Complex<br />
Engineered Systems<br />
PhD, Physiology,<br />
Penn State Univ.,<br />
1988<br />
Insulin-like Growth<br />
Factor-I and Insulin-like<br />
Growth Factor Binding<br />
Proteins in the Bovine<br />
Mammary Gland:<br />
Receptors, Endogenous<br />
Secretion, and<br />
Appearance in Milk<br />
C.R.<br />
Baumrucker<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 88
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Caplan, Arnold I.<br />
Pr<strong>of</strong>. <strong>of</strong> Physiology<br />
and Biophysics, C<strong>as</strong>e<br />
Western Reserve<br />
Univ., 1969 to date<br />
PhD, Physiological<br />
Chemistry, Johns<br />
Hopkins Univ.<br />
Medical School, 1966<br />
Carrier, Rebecca L. Pfizer ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
2000<br />
Biochemical and<br />
Ultr<strong>as</strong>tructural<br />
Properties <strong>of</strong><br />
Osmotically Lysed Rat<br />
Liver Mitochondria<br />
Cardiac <strong>Tissue</strong><br />
<strong>Engineering</strong>: Bioreactor<br />
Cultivation Parameters<br />
Robert S.<br />
Langer<br />
Scott P.<br />
Bruder (1990)<br />
Chaik<strong>of</strong>, Elliot L.<br />
Chancellor, Michael<br />
Pr<strong>of</strong>. Of Surgery,<br />
Emory Univ. 1990s<br />
(?) to date<br />
Pr<strong>of</strong>. <strong>of</strong> Urology,<br />
Univ. <strong>of</strong> Pittsburgh<br />
MD, Johns Hopkins<br />
Univ., 1982; PhD,<br />
Chemical <strong>Engineering</strong>,<br />
MIT, 1989<br />
MD<br />
Polyethylene Oxide-<br />
Polysiloxane Polymer<br />
Networks for Blood<br />
Contact<br />
Edward W.<br />
Merrill<br />
Kacey G.<br />
Marra (1996-<br />
97); Janine M.<br />
Orban (1999-<br />
2000)<br />
Chen, Christopher S.<br />
Cheng, Y.-L.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ., 1999<br />
to date<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto,<br />
1989 to date<br />
MD, Harvard Medical<br />
School / HST; PhD,<br />
Health Sciences and<br />
Technology, MIT,<br />
1997<br />
PhD, Stanford Univ.,<br />
1984<br />
Cell Shape and<br />
Integrins: Determinants<br />
<strong>of</strong> Extracellular Matrix<br />
Regulation <strong>of</strong> Growth<br />
and Survival<br />
A Total Internal<br />
Reflection Fluorescence<br />
Study <strong>of</strong> Bovine Serum<br />
Albumin Absorption<br />
onto Polymer Surfaces<br />
Donald E.<br />
Ingber, George<br />
M. Whitesides<br />
Joe Tien (ca.<br />
1999-2001)<br />
Chesler, Naomi C.<br />
Chien, Shu<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Wisconsin, Madison,<br />
2002 to date<br />
University Pr<strong>of</strong>essor;<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering and<br />
Medicine, UCSD,<br />
1988 to date<br />
Univ. <strong>of</strong> Vermont, ca.<br />
1998-2002<br />
PhD, Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, HST,<br />
MIT, 1996<br />
MD, National Taiwan<br />
Univ., 1953; PhD,<br />
Columbia Univ., 1957<br />
Ventricular Assist<br />
Device Design and<br />
Analysis: a<br />
Computational<br />
Approach<br />
Roger D.<br />
Kamm<br />
David N. Ku,<br />
Georgia Tech, and<br />
Zorina Galis,<br />
Emory Univ.,<br />
1996-98<br />
Song Li<br />
(1997)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 89
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Colton, Clark K.<br />
Constantinidis,<br />
Ioannis<br />
Costa, Kevin D.<br />
Demetriou, Achilles<br />
A.<br />
Dennis, Robert G.<br />
Desai, Tejal A.<br />
DePaola, Natacha<br />
DiMilla, Paul A.<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1970s (?) to date<br />
Dept. <strong>of</strong> Medicine,<br />
Div. <strong>of</strong> Endocrinology<br />
and Metabolism,<br />
Univ. <strong>of</strong> Florida, 2002<br />
to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Columbia Univ.,<br />
1999? to date<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
Univ. <strong>of</strong> California,<br />
Los Angeles, 1992 to<br />
date<br />
Visiting Assistant<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
and Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Michigan, 2001 to<br />
date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Boston<br />
Univ., 2002 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, RPI,<br />
1994 to date<br />
Organogenesis (until<br />
?)<br />
Emory Univ., 1989-<br />
2001<br />
Albert Einstein College<br />
<strong>of</strong> Medicine;<br />
Vanderbilt Univ.<br />
Univ. <strong>of</strong> Illinois at<br />
Chicago, 1998-2002<br />
Northwestern Univ.,<br />
1993-94<br />
Carnegie Mellon Univ.,<br />
1993-98<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1969<br />
PhD, Chemistry, Univ.<br />
<strong>of</strong> New Mexico, 1987<br />
PhD, Bioengineering,<br />
UCSD, 1996<br />
MD, Hebrew Univ.;<br />
PhD, Biochemistry,<br />
George W<strong>as</strong>hington<br />
Univ., 1981<br />
PhD, Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Michigan, 1996<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> California,<br />
San Francisco and<br />
Berkeley, 1998<br />
PhD, Health Sciences<br />
and Technology, MIT,<br />
1991<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pennsylvania, 1991<br />
Permeability and<br />
Transport Studies in<br />
Batch and Flow<br />
Dialyzers with<br />
Applications to<br />
Hemodialysis<br />
Antimalarial Drug<br />
Interaction with<br />
Porphyrins: 1H-NMR<br />
Study <strong>of</strong> G. dibranchiata<br />
Methemoglobins<br />
<strong>The</strong> Structural B<strong>as</strong>is <strong>of</strong><br />
Three-Dimensional<br />
Ventricular Mechanics<br />
Studies on Polyamine<br />
Biosynthetic Enzymes<br />
Me<strong>as</strong>urement <strong>of</strong> Pulse<br />
Propagation in Single<br />
Permeabilized Muscle<br />
Fibers by Optical<br />
Diffraction<br />
Micr<strong>of</strong>abricated<br />
Biocapsules for the<br />
Immunoisolation <strong>of</strong><br />
Pancreatic Islets <strong>of</strong><br />
Langerhans<br />
Focal and Regional<br />
Responses <strong>of</strong><br />
Endothelium to<br />
Disturbed Flow in Vitro<br />
Receptor-Mediated<br />
<strong>Tissue</strong> Cell Adhesion<br />
and Migration on<br />
Protein-Coated Surfaces<br />
Kenneth A.<br />
Smith<br />
Andrew D.<br />
McCulloch<br />
John A.<br />
Faulkner<br />
Mauro Ferrari<br />
C. Forbes<br />
Dewey<br />
John A. Quinn,<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Frank C.P.Yin,<br />
W<strong>as</strong>hington Univ.<br />
Edward F.<br />
Leonard, Columbia<br />
Univ., 1991-92<br />
George M.<br />
Whitesides,<br />
Harvard Univ.,<br />
1991-93<br />
Robert S.<br />
Langer (1974)<br />
Aaron S.<br />
Goldstein<br />
(1997)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 90
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Dionne, Keith E.<br />
Dixit, Vivek<br />
VP, Millennium<br />
Pharmaceuticals<br />
Pr<strong>of</strong>. <strong>of</strong> Medicine,<br />
Univ. <strong>of</strong> California,<br />
Los Angeles, 1993 to<br />
date<br />
Cyto<strong>The</strong>rapeutics;<br />
ALZA Pharmaceuticals<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1990<br />
PhD, Physiology,<br />
McGill Univ., 1986<br />
Effect <strong>of</strong> Hypoxia on<br />
Insulin Secretion and<br />
Viability <strong>of</strong> Pancreatic<br />
Islet <strong>Tissue</strong><br />
<strong>The</strong> Physiological<br />
Actions <strong>of</strong> Prostaglandin<br />
E2 on the Liver and<br />
Blood-Brain Barrier <strong>of</strong><br />
Galactosamine-Induced<br />
Fulminant Hepatic<br />
Failure Rats<br />
Clark K. Colton<br />
Thom<strong>as</strong> M.S.<br />
Chang?<br />
Doctor, John S.<br />
Ducheyne, Paul<br />
Dunn, James C.Y.<br />
Dunn, Michael G.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biological Sciences,<br />
Duquesne Univ.<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Pennsylvania<br />
Assist. Pr<strong>of</strong>. in<br />
Pediatric Surgery,<br />
Univ. <strong>of</strong> California,<br />
Los Angeles, 2001 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
UMDNJ / Rutgers<br />
PhD, Genetics, Univ.<br />
<strong>of</strong> California,<br />
Berkeley, 1985<br />
PhD, Materials<br />
Science, Katholieke<br />
Universiteit Leuven<br />
MD, Harvard Medical<br />
School/HST, 1992;<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1992<br />
PhD, Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 1987<br />
Hormonal Control <strong>of</strong><br />
Imaginal Disc<br />
Differentiation in<br />
Drosophila<br />
Melanog<strong>as</strong>ter: Studies<br />
on the Biosynthesis <strong>of</strong><br />
Chitin and Pupal Cuticle<br />
Proteins (20-<br />
Hydroxyeldysone)<br />
Long-Term Culture <strong>of</strong><br />
Differentiated<br />
Hepatocytes in a<br />
Collagen Sandwich<br />
Configuration<br />
An Evaluation <strong>of</strong> Full<br />
Thickness Skin Excision<br />
Management by Wound<br />
Clips, Collagen Sponge<br />
and Electrical<br />
Stimulation<br />
Martin L.<br />
Yarmush,<br />
Daniel I.C.<br />
Wang<br />
Fred H. Silver<br />
Visiting pr<strong>of</strong>., NIH<br />
sabbatical<br />
fellowship, CMU<br />
Bone <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
Center, 2000<br />
David H.<br />
Kohn (1989);<br />
Kevin E.<br />
Healy (1990);<br />
Andres Garcia<br />
(1996)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 91
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Edelman, Elazer R.<br />
Elbert, Donald L.<br />
Pr<strong>of</strong>. <strong>of</strong> Health<br />
Sciences and<br />
Technology, MIT<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
W<strong>as</strong>hington Univ.<br />
MD, Harvard Medical<br />
School/HST; PhD,<br />
HST Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, MIT,<br />
1984<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Tex<strong>as</strong> at Austin, 1997<br />
Regulation <strong>of</strong> Drug<br />
Delivery from Porous<br />
Polymer Matrices Using<br />
Oscillating Magnetic<br />
Fields<br />
Polymeric Steric<br />
Stabilization <strong>of</strong> Proteins,<br />
Cells and <strong>Tissue</strong>s by<br />
Adsorption <strong>of</strong><br />
Polycations and<br />
Biologically Inert<br />
Polymers<br />
Robert S.<br />
Langer<br />
Jeffrey A.<br />
Hubbell<br />
Elisseeff, Jennifer H.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ.<br />
PhD, HST, MIT, 1999 Transdermal<br />
Photopolymerization <strong>of</strong><br />
Hydrogels for <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
Robert S.<br />
Langer<br />
Fishman, Harvey A.<br />
Folch, Albert<br />
Frangos, John A.<br />
Freed, Lisa E.<br />
Senior Research<br />
Scientist, Director <strong>of</strong><br />
Ophthalmic <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
Laboratory, Stanford<br />
Univ.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> W<strong>as</strong>hington, 2000<br />
to date<br />
President and CEO,<br />
La Jolla<br />
Bioengineering<br />
Institute, 2002 to date<br />
Principal Research<br />
Scientist, Dept. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, MIT<br />
Penn State Univ., 1986-<br />
94; UCSD, 1994-2002<br />
MD, Stanford Univ.;<br />
PhD, Physical<br />
Chemistry/<br />
Neuroscience,<br />
Stanford Univ., 1995<br />
PhD, Physics, Univ. <strong>of</strong><br />
Barcelona<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1987<br />
PhD, Applied<br />
Biological Sciences,<br />
MIT, 1988<br />
Neurochemical Analysis<br />
at the Single-Cell Level<br />
Using Capillary<br />
Electrophoresis<br />
Modification <strong>of</strong> Surfaces<br />
on the Nanometer Scale<br />
<strong>The</strong> Effect <strong>of</strong> Steady and<br />
Oscillatory Shear Stress<br />
on Endothelial Cell<br />
Function<br />
An Enzymatic Fluidized<br />
Bed Reactor for Blood<br />
Deheparinization:<br />
Development and<br />
Testing in Lambs on<br />
Extracorporeal<br />
Circulation<br />
Richard N.<br />
Zare, Richard<br />
H. Scheller<br />
Javier Tejada<br />
Larry V.<br />
McIntire<br />
Robert S.<br />
Langer<br />
Mehmet Toner,<br />
HMS Center for<br />
<strong>Engineering</strong> in<br />
Medicine, 1997-<br />
2000<br />
Keith J. Gooch<br />
(1995); Todd<br />
N. McAllister<br />
(2000)<br />
Nicol<strong>as</strong><br />
L'Heureux (ca.<br />
1998-2000)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 92
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Fung, Y-C.<br />
Pr<strong>of</strong>. Emeritus <strong>of</strong><br />
Bioengineering and<br />
Applied Mechanics,<br />
UCSD, 1960s to date<br />
PhD, California<br />
Institute <strong>of</strong><br />
Technology, 1948<br />
El<strong>as</strong>tostatic and<br />
Aeroel<strong>as</strong>tic Problems<br />
Relating to Thin Wings<br />
<strong>of</strong> High Speed Airplanes<br />
Shu Q. Liu<br />
(1990)<br />
Galis, Zorina<br />
Assoc. Pr<strong>of</strong>., School<br />
<strong>of</strong> Medicine, Div. <strong>of</strong><br />
Cardiology, Emory<br />
Univ., 1995 to date<br />
Galletti, Pierre M. (dece<strong>as</strong>ed 1997) Emory Univ., 1958-67;<br />
Brown Univ. 1967-<br />
1997<br />
Garcia, Andres J.<br />
Gentile, Frank T.<br />
Ghanem, Amyl<br />
Giannobile, William<br />
V.<br />
Assist. Pr<strong>of</strong>.,<br />
Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1998 to date<br />
VP, Research,<br />
Hambrecht & Quist<br />
Capital Management,<br />
2002 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>,<br />
Dalhousie Univ., 2001<br />
to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Dentistry, Univ. <strong>of</strong><br />
Michigan, 1998 to<br />
date<br />
Cyto<strong>The</strong>rapeutics, then<br />
Reprogenesis; Curis;<br />
Millennium<br />
Pharmaceuticals<br />
Univ. <strong>of</strong> Maine<br />
Harvard School <strong>of</strong><br />
Dental Medicine, 1997-<br />
98<br />
PhD, Pathology,<br />
McGill School <strong>of</strong><br />
Medicine, 1992<br />
MD, Univ. <strong>of</strong><br />
Lausanne, 1951; PhD,<br />
Physiology and<br />
Biophysics, Univ. <strong>of</strong><br />
Lausanne, 1954<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1996<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1988<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Cornell<br />
Univ., 1998<br />
DDS, Univ. <strong>of</strong><br />
Missouri, Kans<strong>as</strong> City,<br />
