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               834                                                                                  Tissue Engineering


               convective transport into the implant. Furthermore, there
               is no generation of oxygen by the tissue, so G i = 0. The
               consumption of metabolites by cells often follows first-
               order kinetics at low concentrations (i.e., the consumption
               rate is proportional to the concentration of metabolite)
               and progressively becomes zero order as the concentra-
               tion increases. At one point, the cells are “saturated” and
               cannot take up more. This behavior is often described by
               Michaelis–Menten kinetics:
                                      V max c i
                                R i =                    (18)
                                     K M + c i
               where V max is the maximal uptake rate and K M is the
               metabolite concentration at which the uptake rate is
               half-maximal. Substituting this expression into the
               continuity equation and taking into account other
               assumptions described above yield:
                                    2
                           ∂c i    ∂ c i  V max c i
                               = D i   −                 (19)
                            ∂t     ∂x 2   K M + c i
               If we next assume steady state, we obtain:        FIGURE 12 Correlation for the maximum thickness of a tissue
                                   2                             construct to avoid nutrient depletion.
                                  ∂ c i  V max c i
                            0 = D i  2  −                (20)
                                  ∂x     K M + c i
                                                                 tificial liver device possessing 10% of the detoxification
               One can integrate this expression with the following
                                                                 andproteinsynthesiscapacityofthenormalhumanliver(a
               boundary conditions:
                                                                 rough estimate of the minimum processing and secretory
                            x = 0,    c i = C 0          (21)    capacities that can meet a human body’s demands) would
                                                                                 10
                            x = X,    ∂c i /∂x = 0       (22)    contain a total of 10 adult hepatocytes. Thus, to keep the
                                                                 total bioreactor volume within reasonable limits (1 L or
               to yield the concentration profile throughout the system.  7
                                                                 less), 10 cells/mL or more are required. For comparison,
               However, rather than looking at the whole concentration                                    8
                                                                 the normal human liver contains approximately 10 hep-
               profile, we really only want to know if at any point within
                                                                 atocytes/mL. Three main types of bioreactor design have
               the system there will be a significant depletion of metabo-
                                                                 been considered in tissue engineering: (1) suspension cul-
               lite. As a rule of thumb to estimate when a cell is starving,
                                                                 ture methods using microcarriers, (2) cells immobilized
               the condition c i  = K M  is often used. Figure 12 shows the  in hollow-fiber systems, and (3) suspension culture in ro-
               results for the maximum thickness X of a construct with-  tating wall vessel bioreactors.
               out c i going below K M anywhere in the construct. Using
               this chart to estimate the thickness of an implantable con-  a. Microcarrier-based systems. Microcarriers are
               struct containing liver parenchymal cells (hepatocytes),  one of the first methods used for supporting large-scale
               we find that a construct containing even a relatively low  mammalian cell culture. Microcarriers are small beads
                               7
                                       3
               density of cells (10 cells/cm ) cannot have a thickness
               exceeding about 500 µm (Table VII). At tissue-level cell  TABLE VII Maximum Thickness (X) of Tissue
                           8
                                   3
               densities of 10 cells/cm , that thickness can be as low as  Constructs Estimated by Order of Magnitude
                                                                      Transport Analysis a
               100 µm, which is consistent with the in vivo density of
               capillary vessels.                                                   10 cells/cm 3  10 cells/cm 3
                                                                                                   8
                                                                                      7
                                                                       Geometry       X (µm)       X (µm)
                 3. Bioreactor Technologies
                                                                        Slab           300           95
               For certain applications it is necessary to maintain a large  Cylinder  430          135
               number of cells that transform an input of reactants into  Sphere       520          165
               an output of products. This is the case for the bioartifi-
                                                                        a  These estimates are based on the assumptions
               cial liver or pancreas and more recently for the production
                                                                      that that surface of construct is exposed to arterial
               of blood cells from hematopoietic tissue. These systems                       3
                                                                      oxygen levels (C 0 = 100 nmol/cm ), hypoxic damage
               require maintenance of the function of a large number of
                                                                      occurs when c i = K M , and for hepatocytes V MAX =
                                                                                                3
                                                                              6
               cells in a small volume. For example, a hypothetical bioar-  0.4 nmol/10 cells/s, K M = 0.6 nmol/cm .
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