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			by James GallagherHealth and science 
			reporter
 
			28 August 2013from 
			BBCNews Website
 
 
 
 
			  
			
			
			 Cross-section 
			of miniature human brains
 
			termed cerebral 
			organoids
 
			  
			Miniature "human brains" have been grown in a lab in a feat 
			scientists hope will transform the understanding of neurological 
			disorders.
 
 The pea-sized structures reached the same level of development as in 
			a nine-week-old fetus, but are incapable of thought.
 
 The study,
			
			published in the journal Nature, 
			has already been used to gain insight into rare diseases. 
			Neuroscientists have described the findings as astounding and 
			fascinating. The human brain is one of the most complicated 
			structures in the universe.
 
 Scientists at Institute of Molecular Biotechnology of the 
			Austrian Academy of Sciences have now reproduced some of the 
			earliest stages of the organ's development in the laboratory.
 
 
			  
			  
			  
			Brain bath
 They used either embryonic stem cells or adult skin cells to produce 
			the part of an embryo that develops into the brain and spinal cord - 
			
			the neuroectoderm.
 
 This was placed in tiny droplets of gel to give a scaffold for the 
			tissue to grow and was placed into a spinning bioreactor, a nutrient 
			bath that supplies nutrients and oxygen.
 
 
			  
			
			 
			A cerebral organoid 
			The brown pigments 
			are a developing retina
 
			The cells were able to grow and organize themselves into separate 
			regions of the brain, such as the cerebral cortex, the retina, and, 
			rarely, an early hippocampus, which would be heavily involved in 
			memory in a fully developed adult brain.
 
 The researchers are confident that this closely, but far from 
			perfectly, matches brain development in a fetus until the nine week 
			stage.
 
 The tissues reached their maximum size, about 4mm (0.1in), after two 
			months.
 
 The "mini-brains" have survived for nearly a year, but did not grow 
			any larger. There is no blood supply, just brain tissue, so 
			nutrients and oxygen cannot penetrate into the middle of the 
			brain-like structure.
 
 One of the researchers, Dr Juergen Knoblich, said:
 
				
				"What our organoids are good for is 
				to model development of the brain and to study anything that 
				causes a defect in development.
 "Ultimately we would like to move towards more common disorders 
				like schizophrenia or autism. They typically manifest themselves 
				only in adults, but it has been shown that the underlying 
				defects occur during the development of the brain."
 
			The technique could also be used to 
			replace mice and rats in drug research as new treatments could be 
			tested on actual brain tissue.
 
			  
			  
			  
			'Mindboggling'
 Researchers have been able to produce brain cells in the laboratory 
			before, but this is the closest any group has come to building a 
			human brain.
 
 The breakthrough has excited the field.
 
 Prof Paul Matthews, from Imperial College London, told the 
			BBC:
 
				
				"I think it's just mindboggling. The 
				idea that we can take a cell from a skin and turn it into, even 
				though it's only the size of a pea, is starting to look like a 
				brain and starting to show some of the behaviors of a tiny 
				brain, I think is just extraordinary.
 "Now it's not thinking, it's not communicating between the areas 
				in the way our brains do, but it gives us a real start and this 
				is going to be the kind of tool that helps us understand many of 
				the major developmental brain disorders."
 
			The team has already used the 
			breakthrough to investigate a disease called 
			
			microcephaly.  
			  
			People with the disease develop much 
			smaller brains.
 
			  
			
			
			 
			Brain with 
			microcephaly 
			A much smaller brain 
			develops with microcephaly
 
			By creating a "mini-brain" from skin cells of a patient with this 
			condition, the team were able to study how development changed.
 
 
			  
			"It's a long way from conscience or awareness  
			or responding to the 
			outside world.  
			There's always the spectre of what 
			the future might hold,  
			but this is 
			primitive territory"Dr Zameel Cader
 
			John Radcliffe Hospital
 
			  
			They showed that the cells were too keen 
			to become neurons by specializing too early. It meant the cells in 
			the early brain did not bulk up to a high enough number before 
			specializing, which affected the final size of even the pea-sized 
			"mini-brains".
 The team in Vienna do not believe there are any ethical issues at 
			this stage, but Dr Knoblich said he did not want to see much larger 
			brains being developed as that would be "undesirable".
 
 Dr Zameel Cader, a consultant neurologist at the John 
			Radcliffe Hospital in Oxford, said he did not see ethical issues 
			arising from the research so far.
 
 He told the BBC:
 
				
				"It's a long way from conscience or 
				awareness or responding to the outside world. There's always the 
				spectre of what the future might hold, but this is primitive 
				territory." 
			  
			  
			  
			  
			The "mini 
			brain" 
			is roughly the 
			size and developmental level of a nine-week fetus
 
			
 
			Dr Martin Coath, from the 
			cognition institute at Plymouth University, said:  
				
				"Any technique that gives us 
				'something like a brain' that we can modify, work on, and watch 
				as it develops, just has to be exciting.   
				"If the authors are right - that 
				their 'brain in a bottle' develops in ways that mimic human 
				brain development - then the potential for studying 
				developmental diseases is clear. But the applicability to other 
				types of disease is not so clear - but it has potential.
 "Testing drugs is, also, much more problematic. Most drugs that 
				affect the brain act on things like mood, perception, control of 
				your body, pain, and a whole bunch of other things. This 
				brain-like-tissue has no trouble with any of these things yet."
     
			
			 
				
					
						
							
							Description of cerebral 
							organoid culture system 
							  
							a - Schematic of 
							the culture system described in detail in Methods. 
							Example images of each stage are shown. bFGF, basic 
							fibroblast growth factor; hES, human embryonic stem 
							cell; hPSCs, human pluripotent stem cells; RA, 
							retinoic acid.  
							  
							b - Neuroepithelial tissues generated using this 
							approach (left) exhibited large fluid-filled 
							cavities and typical apical localization of the 
							neural N-cadherin (arrow). These tissues were larger 
							and more continuous than tissues grown in stationary 
							suspension without Matrigel (right).  
							  
							c - Sectioning 
							and immunohistochemistry revealed complex morphology 
							with heterogeneous regions containing neural 
							progenitors (SOX2, red) and neurons (TUJ1, green) 
							(arrow).  
							  
							d - Low-magnification bright-field images revealing 
							fluid-filled cavities reminiscent of ventricles 
							(white arrow) and retina tissue, as indicated by 
							retinal pigmented epithelium (black arrow). Scale 
							bars, 200 μm.     
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