1991; DMedSci,<br />
Harvard School <strong>of</strong><br />
Dental Medicine, 1996<br />
Distribution <strong>of</strong><br />
Endogenous<br />
Lipoproteins and<br />
Sulfated Proteoglycans<br />
in Normal Rabbit Aorta<br />
and in Atherosclerotic<br />
Lesions Induced by<br />
Endothelial Injury<br />
Quantitative Analysis <strong>of</strong><br />
Fibronectin-Mediated<br />
Adhesion <strong>of</strong> Osteobl<strong>as</strong>t-<br />
Like Cells to Bioactive<br />
Gl<strong>as</strong>s and<br />
Hydroxyapatite<br />
Constitutional<br />
Isomerism in Liquid<br />
Crystalline Polyamides<br />
Application <strong>of</strong> a Novel<br />
Packed Bed Cell Culture<br />
Analog Bioreactor and a<br />
Corresponding<br />
Pharmacokinetic Model<br />
to Naphthalene<br />
Toxicology<br />
Polypeptide Growth<br />
Factors: Roles in<br />
Periodontal Wound<br />
Healing and<br />
Osteogenesis<br />
David<br />
Boettiger, Paul<br />
Ducheyne<br />
Ulrich W. Suter<br />
Michael L.<br />
Shuler<br />
Peter Libby,<br />
V<strong>as</strong>cular Medicine,<br />
HMS/Brigham and<br />
Women's Hosp.,<br />
1992-95<br />
Dept. <strong>of</strong><br />
Microbiology,<br />
Univ. <strong>of</strong><br />
Pennsylvania<br />
School <strong>of</strong><br />
Medicine, 1996-98<br />
Naomi C.<br />
Chesler (1996-<br />
98)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 93
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Goldberg, Daniel P.<br />
Goldstein, Aaron S.<br />
Goldstein, Steven A.<br />
Gooch, Keith J.<br />
Gratzer, Paul F.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong> Pl<strong>as</strong>tic<br />
and Reconstructive<br />
Surgery, C<strong>as</strong>e<br />
Western Reserve<br />
Univ., 1995 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Virginia<br />
Polytechnic Institute<br />
and State Univ.<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedic<br />
Surgery and<br />
Bioengineering, Univ.<br />
<strong>of</strong> Michigan<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Pennsylvania<br />
Assist.Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Dalhousie Univ.<br />
MD, Northwestern<br />
University, 1986<br />
PhD, Carnegie Mellon<br />
Univ., 1997<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Michigan,<br />
1981<br />
PhD, Chemical<br />
<strong>Engineering</strong>,<br />
Pennsylvania State<br />
Univ., 1995<br />
PhD, Univ. <strong>of</strong><br />
Toronto, 1999<br />
Strength, Dynamics and<br />
Mechanisms <strong>of</strong> Cell<br />
Detachment from<br />
Protein-Coated Surfaces<br />
under Hydrodynamic<br />
Shear<br />
Biomechanical Aspects<br />
<strong>of</strong> Cumulative Trauma<br />
to Tendons and Tendon<br />
Sheaths<br />
<strong>The</strong> Effects <strong>of</strong> Nitric<br />
Oxide on Endothelial<br />
Cell Proliferation and<br />
Viral Replication<br />
(Cytomegalovirus)<br />
<strong>The</strong> Effect <strong>of</strong> Chemical<br />
Modification on the<br />
Enzymatic Degradation<br />
<strong>of</strong> Acellular Matrix<br />
Processed Biomaterials<br />
Paul A. DiMilla Antonios G.<br />
Mikos, Rice Univ.,<br />
1997-99<br />
John A.<br />
Frangos,<br />
Charles<br />
Dangler<br />
J.M. Lee, J.P.<br />
Santerre<br />
Scott J.<br />
Hollister<br />
(1991);<br />
Robert<br />
Guldberg<br />
(1995)<br />
Greisler, Howard P.<br />
Green, Howard<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery, Cell<br />
Biology,<br />
Neurobiology and<br />
Anatomy, Loyola<br />
Univ. Medical Center<br />
Pr<strong>of</strong>. <strong>of</strong> Cell Biology,<br />
Harvard Medical<br />
School, 1980 to date<br />
NYU School <strong>of</strong><br />
Medicine, 1954-70;<br />
MIT, 1970-80<br />
MD, Penn State Univ.,<br />
1975<br />
MD, Univ. <strong>of</strong> Toronto,<br />
1947<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 94
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Griffith, May<br />
Griffith, Linda G.<br />
Grodzinsky, Alan J.<br />
Guilak, Farshid<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Cellular and<br />
Molecular Medicine,<br />
Univ. <strong>of</strong> Ottawa, 1993<br />
to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1991 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Electrical,<br />
Mechanical,<br />
Bioengineering and<br />
Biological<br />
<strong>Engineering</strong>, MIT,<br />
1970s (?) to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Orthopedic Surgery,<br />
Duke Univ., 1994 to<br />
date<br />
SUNY Stony Brook,<br />
1991-94<br />
PhD, Anatomy, Univ.<br />
<strong>of</strong> Toronto, 1990<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
California, Berkeley,<br />
1988<br />
ScD, Electrical<br />
<strong>Engineering</strong>, MIT,<br />
1974<br />
PhD, Mechanical<br />
<strong>Engineering</strong>,<br />
Columbia Univ., 1992<br />
Retinoic Acid-Induced<br />
Spina Bifida: Early<br />
Events<br />
Anchorage-Dependent<br />
Mammalian Cell Culture<br />
in Hollow Fiber<br />
Reactors: Cell<br />
Metabolism and M<strong>as</strong>s<br />
Transfer Limitations<br />
Electromechanics <strong>of</strong><br />
Deformable<br />
Polyelectrolyte<br />
Membranes<br />
Cell-Matrix Interactions<br />
and Metabolic Changes<br />
in Articular Cartilage<br />
Under Compression<br />
M.J. Wiley<br />
James R.<br />
Melcher<br />
Van C. Mow<br />
Esmond J. Sanders,<br />
Dept. <strong>of</strong><br />
Physiology, Univ.<br />
<strong>of</strong> Alberta, 1989-<br />
90; Elizabeth D.<br />
Hay, Anatomy and<br />
Cellular Biology,<br />
Harvard Medical<br />
School, 1990-93<br />
Robert S. Langer<br />
and Joseph P.<br />
Vacanti. ca. 1988-<br />
90<br />
Robert L-Y.<br />
Sah (1990);<br />
Lawrence J.<br />
Bon<strong>as</strong>sar<br />
(1995)<br />
Marc E.<br />
Levenston<br />
(1995-98?)<br />
Guldberg, Robert<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1996 to date<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Michigan, 1995<br />
Hansbrough, John F. (dece<strong>as</strong>ed 2001) UCSD, 1980s - 2001 MD, Harvard Medical<br />
School, 1972<br />
Hansen, Linda K.<br />
Assist. Pr<strong>of</strong>., Dept. <strong>of</strong><br />
Laboratory Medicine<br />
and Pathology, Univ.<br />
<strong>of</strong> Minnesota<br />
PhD, Univ. <strong>of</strong><br />
Minnesota, 1989<br />
Mechanical Adaptation<br />
<strong>of</strong> Trabecular Bone<br />
Formation in Vivo<br />
Proteins Synthesized in<br />
Response to Mitogenic<br />
Signals and Heat Stress<br />
in Human Peripheral<br />
Blood Lymphocytes<br />
Steven A.<br />
Goldstein, Scott<br />
J. Hollister<br />
James J.<br />
O'Leary<br />
Marine Biological<br />
Laboratory, Univ.<br />
<strong>of</strong> Michigan<br />
J. Vacanti,<br />
HMS/Children's<br />
Hospital, ca. 1992-<br />
94?<br />
Hanson, Stephen R.<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Emory<br />
Univ.<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
W<strong>as</strong>hington, 1977<br />
In Vivo Evaluation <strong>of</strong><br />
Biomaterial<br />
Thrombogenesis<br />
Buddy Ratner?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 95
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Healy, Kevin E.<br />
Heidaran,<br />
Mohammad A.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering and<br />
Materials Science and<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
California, Berkeley,<br />
2000 to date<br />
BD Biosciences, 2001<br />
to date<br />
Northwestern Univ.,<br />
1989-99<br />
Orquest, Inc., ca. 1999-<br />
2000<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1990<br />
PhD, Univ. <strong>of</strong> South<br />
Carolina, 1987<br />
An Interface Approach<br />
to the Mechanisms <strong>of</strong><br />
P<strong>as</strong>sive Dissolution <strong>of</strong><br />
Titanium in Biological<br />
Environments<br />
Transcriptional and<br />
Translational Control <strong>of</strong><br />
the Message for<br />
Transition Protein 1, a<br />
Major Chromosomal<br />
Protein <strong>of</strong> Mammalian<br />
Spermatids<br />
Paul Ducheyne<br />
W. Stephen<br />
Kistler<br />
National Cancer<br />
Institute, ca. 1989-<br />
97<br />
Kyumin<br />
Whang<br />
(1997)?<br />
Hirschi, Karen K.<br />
H<strong>of</strong>fman, Allan S.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Pediatrics and<br />
Molecular and<br />
Cellular Biology,<br />
Baylor College <strong>of</strong><br />
Medicine, 1998 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> W<strong>as</strong>hington<br />
PhD, Univ. <strong>of</strong><br />
Arizona, 1990<br />
ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1957<br />
Dietary and Hormonal<br />
Regulation <strong>of</strong> Pancreatic<br />
Digestive Enzymes<br />
<strong>The</strong> Mechanism <strong>of</strong> Graft<br />
Polymerization by High<br />
Energy Irradiation<br />
Patsy M.<br />
Brannon<br />
Edward W.<br />
Merrill, Edwin<br />
R. Gilliland<br />
Harvard Medical<br />
School ca. 1995-97<br />
Hollinger, Jeffrey O.<br />
Hollister, Scott J.<br />
Hu, Wei-Shou<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Carnegie<br />
Mellon Univ., 2000 to<br />
date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Michigan, 1991 to<br />
date<br />
Pr<strong>of</strong>essor, Chemical<br />
<strong>Engineering</strong> and<br />
Materials Science,<br />
Univ. <strong>of</strong> Minnesota,<br />
1983 to date<br />
Oregon Health<br />
Sciences Univ., 1993-<br />
2000<br />
DDS, Univ. <strong>of</strong> Facilitation <strong>of</strong> Osseous<br />
Maryland, 1973; PhD, Healing by a<br />
Univ. <strong>of</strong> Maryland at Proteolipid-Copolymer<br />
Baltimore, 1983 Matieral<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Michigan,<br />
1991<br />
PhD, Nutrition and<br />
Food Science, MIT,<br />
1984<br />
Homogenization<br />
Analysis <strong>of</strong> Trabecular<br />
Bone and Prediction <strong>of</strong><br />
Bone Ingrowth Using<br />
Topology Optimization<br />
Quantitative and<br />
Mechanistic Analysis <strong>of</strong><br />
Mammalian Cell<br />
Cultivation on<br />
Microcarriers<br />
Steven A.<br />
Goldstein<br />
Daniel I.C.<br />
Wang<br />
Robert<br />
Guldberg<br />
(1995)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 96
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Huard, Johnny<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedic<br />
Surgery, Univ. <strong>of</strong><br />
Pittsburgh<br />
PhD, Universite Laval,<br />
1993<br />
La Dystrophie<br />
Musculaire de<br />
Duchenne: Localisation<br />
de la Dystrophine dans<br />
le Systeme Nerveux et<br />
Recherche sur la Mise<br />
au Point d'un Traitement<br />
pour les Patients DMD<br />
Jacques P.<br />
Tremblay<br />
Hubbell, Jeffrey A.<br />
Hubel, Allison<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, ETH<br />
Zurich, 1997 to date<br />
Assist. Pr<strong>of</strong>., Dept. <strong>of</strong><br />
Laboratory Medicine<br />
and Pathology, Univ.<br />
<strong>of</strong> Minnesota<br />
Univ. <strong>of</strong> Tex<strong>as</strong> at<br />
Austin, 1986-94;<br />
California Institute <strong>of</strong><br />
Technology, 1995-97<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1986<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, MIT,<br />
1989<br />
Visualization and<br />
Analysis <strong>of</strong> Mural<br />
Thrombogenesis<br />
Directional<br />
Solidification for the<br />
Freezing <strong>of</strong> Cell<br />
Suspensions<br />
Larry V.<br />
McIntire<br />
Ernest G.<br />
Cravalho<br />
William R.<br />
Wagner<br />
(1991);<br />
Jennifer L.<br />
West (1996);<br />
Donald L.<br />
Elbert (1997);<br />
Shelly E.<br />
Sakiyama-<br />
Elbert (2000)<br />
Weiyuan John<br />
Kao (1996-98)<br />
Humes, H. David<br />
Hung, Clark T.<br />
Ingber, Donald E.<br />
Pr<strong>of</strong>. <strong>of</strong> Internal<br />
Medicine, Univ. <strong>of</strong><br />
Michigan, 1979 to<br />
date<br />
Assist. Pr<strong>of</strong>.<strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Columbia Univ.<br />
Pr<strong>of</strong>. <strong>of</strong> Pathology,<br />
Harvard Medical<br />
School<br />
MD, Univ. <strong>of</strong><br />
California, San<br />
Francisco, 1973<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1995<br />
MD, Yale Univ.;<br />
PhD, Cell Biology,<br />
Yale Univ., 1984<br />
Real-Time Calcium<br />
Response to Fluid Flow<br />
in Cultured Bone Cells<br />
B<strong>as</strong>ement Membrane<br />
Polarizes Epithelial<br />
Cells and Its Loss Can<br />
Result in Neopl<strong>as</strong>tic<br />
Disorganization<br />
Solomon R.<br />
Pollack<br />
Judah Folkman,<br />
HMS/ Children's<br />
Hospital, late '80searly<br />
90s<br />
Christopher S.<br />
Chen (1997)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 97
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Ishaug-Riley, Susan<br />
Johnson, Peter C.<br />
Kao, Weiyuan John<br />
Karlsson, Jens O.M.<br />
Advanced <strong>Tissue</strong><br />
Sciences; now ?<br />
Chairman and CEO,<br />
<strong>Tissue</strong> Informatics,<br />
Inc.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Wisconsin, Madison<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 2002 to date<br />
Univ. <strong>of</strong> Pittsburgh,<br />
1989-98<br />
Univ. <strong>of</strong> Chicago,<br />
1996? - 2002<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1996<br />
MD, SUNY Health<br />
Sciences Center<br />
Syracuse, 1980<br />
PhD, Macromolecular<br />
Sciences, C<strong>as</strong>e<br />
Western Reserve<br />
Univ., 1996<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, MIT,<br />
1994<br />
Bone Formation by<br />
Three-Dimensional<br />
Osteobl<strong>as</strong>t Culture in<br />
Biodegradable Poly(a-<br />
Hydroxy Ester)<br />
Scaffolds<br />
Biomechanisms <strong>of</strong> Giant<br />
Cell Formation and<br />
Leukocyte Adhesion on<br />
Polyurethanes<br />
Non-Equilibrium Ph<strong>as</strong>e<br />
Transformations <strong>of</strong><br />
Intracellular Water:<br />
Applications to the<br />
Cryopreservation <strong>of</strong><br />
Living Cells<br />
Antonios G.<br />
Mikos<br />
James M.<br />
Anderson<br />
Ernest G.<br />
Cravalho;<br />
Mehmet Toner<br />
Thrombosis, cell<br />
biology and<br />
biomaterials,<br />
Edwin Salzman,<br />
Harvard Medical<br />
