Simplest synthetic
pathways (Ch. 7)
A. Symbolism of organ synthesis.
B. The central question of organ
synthesis.
C. What is required to synthesize
an organ?
D. Trans-organ rules of synthesis.
A. Symbolism of Organ
Synthesis
Information stored in a chemical
equation
Ammonia synthesis (F. Haber)
T, P
3H
2
+ N
2
→ 2NH
3
reactor
reactants → products
NOTE: The stoichiometry (masses on both
sides) of a chemical equation expresses
conservation of mass (Lavoisier)
Transition to biology
I. Reactants
? Cells migrate, proliferate, synthesize
matrices and cytokines, degrade matrices,
etc.
? Cytokines are soluble molecules that
diffuse. They serve as “language”
between cells.
? Matrices are insoluble macromolecular
networks and do not diffuse. They control
cell behavior (phenotype) via integrin-
ligand binding. Usually porous
(“scaffolds”).
Transition to biology
II. Reactors
? In vitro reactors are dishes or flasks for
cell culture.
? In vivo reactors are anatomical sites of
organ loss in the living organism.
? Experimental in vivo reactors are
generated by surgical excision (scalpel,
laser, etc.).
? When organ synthesis takes place in vivo
at the correct anatomical site of living
organism it is referred to as “induced
regeneration”.
Skin: In vitro or in vivo synthesis?
Image removed due to copyright considerations.
See Figure 7.1 - top in Yannas, I. V. Tissue and Organ
Regeneration in Adults. New York: Springer-Verlag, 2001.
Image removed due to copyright consi erations.
See Figure 7.1 - top i as, I. V. Tissue and Organ
Regeneration i Adults. New York: Springer-Verlag, 2001.
Nerves: In vitro or in vivo?
Image removed due to copyright considerations.
See Figure 7.1 – bottom in [Yannas].
Image removed due to copyright consi erations.
See Figure 7.1 – ottom in [Yannas].
Standardized reactors
? Transected nerve
SKIN
PERIPHERAL
NERVE
dermis
epidermis
nerve stumps
Transition to biology.
III. Products
? Organs are made up of tissues.
? Products of the synthesis can be
tissues or organs.
? Almost all organs are essentially
made up of three types of tissues:
epithelial, basement membrane and
stroma (connective tissue).
Members of the tissue triad
? EPITHELIA
100% cells. No matrix. No blood vessels.
? BASEMENT MEMBRANE
No cells. 100% matrix. No blood vessels.
? STROMA (CONNECTIVE TISSUE)
Cells. Matrix. Blood vessels.
The tissue triad in skin and nerves
The tissue triad in the organism
BM is thick, solid line
Problems and advantages of
chemical symbolism
? No stoichiometric data currently available!
How many cells? What is concentration of
cytokine X? Ligand density? “Reaction
diagrams”, not chemical equations.
? Neither reactants nor products currently have
standardized, time-invariant structure, as do
chemical compounds.
? BUT gain rapid estimate of minimum
requirements for synthesis of tissues and
organs.
? Look for similarities between different organs
(e.g., skin vs. nerves).
B. The central question in
organ synthesis
Which tissues in the triad do not
regenerate spontaneously?
? When excised from an organ, the epithelia
are regenerated spontaneously.
Examples: the epidermis in skin, the
myelin sheath in nerves.
? Likewise, the basement membrane
regenerates spontaneously on the stroma.
? However, the stroma does not regenerate
spontaneously. Examples: dermis in skin,
endoneurium in nerves.
SKIN: The epidermis regenerates
spontaneously
Epidermis lost. Dermis intact. Spontaneous regeneration
SKIN: Scar formation. The dermis does
not regenerate.
Closure by contraction
and scar formation
Epidermis and dermis both
lost to severe injury
Scar
NERVE: The injured myelin sheath
regenerates spontaneously
Regenerated
myelin
Injured myelin.
Endoneurium intact.
Axoplasm
Myelin sheath
Neuroma formation. The endoneurium
does not regenerate.
Transected nerve.
Both myelin and
endoneurium are
severely injured.
Neuroma forms
at each stump by
contraction and
scar formation.
Intact nerve fiber
Image removed due to copyright considerations.
See Figure 2.5 in [Yannas].
Image removed due to copyright consi erati ns.
See Figure 2.5 in [Yannas].
Spontaneously
healed nerve fiber
(scar)
The central question is…
? Epithelia and basement membrane (BM) are
synthesized from remaining epithelial cells.
? The stroma is not synthesized from remaining
stromal cells. Instead these cells induce
closure of the injury by contraction and
synthesis of scar.
? Therefore, the central question in organ
synthesis is how to synthesize the stroma.
? Once the stroma has been induced to
synthesize, epithelial cells can spontaneously
synthesize both epithelia and BM over it
(“sequential” synthesis).
C. What is required to
synthesize an organ?
Required vs. redundant reactants
? Investigators typically supply (add) reactants
based on favored hypotheses. Often,
reactants supplied are not required to
synthesize tissue or organ.
? In vitro all reactants, including culture
medium, are supplied by investigator.
? In vivo the reactor spontaneously supplies
exudate that contains certain reactants
(endogenous reactants). The investigator
supplies other reactants (exogenous).
? What are the minimal reactants that suffice to
synthesize a tissue or organ? These are the
“required” reactants. are
Method used to identify required
reactants
Collect data from over 70 groups of
investigators of skin and peripheral nerve
(Ch. 7). All worked with standardized reactors.
