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Ethical problems with organ donation
Ethical problems with organ donation
Ethical problems with organ donation
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The current process of tissue engineering:
Since organs are on short supply throughout the world scientists have taken to trying to create organs in the lab. The field of organ growing is possible thanks to recent advances in stem-cell research and is commonly known as ‘tissue engineering’. Tissue engineering uses the patient’s own cells to build new organs or replace damaged tissues in the patient’s own organs, which is called grafting.3The process works by differentiating pluri-potent stem-cells into the cells that the patient needs. The cells are then allowed to grow and multiply in a nutrient solution. When the cells are in adequate numbers they are sometimes inserted into the patients existing tissue but are most commonly used to grow a new organ or tissue graft.
Organs are however very complicated structures that consist of many components and therefore they are very difficult to replicate. An organ consists of a series of different cells, an extracellular matrix and an intricate web of blood vessels that supplies nutrients and oxygen to the cells. Recreating all of these is a great challenge for scientists.
Creating cells:
To produce the large amount of different cells that are needed for tissue engineering stem cells are used (picture). Stem-cells are undifferentiated cells or ‘base cells’ that have the ability to transform into other forms of cells trough differentiation, such as blood, muscle or fat cells. They are present at conception and some remain in our bodies for our whole lifetime. Their purpose in the body of adults is to repair and produce tissues.9 There are several types of stem cells and they all have different tasks to perform in the body.4 Stem cells are labeled with a series of different potencies aft...
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... from a recently deceased donor and then removing all of the donor cells, leaving only the extracellular matrix. The process is called decellurization and it involves suspending the organ in a container filled with water. The suspended organ is then connected to a pump through a major blood vessel which slowly pumps a detergent through the vascular system of the organ which in turn dissolves all lipids, DNA, soluble proteins and sugars, leaving only the extracellular matrix.22 This method allows scientists to use donated organs that otherwise would have been unsuitable for transplantation as the cells do not need to be alive, making the supply near endless. Scientists are even considering using pig tissues as “Pig tissues are much safer than humans and there's an unlimited supply” says Stephen Badylak, tissue engineering researcher at the University of Pittsburgh.14
Stem cells are the building blocks of the human body. Embryos consist of unspecialized stem cells that transform into the various specialized cells in the body such as cardiac, muscle or bone cells. Fetuses also have stem cells. However, the stem cells are divided into types like muscle, bone or nerves and don't perform a specialized function. Surprisingly, adult bodies also contain stem cells. In adults, stem cells are undifferentiated but limited to specific tissue type. When needed, the stem cells transform into the cells needed for repair and maintenance. The most common source of adult stem cells is bone marrow. Researchers also acquire stem cells from umbilical cords. Without stem cells, embryos could not develop into fetuses and adult
The cells unique nature has scientists intrigued to do research with the focus of finding a way that these cells can be used to replace patients’ injured or diseased tissues. Advancement is made to all the three types of stem cells namely embryonic stem cells, adult stem cells in addition to induced pluripotent cells. Embryonic cells are the building blocks of an embryo that is developing, and can develop into almost all body cell types. Somatic cells are found in the body tissues. They renew and regenerate in healthy bodies. The third type which is induced pluripotent is genetically modified embryo cells from skin cells.2 Research on these cells are geared towards saving humanity; a noble course.
...ograft. If the graft comes from someone who has died, it is called an allograft. Doctors have tried using some types of synthetic grafts but so far these have not worked well. Research is being done to see if there are better types of grafts that can be used.
Brendan Maher, in his article “How to Build a Heart” discusses doctor’s and engineer’s research and experimentation into the field of regenerative medicine. Maher talks about several different researchers in this fields. One is Doris Taylor, the director of regenerative medicine at the Texas Heart Institute in Houston. Her job includes harvesting organs such as hearts and lungs and re-engineering them starting with the cells. She attempts to bring the back to life in order to be used for people who are on transplant waiting lists. She hopes to be able to make the number of people waiting for transplants diminish with her research but it is a very difficult process. Maher says that researchers have had some successes when it comes to rebuilding organs but only with simples ones such as a bladder. A heart is much more complicated and requires many more cells to do all the functions it needs to. New organs have to be able to do several things in order for them to be used in humans that are still alive. They need to be sterile, able to grow, able to repair themselves, and work. Taylor has led some of the first successful experiments to build rat hearts and is hopeful of a good outcome with tissue rebuilding and engineering. Scientists have been able to make beating heart cells in a petri dish but the main issue now is developing a scaffold for these cells so that they can form in three dimension. Harold Ott, a surgeon from Massachusetts General Hospital and studied under Taylor, has a method that he developed while training. Detergent is pumped into a glass chamber where a heart is suspended and this detergent strips away everything except a layer of collagen, laminins, and other proteins. The hard part according to Ott is making s...
