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#435167 A Closer Look at the Robots Helping Us ...

Buck Rogers had Twiki. Luke Skywalker palled around with C-3PO and R2-D2. And astronauts aboard the International Space Station (ISS) now have their own robotic companions in space—Astrobee.

A pair of the cube-shaped robots were launched to the ISS during an April re-supply mission and are currently being commissioned for use on the space station. The free-flying space robots, dubbed Bumble and Honey, are the latest generation of robotic machines to join the human crew on the ISS.

Exploration of the solar system and beyond will require autonomous machines that can assist humans with numerous tasks—or go where we cannot. NASA has said repeatedly that robots will be instrumental in future space missions to the moon, Mars, and even to the icy moon Europa.

The Astrobee robots will specifically test robotic capabilities in zero gravity, replacing the SPHERES (Synchronized Position Hold, Engage, Reorient, Experimental Satellite) robots that have been on the ISS for more than a decade to test various technologies ranging from communications to navigation.

The 18-sided robots, each about the size of a volleyball or an oversized Dungeons and Dragons die, use CO2-based cold-gas thrusters for movement and a series of ultrasonic beacons for orientation. The Astrobee robots, on the other hand, can propel themselves autonomously around the interior of the ISS using electric fans and six cameras.

The modular design of the Astrobee robots means they are highly plug-and-play, capable of being reconfigured with different hardware modules. The robots’ software is also open-source, encouraging scientists and programmers to develop and test new algorithms and features.

And, yes, the Astrobee robots will be busy as bees once they are fully commissioned this fall, with experiments planned to begin next year. Scientists hope to learn more about how robots can assist space crews and perform caretaking duties on spacecraft.

Robots Working Together
The Astrobee robots are expected to be joined by a familiar “face” on the ISS later this year—the humanoid robot Robonaut.

Robonaut, also known as R2, was the first US-built robot on the ISS. It joined the crew back in 2011 without legs, which were added in 2014. However, the installation never entirely worked, as R2 experienced power failures that eventually led to its return to Earth last year to fix the problem. If all goes as planned, the space station’s first humanoid robot will return to the ISS to lend a hand to the astronauts and the new robotic arrivals.

In particular, NASA is interested in how the two different robotic platforms can complement each other, with an eye toward outfitting the agency’s proposed lunar orbital space station with various robots that can supplement a human crew.

“We don’t have definite plans for what would happen on the Gateway yet, but there’s a general recognition that intra-vehicular robots are important for space stations,” Astrobee technical lead Trey Smith in the NASA Intelligent Robotics Group told IEEE Spectrum. “And so, it would not be surprising to see a mobile manipulator like Robonaut, and a free flyer like Astrobee, on the Gateway.”

While the focus on R2 has been to test its capabilities in zero gravity and to use it for mundane or dangerous tasks in space, the technology enabling the humanoid robot has proven to be equally useful on Earth.

For example, R2 has amazing dexterity for a robot, with sensors, actuators, and tendons comparable to the nerves, muscles, and tendons in a human hand. Based on that design, engineers are working on a robotic glove that can help factory workers, for instance, do their jobs better while reducing the risk of repetitive injuries. R2 has also inspired development of a robotic exoskeleton for both astronauts in space and paraplegics on Earth.

Working Hard on Soft Robotics
While innovative and technologically sophisticated, Astrobee and Robonaut are typical robots in that neither one would do well in a limbo contest. In other words, most robots are limited in their flexibility and agility based on current hardware and materials.

A subfield of robotics known as soft robotics involves developing robots with highly pliant materials that mimic biological organisms in how they move. Scientists at NASA’s Langley Research Center are investigating how soft robots could help with future space exploration.

Specifically, the researchers are looking at a series of properties to understand how actuators—components responsible for moving a robotic part, such as Robonaut’s hand—can be built and used in space.

The team first 3D prints a mold and then pours a flexible material like silicone into the mold. Air bladders or chambers in the actuator expand and compress using just air.

Some of the first applications of soft robotics sound more tool-like than R2-D2-like. For example, two soft robots could connect to produce a temporary shelter for astronauts on the moon or serve as an impromptu wind shield during one of Mars’ infamous dust storms.