Some worked in vitro with cells in culture;
others in vivo with animals (e.g., rat, mouse)
Summarize complex protocol and results
obtained by each investigator in the form of a
“reaction diagram”.
Omit some information. In vitro studies: Omit
showing medium. In vivo studies: Do not show
endogenous reactants; show only reactants
that are supplied by investigator (exogenous).
Results.
Use color code for reactants
? epithelial cells (skin: keratinocytes,
KC; nerve: Schwann cells, SC)
? stromal cells (fibroblasts, FB)
? matrices (analogs of extracellular
matrix or synthetic polymers, CBL,
DRT, COG, etc.)
Conventions used in reaction diagrams
1. Epithelial cells are blue. Stromal cells are
orange. Matrices are underlined in
handout notes (but not in text).
2. Products are abbreviated (e.g., E =
epidermis; E ·BM = epidermis with BM
attached; E·BM·D = partial skin ).
3. Reaction diagrams describe processes in
vitro unless in vivo is specified over
reaction arrow.
4. Complete tabulation of reaction diagrams
and abbreviations in text pp. 194-197
(skin) and pp. 198-200 (nerve).
Synthesis of an Epidermis (E)
? epithelial cells: KC, SC
? stromal cells: FB
? matrix: DRT, CBL, L-DRT, COG etc.
KC + FB → E KC + CBL → E
KC → E (simplest is
bold-fonted)
KC + FB + L-DRT → E
KC + DRT → E KC + FB + COG → E
Synthesis of a basement
membrane (E·BM)
KC + COG → E?BM KC → E?BM (simplest)
KC + CBL → E?BM KC + FB + PGL→ E?BM(?)
(in vivo)
KC →E?BM (in vivo) KC + FB + COG → E?BM
KC + FB + COG → E?BM KC + COFL → No BM
KC + FB + L-DRT→E?BM
(in vivo)
KC + PL → No BM
KC + FB + NY → E?BM KC + DRT → E?BM
(in vivo)
Synthesis of a dermis (D)
DRT → D (in vivo)
(simplest)
KC → No D (in vivo)
KC + FB + COG → No D KC + FB + L-DRT→ D
(in vivo)
KC + FB + COG → D
(in vivo)
KC + FB + L-DRT → No D
KC + CBL → No D KC + FB + PGL → No D
KC + DRT → No D KC + FB + PGL → D
(in vivo)
Synthesis of skin
(partial skin = PS = E?BM?D)
KC + FB + COG → PS (in
vivo)
KC + CBL → PS
(in vivo)
KC + DRT → PS
(in vivo) (simplest)
KC + FB + PGL → PS (in
vivo)
KC + FB + L-DRT → PS (in
vivo)
Select simplest routes for skin
synthesis
? Epidermis: KC → E
? Basement Membrane: KC → E?BM
? Dermis: DRT → D (in vivo)
? Skin (partial): KC + DRT → PS (in vivo)
______________________________________
? Exogenous fibroblasts not required.
? Exogenous cytokines not required.
? Epithelia and BM synthesized in vitro.
Dermis synthesized in vivo.
? Partial skin synthesized in vivo.
Sequential vs. simultaneous
synthesis of skin tissues
A. Sequential (two-step) synthesis:
1. Synthesize the dermis using a template.
DRT → D
2. Epidermis and BM later spontaneously
synthesized by residual epithelial cells.
KC → E·BM
B. Simultaneous (one-step) synthesis of
dermis and epidermis:
Seed template with epithelial cells.
KC + DRT → E·BM·D = PS
Simplest routes for nerve synthesis
? Myelin sheath: SC → MAX
? Basement membrane: SC → MAX?BM
? Endoneurium: silicone tube → ED(?)
? Conducting nerve trunk: various tubes →
MAX?BM?ED(?)?PN
__________________________________
? Exogenous fibroblasts not required.
? Exogenous cytokines not required.
? Epithelia and BM synthesized in vitro.
Endoneurium uncertain. Nerve trunk
synthesized in vivo.
D. Trans-organ reaction diagrams
Select only the simplest
skin
nerve
EPITHELIA (in vitro)
KC → E
SC → MAX
BM (in vitro)
KC → E?BM
SC → MAX?BM
skin
nerve
STROMA (in vivo)
DRT → D
tubes → ED(?)
ORGAN (in vivo)
DRT → PS
tubes → nerve trunk
Summary of trans-organ rules for
organ synthesis
What are the similarities between the
simplest pathways required to synthesize
skin and peripheral nerves?
Both in skin and peripheral nerve:
? Synthesis of epithelia simply required
supply of epithelial cells in vitro
(appropriate medium also required).
? Synthesis of stroma required supply only
of an appropriate scaffold in vivo.
Various synthetic routes
Route 1: Sequential synthesis
Stroma synthesized first using appropriate
matrix (regeneration template). Epithelia and
basement membrane both synthesized
spontaneously later on the new stroma by
endogenous epithelial cells.
Route 2: Simultaneous synthesis
All three tissues can be simultaneously
synthesized using template seeded with
epithelial cells.
Route 3: Modular organ synthesis? Synthesize
each tissue in separate reactor, then combine.
Summary of synthetic rules for
tissues and organs
1. Use symbolism of organic chemistry to
compare several independent synthetic
protocols from literature.
2. The central problem is synthesis of
stroma.
3. Epithelial cells and appropriate medium
only required to synthesize epithelia in
vitro. Appropriate matrix only must be
supplied to synthesize stroma in vivo.
4. Applicability to other organs?