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Skop’s ultimate<br />

goal is to use his<br />

scaffolds <strong>an</strong>d fetal<br />

stem cell line to<br />

regenerate the<br />

injured brain at<br />

the site <strong>of</strong> a severe<br />

injury.<br />

4 2 U M D N J M A G A Z I N E<br />

Europe — calling<br />

themselves the<br />

Tr<strong>an</strong>satl<strong>an</strong>tic Network<br />

on Newborn Stroke —<br />

who received a $6 million<br />

gr<strong>an</strong>t from the<br />

Paris-b<strong>as</strong>ed Fondation<br />

Leducq to investigate<br />

their premise that newborn<br />

brain injury may<br />

be reparable. His<br />

dream is to impact clinical<br />

practice with his<br />

lab’s findings within<br />

just a few years.<br />

Levison’s lab h<strong>as</strong><br />

demonstrated that brain injury in the inf<strong>an</strong>t stimulates the proliferation<br />

<strong>of</strong> stem cells within the “brain marrow,” resulting in a doubling<br />

<strong>of</strong> their number after just three days, <strong>an</strong>d that the new stem<br />

cells c<strong>an</strong> generate new neurons <strong>an</strong>d glia. What they are battling is a<br />

highly destructive c<strong>as</strong>cade <strong>of</strong> inflammatory molecules that is set <strong>of</strong>f<br />

at the time <strong>of</strong> trauma.<br />

Levison is also the principal investigator on a sizable gr<strong>an</strong>t<br />

from the New Jersey Commission on Brain Injury Research,<br />

which underwrites three collaborative projects at UMDNJ <strong>an</strong>d<br />

NJIT to devise strategies to enh<strong>an</strong>ce regeneration <strong>of</strong> brain cells<br />

<strong>an</strong>d to promote recovery <strong>of</strong> function after traumatic brain injuries<br />

(TBI). Cho <strong>an</strong>d G<strong>an</strong>dhi work with him on these projects.<br />

In May 2009, Skop beg<strong>an</strong> his research work on neural stem<br />

cells in G<strong>an</strong>dhi’s NJMS lab. His undergraduate degree had concentrated<br />

primarily on civil <strong>an</strong>d electrical engineering, so the doctoral<br />

student now focused on bolstering his knowledge <strong>of</strong> biology,<br />

specifically neurobiology, in order to delve headlong into medical<br />

research. “I took all four <strong>of</strong> the graduate stem cell cl<strong>as</strong>ses <strong>of</strong>fered<br />

plus a regenerative medicine cl<strong>as</strong>s,” he says. Skop earned a certificate<br />

in stem cell biology in 2010 <strong>an</strong>d also took on the presidency<br />

<strong>of</strong> the Stem Cell Education Society at UMDNJ.<br />

In G<strong>an</strong>dhi’s lab, he learned how to harvest stem cells from<br />

the subventricular zone <strong>of</strong> a healthy <strong>an</strong>imal <strong>an</strong>d tr<strong>an</strong>spl<strong>an</strong>t them<br />

adjacent to the damaged cerebral cortex <strong>of</strong> <strong>an</strong>other that is braininjured.<br />

The tr<strong>an</strong>spl<strong>an</strong>ted cells — glowing a fluorescent green —<br />

are e<strong>as</strong>ily distinguishable from the native cells.<br />

Skop h<strong>as</strong> worked with both fetal neural stem cells <strong>an</strong>d adult<br />

neural stem cells. “We tr<strong>an</strong>spl<strong>an</strong>ted both kinds after a fairly<br />

severe brain injury to see which would give the best results,” he<br />

says. “We were looking to see what the stem cells differentiated<br />

into <strong>an</strong>d the numbers <strong>of</strong> tr<strong>an</strong>spl<strong>an</strong>ted cells that survived.”<br />

Unfortunately, “very few <strong>of</strong> the cells survived the tr<strong>an</strong>spl<strong>an</strong>t,”<br />

he states, “which is in line with other research out there.”<br />

But since science is all about <strong>as</strong>king the right questions,<br />

Skop took the next step <strong>an</strong>d worked on framing the pivotal question<br />

for his research project. Could new engineering techniques<br />

— some <strong>of</strong> which he had recently learned in Cho’s biomedical<br />

engineering lab — be applied to improve the model <strong>an</strong>d consequently<br />

the outcomes?<br />

One <strong>an</strong>swer w<strong>as</strong> obvious: He needed to ab<strong>an</strong>don working on<br />

the adult stem cells because <strong>of</strong> their serious limitations <strong>an</strong>d<br />

concentrate on the fetal stem cells, which were showing far more<br />

promise for regeneration. The second <strong>an</strong>swer w<strong>as</strong> less obvious<br />