The idea is to use soft robots in situations that are “dangerous, dirty, or dull,” according to Jack Fitzpatrick, a NASA intern working on the soft robotics project at Langley.

Working on Mars
Of course, space robots aren’t only designed to assist humans. In many instances, they are the only option to explore even relatively close celestial bodies like Mars. Four American-made robotic rovers have been used to investigate the fourth planet from the sun since 1997.

Opportunity is perhaps the most famous, covering about 25 miles of terrain across Mars over 15 years. A dust storm knocked it out of commission last year, with NASA officially ending the mission in February.

However, the biggest and baddest of the Mars rovers, Curiosity, is still crawling across the Martian surface, sending back valuable data since 2012. The car-size robot carries 17 cameras, a laser to vaporize rocks for study, and a drill to collect samples. It is on the hunt for signs of biological life.

The next year or two could see a virtual traffic jam of robots to Mars. NASA’s Mars 2020 Rover is next in line to visit the Red Planet, sporting scientific gadgets like an X-ray fluorescence spectrometer for chemical analyses and ground-penetrating radar to see below the Martian surface.

This diagram shows the instrument payload for the Mars 2020 mission. Image Credit: NASA.
Meanwhile, the Europeans have teamed with the Russians on a rover called Rosalind Franklin, named after a famed British chemist, that will drill down into the Martian ground for evidence of past or present life as soon as 2021.

The Chinese are also preparing to begin searching for life on Mars using robots as soon as next year, as part of the country’s Mars Global Remote Sensing Orbiter and Small Rover program. The mission is scheduled to be the first in a series of launches that would culminate with bringing samples back from Mars to Earth.

Perhaps there is no more famous utterance in the universe of science fiction as “to boldly go where no one has gone before.” However, the fact is that human exploration of the solar system and beyond will only be possible with robots of different sizes, shapes, and sophistication.

Image Credit: NASA. Continue reading

Posted in Human Robots

#435046 The Challenge of Abundance: Boredom, ...

As technology continues to progress, the possibility of an abundant future seems more likely. Artificial intelligence is expected to drive down the cost of labor, infrastructure, and transport. Alternative energy systems are reducing the cost of a wide variety of goods. Poverty rates are falling around the world as more people are able to make a living, and resources that were once inaccessible to millions are becoming widely available.

But such a life presents fuel for the most common complaint against abundance: if robots take all the jobs, basic income provides us livable welfare for doing nothing, and healthcare is a guarantee free of charge, then what is the point of our lives? What would motivate us to work and excel if there are no real risks or rewards? If everything is simply given to us, how would we feel like we’ve ever earned anything?

Time has proven that humans inherently yearn to overcome challenges—in fact, this very desire likely exists as the root of most technological innovation. And the idea that struggling makes us stronger isn’t just anecdotal, it’s scientifically validated.

For instance, kids who use anti-bacterial soaps and sanitizers too often tend to develop weak immune systems, causing them to get sick more frequently and more severely. People who work out purposely suffer through torn muscles so that after a few days of healing their muscles are stronger. And when patients visit a psychologist to handle a fear that is derailing their lives, one of the most common treatments is exposure therapy: a slow increase of exposure to the suffering so that the patient gets stronger and braver each time, able to take on an incrementally more potent manifestation of their fears.

Different Kinds of Struggle
It’s not hard to understand why people might fear an abundant future as a terribly mundane one. But there is one crucial mistake made in this assumption, and it was well summarized by Indian mystic and author Sadhguru, who said during a recent talk at Google:

Stomach empty, only one problem. Stomach full—one hundred problems; because what we refer to as human really begins only after survival is taken care of.

This idea is backed up by Maslow’s hierarchy of needs, which was first presented in his 1943 paper “A Theory of Human Motivation.” Maslow shows the steps required to build to higher and higher levels of the human experience. Not surprisingly, the first two levels deal with physiological needs and the need for safety—in other words, with the body. You need to have food, water, and sleep, or you die. After that, you need to be protected from threats, from the elements, from dangerous people, and from disease and pain.