School, 1982-85<br />
Jeffrey A. Hubbell,<br />
California Institute<br />
<strong>of</strong> Technology and<br />
Swiss Federal<br />
Institute <strong>of</strong><br />
Technology, 1996-<br />
98<br />
Katz, Adam J.<br />
Keaveny, Tony<br />
Assist. Pr<strong>of</strong>. <strong>of</strong> Pl<strong>as</strong>tic<br />
Surgery, Univ. <strong>of</strong><br />
Virginia<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong> and<br />
Bioengineering, Univ.<br />
<strong>of</strong> California,<br />
Berkeley, 1993 to date<br />
MD, Univ. <strong>of</strong><br />
Michigan, 1993<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, Cornell<br />
Univ., 1991<br />
A Finite Element<br />
Analysis <strong>of</strong> Load<br />
Transfer and Relative<br />
Motion for<br />
Contemporary<br />
Cementless Hip<br />
Implants in the Short<br />
and Long-Terms<br />
Pl<strong>as</strong>tic surgery<br />
training, Univ. <strong>of</strong><br />
Pittsburgh<br />
Orthopedic<br />
Biomechanics<br />
Laboratory,<br />
HMS/Beth Israel<br />
Hospital, 1990-93<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 98
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Kohn, David H.<br />
Kohn, Joachim B.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biologic and Materials<br />
Sciences, Univ. <strong>of</strong><br />
Michigan School <strong>of</strong><br />
Dentistry, 1989 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Chemistry,<br />
Rutgers Univ.<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1989<br />
PhD, Weizmann<br />
Institute, 1983<br />
Mechanisms <strong>of</strong> Fatigue<br />
Failure in Porous Coated<br />
Ti-6Al-4V Implant<br />
Alloy<br />
<strong>The</strong> Chemistry <strong>of</strong> the<br />
Interaction <strong>of</strong> Cyanogen<br />
Bromide with<br />
Polysaccharide Resins<br />
Paul Ducheyne<br />
Meir Wilchek<br />
Bioengineering,<br />
Univ. <strong>of</strong><br />
Pennsylvania,<br />
1984-89<br />
Ku, David N.<br />
Kumta, Pr<strong>as</strong>hant N.<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1986 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Materials<br />
Science and<br />
<strong>Engineering</strong>, Carnegie<br />
Mellon Univ., 1990 to<br />
date<br />
MD, Emory Univ.,<br />
1984; PhD, Georgia<br />
Tech, 1983<br />
PhD, Univ. <strong>of</strong><br />
Arizona, 1990<br />
Hemodynamics and<br />
Atherogenesis at the<br />
Human Carotid<br />
Bifurcation<br />
Synthesis and Structural<br />
Investigations <strong>of</strong><br />
Infrared Transmitting<br />
Materials in Rare Earth<br />
Chalcogenide Systems<br />
Don P. Giddens Naomi C.<br />
Chesler (1996-<br />
98)<br />
Landis, William J.<br />
Pr<strong>of</strong>. <strong>of</strong> Biochemistry<br />
and Molecular<br />
Pathology, Northe<strong>as</strong>t<br />
Ohio Universities<br />
College <strong>of</strong> Medicine,<br />
1998 to date<br />
PhD, Biology, MIT,<br />
1972<br />
Macromolecular<br />
Interactions in Systems<br />
Containing Bovine<br />
Fibrinogen and<br />
Thrombin<br />
David F.<br />
Waugh<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 99
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Langer, Robert S.<br />
Lanza, Robert P.<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1977 to date<br />
VP <strong>of</strong> Medical and<br />
Scientific<br />
Development,<br />
Advanced Cell<br />
Technology, 1999 to<br />
date<br />
BioHybrid<br />
Technologies, 1993-<br />
99?<br />
ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1974<br />
MD, Univ. <strong>of</strong><br />
Pennsylvania, 1983<br />
Enzymatic Regeneration<br />
<strong>of</strong> ATP<br />
Clark K.<br />
Colton, Michael<br />
Archer<br />
Judah Folkman,<br />
HMS/Children's<br />
Hospital, ca. 1974-<br />
77<br />
Elazer R.<br />
Edelman<br />
(1984); Cato<br />
T. Laurencin<br />
(1987); W.<br />
Mark<br />
Saltzman<br />
(1987); Lisa<br />
E. Freed<br />
(1988); David<br />
J. Mooney<br />
(1992); Joyce<br />
Y. Wong<br />
(1994);<br />
Michael J.<br />
Y<strong>as</strong>zemski<br />
(1995);<br />
Jennifer H.<br />
Elisseeff<br />
(1999);<br />
Guillermo A.<br />
Ameer (1999)<br />
Kam W.<br />
Leong (late<br />
1980s); Linda<br />
G. Griffith (ca.<br />
1988-90);<br />
Peter X. Ma<br />
(1993-96);<br />
Christine E.<br />
Schmidt<br />
(1994-96);<br />
Kristi S.<br />
Anseth (1995-<br />
96); Michael<br />
V. Pishko<br />
(1995-96);<br />
Laura E.<br />
Nikl<strong>as</strong>on<br />
(1995-98?);<br />
Surya K.<br />
Mallapragada<br />
(summer<br />
1996);<br />
Venkatram<br />
Pr<strong>as</strong>ad Sh<strong>as</strong>tri<br />
(ca. 1998-<br />
2000);<br />
Guillermo A.<br />
Ameer (ca.<br />
1999-2002?);<br />
David M.<br />
Lynn (1999-<br />
2002)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 100
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
LaPlaca, Michelle C.<br />
Lauffenburger,<br />
Dougl<strong>as</strong> A.<br />
Laurencin, Cato T.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Georgia<br />
Tech<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>,<br />
Bioengineering and<br />
Environmental Health,<br />
MIT, 1995 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>, Drexel<br />
Univ.<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1979-90; Univ. <strong>of</strong><br />
Illinois, 1990-94<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1996<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota, 1979<br />
MD; PhD, Applied<br />
Biological Sciences,<br />
MIT, 1987<br />
Deformation Response<br />
and Cytosolic Calcium<br />
Incre<strong>as</strong>es in NTera2<br />
Neurons Subjected to<br />
Traumatic Levels <strong>of</strong><br />
Hydrodynamic Shear<br />
Stress<br />
Effects <strong>of</strong> Motility and<br />
Chemotaxis in Cell<br />
Population Dynamical<br />
Systems<br />
Novel Bioerodible<br />
Polymers for Controlled<br />
Rele<strong>as</strong>e Analyses <strong>of</strong> in<br />
Vitro / in Vivo<br />
Performance and<br />
Characterizations <strong>of</strong><br />
Mechanism<br />
Lawrence E.<br />
Thibault<br />
Robert S.<br />
Langer<br />
Robert T.<br />
Tranquillo<br />
(1986); Helen<br />
M. Buettner<br />
(1987); Paul<br />
A. DiMilla<br />
(1991);<br />
Christine E.<br />
Schmidt<br />
(1995); Sean<br />
P. Palecek<br />
(1998); David<br />
V. Schaffer<br />
(1998);<br />
Anand R.<br />
Asthagiri<br />
(2000)<br />
Peter W.<br />
Zandstra<br />
(1997-98);<br />
Fred D. Allen<br />
(1997-2000)<br />
Helen H. Lu<br />
(ca. 1998-<br />
2001)<br />
LeDoux, Joseph M.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering,<br />
Georgia Tech<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 1998<br />
Analysis <strong>of</strong> Retrovirus<br />
Production and<br />
Transduction<br />
Martin L.<br />
Yarmush<br />
Yarmush, Morgan<br />
et al., Laboratory<br />
<strong>of</strong> Surgical Science<br />
and <strong>Engineering</strong>,<br />
HMS/Shriners<br />
Burns Institute,<br />
1998-99<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 101
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Lee, Randall<br />
Lelkes, Peter I.<br />
Leong, Kam W.<br />
Levenston, Marc E.<br />
L'Heureux, Nicol<strong>as</strong><br />
Li, Song<br />
Liu, Shu Q.<br />
Livesey, Stephen A.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Medicine, University<br />
<strong>of</strong> California, San<br />
Francisco<br />
Calhoun Chair Pr<strong>of</strong>. <strong>of</strong><br />
Cellular <strong>Tissue</strong><br />
<strong>Engineering</strong>, Drexel<br />
Univ.<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1998 to date<br />
Chief Scientific<br />
Officer, Cytograft<br />
<strong>Tissue</strong> <strong>Engineering</strong><br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> California,<br />
Berkeley, 2001 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Northwestern Univ.,<br />
1995 to date<br />
Executive VP and<br />
Chief Science Officer,<br />
LifeCell, 1991 to date<br />
Univ. <strong>of</strong> Wisconsin,<br />
Madison<br />
MD, UCLA, 1984;<br />
PhD, Pharmacology,<br />
UCLA, 1984<br />
PhD, Technical Univ.,<br />
Aachen<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pennsylvania, 1987<br />
PhD, Biomechanical<br />
<strong>Engineering</strong>, Stanford,<br />
1995<br />
PhD, Universite Laval,<br />
1996<br />
PhD, Bioengineering,<br />
UCSD, 1997<br />
PhD, Bioengineering,<br />
UCSD, 1990<br />
MD, Univ. <strong>of</strong><br />
Melbourne; PhD,<br />
Univ. <strong>of</strong> Melbourne,<br />
1985<br />
Opioid and<br />
Neuropeptide<br />
Modulation <strong>of</strong> Seizures<br />
in the Mongolian Gerbil<br />
Synthesis and Insertion<br />
Mechanisms <strong>of</strong> Graphite<br />
Intercalation<br />
Compounds<br />
Simulation <strong>of</strong> Functional<br />
Adaptation in<br />
Trabecular and Cortical<br />
Bone<br />
Construction d'un<br />
Vaisseau Sanguin<br />
Humain par Ingenierie<br />
Tissulaire: une<br />
Nouvelle Approche<br />
Shear Stress-Induced<br />
Signaling in V<strong>as</strong>cular<br />
Endothelial Cells: Roles<br />
<strong>of</strong> Focal Adhesion<br />
Kin<strong>as</strong>e, Small GTP<strong>as</strong>es<br />
and Heat Shock Protein<br />
27<br />
Zero-Stress States and<br />
<strong>Tissue</strong> Remodeling <strong>of</strong><br />
Rat Systemic and<br />
Pulmonary Arteries in<br />
Hypertension and<br />
Diabetes Mellitus<br />
(Systemic Arteries)<br />
Phosphorylation in the<br />
Action <strong>of</strong> Peptide<br />
Hormones<br />
Dennis R.<br />
Carter<br />
Francois A.<br />
Auger<br />
Shu Chien<br />
Y-C. Fung<br />
Robert S. Langer,<br />
MIT, late 1980s<br />
Alan J.<br />
Grodzinsky,<br />
Continuum<br />
Electromechanics<br />
Group, MIT, 1995-<br />
98 ?<br />
John A. Frangos,<br />
UCSD, late ca.<br />
1998-2000<br />
Bioengineering,<br />
UCSD, 1990-92<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 102
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Longaker, Michael T. Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
Stanford Univ., 2000<br />
to date<br />
Lotz, Jeffrey C. Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Orthopedic Surgery,<br />
Univ. <strong>of</strong> California,<br />
San Francisco, 1993 to<br />
date<br />
Lu, Helen H. Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Columbia Univ.,<br />
2001? to date<br />
New York Univ.<br />
MD, Harvard Medical<br />
School, 1984<br />
PhD, HST Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, MIT,<br />
1988<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1998<br />
Hip Fracture Risk<br />
Predictions by X-Ray<br />
Computed Tomography<br />
45S5 Bioactive Gl<strong>as</strong>s<br />
Surface Zeta Potential<br />
Variations in Electrolyte<br />
Solutions With and<br />
Without Fibronectin<br />
Wilson C.<br />
Hayes<br />
Solomon R.<br />
Pollack<br />
Cato Laurencin,<br />
Drexel, ca. 1998-<br />
2001<br />
Lynn, David M.<br />
Lysaght, Michael J.<br />
Ma, Peter X.<br />
Macdonald, Jeffrey<br />
M.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Wisconsin, Madison,<br />
2002 to date<br />
Pr<strong>of</strong>essor (Research),<br />
Biomedical<br />
<strong>Engineering</strong>, Brown<br />
Univ., 1995 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biologic and Materials<br />
Sciences, Univ. <strong>of</strong><br />
Michigan School <strong>of</strong><br />
Dentistry, 1996 to date<br />
Research Assist. Pr<strong>of</strong>.<br />
<strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
North Carolina<br />
Amicon, 1966-79;<br />
Baxter Int'l. 1984-89;<br />
Cyto<strong>The</strong>rapeutics<br />
1989-94<br />
PhD, Organic<br />
Chemistry, California<br />
Institute <strong>of</strong><br />
Technology, 1999<br />
PhD, Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
New South Wales<br />
PhD, Materials<br />
Science and<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 1993<br />
PhD, Pharmaceutical<br />
Chemistry, Univ. <strong>of</strong><br />
California, San<br />
Francisco, 1995<br />
Water-Soluble<br />
Ruthenium Alkylidene<br />
Complexes: Synthesis<br />
and Application to<br />
Olefin Metathesis in<br />
Protic Solvents<br />
Structure and<br />
Deformation Behavior<br />
<strong>of</strong> Amorphous<br />
Ionomers, their Blends<br />
and Pl<strong>as</strong>ticized Systems<br />
Toxicological<br />
Applications <strong>of</strong> Cell and<br />
Animal Models for in<br />
Vivo Nuclear Magnetic<br />
Resonance<br />
Robert H.<br />
Grubbs<br />
Robert S. Langer,<br />
MIT, 1999-2002<br />
Robert S. Langer,<br />
MIT, 1993-96<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 103
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Mallapragada, Surya<br />
K.<br />
Mann, Brenda K.<br />
Marra, Kacey G.<br />
Matthew, Howard<br />
McAllister, Todd N.<br />
McCulloch, Andrew<br />
D.<br />
McFetridge, Peter S.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Iowa<br />
State Univ.<br />
Assist. Pr<strong>of</strong>., Keck<br />
Graduate Institute <strong>of</strong><br />
Applied Life Science,<br />
2001 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Surgery, Univ. <strong>of</strong><br />
Pittsburgh, 2002 to<br />
date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical <strong>Engineering</strong><br />
and Materials Science,<br />
Wayne State U.<br />
President and CEO,<br />
Cytograft <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering,<br />
UCSD, 1990s? to date<br />
Research Assist. Pr<strong>of</strong>.,<br />
Dept. <strong>of</strong> Chemical<br />
<strong>Engineering</strong> and<br />
Materials Science,<br />
Univ. <strong>of</strong> Oklahoma,<br />
2002 to date<br />
Carnegie Mellon Univ.,<br />
1998-2002<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Purdue<br />
Univ., 1996<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
University, 1997<br />
PhD, Organic<br />
Chemistry, University<br />
<strong>of</strong> Pittsburgh, 1996<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Wayne<br />
State U., 1992<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> California,<br />
San Diego, 2000<br />
PhD, <strong>The</strong>oretical and<br />
Applied Mechanics,<br />
University <strong>of</strong><br />
Auckland, 1986<br />
PhD, Univ. <strong>of</strong> Bath<br />
(UK), 2002<br />
