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Advancing sarcopenia research with lab-grown muscle tissue

Advancing sarcopenia research with lab-grown muscle tissue

Pilot Grant

Advancing sarcopenia research with lab-grown muscle tissue

Dr Livia Rocha dos Santos

Nottingham Trent University

Dr Livia Rocha dos Santos at Nottingham Trent University is developing a new way to scale up the production of lab-grown muscle tissue, increasing the availability of human tissue for research into muscle wasting diseases like sarcopenia.

Animals to be replaced

Mouse silhouette in Animal Free Research UK brand black

Mice

Rat silhouette in Animal Free Research UK brand black

Rats

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Age-related muscle wastage

Sarcopenia is an age-related muscle-wasting disease that increases the risk of falls, fractures, disability and death. In the UK, sarcopenia is estimated to affect over 3.5 million people aged between 40-70 – that’s around 5.3% of the total population. Symptoms include a gradual loss of muscle mass and strength, poor balance and movement difficulties which tend to get worse as people get older. The cause of sarcopenia is currently unknown, but it is linked to factors including nutrition, physical activity, inflammation and hormonal changes. 

There are currently no available treatments for sarcopenia, with the only interventions offered involving lifestyle changes, strength training using weights and a balanced diet with increased protein intake. However, if these changes do not improve symptoms, there are no approved medicines which can be offered and the patient’s symptoms will continue to get worse with age. 

Sarcopenia is estimated to cost the NHS approximately £2.5 billion each year, which is likely to increase as our population lives longer, so there is an urgent need to find new treatments to reduce this burden and improve the quality of life of patients.

3
people in the UK are living with sarcopenia.
2
pounds is spent by the NHS to manage sarcopenia each year.

Animals in sarcopenia research

Muscle wastage and sarcopenia research generally uses mice and rats which have been immobilised or given nerve damage to recreate the symptoms of muscle wastage. These experiments are incredibly painful and stressful for the animals involved, and often go on for weeks or months at a time before the animal is eventually killed. It is estimated that around 5.4 million animals have been used in these types of experiments over the past 5 years, in academic settings alone. However, despite the staggering number of animals used in this area of research, there are still no effective treatments available for sarcopenia patients.

There are many reasons that animal experiments to study sarcopenia fail, including important differences in both the overall anatomy, and the muscle fibre structures, between humans and animals. Key differences in genetics, the immune system and the breakdown of drugs also mean that animal experiments don’t always translate into breakthroughs for patients.

The heartbreaking number of animals used with no real patient benefit highlights the desperate need for new, human-specific ways to research sarcopenia, moving away from animal experiments which are not gaining useful results. 

Lab-grown muscle

Some progress in this area has been made using tissue-engineered muscle made from human cells, but it is often difficult to get large enough numbers of cells to use in drug testing and medical research. Muscle tissue can be grown in the lab, but growth can be slow and difficult, meaning that researchers often default to animal experiments.

To help solve this problem, Dr Livia Rocha dos Santos at Nottingham Trent University is developing a new way to scale up the production of tissue-engineered muscle, using a technique that can make ten times more than current commercial production processes.

Dr Santos’ simple technology consists of a cell culture insert that human muscle cells are grown on, combined with an anchoring system. The insert helps the muscle cells to grow in an organised way and in the correct orientation, generating muscle tissue which can contract in the same way as it would in the body, making it an excellent alternative to animal models for use in many types of experiments. 

Replacing animal components

One of the key aims of Dr Santos’ project is to replace the use of animal-derived biomaterials such as foetal calf serum (FCS – a blood product which is a by-product of the meat trade), Matrigel, trypsin (a pig-derived enzyme used to detach cells from the flask they are growing in) and animal-derived cell-freezing medium, with animal-free alternatives. Replacing animal products will make the process completely human-specific, while increasing the reliability and clinical-relevance of the muscle tissue.

Impact and future goals

Dr Santos’ groundbreaking work will revolutionise the field of human tissue-engineering, while improving our understanding of muscle wasting diseases. The tissue engineered muscle can be used to test new drugs, while also creating opportunities for personalised medicine by using patient-derived cells to grow muscle tissue, allowing the effects of drugs to be studied in patients with specific conditions.

In 2023 in the UK alone, 7,906 experiments to study the musculoskeletal system were carried out using mice, with a further 7,197 experiments completed using fish, 448 using sheep, 101 using rats, 83 using cows and 16 using birds. Each of these experiments will have caused significant pain and suffering to the animals involved, but we still don’t fully understand the processes behind sarcopenia. If Dr Santos’ methods were to be widely taken up by researchers in this field, not only could the suffering of countless laboratory animals be prevented, but we would also move a step closer to new and effective treatments for patients.

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Thousands of mice and rats are used in painful muscle wastage experiments every year.

Human muscle fibres are different to those of animals, so experimental results don’t always translate into clinical benefits.

There are currently no curative treatments for sarcopenia. Lifestyle changes like weight lifting to build muscle strength are recommended, but new treatments are urgently needed.

Dr Livia Rocha dos Santos

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