Maslow’s Hierarchy of Needs. Photo by Wikimedia User:Factoryjoe / CC BY-SA 3.0
The beauty of these first two levels is that they’re clear-cut problems with clear-cut solutions: if you’re hungry, then you eat; if you’re thirsty, then you drink; if you’re tired, then you sleep.

But what about the next tiers of the hierarchy? What of love and belonging, of self-esteem and self-actualization? If we’re lonely, can we just summon up an authentic friend or lover? If we feel neglected by society, can we demand it validate us? If we feel discouraged and disappointed in ourselves, can we simply dial up some confidence and self-esteem?

Of course not, and that’s because these psychological needs are nebulous; they don’t contain clear problems with clear solutions. They involve the external world and other people, and are complicated by the infinite flavors of nuance and compromise that are required to navigate human relationships and personal meaning.

These psychological difficulties are where we grow our personalities, outlooks, and beliefs. The truly defining characteristics of a person are dictated not by the physical situations they were forced into—like birth, socioeconomic class, or physical ailment—but instead by the things they choose. So a future of abundance helps to free us from the physical limitations so that we can truly commit to a life of purpose and meaning, rather than just feel like survival is our purpose.

The Greatest Challenge
And that’s the plot twist. This challenge to come to grips with our own individuality and freedom could actually be the greatest challenge our species has ever faced. Can you imagine waking up every day with infinite possibility? Every choice you make says no to the rest of reality, and so every decision carries with it truly life-defining purpose and meaning. That sounds overwhelming. And that’s probably because in our current socio-economic systems, it is.

Studies have shown that people in wealthier nations tend to experience more anxiety and depression. Ron Kessler, professor of health care policy at Harvard and World Health Organization (WHO) researcher, summarized his findings of global mental health by saying, “When you’re literally trying to survive, who has time for depression? Americans, on the other hand, many of whom lead relatively comfortable lives, blow other nations away in the depression factor, leading some to suggest that depression is a ‘luxury disorder.’”

This might explain why America scores in the top rankings for the most depressed and anxious country on the planet. We surpassed our survival needs, and instead became depressed because our jobs and relationships don’t fulfill our expectations for the next three levels of Maslow’s hierarchy (belonging, esteem, and self-actualization).

But a future of abundance would mean we’d have to deal with these levels. This is the challenge for the future; this is what keeps things from being mundane.

As a society, we would be forced to come to grips with our emotional intelligence, to reckon with philosophy rather than simply contemplate it. Nearly every person you meet will be passionately on their own customized life journey, not following a routine simply because of financial limitations. Such a world seems far more vibrant and interesting than one where most wander sleep-deprived and numb while attempting to survive the rat race.

We can already see the forceful hand of this paradigm shift as self-driving cars become ubiquitous. For example, consider the famous psychological and philosophical “trolley problem.” In this thought experiment, a person sees a trolley car heading towards five people on the train tracks; they see a lever that will allow them to switch the trolley car to a track that instead only has one person on it. Do you switch the lever and have a hand in killing one person, or do you let fate continue and kill five people instead?

For the longest time, this was just an interesting quandary to consider. But now, massive corporations have to have an answer, so they can program their self-driving cars with the ability to choose between hitting a kid who runs into the road or swerving into an oncoming car carrying a family of five. When companies need philosophers to make business decisions, it’s a good sign of what’s to come.

Luckily, it’s possible this forceful reckoning with philosophy and our own consciousness may be exactly what humanity needs. Perhaps our great failure as a species has been a result of advanced cognition still trapped in the first two levels of Maslow’s hierarchy due to a long history of scarcity.

As suggested in the opening scenes in 2001: A Space Odyssey, our ape-like proclivity for violence has long stayed the same while the technology we fight with and live amongst has progressed. So while well-off Americans may have comfortable lives, they still know they live in a system where there is no safety net, where a single tragic failure could still mean hunger and homelessness. And because of this, that evolutionarily hard-wired neurotic part of our brain that fears for our survival has never been able to fully relax, and so that anxiety and depression that come with too much freedom but not enough security stays ever present.