Molecular Analysis and<br />
Experimental<br />
Investigation <strong>of</strong><br />
Semicrystalline<br />
Polymers"<br />
In Vivo Phosphorus-31<br />
and Carbon-13 Nuclear<br />
Magnetic Resonance<br />
Spectroscopy to Study<br />
Cellular Metabolism<br />
Synthesis,<br />
Characterization, and<br />
Applications <strong>of</strong> Novel,<br />
Low-Surface Energy<br />
Poly(amide urethanes)<br />
Perfused<br />
Microencapsulated<br />
Hepatocytes:<br />
Evaluation <strong>of</strong> Potential<br />
for Extracorporeal Liver<br />
Support<br />
Fluid Flow-Induced<br />
Signal Transduction in<br />
Bone Cells<br />
Deformation and Stress<br />
in the P<strong>as</strong>sive Heart<br />
<strong>The</strong> Use <strong>of</strong> Porcine<br />
Carotid Arteries <strong>as</strong> a<br />
Matrix Material for<br />
<strong>Tissue</strong> Engineered Small<br />
Diameter V<strong>as</strong>cular<br />
Grafts<br />
Nichol<strong>as</strong> A.<br />
Pepp<strong>as</strong><br />
Jacqueline V.<br />
Shanks<br />
John A.<br />
Frangos<br />
Visiting researcher<br />
w/Antonios Mikos,<br />
Rice Univ., May<br />
1996; visiting<br />
researcher<br />
w/Robert Langer,<br />
MIT, Summer<br />
1996<br />
Jennifer L. West,<br />
Rice Univ., 1998-<br />
2001<br />
Elliott L. Chaik<strong>of</strong>,<br />
Emory Univ.,<br />
1996-97<br />
Martin Yarmush<br />
and Ronald<br />
Tompkins, HMS /<br />
M<strong>as</strong>s. General<br />
Hospital, 1990-92<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 104
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
McIntire, Larry V.<br />
Messersmith, Phillip<br />
B.<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Rice<br />
Univ.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Northwestern Univ.,<br />
1998 to date<br />
Univ. <strong>of</strong> Illinois at<br />
Chicago, 1994-97;<br />
Dental School,<br />
Northwestern Univ.,<br />
1997-98<br />
PhD, Princeton Univ.,<br />
1970<br />
PhD, Materials<br />
Science and<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Illinois at Urbana-<br />
Champaign, 1993<br />
Hydrodynamic Stability<br />
<strong>of</strong> Selected Non-<br />
Newtonian Fluids in<br />
Two Simple Flows<br />
Synthesis and<br />
Characterization <strong>of</strong><br />
Novel Polymer-Ceramic<br />
Nanocomposites:<br />
Organoceramics<br />
Samuel I. Stupp Materials science<br />
and engineering,<br />
Cornell Univ.,<br />
1992-94<br />
Jeffrey A.<br />
Hubbell<br />
(1986); John<br />
A. Frangos<br />
(1987);<br />
Timothy M.<br />
Wick (1988);<br />
B. Rita<br />
Alevriadou<br />
(1992);<br />
Charles W.<br />
Patrick (1994);<br />
Julia M. Ross<br />
(1995)<br />
Mikos, Antonios G.<br />
Moghe, Prabh<strong>as</strong> V.<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering and<br />
Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1992 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 1995 to date<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Purdue<br />
Univ., 1988<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota, 1993<br />
Fracture <strong>of</strong> and<br />
Adhesion Between<br />
Biological and Synthetic<br />
Macromolecular<br />
Materials<br />
Phenomenological and<br />
Mechanistic Analyses <strong>of</strong><br />
Leukocyte Chemotaxis<br />
Nichol<strong>as</strong> A.<br />
Pepp<strong>as</strong><br />
Robert T.<br />
Tranquillo<br />
MIT/HMS 1990-91 Susan Ishaug-<br />
Riley (1996);<br />
Susan Peter<br />
(1998)<br />
M. Yarmush,<br />
HMS, 1993-95<br />
Surya K.<br />
Mallapragada<br />
(May 1996);<br />
Julia E.<br />
Babensee<br />
(1996-99);<br />
Aaron S.<br />
Goldstein<br />
(1997-99);<br />
V<strong>as</strong>silios I.<br />
Sikavits<strong>as</strong><br />
(2000-02)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 105
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Mooney, David J.<br />
Mow, Van C.<br />
Naughton, Gail K.<br />
Neitzel, G. Paul<br />
Nerem, Robert M.<br />
Nicoll, Steven<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Pr<strong>of</strong>. <strong>of</strong><br />
Biologic and Materials<br />
Science, Univ. <strong>of</strong><br />
Michigan, 1994 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>,<br />
Columbia Univ.<br />
President and CEO <strong>of</strong><br />
Advanced <strong>Tissue</strong><br />
Sciences, 1987 to date<br />
(?)<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1990 to date<br />
Institute Pr<strong>of</strong>essor,<br />
Georgia Tech, 1987 to<br />
date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Pennsylvania<br />
NYU Medical Center,<br />
1983-85; CUNY<br />
Queensborough<br />
Community College,<br />
1985-87<br />
Arizona State Univ.<br />
Ohio State Univ., 1964-<br />
79; Univ. <strong>of</strong> Houston,<br />
1979-86<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1992<br />
PhD, Mechanics,<br />
Rensselaer<br />
Polytechnic Inst., 1966<br />
PhD, New York<br />
University, 1981<br />
PhD, Johns Hopkins<br />
Univ., 1979<br />
PhD, Aeronautical and<br />
Astronautical<br />
<strong>Engineering</strong>, Ohio<br />
State Univ., 1964<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> California,<br />
Berkeley and San<br />
Francisco, 2000<br />
Control <strong>of</strong> Hepatocyte<br />
Morphology and<br />
Function by the<br />
Extracellular Matrix<br />
Ultr<strong>as</strong>tructural<br />
Localization <strong>of</strong> the<br />
Cellular Site <strong>of</strong><br />
Extrarenal<br />
Erythropoietin<br />
Production<br />
Centrifugal Instability <strong>of</strong><br />
Decelerating Swirl-Flow<br />
Within Finite and<br />
Infinite Circular<br />
Cylinders<br />
Shock Layer Radiative<br />
Emission During<br />
Hypervelocity Re-entry<br />
Induction <strong>of</strong><br />
Chondrogenic<br />
Differentiation in<br />
Human Dermal<br />
Fibrobl<strong>as</strong>ts: Application<br />
to Cartilage <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
Robert S.<br />
Langer<br />
NYU Dept. <strong>of</strong><br />
Dermatology<br />
Stelios T.<br />
Andreadis<br />
(1996)<br />
Kyriacos<br />
Athan<strong>as</strong>iou?<br />
(1989);<br />
Gerard<br />
Ateshian<br />
(1991); Louis<br />
J. Soslowsky<br />
(1991);<br />
Farshid Guilak<br />
(1992)<br />
John D. Lee Jan P.<br />
Stegemann<br />
(2002)<br />
Rajendra S.<br />
Bhatnagar<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 106
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Nikl<strong>as</strong>on, Laura<br />
Odde, David J.<br />
Orban, Janine M.<br />
Oudega, Martin<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
Anesthesiology,<br />
Surgery, Duke Univ.,<br />
1998 to date<br />
Assoc, Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota<br />
Research Scientist,<br />
DePuy Orthobiologics<br />
Division (Johnson &<br />
Johnson), 2002 to date<br />
Research Assist. Pr<strong>of</strong>.<br />
<strong>of</strong> Neurological<br />
Surgery, Univ. <strong>of</strong><br />
Miami<br />
Palecek, Sean P. Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Wisconsin, Madison<br />
Palsson, Bernhard O. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering,<br />
UCSD, 1995 to date<br />
Parenteau, Nancy L.<br />
President <strong>of</strong> Amaranth<br />
Bio, 2002 to date<br />
Univ. <strong>of</strong> Michigan,<br />
1984-95<br />
Organogenesis until<br />
2002<br />
MD, Univ. <strong>of</strong><br />
Michigan, 1991; PhD,<br />
Biophysics and<br />
<strong>The</strong>oretical Biology,<br />
Univ. <strong>of</strong> Chicago,<br />
1988<br />
PhD, Chemical and<br />
Biochemical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 1995<br />
PhD, Organic<br />
Chemistry, University<br />
<strong>of</strong> Pittsburgh, 1998<br />
PhD, University <strong>of</strong><br />
Leiden (Netherlands),<br />
1990<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1998<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Wisconsin, 1984<br />
PhD, Georgetown<br />
Univ. Medical Center,<br />
1985<br />
Quantitative and<br />
Structural Analysis <strong>of</strong><br />
Digital Angiographic<br />
Images<br />
Experimental and<br />
<strong>The</strong>oretical<br />
Investigation <strong>of</strong> Nerve<br />
Growth Mechanisms:<br />
Contribution fo<br />
Microtubule Dynamics<br />
(Cytoskeleton)<br />
Synthesis,<br />
Characterization, and<br />
Applications <strong>of</strong><br />
Poly(ether) grafted<br />
Poly(urethane)s<br />
Development <strong>of</strong> the Rat<br />
Spinal Cord:<br />
Histochemistry <strong>of</strong> Some<br />
Functional and<br />
Structural Parameters<br />
Regulation <strong>of</strong> Integrin-<br />
Mediated Linkages<br />
During Cell Migration<br />
Mathematical Modeling<br />
<strong>of</strong> Dynamics and<br />
Control in Metabolic<br />
Networks<br />
Antigen Distribution in<br />
Pancreatic Cells <strong>of</strong> the<br />
Chick Embryo and<br />
Adult Studied with<br />
Monoclonal Antibodies<br />
Helen M.<br />
Buettner<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger;<br />
A.F. Horwitz<br />
Robert S. Langer,<br />
MIT, 1995-98 (?)<br />
Elliott L. Chaik<strong>of</strong>,<br />
Emory Univ.,<br />
1999-2000; Lee<br />
Weiss and David<br />
Vorp, Institute for<br />
Complex<br />
Engineered<br />
Systems, PTEI<br />
Fellow, 2000-02<br />
Mary Bartlett<br />
Bunge, Cell<br />
Biology, Anatomy,<br />
Neurological<br />
Surgery and<br />
Neurology, Univ.<br />
<strong>of</strong> Miami<br />
Stelios T.<br />
Andreadis<br />
(1996)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 107
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Patrick, Charles W.<br />
Patzer, John F.<br />
Pepp<strong>as</strong>, Nichol<strong>as</strong> A.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong> Pl<strong>as</strong>tic<br />
Surgery, MD<br />
Anderson Cancer<br />
Center<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Surgery, Univ. <strong>of</strong><br />
Pittsburgh, 1986? to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>,<br />
Biomedical<br />
<strong>Engineering</strong>, and<br />
Pharmaceutics, Univ.<br />
<strong>of</strong> Tex<strong>as</strong> at Austin,<br />
starting 2003<br />
Gulf Research and<br />
Development Co.<br />
Purdue Univ., 1976 -<br />
2002<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1994<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Stanford<br />
Univ., 1980<br />
ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1973<br />
Video Microscopy and<br />
Digital Image<br />
Processing Applied to<br />
<strong>Tissue</strong> <strong>Engineering</strong>:<br />
Intracellular Ion and<br />
Cell Adhesion<br />
Me<strong>as</strong>urements<br />
Stability in Spherical<br />
Systems: I.<br />
Hydrodynamic Stability<br />
<strong>of</strong> Thin, Spherically<br />
Concentric Fluid Shells.<br />
II. Global Stability <strong>of</strong><br />
Transient Drop<br />
Extraction<br />
Crystalline Radiation-<br />
Crosslinked Hydrogels<br />
<strong>of</strong> Poly(vinyl-alcohol) <strong>as</strong><br />
Potential Biomaterials:<br />
a Study <strong>of</strong> the Properties<br />
<strong>of</strong> Poly(vinyl-alcohol)<br />
Hydrogels in Relation to<br />
the Conditions <strong>of</strong><br />
Primary Crosslinking by<br />
Irradiation and <strong>of</strong><br />
Secondary Network<br />
Reinforcement by<br />
Crystallization<br />
Larry V.<br />
McIntire<br />
Edward W.<br />
Merrill<br />
Cox Lab, Rice<br />
Univ., 1994-96<br />
MIT<br />
Arteriosclerosis<br />
Center (Robert S.<br />
Lees?)<br />
Antonios G.<br />
Mikos (1988);<br />
Surya K.<br />
Mallapragada<br />
(1996)<br />
Kristi S.<br />
Anseth (1995)<br />
Peter, Susan<br />
Osiris <strong>The</strong>rapeutics (to<br />
date?)<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1998<br />
Development <strong>of</strong><br />
Poly(Propylene<br />
Fumarate-co-Ethylene<br />
Glycol): An Injectable,<br />
Biodegradable Implant<br />
for Cardiov<strong>as</strong>cular<br />
Applications<br />
Antonios G.<br />
Mikos<br />
Pishko, Michael V.<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Penn<br />
State Univ., 2000? to<br />
date<br />
Tex<strong>as</strong> A&M Univ.,<br />
1997-2000?<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Tex<strong>as</strong> at Austin, 1992<br />
Design and<br />
Characterization <strong>of</strong><br />
Glucose Sensors for<br />
Subcutaneous<br />
Implantation<br />
Adam Heller<br />
Robert S. Langer,<br />
MIT, 1995-96<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 108
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Pittenger, Mark F.<br />
Pollack, Solomon R.<br />
Ranieri, John P.<br />
Ratner, Buddy D.<br />
Reddi, A. Hari<br />
Reid, Lola M.<br />
VP, Research, Osiris<br />
<strong>The</strong>rapeutics, 1994 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Pennsylvania<br />
Vice President,<br />
DuPont Bio-B<strong>as</strong>ed<br />
Materials, 2002 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering and<br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
W<strong>as</strong>hington<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedic<br />
Research, Univ. <strong>of</strong><br />
California, Davis,<br />
1997 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Cell and<br />
Molecular Physiology,<br />
UNC Chapel Hill,<br />
1994 to date<br />
Georgia Tech; Sulzer<br />
Biologics, ca. 2001;<br />
Aortech International,<br />
ca. 2001-2<br />
Univ. <strong>of</strong> Chicago;<br />
Johns Hopkins Univ.<br />
Albert Einstein College<br />
<strong>of</strong> Medicine, 1977-94<br />
PhD, Johns Hopkins<br />
Univ. School <strong>of</strong><br />
Medicine, 1986<br />
PhD, Physics, Univ. <strong>of</strong><br />
Pennsylvania, 1961<br />
PhD, Medical<br />
Sciences, Section <strong>of</strong><br />
Artificial Organs,<br />
Biomaterials and<br />
Cellular Technology,<br />
Brown Univ., 1994<br />
PhD, Polymer<br />
Chemistry,<br />
Polytechnic Institute<br />
<strong>of</strong> Brooklyn, 1972<br />
PhD, Endocrinology<br />
and Physiology <strong>of</strong><br />
Reproduction<br />
(Delhi?), 1966<br />
PhD,<br />
Neuroendocrinology,<br />
UNC Chapel Hill,<br />
1974<br />
Autoregulation <strong>of</strong><br />
Tubulin Synthesis: a<br />
Novel Cytopl<strong>as</strong>mic<br />
Mechanism Regulating<br />
