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                    254                                     Biomimetics: Biologically Inspired Technologies

                    2004). This failure mode is most prevalent in engineered muscle maintained in culture. There are
                    two approaches to dealing with this in engineered muscle: (1) genetic enhancement and (2)
                    development of electromechanical tissue maintenance protocols. In the case of genetic enhance-
                    ment, the approach is to forcibly express desired genes in an attempt to promote the desired tissue
                    phenotype. The effectiveness of this approach is the core issue in gene therapy for diseases of
                    muscle, but this approach has not yet been demonstrated to be effective for engineered muscle ex
                    vivo. Optimal tissue maintenance protocols are a much more natural and subtle approach, based
                    upon the fact that all viable muscle cells contain the necessary genetic machinery to develop any
                    desired muscle phenotype, if the correct signals and growth conditions prevail. In addition to
                    genetic engineering of myocytes to enhance performance of tissue-based actuators, other potential
                    countermeasures include: (1) development of appropriate tissue interfaces to permit signal trans-
                    duction to the cellular machinery, (2) development of tissue and organ culture bioreactors to allow
                    the experimental determination of optimal control and maintenance protocols for ex vivo muscle
                    tissue, (3) use of these protocols to guide tissue development (cell phenotype and tissue architec-
                    ture), and (4) implementation of this technology into the hybrid actuator system. This topic is
                    currently an area of very active research. Success in terms of counteracting this failure mode in
                    engineered muscle will constitute an extraordinarily significant scientific contribution, as well as
                    providing the key enabling technology to the further development of practical living actuators.



                                       9.7  SELF-ORGANIZING MUSCLE TISSUES

                    Self-organization within developing animals gives rise to an enormous array of muscle actuator
                    architectures. Each myogenic precursor cell contains the genetic potential to self-organize into
                    muscle tissue with the desired phenotype and tissue interface. The ability to guide the development
                    of self-organizing muscle tissues in culture will provide the systems engineer with the greatest
                    level of design flexibility, since it will in principle be possible to start with a small population of
                    muscle progenitor cells and guide them to self-organize into a muscle actuator of any imaginable
                    geometry. It will also be possible to construct hybrid actuators not found in nature, containing
                    regionally organized tissue structures, perhaps even consisting of fundamentally different types
                    of muscle tissue (skeletal, cardiac, or smooth), depending upon the functional requirements of
                    the actuator system. It is implicit in most muscle tissue engineering research programs that
                    skeletal muscle self-organization and development can be guided by the application of the correct
                    external cues. The general method of guided tissue self-organization in culture (Figure 9.1)
                    briefly is:

                    .     Isolate and coculture the desired cells. The cells may be primary or from cell lines.
                    .     Engineer a cell culture substrate with controlled adhesion properties for the cells.
                    .     Provide permanent anchor points and surfaces to guide tissue architecture formation.
                    .     Culture the cells to permit the formation of a cohesive monolayer.
                    .     Induce monolayer delamination from the substrate at the appropriate point in cell differentiation
                          (the monolayer remains attached to the anchor points).
                    .     Promote tissue self-organization and further development by applying external signals: chemical,
                          electrical, mechanical.

                    Self-organization of tissues in culture is one effective way to produce small functional tissue
                    constructs from a range of tissues. Examples include:

                    .     Cardiac myocytes cocultured at confluence with fibroblasts will self-organize into long cylinders
                          and tapered cones in culture in 340 to 400 h. These constructs are electrically excitable and also
                          spontaneously contract as a syncytium to continuously generate significant mechanical work
                          cycles. Such constructs could be engineered to power cell-scaled implantable pumps, pumps for
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