Not only might this shift in consciousness help liberate humanity, but it may be vital if we’re to survive our future creations as well. Whatever values we hold dear as a species are the ones we will imbue into the sentient robots we create. If machine learning is going to take its guidance from humanity, we need to level up humanity’s emotional maturity.

While the physical struggles of the future may indeed fall to the wayside amongst abundance, it’s unlikely to become a mundane world; instead, it will become a vibrant culture where each individual is striving against the most important struggle that affects all of us: the challenge to find inner peace, to find fulfillment, to build meaningful relationships, and ultimately, the challenge to find ourselves.

Image Credit: goffkein.pro / Shutterstock.com Continue reading

Posted in Human Robots

#435023 Inflatable Robot Astronauts and How to ...

The typical cultural image of a robot—as a steel, chrome, humanoid bucket of bolts—is often far from the reality of cutting-edge robotics research. There are difficulties, both social and technological, in realizing the image of a robot from science fiction—let alone one that can actually help around the house. Often, it’s simply the case that great expense in producing a humanoid robot that can perform dozens of tasks quite badly is less appropriate than producing some other design that’s optimized to a specific situation.

A team of scientists from Brigham Young University has received funding from NASA to investigate an inflatable robot called, improbably, King Louie. The robot was developed by Pneubotics, who have a long track record in the world of soft robotics.

In space, weight is at a premium. The world watched in awe and amusement when Commander Chris Hadfield sang “Space Oddity” from the International Space Station—but launching that guitar into space likely cost around $100,000. A good price for launching payload into outer space is on the order of $10,000 per pound ($22,000/kg).

For that price, it would cost a cool $1.7 million to launch Boston Dynamics’ famous ATLAS robot to the International Space Station, and its bulk would be inconvenient in the cramped living quarters available. By contrast, an inflatable robot like King Louie is substantially lighter and can simply be deflated and folded away when not in use. The robot can be manufactured from cheap, lightweight, and flexible materials, and minor damage is easy to repair.

Inflatable Robots Under Pressure
The concept of inflatable robots is not new: indeed, earlier prototypes of King Louie were exhibited back in 2013 at Google I/O’s After Hours, flailing away at each other in a boxing ring. Sparks might fly in fights between traditional robots, but the aim here was to demonstrate that the robots are passively safe: the soft, inflatable figures won’t accidentally smash delicate items when moving around.

Health and safety regulations form part of the reason why robots don’t work alongside humans more often, but soft robots would be far safer to use in healthcare or around children (whose first instinct, according to BYU’s promotional video, is either to hug or punch King Louie.) It’s also much harder to have nightmarish fantasies about robotic domination with these friendlier softbots: Terminator would’ve been a much shorter franchise if Skynet’s droids were inflatable.

Robotic exoskeletons are increasingly used for physical rehabilitation therapies, as well as for industrial purposes. As countries like Japan seek to care for their aging populations with robots and alleviate the burden on nurses, who suffer from some of the highest rates of back injuries of any profession, soft robots will become increasingly attractive for use in healthcare.

Precision and Proprioception
The main issue is one of control. Rigid, metallic robots may be more expensive and more dangerous, but the simple fact of their rigidity makes it easier to map out and control the precise motions of each of the robot’s limbs, digits, and actuators. Individual motors attached to these rigid robots can allow for a great many degrees of freedom—individual directions in which parts of the robot can move—and precision control.

For example, ATLAS has 28 degrees of freedom, while Shadow’s dexterous robot hand alone has 20. This is much harder to do with an inflatable robot, for precisely the same reasons that make it safer. Without hard and rigid bones, other methods of control must be used.

In the case of King Louie, the robot is made up of many expandable air chambers. An air-compressor changes the pressure levels in these air chambers, allowing them to expand and contract. This harks back to some of the earliest pneumatic automata. Pairs of chambers act antagonistically, like muscles, such that when one chamber “tenses,” another relaxes—allowing King Louie to have, for example, four degrees of freedom in each of its arms.

