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Intestine cell transplant may one day help ease digestive issues

Patches of intestinal tissue grown from the cells of mice contract similarly to the muscles in the digestive tract. If the same patches can be grown from human cells, they could one day treat conditions like short bowel syndrome
Intestinal implants could one day treat conditions like short bowel syndrome, defined as having a short intestine that affects nutrient absorption
Intestinal muscles contract to mix and break down food, and push it along the digestive tract
Shutterstock/SciePro

Making tissue patches from the cells found in a healthy intestine could one day treat certain digestive conditions, according to a study in mice.

The tube-shaped intestines in our bodies contain an inner layer of cells that absorb nutrients from digested food. This is surrounded by a layer of muscle that contracts in multiple ways to mix and break down food while pushing it further along the digestive system.

To investigate the possibility of transplanting cells from healthy intestines, at Stanford University, California, and her colleagues extracted cells from the small intestines of mice, which they seeded onto 27 protein-rich gel patches, each measuring 1-centimetre across. The patches were bathed in nutrient solutions for the month-long experiment.

Ten days after the patches were assembled, 22 of them started to open and close like clam shells, similar to a type of contraction that mixes food with digestive enzymes in our intestine, says Wang.

Another three of the patches contracted in a wave-like fashion that would push food further along an intestine, says Wang. The remaining two patches contracted to form small pouches that scrunched up.

“It’s unclear why some patches contracted in different ways,” says Wang.

To test whether such contractions could mix and break down the contents of an intestine, the team fed the clam shell-like muscle patches a flour-based artificial food.

Within 30 seconds, the patches completely broke down 3-millimetre-wide clumps of this food. In contrast, the artificial food stayed intact when added to control gel patches that weren’t seeded with the synthetic intestinal cells.

“It’s the first time synthetic intestinal muscle has been shown to contract so strongly that it can actually mix and break down intestinal contents,” says Wang.

If we could take intestinal cells from people and grow them into large patches that attach to the inner layer of the intestine, we could provide synthetic implants for treating conditions such as short bowel syndrome, says Wang. This is when a person has a short intestine, leading to poor nutrient absorption.

“Currently, people with short bowel syndrome are treated by feeding a tube carrying nutrients into the heart, which can lead to liver failure and infections,” says at University College London. “Synthetic implants could absolutely improve on that treatment in the future.”

The synthetic tissue could also repair the intestines of people with bowel cancer or those with irritable bowel diseases, such as Crohn’s disease and ulcerative colitis, says Wang.

Further work needs to test the approach using human cells and to establish how you could connect the synthetic muscle to other intestinal components, such as blood vessels and nerves, says De Coppi.

Journal reference:

Advanced Materials

Article amended on 24 February 2023

We have clarified that the mouse intestinal tissue patches won’t be used in people.

Topics: Cell biology