Gene Expression<br />
<strong>The</strong> Specific Heat <strong>of</strong><br />
Ferrites at Liquid<br />
Helium Temperatures<br />
Development <strong>of</strong><br />
Biomaterials that<br />
Spatially Control<br />
Neuronal Cell<br />
Attachment and<br />
Differentiation<br />
<strong>The</strong> Interaction <strong>of</strong> Urea<br />
with Poly (2-<br />
Hydroxyethyl<br />
Methacrylate)<br />
Hydrogels<br />
A Study <strong>of</strong> the Structure<br />
and Inorganic<br />
Composition <strong>of</strong> the<br />
Cuticle over the Molt<br />
Cycle in the Spiders,<br />
Araneus diadematus,<br />
Araneus sericatus,<br />
Eurypelma anax, and<br />
Eurypelma sp., and <strong>of</strong><br />
the Influence <strong>of</strong><br />
Ecdysterone on the<br />
Cuticular Structure and<br />
Inorganic Composition<br />
in the Tarantula<br />
Patrick<br />
Aebischer<br />
H.G. Williams-<br />
Ashman, Johns<br />
Hopkins Univ.<br />
G. Sato and J.<br />
Holland, UCSD,<br />
1974-77<br />
Clark T. Hung<br />
(1995); Fred<br />
D. Allen<br />
(1996); Helen<br />
Lu (1998)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 109
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Remmel, Rory P.<br />
Ricordi, Camillo<br />
Ross, Julia M.<br />
Pr<strong>of</strong>. <strong>of</strong> Medicinal<br />
Chemistry, Univ. <strong>of</strong><br />
Minnesota College <strong>of</strong><br />
Pharmacy<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery and<br />
Medicine, Chief <strong>of</strong><br />
Division <strong>of</strong> Cellular<br />
Transplantation, Univ.<br />
<strong>of</strong> Miami School <strong>of</strong><br />
Medicine, 1994 to<br />
date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical and<br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Maryland Baltimore<br />
County<br />
Univ. <strong>of</strong> Pittsburgh,<br />
1989-93<br />
PhD, Univ. <strong>of</strong><br />
W<strong>as</strong>hington, 1982<br />
MD (Italy)<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1990<br />
Influence <strong>of</strong> the<br />
Intestinal Micr<strong>of</strong>lora on<br />
the Disposition and<br />
Metabolism <strong>of</strong> Warfarin<br />
and Clonazepam<br />
Platelet Interactions with<br />
Subendothelial Surfaces<br />
Under Physiological<br />
Shear Conditions:<br />
Response to Type VI<br />
Collagen and an<br />
Endothelial Cell Wound<br />
Model<br />
Larry V.<br />
McIntire<br />
Roth, Charles M.<br />
Russell, Alan J.<br />
Rutkowski, Greg E.<br />
Sabelman, Eric E.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 2000 to date<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pittsburgh, 1989 to<br />
date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Louisville<br />
Consulting Assoc.<br />
Pr<strong>of</strong>. <strong>of</strong> Functional<br />
Restoration, Stanford<br />
Univ. Biomechanical<br />
<strong>Engineering</strong> Div., to<br />
date<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Delaware, 1994<br />
PhD, Chemistry,<br />
Imperial College,<br />
1987<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Iowa<br />
State Univ., 1999<br />
PhD, Stanford Univ.,<br />
1976<br />
Electrostatic and van der<br />
Waals Contributions to<br />
Protein Adsorption<br />
Protein <strong>Engineering</strong> <strong>of</strong><br />
the pH Dependence <strong>of</strong><br />
Subtilisin BPN'<br />
Design <strong>of</strong> a Bioartificial<br />
Nerve Graft<br />
An Organ Culture<br />
Method for Study <strong>of</strong><br />
Fetal Mouse Bone<br />
Under Stress<br />
Abraham M.<br />
Lenh<strong>of</strong>f<br />
Carole A.<br />
Heath<br />
M. L. Yarmush,<br />
HMS/MGH/<br />
Shriners, 1995-97<br />
Alexander<br />
Klibanov,<br />
Chemistry, MIT,<br />
1987-89<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 110
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Sacks, Michael S.<br />
Sagen, Jacqueline<br />
Sah, Robert L-Y.<br />
Sakiyama-Elbert,<br />
Shelly E.<br />
Saltzman, W. Mark<br />
Sambanis,<br />
Athan<strong>as</strong>sios<br />
Schaffer, David V.<br />
Assoc. Pr<strong>of</strong>.,<br />
Bioengineering, Univ.<br />
<strong>of</strong> Pittsburgh, 1998 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Neurosurgery,<br />
Univ. <strong>of</strong> Miami, 1998<br />
to date<br />
Associate Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering,<br />
UCSD, 1992 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>,<br />
W<strong>as</strong>hington Univ.<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical and<br />
Biomedical<br />
<strong>Engineering</strong>, Yale<br />
Univ., 2002 to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Georgia<br />
Tech<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
California, Berkeley,<br />
1999 to date<br />
Univ. <strong>of</strong> Miami, 1993-<br />
98<br />
Cyto<strong>The</strong>rapeutics/Brow<br />
n Univ. to 1998<br />
Johns Hopkins Univ.,<br />
1987-95; Cornell<br />
Univ., 1996-2002<br />
PhD, Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Tex<strong>as</strong> Southwestern<br />
Medical Center at<br />
Dall<strong>as</strong>, 1992<br />
PhD, Univ. <strong>of</strong> Illinois<br />
at Chicago Health<br />
Sciences Center, 1984<br />
MD, Harvard Medical<br />
School, 1991; ScD,<br />
HST Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, MIT,<br />
1990<br />
PhD, Chemical<br />
<strong>Engineering</strong>,<br />
California Institute <strong>of</strong><br />
Technology, 2000<br />
PhD, HST Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, MIT,<br />
1987<br />
PhD, Univ. <strong>of</strong><br />
Minnesota, 1985<br />
PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1998<br />
Active Wall Tension<br />
and P<strong>as</strong>sive Constitutive<br />
Relation <strong>of</strong> the Right<br />
Ventricular Free Wall<br />
Modulation <strong>of</strong><br />
Nociception by<br />
Brainstem<br />
Noradrenergic Neurons<br />
Biophysical Regulation<br />
<strong>of</strong> Matrix Synthesis,<br />
Assembly, and<br />
Degradation in<br />
Dynamically<br />
Compressed Calf<br />
Cartilage<br />
Bi<strong>of</strong>unctional Polymers<br />
for Controlled Rele<strong>as</strong>e<br />
<strong>of</strong> Growth Factors in the<br />
Peripheral Nervous<br />
System<br />
A Microstructural<br />
Approach for Modelling<br />
Diffusion <strong>of</strong> Bioactive<br />
Macromolecules in<br />
Porous Polymers<br />
Experimental and<br />
Modeling Studies on the<br />
Dynamics <strong>of</strong> Cultures <strong>of</strong><br />
the Ciliate Tetrahymena<br />
pyriformis Grown on<br />
Several Bacterial<br />
Species<br />
Epidermal Growth<br />
Factor Receptor-<br />
Mediated Gene<br />
Delivery: a Model<br />
System for <strong>Engineering</strong><br />
Selective Gene <strong>The</strong>rapy<br />
Approaches<br />
C.J. Chuong<br />
Alan J.<br />
Grodzinsky<br />
Jeffrey A.<br />
Hubbell<br />
Robert S.<br />
Langer<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Biomedical<br />
<strong>Engineering</strong>,<br />
UTSWMCD,<br />
1992-93<br />
Postdoc at MIT<br />
Chemical<br />
<strong>Engineering</strong><br />
(Gregory<br />
Stephanopoulos)<br />
and Whitehead<br />
Institute (Harvey<br />
Lodish), MIT, ca.<br />
1990<br />
Fred Gage, Salk<br />
Institute, 1998-99<br />
Kristen L.<br />
Billiar (1998)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 111
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Schmidt, Christine E. Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Tex<strong>as</strong> at Austin, 1996<br />
(?) to date<br />
Schoen, Frederick J. Pr<strong>of</strong>. <strong>of</strong> Pathology,<br />
Harvard Medical<br />
School, faculty,<br />
Harvard-MIT HST<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Illinois at Urbana-<br />
Champaign, 1995<br />
MD, Univ. <strong>of</strong> Miami,<br />
1974; PhD, Materials<br />
Science, Cornell<br />
Univ., 1970<br />
Adhesion Receptor-<br />
Cytoskeleton<br />
Interactions in Migrating<br />
<strong>Tissue</strong> Cells<br />
A Model for the Growth<br />
<strong>of</strong> Martensite in Iron-(10<br />
Percent) Nickel Alloys<br />
Containing Carbon<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Robert S. Langer,<br />
MIT, 1994-96<br />
Sefton, Michael V.<br />
Sfeir, Charles S.<br />
Sh<strong>as</strong>tri, Venkatram<br />
Pr<strong>as</strong>ad<br />
Shea, Lonnie D.<br />
Sheardown, Heather<br />
D.<br />
Shoichet, Molly S.<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto,<br />
1974 to date<br />
Assist. Pr<strong>of</strong>., Univ. <strong>of</strong><br />
Pittsburgh, 2000 to<br />
date<br />
Research Assist. Pr<strong>of</strong>.,<br />
Univ. <strong>of</strong> Pennsylvania<br />
School <strong>of</strong> Medicine<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>,<br />
Northwestern Univ.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>,<br />
McM<strong>as</strong>ter Univ.<br />
Assoc. Pr<strong>of</strong>., Depts. <strong>of</strong><br />
Chemistry, Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto,<br />
1995 to date<br />
Oregon Health<br />
Sciences Univ., 1999-<br />
2000<br />
Cyto<strong>The</strong>rapeutics,<br />
1992-95<br />
ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1974<br />
DDS, Univ. Louis<br />
P<strong>as</strong>teur, 1990; PhD,<br />
Molecular Biology,<br />
Northwestern Univ.,<br />
1996<br />
PhD, Chemistry,<br />
Rensselaer<br />
Polytechnic Institute,<br />
1995<br />
PhD, Chemical<br />
<strong>Engineering</strong> and<br />
Scientific Computing,<br />
Univ. <strong>of</strong> Michigan,<br />
1997<br />
PhD, Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto,<br />
1995<br />
PhD, Polymer Science<br />
and <strong>Engineering</strong>,<br />
Univ. <strong>of</strong><br />
M<strong>as</strong>sachusetts,<br />
Amherst, 1992<br />
Surface Hydroxylation<br />
<strong>of</strong> Styrene-Butadiene-<br />
Styrene Block<br />
Copolymers for<br />
Biomaterials<br />
Phosphorylation <strong>of</strong><br />
Dentin Extracellular<br />
Matrix Proteins by<br />
Protein Kin<strong>as</strong>es<br />
Evaluation <strong>of</strong><br />
Polypyrrole Thin Films<br />
<strong>as</strong> Substratum for<br />
Mammalian Cell Culture<br />
Kinetics <strong>of</strong> Receptor,<br />
Ligand, and G Protein<br />
Interaction for Signal<br />
Transduction: a<br />
Modeling Study<br />
Mechanisms <strong>of</strong> Corneal<br />
Epithelial Wound<br />
Healing<br />
Synthesis and<br />
Adsorption <strong>of</strong> Polymers:<br />
Control <strong>of</strong> Polymer and<br />
Surface Structure<br />
Edward W.<br />
Merrill<br />
Arthur Veis<br />
Gary Wnek<br />
Jennifer J.<br />
Linderman<br />
Yu-Ling Cheng<br />
Thom<strong>as</strong> J.<br />
McCarthy<br />
Robert S. Langer,<br />
Chemical<br />
<strong>Engineering</strong>, MIT,<br />
ca. 1998-2000<br />
Julia E.<br />
Babensee<br />
(1996)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 112
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Shreiber, David I.<br />
Sielaff, Timothy D.<br />
Sikavits<strong>as</strong>, V<strong>as</strong>silios<br />
I.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ., 2002 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Surgery, Univ. <strong>of</strong><br />
Minnesota, 1998 to<br />
date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical <strong>Engineering</strong><br />
and Materials Science,<br />
Univ. <strong>of</strong> Oklahoma,<br />
2002 to date<br />
PhD, Bioengineering,<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1998<br />
MD, Medical College<br />
<strong>of</strong> Virginia, 1989;<br />
PhD, Univ. <strong>of</strong><br />
Minnesota, 1997<br />
PhD, SUNY Buffalo,<br />
2000<br />
Experimental and<br />
Computational<br />
Modeling <strong>of</strong> Traumatic<br />
Brain Injury: in Vivo<br />
Thresholds for<br />
Mechanical Disruption<br />
<strong>of</strong> the Blood-Brain<br />
Barrier<br />
Development and<br />
Characterization <strong>of</strong> a<br />
Porcine Hepatocyte<br />
Bioartificial Liver for<br />
the Treatment <strong>of</strong><br />
Fulminant Hepatic<br />
Failure<br />
Dynamics <strong>of</strong> Antigen-<br />
Antibody Interactions<br />
and their Effect in the<br />
Performance <strong>of</strong><br />
Immunosensors<br />
David F.<br />
Meaney<br />
Frank B. Cerra<br />
Robert T.<br />
Tranquillo, Univ.<br />
<strong>of</strong> Minnesota, ca.<br />
2000-02<br />
Antonios G.<br />
Mikos, Rice Univ.,<br />
2000-02<br />
Skalak, Richard (dece<strong>as</strong>ed, 1997) Columbia Univ., 1954-<br />
88; UCSD, 1988-97<br />
Smith, Marc K.<br />
Solomon, Barry A.<br />
Soslowsky, Louis J.<br />
Spector, Myron<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1991 to date<br />
President and CSO,<br />
Circe Biomedical,<br />
1999-2002<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Univ.<br />
<strong>of</strong> Pennsylvania<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedic<br />
Surgery, Brigham and<br />
Women's Hospital /<br />
Harvard Medical<br />
School<br />
Johns Hopkins Univ.,<br />
until 1991<br />
1977-99 Amicon --><br />
WR Grace<br />
PhD, Civil<br />
<strong>Engineering</strong>,<br />
Columbia Univ., 1954<br />
PhD, <strong>Engineering</strong><br />
Sciences and Applied<br />
Mathematics,<br />
Northwestern Univ.,<br />
1982<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Yale<br />
Univ., 1973<br />
PhD, <strong>Engineering</strong><br />
Mechanics, Columbia<br />
Univ., 1991<br />
PhD, Carnegie Mellon<br />
Univ., 1971<br />
An Extension <strong>of</strong> the<br />
<strong>The</strong>ory <strong>of</strong> Water<br />
Hammer<br />
<strong>The</strong> Instabilities <strong>of</strong><br />
<strong>The</strong>rmocapillary Shear<br />
Layers<br />
Open Tubular<br />
Heterogeneous Enzyme<br />
Reactors<br />
Studies on Diarthrodial<br />
Joint Biomechanics with<br />
Special Reference to the<br />
Shoulder<br />
A Study <strong>of</strong> the Mineral<br />
Ph<strong>as</strong>e Development<br />
Associated with Arterial<br />
Calcification<br />
Van C. Mow<br />
Chemical<br />
<strong>Engineering</strong> dept.<br />
MIT, 1975-77?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 113
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Stegemann, Jan P.<br />