The robot is also surprisingly strong. Professor Killpack, who works at BYU on the project, estimates that its payload is comparable to other humanoid robots on the market, like Rethink Robotics’ Baxter (RIP).

Proprioception, that sixth sense that allows us to map out and control our own bodies and muscles in fine detail, is being enhanced for a wider range of soft, flexible robots with the use of machine learning algorithms connected to input from a whole host of sensors on the robot’s body.

Part of the reason this is so complicated with soft, flexible robots is that the shape and “map” of the robot’s body can change; that’s the whole point. But this means that every time King Louie is inflated, its body is a slightly different shape; when it becomes deformed, for example due to picking up objects, the shape changes again, and the complex ways in which the fabric can twist and bend are far more difficult to model and sense than the behavior of the rigid metal of King Louie’s hard counterparts. When you’re looking for precision, seemingly-small changes can be the difference between successfully holding an object or dropping it.

Learning to Move
Researchers at BYU are therefore spending a great deal of time on how to control the soft-bot enough to make it comparably useful. One method involves the commercial tracking technology used in the Vive VR system: by moving the game controller, which provides a constant feedback to the robot’s arm, you can control its position. Since the tracking software provides an estimate of the robot’s joint angles and continues to provide feedback until the arm is correctly aligned, this type of feedback method is likely to work regardless of small changes to the robot’s shape.

The other technologies the researchers are looking into for their softbot include arrays of flexible, tactile sensors to place on the softbot’s skin, and minimizing the complex cross-talk between these arrays to get coherent information about the robot’s environment. As with some of the new proprioception research, the project is looking into neural networks as a means of modeling the complicated dynamics—the motion and response to forces—of the softbot. This method relies on large amounts of observational data, mapping how the robot is inflated and how it moves, rather than explicitly understanding and solving the equations that govern its motion—which hopefully means the methods can work even as the robot changes.

There’s still a long way to go before soft and inflatable robots can be controlled sufficiently well to perform all the tasks they might be used for. Ultimately, no one robotic design is likely to be perfect for any situation.

Nevertheless, research like this gives us hope that one day, inflatable robots could be useful tools, or even companions, at which point the advertising slogans write themselves: Don’t let them down, and they won’t let you down!

Image Credit: Brigham Young University. Continue reading

Posted in Human Robots

#434823 The Tangled Web of Turning Spider Silk ...

Spider-Man is one of the most popular superheroes of all time. It’s a bit surprising given that one of the more common phobias is arachnophobia—a debilitating fear of spiders.

Perhaps more fantastical is that young Peter Parker, a brainy high school science nerd, seemingly developed overnight the famous web-shooters and the synthetic spider silk that he uses to swing across the cityscape like Tarzan through the jungle.

That’s because scientists have been trying for decades to replicate spider silk, a material that is five times stronger than steel, among its many superpowers. In recent years, researchers have been untangling the protein-based fiber’s structure down to the molecular level, leading to new insights and new potential for eventual commercial uses.

The applications for such a material seem near endless. There’s the more futuristic visions, like enabling robotic “muscles” for human-like movement or ensnaring real-life villains with a Spider-Man-like web. Near-term applications could include the biomedical industry, such as bandages and adhesives, and as a replacement textile for everything from rope to seat belts to parachutes.

Spinning Synthetic Spider Silk
Randy Lewis has been studying the properties of spider silk and developing methods for producing it synthetically for more than three decades. In the 1990s, his research team was behind cloning the first spider silk gene, as well as the first to identify and sequence the proteins that make up the six different silks that web slingers make. Each has different mechanical properties.

“So our thought process was that you could take that information and begin to to understand what made them strong and what makes them stretchy, and why some are are very stretchy and some are not stretchy at all, and some are stronger and some are weaker,” explained Lewis, a biology professor at Utah State University and director of the Synthetic Spider Silk Lab, in an interview with Singularity Hub.

Spiders are naturally territorial and cannibalistic, so any intention to farm silk naturally would likely end in an orgy of arachnid violence. Instead, Lewis and company have genetically modified different organisms to produce spider silk synthetically, including inserting a couple of web-making genes into the genetic code of goats. The goats’ milk contains spider silk proteins.