<strong>an</strong>d would dem<strong>an</strong>d further investigation: The stem cells needed<br />

to be placed differently in the cavity formed from the brain<br />

injury. “I started injecting the cells into the tissue surrounding<br />

the cavity but they weren’t migrating into the injured tissue to<br />

replace the damaged neurons,” the student explains.<br />

Skop w<strong>as</strong> on the right track, but not quite there. Tissue<br />

engineering is all about applying engineering principles, <strong>as</strong> well<br />

<strong>as</strong> knowledge <strong>an</strong>d skills in the life sciences, to develop new<br />

strategies to repair, <strong>an</strong>d new materials <strong>an</strong>d structures to replace,<br />

tissues <strong>an</strong>d even whole org<strong>an</strong>s that are no longer functional or<br />

viable. Stem cells, novel biomaterials, <strong>an</strong>d growth factors are used<br />

h<strong>an</strong>d-in-h<strong>an</strong>d with bioengineered structures — such <strong>as</strong> scaffolds<br />

— to support the growth <strong>of</strong> new tissue.<br />

Now the graduate student decided he w<strong>as</strong> ready to move<br />

forward with his doctoral project, using his engineering background<br />

to create a unique scaffold to promote the regeneration <strong>of</strong><br />

brain tissue. “My first step w<strong>as</strong> to optimize my scaffold, which<br />

turned out to be a lot <strong>of</strong> work. I’m still trying to improve it,” he<br />

explains.<br />

His idea w<strong>as</strong> that the scaffold would be multifunctional,<br />

serving <strong>as</strong> a delivery vehicle to get the stem cells to the right<br />

place, to provide a “hospitable” surface for the stem cells to grow<br />

on, <strong>an</strong>d, by attaching a growth factor to the scaffold, a me<strong>an</strong>s to<br />

enh<strong>an</strong>ce the growth <strong>an</strong>d survival <strong>of</strong> the newly introduced cells.<br />

The scaffold that Skop created in the NJIT lab—made <strong>of</strong><br />

microspheres <strong>of</strong> chitos<strong>an</strong> — is still being tested, but is “95 percent<br />

complete,” he says with a smile. One <strong>of</strong> his major hurdles<br />

w<strong>as</strong> to radically reduce the size <strong>of</strong> the microspheres in order to<br />

facilitate tr<strong>an</strong>spl<strong>an</strong>tation into the brain <strong>of</strong> the <strong>an</strong>imal model. With<br />

his engineering skills <strong>an</strong>d ingenuity, he accomplished his goal.<br />

He physically carries his mini scaffolds — small enough to fit<br />

in the palm <strong>of</strong> his h<strong>an</strong>d — on the CHEN bus linking the campuses<br />

<strong>of</strong> Newark’s major universities. They are “engineered” at<br />

NJIT but it is in the UMDNJ lab that he h<strong>as</strong> tested them with a<br />

fetal rat stem cell line. “It works!” he says proudly.<br />

Skop’s ultimate goal is to use his scaffolds <strong>an</strong>d fetal stem cell<br />

line to regenerate functional brain tissue at the site <strong>of</strong> a severe<br />

injury. “I w<strong>an</strong>t my work to be clinically relev<strong>an</strong>t,” he states.<br />

“We produce a cavity-type <strong>of</strong> brain injury, which causes cell<br />

death under the injured site. This area would normally scar, but<br />

the scaffold also provides a physical <strong>an</strong>d chemical barrier to the<br />

scarring process,” he explains.<br />

Skop sees this <strong>as</strong> the beginning <strong>of</strong> a “huge, very ambitious<br />

research project,” in which he will show that the stem cells c<strong>an</strong><br />

be tr<strong>an</strong>spl<strong>an</strong>ted at the site <strong>of</strong> the injury, survive, proliferate <strong>an</strong>d<br />

regenerate dead neurons. He hopes that in one year he will have<br />

some signific<strong>an</strong>t results to show.<br />

Rebuilding <strong>an</strong> injured region <strong>of</strong> the brain is among the most<br />

complex undertakings in the world <strong>of</strong> medical research. “The<br />

brain <strong>an</strong>d nervous system are difficult. People are afraid <strong>of</strong> this<br />

field,” says Skop, “If we are successful, our work will send ripples<br />

throughout the whole regenerative medicine community.”<br />

And that is just a glimpse <strong>of</strong> what one doctoral student with<br />

three supportive research mentors in two distinct specialties c<strong>an</strong><br />

accomplish when they put their heads together. .

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