Stice, Steven L.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, RPI,<br />
2002 to date<br />
Assoc. Pr<strong>of</strong>., Animal<br />
and Dairy Science,<br />
Univ. <strong>of</strong> Georgia<br />
WR Grace; Circe<br />
Biomedical, mid-1990s<br />
PhD, Bioengineering,<br />
Georgia Tech, 2002<br />
PhD, Animal Science,<br />
Univ. <strong>of</strong><br />
M<strong>as</strong>sachusetts at<br />
Amherst, 1989<br />
Characterization and<br />
Control <strong>of</strong> Smooth<br />
Muscle Phenotype in<br />
V<strong>as</strong>cular <strong>Tissue</strong><br />
<strong>Engineering</strong><br />
<strong>The</strong> Characterization <strong>of</strong><br />
a Factor in Mammalian<br />
Sperm Which Activates<br />
Mature Oocytes<br />
Robert M.<br />
Nerem<br />
James M. Robl<br />
Tien, Joe<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Boston<br />
Univ.<br />
Titus, F. Louisa Research Assist. Pr<strong>of</strong>.,<br />
Dept. <strong>of</strong> Medicine,<br />
Emory Univ., 1991 to<br />
date<br />
Tompkins, Ronald G. Pr<strong>of</strong>. <strong>of</strong> Surgery, HMS<br />
/ M<strong>as</strong>s. General Hosp.<br />
/ Boston Shriners<br />
Hosp., 1990 to date<br />
Toner, Mehmet<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery, HMS<br />
/ M<strong>as</strong>s. General Hosp.,<br />
1990s? to date<br />
Tranquillo, Robert T. Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Minnesota<br />
PhD, Physics, Harvard<br />
Univ., 1999<br />
PhD, Anatomy, Emory<br />
Univ., 1985<br />
MD, Tulane Univ.,<br />
1976; ScD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1983<br />
PhD, HST Medical<br />
<strong>Engineering</strong> and<br />
Medical Physics, 1989<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pennsylvania, 1986<br />
Three-Dimensional<br />
Mesoscale Self-<br />
Assembly<br />
Regulation <strong>of</strong> Cardiac<br />
C-Protein<br />
Phosphorylation<br />
In Vivo Transport <strong>of</strong><br />
Low-Density<br />
Lipoprotein in the<br />
Arterial Walls <strong>of</strong> the<br />
Squirrel Monkey<br />
<strong>The</strong>rmodynamics and<br />
Kinetics <strong>of</strong> Ice<br />
Nucleation Inside<br />
Biological Cells During<br />
Freezing: <strong>as</strong> Applied to<br />
Mouse Oocytes<br />
Phenomenological and<br />
Fundamental<br />
Descriptions <strong>of</strong><br />
Leukocyte Random<br />
Motility and Chemotaxis<br />
George M.<br />
Whitesides<br />
H. Cris Hartzell<br />
Clark K.<br />
Colton,<br />
Kenneth A.<br />
Smith<br />
Ernest G.<br />
Cravalho<br />
Dougl<strong>as</strong> A.<br />
Lauffenburger<br />
Christopher Chen,<br />
Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ., ca.<br />
1999-2001<br />
Jens O.M.<br />
Karlsson<br />
(1994);<br />
Sangeeta N.<br />
Bhatia (1997)<br />
Prabh<strong>as</strong> V.<br />
Moghe (1993);<br />
Victor H.<br />
Baroc<strong>as</strong><br />
(1996)<br />
Prabh<strong>as</strong> V.<br />
Moghe (1993-<br />
95); Albert<br />
Folch (1997-<br />
2000)<br />
Victor H.<br />
Baroc<strong>as</strong><br />
(1996); David<br />
I. Shreiber (ca.<br />
2000-02)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 114
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Tuan, Rocky S.<br />
Unsworth, Brian R.<br />
Vacanti, Charles A.<br />
Vacanti, Joseph P.<br />
Valentini, Robert F.<br />
Pr<strong>of</strong>. <strong>of</strong> Orthopedic<br />
Surgery, Biochemistry<br />
and Molecular<br />
Biology, Thom<strong>as</strong><br />
Jefferson Univ., 1988<br />
to date; Chief <strong>of</strong><br />
Cartilage Biology and<br />
Orthopaedics Branch,<br />
NIH-NIAMS, 2001 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Biological<br />
Sciences, Marquette<br />
Univ., 1969 to date<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Anesthesiology,<br />
Perioperative and Pain<br />
Medicine, HMS /<br />
Brigham and<br />
Women's Hosp., 2002<br />
to date<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
HMS/M<strong>as</strong>sachusetts<br />
General Hospital<br />
Adjunct Assist. Pr<strong>of</strong>.<br />
<strong>of</strong> Medical Science,<br />
Brown Univ., to date;<br />
Chief Executive<br />
Officer, Cell B<strong>as</strong>ed<br />
Delivery, 1999 to date<br />
Univ. <strong>of</strong> Pennsylvania,<br />
1980-88<br />
HMS / M<strong>as</strong>s. General<br />
Hosp., 1980s - 1994;<br />
Univ. <strong>of</strong> M<strong>as</strong>s. Medical<br />
School, 1994-2002<br />
HMS/Children's<br />
Hospital<br />
PhD, Rockefeller<br />
Univ., 1977<br />
PhD, Biochmistry,<br />
University College,<br />
London, 1965<br />
MD, Univ. <strong>of</strong><br />
Nebr<strong>as</strong>ka, 1975<br />
MD, Univ. <strong>of</strong><br />
Nebr<strong>as</strong>ka, 1974<br />
MD, Brown Univ.,<br />
1993; PhD, Medical<br />
Science, Brown Univ.,<br />
1993<br />
<strong>The</strong> Calcium Binding<br />
Protein <strong>of</strong> the Chick<br />
Chorioallantoic<br />
Membrane<br />
<strong>The</strong> Development <strong>of</strong><br />
Electrically Charged,<br />
Covalently Modified<br />
Fluoropolymers for<br />
Patterned Neuronal Cell<br />
Attachment and<br />
Outgrowth<br />
Patrick<br />
Aebischer<br />
Univ. <strong>of</strong><br />
Wisconsin,<br />
Madison, 1965-67;<br />
Univ. <strong>of</strong> California,<br />
San Diego, 1967-<br />
69<br />
Judah Folkman,<br />
HMS/ Children's<br />
Hospital, 1977-79<br />
Robert E.<br />
Akins (1992)<br />
Linda G.<br />
Griffith (ca.<br />
1988-90);<br />
Linda K.<br />
Hansen? (ca.<br />
1992-94)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 115
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Vandenburgh,<br />
Herman H.<br />
Pr<strong>of</strong>. <strong>of</strong> Pathology and<br />
Cellular Technology<br />
(Research), Brown<br />
Univ., to date; Chief<br />
Scientific Officer, Cell<br />
B<strong>as</strong>ed Delivery, Inc.,<br />
1999 to date<br />
PhD, Anatomy, Univ.<br />
<strong>of</strong> Pennsylvania, 1976<br />
A Membrane<br />
Ectoenzyme, 5'<br />
Nucleotid<strong>as</strong>e, on<br />
Differentiating Chick<br />
Muscle Cells in Vitro<br />
Velegol, Darrell<br />
Vito, Raymond P.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Penn<br />
State Univ., 1999 to<br />
date<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
<strong>Engineering</strong>, Georgia<br />
Tech, 1974 to date<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Carnegie<br />
Mellon Univ., 1997<br />
PhD, Cornell Univ.,<br />
1971<br />
Determining the Forces<br />
Between Colloidal<br />
Particles Using<br />
Differential<br />
Electrophoresis<br />
Nonlinear Vibrations <strong>of</strong><br />
Certain Conservative<br />
Systems with Two<br />
Degrees <strong>of</strong> Freedom<br />
John L.<br />
Anderson,<br />
Stephen Gar<strong>of</strong>f<br />
Frederick Lanni,<br />
CMU Center for<br />
Light Microscope<br />
Imaging and<br />
Biotechnology,<br />
1997-99<br />
McM<strong>as</strong>ter Univ.,<br />
early 1970s<br />
Vorp, David A.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Surgery and<br />
Bioengineering, Univ.<br />
<strong>of</strong> Pittsburgh, 1992 to<br />
date<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Pittsburgh, 1992<br />
Finite Element<br />
Modelling and Analyses<br />
<strong>of</strong> Nonlinearly El<strong>as</strong>tic,<br />
Orthotropic, V<strong>as</strong>cular<br />
<strong>Tissue</strong> in Distension<br />
Janine M.<br />
Orban (2000-<br />
02)<br />
Vunjak-Novakovic,<br />
Gordana<br />
Wagner, William R.<br />
Watanabe, Frederick<br />
D.<br />
Adjunct Pr<strong>of</strong>. <strong>of</strong><br />
Chemical and<br />
Biological<br />
<strong>Engineering</strong>, Tufts<br />
Univ.; Principal<br />
Research Scientist,<br />
MIT<br />
Assoc. Pr<strong>of</strong>.,<br />
Bioengineering, Univ.<br />
<strong>of</strong> Pittsburgh, 1991 to<br />
date<br />
Assist. Pr<strong>of</strong>., Univ. <strong>of</strong><br />
California, Los<br />
Angeles, School <strong>of</strong><br />
Medicine<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
Belgrade, 1980<br />
PhD, Univ. <strong>of</strong> Tex<strong>as</strong> at<br />
Austin, 1991<br />
MD, Ohio State Univ.<br />
Biochemical and<br />
Biophysical<br />
Mechanisms <strong>of</strong> Mural<br />
Thrombosis on Natural<br />
Surfaces<br />
Jeffrey A.<br />
Hubbell<br />
Fulbright Fellow,<br />
MIT, 1986-87,<br />
visiting research<br />
scientist, MIT,<br />
1989, 1991, 1992<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 116
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Weber, Collin J.<br />
Weiss, Lee<br />
Pr<strong>of</strong>. <strong>of</strong> Surgery,<br />
Emory Univ., 1992 to<br />
date<br />
Principal Research<br />
Scientist, CMU<br />
Robotics Institute,<br />
1984 to date<br />
MD, Columbia Univ.,<br />
1971<br />
PhD, Electrical and<br />
Computer<br />
<strong>Engineering</strong>, Carnegie<br />
Mellon Univ., 1984<br />
Dynamic Visual Servo<br />
Control <strong>of</strong> Robots: an<br />
Adaptive Image-B<strong>as</strong>ed<br />
Approach<br />
Brenda K.<br />
Mann (1998-<br />
2001)<br />
West, Jennifer L.<br />
Whang, Kyumin<br />
Wick, Timothy M.<br />
Associate Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering, Rice<br />
Univ., late 1990s to<br />
date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Restorative Dentistry,<br />
Univ. <strong>of</strong> Tex<strong>as</strong> Health<br />
Sciences Center San<br />
Antonio, to date<br />
Assoc. Pr<strong>of</strong>. <strong>of</strong><br />
Chemical<br />
<strong>Engineering</strong>, Georgia<br />
Tech<br />
PhD, Univ. <strong>of</strong> Tex<strong>as</strong> at<br />
Austin, 1996<br />
PhD, Biomedical<br />
<strong>Engineering</strong>,<br />
Northwestern Univ.,<br />
1997<br />
PhD, Chemical<br />
<strong>Engineering</strong>, Rice<br />
Univ., 1988<br />
Photopolymerized<br />
Hydrogels for the<br />
Manipulation <strong>of</strong> Wound<br />
Healing<br />
A Novel Bioabsorbable<br />
Scaffold Useful for<br />
Controlled Drug Rele<strong>as</strong>e<br />
and <strong>Tissue</strong> Regeneration<br />
Fibronectin and von<br />
Willebrand Factor<br />
Mediated Sickle<br />
Erythrocyte Adhesion to<br />
Human Endothelial<br />
Cells under Venous<br />
Flow Conditions<br />
Jeffrey A.<br />
Hubbell<br />
Kevin E.<br />
Healy?<br />
Larry V.<br />
McIntire<br />
Williams, Stuart K.<br />
Wong, Joyce Y.<br />
Woo, Savio L.Y.<br />
Pr<strong>of</strong>. <strong>of</strong> Physiology,<br />
Univ. <strong>of</strong> Arizona,<br />
1991 to date<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Boston<br />
Univ.<br />
Pr<strong>of</strong>. <strong>of</strong><br />
Bioengineering and<br />
Orthopedic Surgery,<br />
Univ. <strong>of</strong> Pittsburgh,<br />
1990 to date<br />
Jefferson Medical<br />
College, 1981-91<br />
UCSD, 1970s - 1990<br />
PhD, Cell Biology,<br />
Univ. <strong>of</strong> Delaware,<br />
1979<br />
PhD, Materials<br />
Science and<br />
<strong>Engineering</strong>, MIT,<br />
1994<br />
PhD, Mechanical<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
W<strong>as</strong>hington, 1971<br />
Micropinocytosis in<br />
Isolated Capillary<br />
Endothelium<br />
Electrically Conducting<br />
Polymers for Non-<br />
Inv<strong>as</strong>ive Control <strong>of</strong><br />
Mammal Cell Behavior<br />
Structural Analysis <strong>of</strong> a<br />
Corneo-Scleral Shell<br />
Roger C.<br />
Wagner<br />
Robert S.<br />
Langer<br />
Jacob N.<br />
Israelachvili,<br />
Chemical<br />
<strong>Engineering</strong>, Univ.<br />
<strong>of</strong> California, Santa<br />
Barbara, ca. 1997-<br />
2001<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 117
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Woodhouse, Kim A.<br />
Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong> and<br />
Applied Chemistry,<br />
Univ. <strong>of</strong> Toronto<br />
PhD, Chemical<br />
<strong>Engineering</strong>,<br />
McM<strong>as</strong>ter Univ., 1993<br />
<strong>The</strong> Interactions <strong>of</strong><br />
Pl<strong>as</strong>minogen with<br />
Model Surfaces and<br />
Derivatized Segmented<br />
Polyurethane Ure<strong>as</strong><br />
John L. Br<strong>as</strong>h<br />
Wright, James R.<br />
Wu, Benjamin<br />
Yann<strong>as</strong>, Ioannis V.<br />
Pr<strong>of</strong>. <strong>of</strong> Pathology,<br />
Dalhousie Univ.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Materials Science and<br />
<strong>Engineering</strong>, Univ, <strong>of</strong><br />
California, Los<br />
Angeles<br />
Pr<strong>of</strong>. <strong>of</strong> Mechanical<br />
<strong>Engineering</strong>, Health<br />
Sciences and<br />
Technology, and<br />
Bioengineering and<br />
Environmental Health,<br />
MIT, 1966 to date<br />
MD, Ohio State<br />
College <strong>of</strong> Medicine;<br />
PhD, Pathology, Ohio<br />
State Univ., 1995<br />
DDS, Univ. <strong>of</strong> Pacific;<br />
PhD, Materials<br />
Science and<br />
<strong>Engineering</strong>, MIT,<br />
1998<br />
PhD, Princeton Univ.,<br />
1966<br />
Characterization <strong>of</strong> the<br />
Spontaneously Diabetic<br />
BB Wistar Rat<br />
Microstructural Control<br />
During Three<br />
Dimensional Printing <strong>of</strong><br />
Polymeric Medical<br />
Devices<br />
Viscoel<strong>as</strong>tic Behavior<br />
and Certain Transitions<br />
<strong>of</strong> Gelatin-Nonaqueous<br />
Diluent Systems<br />
A.J. Yates<br />
Michael J.<br />
Cima<br />
Yarema, Kevin J.<br />
Yarmush, Martin L.<br />
Y<strong>as</strong>zemski, Michael<br />
J.<br />
Assist. Pr<strong>of</strong>. <strong>of</strong><br />
Biomedical<br />
<strong>Engineering</strong>, Johns<br />
Hopkins Univ.<br />
Pr<strong>of</strong>. <strong>of</strong> Biomedical<br />
<strong>Engineering</strong>, Rutgers<br />
Univ.<br />
Consultant, Dept. <strong>of</strong><br />
Orthopedic Surgery,<br />
Mayo Clinic<br />
PhD, Chemistry, MIT,<br />
1994<br />
MD, Yale Univ.;<br />
PhD, Rockefeller<br />
Univ., 1979<br />
MD, Georgetown<br />
Univ.; PhD, Chemical<br />
<strong>Engineering</strong>, MIT,<br />
1995<br />
Cellular Responses to<br />
Platinum-B<strong>as</strong>ed<br />
Anticancer Drugs<br />
Idiotypes and Allotypes<br />
<strong>of</strong> Immunoglobulins:<br />