The lab also produces synthetic spider silk through a fermentation process not entirely dissimilar to brewing beer, but using genetically modified bacteria to make the desired spider silk proteins. A similar technique has been used for years to make a key enzyme in cheese production. More recently, companies are using transgenic bacteria to make meat and milk proteins, entirely bypassing animals in the process.

The same fermentation technology is used by a chic startup called Bolt Threads outside of San Francisco that has raised more than $200 million for fashionable fibers made out of synthetic spider silk it calls Microsilk. (The company is also developing a second leather-like material, Mylo, using the underground root structure of mushrooms known as mycelium.)

Lewis’ lab also uses transgenic silkworms to produce a kind of composite material made up of the domesticated insect’s own silk proteins and those of spider silk. “Those have some fairly impressive properties,” Lewis said.

The researchers are even experimenting with genetically modified alfalfa. One of the big advantages there is that once the spider silk protein has been extracted, the remaining protein could be sold as livestock feed. “That would bring the cost of spider silk protein production down significantly,” Lewis said.

Building a Better Web
Producing synthetic spider silk isn’t the problem, according to Lewis, but the ability to do it at scale commercially remains a sticking point.

Another challenge is “weaving” the synthetic spider silk into usable products that can take advantage of the material’s marvelous properties.

“It is possible to make silk proteins synthetically, but it is very hard to assemble the individual proteins into a fiber or other material forms,” said Markus Buehler, head of the Department of Civil and Environmental Engineering at MIT, in an email to Singularity Hub. “The spider has a complex spinning duct in which silk proteins are exposed to physical forces, chemical gradients, the combination of which generates the assembly of molecules that leads to silk fibers.”

Buehler recently co-authored a paper in the journal Science Advances that found dragline spider silk exhibits different properties in response to changes in humidity that could eventually have applications in robotics.

Specifically, spider silk suddenly contracts and twists above a certain level of relative humidity, exerting enough force to “potentially be competitive with other materials being explored as actuators—devices that move to perform some activity such as controlling a valve,” according to a press release.

Studying Spider Silk Up Close
Recent studies at the molecular level are helping scientists learn more about the unique properties of spider silk, which may help researchers develop materials with extraordinary capabilities.

For example, scientists at Arizona State University used magnetic resonance tools and other instruments to image the abdomen of a black widow spider. They produced what they called the first molecular-level model of spider silk protein fiber formation, providing insights on the nanoparticle structure. The research was published last October in Proceedings of the National Academy of Sciences.

A cross section of the abdomen of a black widow (Latrodectus Hesperus) spider used in this study at Arizona State University. Image Credit: Samrat Amin.
Also in 2018, a study presented in Nature Communications described a sort of molecular clamp that binds the silk protein building blocks, which are called spidroins. The researchers observed for the first time that the clamp self-assembles in a two-step process, contributing to the extensibility, or stretchiness, of spider silk.

Another team put the spider silk of a brown recluse under an atomic force microscope, discovering that each strand, already 1,000 times thinner than a human hair, is made up of thousands of nanostrands. That helps explain its extraordinary tensile strength, though technique is also a factor, as the brown recluse uses a special looping method to reinforce its silk strands. The study also appeared last year in the journal ACS Macro Letters.

Making Spider Silk Stick
Buehler said his team is now trying to develop better and faster predictive methods to design silk proteins using artificial intelligence.

“These new methods allow us to generate new protein designs that do not naturally exist and which can be explored to optimize certain desirable properties like torsional actuation, strength, bioactivity—for example, tissue engineering—and others,” he said.

Meanwhile, Lewis’ lab has discovered a method that allows it to solubilize spider silk protein in what is essentially a water-based solution, eschewing acids or other toxic compounds that are normally used in the process.

That enables the researchers to develop materials beyond fiber, including adhesives that “are better than an awful lot of the current commercial adhesives,” Lewis said, as well as coatings that could be used to dampen vibrations, for example.