Stem cell research began in 1956 when Dr. E Donnall Thomas performed the first bone marrow transplant (“Adult stem cells are not more promising,” 2007). Since that time, research has evolved into obtaining cells from a variety of tissues. According to stem cell research professors, Ariff Bongso and Eng Hin Lee (2005), “Stem cells are unspecialized cells in the human body that are capable of becoming cells, each with new specialized functions” (p. 2). Stem cells are in various adult tissues, such as bone marrow, the liver, the epidermis layer of skin, the central nervous system, and eyes. They are also in other sources, such as fetuses, umbilical cords, placentas, embryos, and induced pluripotent stem cells (iPSCs), which are cells from adult tissues that have been reprogrammed to pluripotency. Most stem cells offer multipotent cells, which are sparse...
Stem cells have the ability to transform into any kind of cell. These cells can divide and also replenish other cells in the body, such as muscle cells, brain cells, red blood cells, or they may just simply remain as stem cells. Stem cells are able to replicate even after long periods of dormancy. They naturally repair damaged tissues and can be experimentally induced to work with particular tissues and organs (NIH, 2013). There are three types of stem cells.
Stem cells help us to maintain and heal our bodies, as they are undifferentiated cells, their roles are not yet determined. They have the ability to become anything during early life and growth. Stem cells come from two sources, namely: embryonic stem cells (embryo’s formed during the blastocyst phase of embryological development) and adult stem cells (see figure 3).
Currently 70,000 Americans are on the organ waiting list and fewer than 20,000 of these people can hope to have their lives saved by human organ transplantation.1 As a result of this shortage, there has been a tremendous demand for research in alternative methods of organ transplantation. Private companies are racing to develop these technologies with an estimated market of six billion dollars.2 Xenotransplantation, or cross-species organ transplantation, appears to be the most likely solution in the near future, and cloned pigs are the main candidates. Pigs and humans have remarkable similarities in physiology, which along with cloning makes pigs strong possibilities for organ donors. A controversial alternative method involves the use of genetically altered headless human beings as organ donors. Although this method may not be developed for some years, scientists are already discussing the necessary technologies. Whether the solution is the cloning of a pig or a human, organ farms may provide us with a solution to our ever-increasing need for donors.
This paper focuses on the benefits of stem cell research in the medical and nursing field. New technology is always being created to help us understand the way the human body works, as well as ways to help us improve diseased states in the body. Our bodies have the ability to proliferate or regrow cells when damage is done to the cells. Take for example the skin, when an abrasion or puncture to the skin causes loss of our skin cells, the body has its own way of causing those cells to regrow. The liver, bone marrow, heart, brain, and muscle all have cells that are capable of differentiating into cells of that same type. These are called stem cells, and are a new medical tool that is helping regrow vital organs in our body to help us survive. Stem cells can come from adult cells, or the blastocyst of the embryo. The cells that come from these are undifferentiated, and can be specialized into certain cell types, making them available for many damaged tissues in the body. While using stem cells in the body is a main use, they are also being used to help doctors understand how disease processes start. By culturing these cells in the lab and watching them develop into muscles, nerve cells, or other tissues, researchers are able to see how diseases affect these cells and possibly discover ways to correct these diseases. While researchers have come very far in using stem cells, there are still many controversies to overcome when using these cells.
Every organ in the human body is composed of one or more tissues. The study of these tissues is known as histology. It is because of histology that the structure of organs can be researched and understood. Since organs are composed of tissues, it is important to understand each tissue type, their structure, their location, and their functions to better understand how each organ operates within the human body.
“Transplanting animal organs into humans is feasible.” USA Today. November 1999: 54-55. Gehlsen, Gale M., Ganion, Larry R. and Robert Helfst.
The connective tissue is the most abundant and widely distributed in complex animals. It is made up of a matrix consisting of living cells and non-living substance called ground substance. The ground substance is made of an organic substance (protein) and an inorganic substance (usually a mineral or water). It separates the cells and varies in consistency from solids to semifluid to fluid. The principal cell of connective tissue is the fibroblast which makes the fibers found in nearly all connective tissues. There are three kinds of fibers; the white collagen fibers contain collagen, a protein that gives them flexibility and strength. Reticular fibers are very thin collagen fibers that are highly branched and form delicate supporting networks. The yellow elastic fibers contain elastin; a protein that is not as strong
One of the most beneficial aspects to cloning is the ability to duplicate organs. Many patients in hospitals are waiting for transplants and many of them are dying because they are not receiving a needed organ. To solve this problem, scientists have been using embryonic stem cells to produce organs or tissues to repair or replace damaged ones (Human Cloning). Skin for burn victims, brain cells for the brain damaged, hearts, lungs, livers, and kidneys can all be produced. By combining the technology of stem cell research and human cloning, it will be possible to produce the needed tissues and organs for patients in desperate need for a transplant (Human Cloning). The waiting list for transplants will become a lot shorter and a lot less people will have to suff...
Many people don't know what biomedical engineers do. A biomedical engineer’s job is actually quite interesting. They analyze and create solutions to improving the quality and effectiveness of patient care. They also design technology to accommodate the needs of people with disabilities. They have a big role in helping people begin new lives. The main job of a biomedical engineer is to help create prosthetic limbs or organs for those who are in need of one.
Researchers in this field are seek to know how stem cells can be used to develop into specialized cells or tissue, which aims restore lost function in damaged organs or even grow new fully functioning organs for transplant.