Probes for Inheritance<br />
and Gene Regulation<br />
<strong>The</strong> Design, Synthesis,<br />
Characterization, and<br />
Mechanical Testing <strong>of</strong> a<br />
Novel Degradable<br />
Polymeric Material for<br />
Use <strong>as</strong> a Bone Substitute<br />
John M.<br />
Essigman<br />
Robert S.<br />
Langer<br />
Orthopedics<br />
residency, Wilford<br />
Hall Medical<br />
Center, San<br />
Antonio<br />
James C.Y.<br />
Dunn (1992)<br />
Prabh<strong>as</strong> V.<br />
Moghe (1993-<br />
95); Stelios T.<br />
Andreadis<br />
(1996-98)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 118
Name<br />
Current<br />
Employment<br />
Prior Employment Doctoral Degrees Dissertation Title PhD/ScD<br />
<strong>The</strong>sis<br />
Supervisors<br />
Key Research<br />
Fellowships / Staff<br />
Researcher<br />
Positions<br />
Doctoral<br />
Students<br />
Fellows<br />
Zandstra, Peter W. Assist. Pr<strong>of</strong>. <strong>of</strong> <strong>Tissue</strong><br />
<strong>Engineering</strong>, Dept. <strong>of</strong><br />
Chemical <strong>Engineering</strong><br />
and Applied<br />
Chemistry, Univ. <strong>of</strong><br />
Toronto, 1999 to date;<br />
affiliated faculty,<br />
Biotechnology<br />
Process <strong>Engineering</strong><br />
Center, MIT, 1998 to<br />
date<br />
Zygourakis, Kyriacos Pr<strong>of</strong>. <strong>of</strong> Chemical<br />
<strong>Engineering</strong>,<br />
Bioengineering, Rice<br />
Univ.<br />
PhD, Chemical and<br />
Bio-Resource<br />
<strong>Engineering</strong>, Univ. <strong>of</strong><br />
British Columbia,<br />
1997<br />
PhD, Univ. <strong>of</strong><br />
Minnesota, 1981<br />
Cytokine-Dependent<br />
Regulation <strong>of</strong> Human<br />
Hematopoietic Cell Self-<br />
Renewal and<br />
Differentiation on<br />
Suspension Cultures<br />
Studies on the Monolith<br />
Catalytic Reactor<br />
J. M. Piret Dougl<strong>as</strong> A.<br />
Lauffenburger,<br />
MIT, 1997-98<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 119
Appendix 3: List <strong>of</strong> Interviewees<br />
Name <strong>of</strong> Interviewee Organization Interview Date<br />
Researchers<br />
Anthony Atala Children's Hospital, Boston 8/17/2001<br />
Eugene Bell<br />
Pr<strong>of</strong>. Emeritus, MIT; Founder <strong>of</strong> Organogenesis, TEI<br />
Biosciences<br />
7/26/2001<br />
Joseph Bronzino Trinity College, Hartford, CT 7/2/2001<br />
Duane Bruley University <strong>of</strong> Maryland, Baltimore County 3/20/2001<br />
Clark Colton MIT 7/13/2001<br />
Elazer Edelman<br />
HST/MIT<br />
Stephen Emerson University <strong>of</strong> Pennsylvania 8/16/2001<br />
Fred Fox University <strong>of</strong> California, Los Angeles 8/24/2001<br />
John Frangos University <strong>of</strong> California, San Diego 8/30/2001<br />
Y-C Fung University <strong>of</strong> California, San Diego 8/23/2001<br />
Steven Goldstein<br />
University <strong>of</strong> Michigan<br />
Howard Greisler Loyola University Medical Center 6/21/2001<br />
David Humes University <strong>of</strong> Michigan 6/29/2001<br />
Robert Langer MIT 7/10/2001<br />
Michael Lysaght Brown University 7/2/2001<br />
Larry McIntire Rice University 7/23/2001<br />
David Mooney University <strong>of</strong> Michigan, Ann Arbor 7/18/2001<br />
Van Mow Columbia University 7/16/2001<br />
Milan Mrksich University <strong>of</strong> Chicago 6/28/2001<br />
Robert Nerem Georgia Institute <strong>of</strong> Technology 9/14/2001<br />
Berhard Palsson University <strong>of</strong> California, San Diego 8/16/2001<br />
A.H. Reddi University <strong>of</strong> California, Davis 7/12/2001<br />
Lola Reid University <strong>of</strong> North Carolina at Chapel Hill 5/28/2001<br />
Mark Saltzman Cornell University 8/24/2001<br />
Charles Vacanti University <strong>of</strong> M<strong>as</strong>sachusetts Medical Center 6/20/2001<br />
Joseph Vacanti M<strong>as</strong>s General Hospital 7/26/2001<br />
Ioannis Yann<strong>as</strong> MIT 7/17/2001<br />
Allen Zelman Rensselaer Polytechnic Institute 7/17/2001<br />
Federal Agencies<br />
Dean Cole<br />
DOE<br />
Steve Davison NASA 6/26/2001<br />
Kiki Hellman FDA 8/3/2001<br />
Rosemarie Hunziker ATP/NIST 5/29/2001<br />
Peter Johnson PTEI 6/24/2001<br />
Peter Katona Whitaker Foundation 7/30/2001<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 120
Name <strong>of</strong> Interviewee Organization Interview Date<br />
Chris Kelley NIH 6/28/2001<br />
Eleni Kousvelari NIH 8/23/2001<br />
Peter Mayfield<br />
(Formerly <strong>of</strong> NSF)<br />
Paul Werbos NSF 8/24/2001<br />
Private Sector<br />
William H<strong>as</strong>eltine Human Genome Sciences 8/8/2001<br />
Peter Johnson <strong>Tissue</strong> Informatics 6/24/2001<br />
Steven Livesey<br />
LifeCell Corporation<br />
Gail Naughton Advanced <strong>Tissue</strong> Sciences 6/27/2001<br />
Nancy Parenteau Organogenesis, Inc. 6/18/2001<br />
Doros Platika Curis, Inc. 5/29/2001<br />
Gary Snable<br />
Alan Smith<br />
Layton Biosciences<br />
Osiris <strong>The</strong>rapeutics, Inc.<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 121
Appendix 4: Interview Protocols<br />
_______________________________________________________________________________________<br />
Interview Protocol: RESEARCHERS – PIONEERS<br />
Nature <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong><br />
We are first trying to establish the extent to which and in what ways is TE a unified, coherent field. Do the<br />
various sub-fields <strong>of</strong> TE (i.e. ??) share a single history or should we expect to see largely independent<br />
development histories <strong>of</strong> each <strong>of</strong> these sub-fields?<br />
Historical Pr<strong>of</strong>ile<br />
We would like to understand what the definitions <strong>of</strong> TE in the mid-to-late 1980s reveal about the thinking<br />
and vision <strong>of</strong> the time. Could you tell us how researchers and funders at the time defined the bounds <strong>of</strong> TE?<br />
When w<strong>as</strong> the first time the term TE w<strong>as</strong> used (that you know <strong>of</strong>)? Who w<strong>as</strong> using it and to describe what<br />
research?<br />
What were TE’s precursor fields? I.e., what fields came together to make TE recognizable <strong>as</strong> a distinct<br />
field? When? Why did it happen then? What characteristics made it recognizable <strong>as</strong> a distinct field?<br />
What were the key technical challenges in (what is now called) TE in the mid- to late-1980s (before the term<br />
TE w<strong>as</strong> coined)? At the time, what w<strong>as</strong> the relative importance <strong>of</strong> enabling technologies vs. applications?<br />
What w<strong>as</strong> the relative weight <strong>of</strong> fundamental vs. applied research? How did these balances change over the<br />
years?<br />
What were the key discoveries, inventions, insights, and technological breakthroughs that contributed to the<br />
field’s emergence <strong>as</strong> a separate entity? Who/what were the people, institutes, and tools <strong>as</strong>sociated with<br />
these breakthroughs? What were the relationships between and among these entities?<br />
International Influences<br />
Who were the international players (people, places) in the late 1980s? How w<strong>as</strong> the focus <strong>of</strong> research<br />
abroad different from research in the US? Are there some parts <strong>of</strong> the field that are further ahead<br />
internationally than others? How do US researchers leverage this?<br />
Do US researchers collaborate <strong>of</strong>ten with international counterparts? What gaps does international research<br />
fill?<br />
How is the funding or regulatory climate different in these countries?<br />
What h<strong>as</strong> been the impact <strong>of</strong> international efforts (Japan, Europe etc.) on the emergence and evolution <strong>of</strong> the<br />
field in general and on the work <strong>of</strong> the US researchers in particular?<br />
Policy Lessons<br />
What, if anything, do the emergence and evolution <strong>of</strong> TE tell us about how to recognize new fields worthy<br />
<strong>of</strong> promotion, and how to encourage their growth?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 122
What were the earliest clues that pointed to the emergence <strong>of</strong> a concept for a new field?<br />
Who recognized these clues? When, how, and why?<br />
What steps were taken to "test" the concept? What were the results <strong>of</strong> the "tests", and what w<strong>as</strong> done about<br />
it?<br />
What vision(s) existed for the field at the beginning? What steps were taken to realize them? To what<br />
extent and in what ways can we say these steps were successful?<br />
_______________________________________________________________________________________<br />
Interview Protocol: RESEARCHERS – NEW ENTRANTS<br />
Nature <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong><br />
We are first trying to establish the extent to which and in what ways is TE a unified, coherent field. Do the<br />
various sub-fields <strong>of</strong> TE (i.e. ??) share a single history or should we expect to see largely independent<br />
development histories <strong>of</strong> each <strong>of</strong> these sub-fields?<br />
Historical Pr<strong>of</strong>ile<br />
What were the key discoveries, inventions, insights, and technological breakthroughs that contributed to the<br />
field’s emergence <strong>as</strong> a separate entity? Who/what were the people, institutes, and tools <strong>as</strong>sociated with<br />
these breakthroughs? What were the relationships between and among these entities?<br />
Early Evolution (1990s)<br />
How h<strong>as</strong> the field migrated and evolved since the late 1980s? How have research priorities changed? What<br />
are the technical challenges today?<br />
How did creation <strong>of</strong> the formal field affect the development <strong>of</strong> research? Did it bring together, productively<br />
and to the advantage <strong>of</strong> the researchers, the various threads <strong>of</strong> research in different fields? Were there any<br />
advantages that came out <strong>of</strong> this “union?” How did the initial support shape the agenda <strong>of</strong> TE in the long<br />
run?<br />
What mechanisms were used in the early 1990s to further progress (setting up Centers, set-<strong>as</strong>ide funding<br />
mechanism, cross-agency t<strong>as</strong>k forces etc.)?<br />
What is the status <strong>of</strong> the field today? Where are the major loci <strong>of</strong> research? What are the obstacles to<br />
progress today? How are they being addressed? H<strong>as</strong> there been any change in institutional or funding<br />
strategy? How about the involvement <strong>of</strong> the private sector?<br />
Is research in any <strong>of</strong> the sub-fields further ahead than others? Why?<br />
Given our goals for the project, who else would you recommend we speak with?<br />
_______________________________________________________________________________________<br />
Interview Protocol: GOVERNMENT AGENCIES<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 123
Role <strong>of</strong> Regulations<br />
What w<strong>as</strong> the role <strong>of</strong> FDA (CDC depending on who we are talking to) in shaping the research agenda and<br />
progress (especially in more controversial are<strong>as</strong> like genetic manipulation, and use <strong>of</strong> stem cells)?<br />
Institutional Effects<br />
(for NSF only) How did creating the intend to) resolve umbrella field TE (technical challenges in the field?<br />
What w<strong>as</strong> the role <strong>of</strong> your agency in deliberately or serendipitously (through funding related or support <strong>of</strong><br />
precursor fields such <strong>as</strong> enzyme engineering) creating the field?<br />
Who w<strong>as</strong> funding, what would today be considered TE research, in the 1970s and 80s? What w<strong>as</strong> their<br />
focus (research, graduate education, clinical applications, networking etc.)? How did this support shape the<br />
agenda <strong>of</strong> TE and vice versa?<br />
What w<strong>as</strong> the difference in the strategies used by the different funding organizations? How did they support<br />
the field in different but perhaps similarly effective ways?<br />
How did your organization mobilize the private sector (through SBIR or STTR grants or other programs like<br />
ATP)?<br />
Who were the people (“the visionaries”) at NSF and elsewhere who recognized the need and value <strong>of</strong><br />
creating the field? What did they have to do to get the field launched?<br />
What w<strong>as</strong> the role <strong>of</strong> the 1987 and 1988 NSF workshops and conferences? What other events or activities<br />
(funding students, establishing Centers, sponsoring meetings etc.) are relevant here? What w<strong>as</strong> their<br />
direct/immediate impact? What is their long-term impact?<br />
What h<strong>as</strong> been the role and impact <strong>of</strong> the cross-agency t<strong>as</strong>k force MATES? Whose ide<strong>as</strong> w<strong>as</strong> it? Did the<br />
t<strong>as</strong>k force really enable better coordination among federal agencies? How?<br />
(for the head <strong>of</strong> PTEI, TES etc.) What other “institutional infr<strong>as</strong>tructure” exists in TE? (E.g., pr<strong>of</strong>essional<br />
societies, journals, regular meetings, formal consortia or other collaborative arrangements) What are the<br />
roles and relationships <strong>of</strong> these other entities?<br />
International Influences<br />
Were the 1987 activities in some way motivated by the perception <strong>of</strong> losing the “US edge” in the field?<br />
Policy Lessons<br />
What, if anything, do the emergence and evolution <strong>of</strong> TE tell us about how to recognize new fields worthy<br />
<strong>of</strong> promotion, and how to encourage their growth?<br />
What were the earliest clues that pointed to the emergence <strong>of</strong> a concept for a new field?<br />