“We’re making gels for various kinds of of tissue regeneration, as well as drug delivery, and things like that,” he added. “So we’ve expanded the use profile from something beyond fibers to something that is a much more extensive portfolio of possible kinds of materials.”

And, yes, there’s even designs at the Synthetic Spider Silk Lab for developing a Spider-Man web-slinger material. The US Navy is interested in non-destructive ways of disabling an enemy vessel, such as fouling its propeller. The project also includes producing synthetic proteins from the hagfish, an eel-like critter that exudes a gelatinous slime when threatened.

Lewis said that while the potential for spider silk is certainly headline-grabbing, he cautioned that much of the hype is not focused on the unique mechanical properties that could lead to advances in healthcare and other industries.

“We want to see spider silk out there because it’s a unique material, not because it’s got marketing appeal,” he said.

Image Credit: mycteria / Shutterstock.com Continue reading

Posted in Human Robots

#434792 Extending Human Longevity With ...

Lizards can regrow entire limbs. Flatworms, starfish, and sea cucumbers regrow entire bodies. Sharks constantly replace lost teeth, often growing over 20,000 teeth throughout their lifetimes. How can we translate these near-superpowers to humans?

The answer: through the cutting-edge innovations of regenerative medicine.

While big data and artificial intelligence transform how we practice medicine and invent new treatments, regenerative medicine is about replenishing, replacing, and rejuvenating our physical bodies.

In Part 5 of this blog series on Longevity and Vitality, I detail three of the regenerative technologies working together to fully augment our vital human organs.

Replenish: Stem cells, the regenerative engine of the body
Replace: Organ regeneration and bioprinting
Rejuvenate: Young blood and parabiosis

Let’s dive in.

Replenish: Stem Cells – The Regenerative Engine of the Body
Stem cells are undifferentiated cells that can transform into specialized cells such as heart, neurons, liver, lung, skin and so on, and can also divide to produce more stem cells.

In a child or young adult, these stem cells are in large supply, acting as a built-in repair system. They are often summoned to the site of damage or inflammation to repair and restore normal function.

But as we age, our supply of stem cells begins to diminish as much as 100- to 10,000-fold in different tissues and organs. In addition, stem cells undergo genetic mutations, which reduce their quality and effectiveness at renovating and repairing your body.

Imagine your stem cells as a team of repairmen in your newly constructed mansion. When the mansion is new and the repairmen are young, they can fix everything perfectly. But as the repairmen age and reduce in number, your mansion eventually goes into disrepair and finally crumbles.

What if you could restore and rejuvenate your stem cell population?

One option to accomplish this restoration and rejuvenation is to extract and concentrate your own autologous adult stem cells from places like your adipose (or fat) tissue or bone marrow.

These stem cells, however, are fewer in number and have undergone mutations (depending on your age) from their original ‘software code.’ Many scientists and physicians now prefer an alternative source, obtaining stem cells from the placenta or umbilical cord, the leftovers of birth.

These stem cells, available in large supply and expressing the undamaged software of a newborn, can be injected into joints or administered intravenously to rejuvenate and revitalize.

Think of these stem cells as chemical factories generating vital growth factors that can help to reduce inflammation, fight autoimmune disease, increase muscle mass, repair joints, and even revitalize skin and grow hair.

Over the last decade, the number of publications per year on stem cell-related research has increased 40x, and the stem cell market is expected to increase to $297 billion by 2022.

Rising research and development initiatives to develop therapeutic options for chronic diseases and growing demand for regenerative treatment options are the most significant drivers of this budding industry.

Biologists led by Kohji Nishida at Osaka University in Japan have discovered a new way to nurture and grow the tissues that make up the human eyeball. The scientists are able to grow retinas, corneas, the eye’s lens, and more, using only a small sample of adult skin.

In a Stanford study, seven of 18 stroke victims who agreed to stem cell treatments showed remarkable motor function improvements. This treatment could work for other neurodegenerative conditions such as Alzheimer’s, Parkinson’s, and ALS.

Doctors from the USC Neurorestoration Center and Keck Medicine of USC injected stem cells into the damaged cervical spine of a recently paralyzed 21-year-old man. Three months later, he showed dramatic improvement in sensation and movement of both arms.

