英國科學家最近首度使用多餘的人工受孕胚胎幹細胞,製造出紅血球細胞,這項價值三百萬英鎊(約台幣一億五千萬元)的研究計畫,目的是製造出工業級人造血。

工業人造血邁大步

英國研究人員在研究中使用了來自不孕診所逾百枚的剩餘人工受孕胚胎,製造出數百種胚胎幹細胞株,其中一種被稱為RC-7 的胚胎幹細胞株成功被改造為血球幹細胞,再被改造為帶有血紅蛋白的紅血球細胞。科學家表示,這項研究計畫旨在找出能夠經基因改造成為O型陰性血液的細胞,這種血液可被輸進大多數人體內而不必擔心產生排斥現象,但全球只有七%的人口是這種血型。研究人員希望借助這項研究,建立起透過工業級生物反應器,每年生產出超過兩百萬品脫人造血的製造程序。

專家認為,這項研究可望對醫界帶來革命性影響,醫院可能不必再完全仰賴志願者捐血,才能提供穩定的血源供患者緊急輸血。英國每年需要逾兩百五十萬人次捐血,才足以供應輸血與血液製品需求,血庫經常面臨缺血危機。

合成的人造血也可確保不會遭到如人類「狂牛症」等疾病的感染,同時可能自「萬用供血者」製造出足供全英醫院使用的血液,雖然這位「萬用供血者」其實只是存在僅四天的冷凍胚胎。

生產人造血的重要條件,就是成本必須比捐贈血更低。目前每品脫(約四百七十三毫升)可直接用來輸血的捐贈血液成本約為一百八十英鎊(近台幣九千元),但若加上測驗與捐贈的成本,則可能提高至每品脫五百英鎊(近台幣兩萬五千元)。

 

Synthetic blood breakthrough after scientists 'produce red cells from IVF embryos'

Red blood cells have been created from spare IVF embryos cells for the first time in Britain, as part of a multi-million pound project to manufacture synthetic blood on an industrial-scale, scientists said.  

Telegraph.co.uk

By Andrew Hough
Published: 8:30AM BST 16 Aug 2010

Pints of blood at hospital blood bank: Blood supplies face a constant threat of shortages, with more than 2.5million donations needed annually for transfusions and blood products. Photo: ALAMY

Researchers used more than a 100 spare embryos left over from treatment at fertility clinics to establish several embryonic stem cell “lines”.

One of those lines, known as RC-7, was transformed into blood stem cells before they were converted into red cells containing haemoglobin, the oxygen-carrying pigment.

Scientists say the aim of the £3million research was to find cells genetically programmed to develop into the O-negative blood group.

This is the universal donor group whose blood can be transfused into anyone without fear of tissue rejection, but is only found in seven per cent of the population.

Researchers also said the aim of the project, funded by the Wellcome Trust, the charity, was to establish a manufacturing process to produce more than two million pints a year.

Experts said the research could soon revolutionise medicine by ending the need to rely on volunteer donors to provide a constant source of blood for lifesaving transfusions.

The synthetic version would also be guaranteed free of infections, such as the human form of "mad cow" disease.

It also raises the possibility of producing the entire supply of blood for the UK from a single "universal blood donor" who only ever existed as a four-day-old IVF embryo.

A key requirement for synthetic blood is for it to be cheaper than donated blood to produce.

At present it costs about £180 to make a pint of donated blood ready for transfusion, but with extra costs for testing and donation it is closer to £500 per pint.

Blood supplies face a constant threat of shortages, with more than 2.5million donations needed annually for transfusions and blood products.

In order to achieve regulatory approval, the project has reportedly produced four embryonic stem cell lines suitable enough for human clinical trials, which scientists said conformed to the "good manufacturing practice" (GMP) grade.

Prof Marc Turner, of Edinburgh University, who is also clinical director of the Scottish National Blood Transfusion Service (SNBTS), said synthetic blood could transform medicine if made on industrial scale.

It could overcome the problem of blood shortages while at the same time reducing the risk of transmitting new infections between donors and recipients.

"We've proved the principle that from these embryonic stem cell lines we can generate red blood cells," Prof Turner, who led the project, told The Independent.

"The regulators, the Medicines and Healthcare Products Regulatory Agency and the European Medicines Agency, would need to be comfortable that the cells were produced to sufficient quality and safety before they would allow the first studies in humans.”

“If we can crack it with red cells, it takes us a long way. It doesn't solve it with other tissues but it takes us a long way to cracking it with other tissues, such as liver and so on."

Jo Mountford, a stem cell scientist at Glasgow University, added: “We have cells that are clearly red so we're happy with that.

“We've managed to go 90 per cent down the path towards fully differentiated, adult red blood cells.

But some experts expressed concern when the trial was first reported last year.

“Many good people who donate cord blood, adult blood or bone marrow, would not wish to be in anyway associated with this proposed destructive use of embryos, let alone research involving tissue from aborted babies,” said Josephine Quintavalle, director of the Campaign for Reproductive Ethics.

The first clinical trials of synthetic blood made from embryonic stem cells could begin within five years

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