Who recognized these clues? When, how, and why?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 124
What steps were taken to "test" the concept? What were the results <strong>of</strong> the "tests", and what w<strong>as</strong> done about<br />
it?<br />
What vision(s) existed for the field at the beginning? What steps were taken to realize them? To what<br />
extent and in what ways can we say these steps were successful?<br />
_______________________________________________________________________________________<br />
Interview Protocol: PRIVATE SECTOR<br />
Historical Pr<strong>of</strong>ile<br />
What were the key technical challenges in (what is now called) TE in the mid- to late-1980s (before the term<br />
TE w<strong>as</strong> coined)? At the time, what w<strong>as</strong> the relative importance <strong>of</strong> enabling technologies vs. applications?<br />
What w<strong>as</strong> the relative weight <strong>of</strong> fundamental vs. applied research? How did these balances change over the<br />
years?<br />
What were the key discoveries, inventions, insights, and technological breakthroughs that contributed to the<br />
field’s emergence <strong>as</strong> a separate entity? Who/what were the people, institutes, and tools <strong>as</strong>sociated with<br />
these breakthroughs? What were the relationships between and among these entities?<br />
Role <strong>of</strong> the Private Sector and Clinical Applications<br />
What are some <strong>of</strong> the most important TE firms today? Which <strong>of</strong> these have been around since the 1980s?<br />
What are some <strong>of</strong> the most important TE products in the market? What are TE firms developing other than<br />
a TE product (s<strong>of</strong>tware, testing methods, materials, etc.)<br />
What w<strong>as</strong> the role <strong>of</strong> the private sector and capital markets and your company in particular, in the<br />
emergence and early evolution <strong>of</strong> the field? In what ways did you contribute or change the nature or pace <strong>of</strong><br />
research? Did you collaborate with any university-b<strong>as</strong>ed or international researchers, or government<br />
agencies? For what purpose? How productive w<strong>as</strong> this relationship?<br />
Approx. what is the ratio <strong>of</strong> investments made in TE: private vs public funding? How h<strong>as</strong> this ratio<br />
changed over the years?<br />
What w<strong>as</strong> the role <strong>of</strong> the clinical side? Did the urgency to develop clinical applications change the nature<br />
and direction <strong>of</strong> research or product development in industry?<br />
Role <strong>of</strong> Regulations and the Government in General<br />
What w<strong>as</strong> the role <strong>of</strong> regulatory bodies (FDA, CDC) in shaping the research agenda and progress (especially<br />
in more controversial are<strong>as</strong> like genetic manipulation, and use <strong>of</strong> stem cells)?<br />
How did the government enhance or hinder the progress <strong>of</strong> TE in the marketplace?<br />
How is the situation <strong>of</strong> the private sector in TE different in Europe, Japan and other countries?<br />
What did the government do to support the private sector? What could it have done better?<br />
Early Evolution (1990s)<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 125
How h<strong>as</strong> the field migrated and evolved since the late 1980s? How have research or product development<br />
priorities changed? What are the technical challenges today?<br />
What is the status <strong>of</strong> the field today from the point <strong>of</strong> view <strong>of</strong> TE firms? Where are the major loci <strong>of</strong><br />
research? What are the obstacles to progress today? How are they being addressed? H<strong>as</strong> there been any<br />
change in institutional or funding strategy?<br />
(for PTEI or other industry consortia) What are the employment patterns in the field? In academia and<br />
industry? How have they changed since the early years <strong>of</strong> the field? What are they expected to be in the<br />
coming years?<br />
Policy Lessons<br />
What, if anything, do the emergence and evolution <strong>of</strong> TE tell us about how to recognize new fields worthy<br />
<strong>of</strong> promotion, and how to encourage their growth?<br />
What were the earliest clues that pointed to the emergence <strong>of</strong> a concept for a new field?<br />
Who recognized these clues? When, how, and why?<br />
What vision(s) existed for the field at the beginning? What steps were taken to realize them? To what<br />
extent and in what ways can we say these steps were successful?<br />
_______________________________________________________________________________________<br />
Interview Protocol: OTHERS WHO HAVE WRITTEN ON THE FIELD<br />
Historical Pr<strong>of</strong>ile<br />
We would like to understand what the definitions <strong>of</strong> TE in the mid-to-late 1980s reveal about the thinking<br />
and vision <strong>of</strong> the time. Could you tell us how researchers and funders at the time defined the bounds <strong>of</strong> TE?<br />
When w<strong>as</strong> the first time the term TE w<strong>as</strong> used? Who w<strong>as</strong> using it and to describe what research?<br />
What were TE’s precursor fields? I.e. what fields came together to make TE recognizable <strong>as</strong> a distinct<br />
field? When? Why did it happen then? What characteristics made it recognizable <strong>as</strong> a distinct field?<br />
What were the key technical challenges in (what is now called) TE in the mid- to late-1980s (before the term<br />
TE w<strong>as</strong> coined)? At the time, what w<strong>as</strong> the relative importance <strong>of</strong> enabling technologies vs. applications?<br />
What w<strong>as</strong> the relative weight <strong>of</strong> fundamental vs. applied research? How did these balances change over the<br />
years?<br />
What were the key discoveries, inventions, insights, and technological breakthroughs that contributed to the<br />
field’s emergence <strong>as</strong> a separate entity? Who/what were the people, institutes, and tools <strong>as</strong>sociated with<br />
these breakthroughs? What were the relationships between and among these entities?<br />
Policy Lessons<br />
What, if anything, do the emergence and evolution <strong>of</strong> TE tell us about how to recognize new fields worthy<br />
<strong>of</strong> promotion, and how to encourage their growth?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 126
What were the earliest clues that pointed to the emergence <strong>of</strong> a concept for a new field?<br />
Who recognized these clues? When, how, and why? What vision(s) existed for the field at the beginning?<br />
What steps were taken to realize them? To what extent and in what ways can we say these steps were<br />
successful?<br />
<strong>Abt</strong> <strong>Associates</strong> Inc. <strong>Emergence</strong> <strong>of</strong> <strong>Tissue</strong> <strong>Engineering</strong> – Final Report 127
I. Executive Summary<br />
This bibliometric study <strong>of</strong> core papers fundamental to tissue engineering produced results in four<br />
are<strong>as</strong>: an overview <strong>of</strong> the growth <strong>of</strong> the field, an analysis <strong>of</strong> NSF’s role in the field, a mapping <strong>of</strong><br />
co-authorship patterns, and an analysis <strong>of</strong> international patenting<br />
<strong>The</strong> foundation <strong>of</strong> the paper side <strong>of</strong> the study is a datab<strong>as</strong>e <strong>of</strong> information on core papers<br />
fundamental to tissue engineering. This datab<strong>as</strong>e w<strong>as</strong> carefully constructed in a process<br />
developed to meet the challenge <strong>of</strong> identifying the boundaries <strong>of</strong> such an interdisciplinary area.<br />
<strong>The</strong> study focuses on research that synthesized many are<strong>as</strong> <strong>of</strong> biomedicine with the aim <strong>of</strong><br />
seeding autologous cells and growth factors onto three-dimensional biodegradable scaffolds with<br />
the aim <strong>of</strong> forming new functional tissue. Papers and patents in this area were identified using<br />
search strategies or “filters” described in the appendices. <strong>The</strong> set <strong>of</strong> papers found using the<br />
filters w<strong>as</strong> augmented by papers highly cited in the patents and in review papers. Of the papers<br />
analyzed in the study, 66% were cited in review articles or patents, and 33% were found using<br />
the search strategies described by the filter.<br />
<strong>The</strong> analytical results revealed that the number <strong>of</strong> core papers fundamental to tissue engineering<br />
h<strong>as</strong> been growing strongly since about the mid 1980’s. <strong>The</strong> paper most cited in reviews <strong>of</strong> the<br />
field is: Langer & Vacanti, "<strong>Tissue</strong> <strong>Engineering</strong>," Science 1993 May 14;260(5110):920-6. This<br />
paper w<strong>as</strong> cited 39 times in the reviews and 11 times in patents. This paper acknowledges<br />
funding from NSF <strong>as</strong> well <strong>as</strong> funding from other sources.<br />
Analysis <strong>of</strong> the use <strong>of</strong> the term “tissue engineering” in titles and abstracts <strong>of</strong> papers indexed in<br />
PubMed suggests that there were three ph<strong>as</strong>es in the spread <strong>of</strong> the concept <strong>of</strong> tissue engineering.<br />
In the first ph<strong>as</strong>e, researchers imagined the possibility <strong>of</strong> designing replacement tissue. This is<br />
exemplified by papers in 1984/85 by Wolter and Meyer examining a prosthesis removed from an<br />
eye after 20 years. Wolter and Meyer discussed: “the significance <strong>of</strong> the successful adaptation <strong>of</strong><br />
the pl<strong>as</strong>tic materials <strong>of</strong> the prosthesis to the tissues <strong>of</strong> the cornea and the fluids <strong>of</strong> the inner eye<br />
for the future <strong>of</strong> tissue engineering in the region <strong>of</strong> the eye.” In the second ph<strong>as</strong>e, 1989 through<br />
1997, the term “tissue engineering” began to be used regularly in abstracts and titles. During this<br />
period, the term w<strong>as</strong> applied to work concerning all the main organs closely connected to tissue<br />
engineering: bone, cartilage, blood vessels, liver, skin, neurons and also to biomedical materials.<br />
<strong>The</strong> third ph<strong>as</strong>e <strong>of</strong> dramatic growth began in 1998 and continues. In this ph<strong>as</strong>e we also see a few<br />
papers concerning other organs, and in fact the return <strong>of</strong> papers concerning eyes. Overall, the<br />
growth in the use <strong>of</strong> the term “tissue engineering” in titles and abstracts seems not unlike the<br />
growth in number <strong>of</strong> core papers fundamental to tissue engineering.<br />
We find that NSF supported about 12% <strong>of</strong> the papers in the field overall. However, NSF focused<br />
its support on b<strong>as</strong>ic research and biomaterials. <strong>The</strong>refore, when clinical research is excluded<br />
from consideration, NSF's share rises to 20%. 86% <strong>of</strong> NSF-supported work is published in the<br />
most b<strong>as</strong>ic journals or in the two leading biomaterials journals: Biomaterials and the Journal <strong>of</strong><br />
Biomedical Materials Research. In contr<strong>as</strong>t, 52% <strong>of</strong> research supported by other funders is b<strong>as</strong>ic<br />
or in those two journals. NSF’s research is also focused on the core participants in the field.<br />
17% <strong>of</strong> the papers from leading institutions acknowledge NSF support compared to 2% <strong>of</strong> papers
from institutions that appeared only once on a core paper fundamental to tissue engineering.<br />
More peripheral, and one-<strong>of</strong>f participants are much less likely to acknowledge NSF research<br />
support. Thus it is no surprise to find that NSF played a larger than expected role in supporting<br />
the work <strong>of</strong> leading researchers such <strong>as</strong> R Langer, JP Vacanti, and DJ Mooney.<br />
<strong>The</strong> patterns <strong>of</strong> co-authorship in the field are portrayed in an innovative series <strong>of</strong> figures, tables<br />
and maps developed for this study. <strong>The</strong>se reveal the highly collaborative nature <strong>of</strong> the work<br />
undertaken by R Langer and JP Vacanti, with whom most lead authors in the area have worked<br />
at le<strong>as</strong>t once. Papers by Langer and Vacanti list over 250 coauthors. Several leading authors<br />
appear to have started <strong>as</strong> students <strong>of</strong> Langer or Vacanti, and several more appear only <strong>as</strong> their coauthors.<br />
Six multi-dimensional maps <strong>of</strong> the paper-by-paper development <strong>of</strong> lead authors’ work<br />
in the area were developed for authors supported by NSF. <strong>The</strong>se reveal the interweaving <strong>of</strong><br />
public and private knowledge and the public and private sectors in the development <strong>of</strong> tissue<br />
engineering research, and precisely position NSF support in relation to this.<br />
In parallel with the analysis <strong>of</strong> tissue engineering literature, CHI w<strong>as</strong> engaged to do a patent<br />
analysis to study the international patenting trends in tissue engineering. We found:<br />
1. Patenting in the area is incre<strong>as</strong>ing steadily and h<strong>as</strong> not yet peaked.<br />
2. Most <strong>of</strong> the patents are coming from US inventors and <strong>as</strong>signees.<br />
3. Most <strong>of</strong> the key inventions are coming from US <strong>as</strong>signees, especially MIT, Advanced<br />
<strong>Tissue</strong> Sciences, and Regen Biologics Inc.