In 2019, doctors in the U.K. cured a patient with HIV for the second time ever thanks to the efficacy of stem cells. After giving the cancer patient (who also had HIV) an allogeneic haematopoietic (e.g. blood) stem cell treatment for his Hodgkin’s lymphoma, the patient went into long-term HIV remission—18 months and counting at the time of the study’s publication.

Replace: Organ Regeneration and 3D Printing
Every 10 minutes, someone is added to the US organ transplant waiting list, totaling over 113,000 people waiting for replacement organs as of January 2019.

Countless more people in need of ‘spare parts’ never make it onto the waiting list. And on average, 20 people die each day while waiting for a transplant.

As a result, 35 percent of all US deaths (~900,000 people) could be prevented or delayed with access to organ replacements.

The excessive demand for donated organs will only intensify as technologies like self-driving cars make the world safer, given that many organ donors result from auto and motorcycle accidents. Safer vehicles mean less accidents and donations.

Clearly, replacement and regenerative medicine represent a massive opportunity.

Organ Entrepreneurs
Enter United Therapeutics CEO, Dr. Martine Rothblatt. A one-time aerospace entrepreneur (she was the founder of Sirius Satellite Radio), Rothblatt changed careers in the 1990s after her daughter developed a rare lung disease.

Her moonshot today is to create an industry of replacement organs. With an initial focus on diseases of the lung, Rothblatt set out to create replacement lungs. To accomplish this goal, her company United Therapeutics has pursued a number of technologies in parallel.

3D Printing Lungs
In 2017, United teamed up with one of the world’s largest 3D printing companies, 3D Systems, to build a collagen bioprinter and is paying another company, 3Scan, to slice up lungs and create detailed maps of their interior.

This 3D Systems bioprinter now operates according to a method called stereolithography. A UV laser flickers through a shallow pool of collagen doped with photosensitive molecules. Wherever the laser lingers, the collagen cures and becomes solid.

Gradually, the object being printed is lowered and new layers are added. The printer can currently lay down collagen at a resolution of around 20 micrometers, but will need to achieve resolution of a micrometer in size to make the lung functional.

Once a collagen lung scaffold has been printed, the next step is to infuse it with human cells, a process called recellularization.

The goal here is to use stem cells that grow on scaffolding and differentiate, ultimately providing the proper functionality. Early evidence indicates this approach can work.

In 2018, Harvard University experimental surgeon Harald Ott reported that he pumped billions of human cells (from umbilical cords and diced lungs) into a pig lung stripped of its own cells. When Ott’s team reconnected it to a pig’s circulation, the resulting organ showed rudimentary function.

Humanizing Pig Lungs
Another of Rothblatt’s organ manufacturing strategies is called xenotransplantation, the idea of transplanting an animal’s organs into humans who need a replacement.

Given the fact that adult pig organs are similar in size and shape to those of humans, United Therapeutics has focused on genetically engineering pigs to allow humans to use their organs. “It’s actually not rocket science,” said Rothblatt in her 2015 TED talk. “It’s editing one gene after another.”

To accomplish this goal, United Therapeutics made a series of investments in companies such as Revivicor Inc. and Synthetic Genomics Inc., and signed large funding agreements with the University of Maryland, University of Alabama, and New York Presbyterian/Columbia University Medical Center to create xenotransplantation programs for new hearts, kidneys, and lungs, respectively. Rothblatt hopes to see human translation in three to four years.

In preparation for that day, United Therapeutics owns a 132-acre property in Research Triangle Park and built a 275,000-square-foot medical laboratory that will ultimately have the capability to annually produce up to 1,000 sets of healthy pig lungs—known as xenolungs—from genetically engineered pigs.

Lung Ex Vivo Perfusion Systems
Beyond 3D printing and genetically engineering pig lungs, Rothblatt has already begun implementing a third near-term approach to improve the supply of lungs across the US.

Only about 30 percent of potential donor lungs meet transplant criteria in the first place; of those, only about 85 percent of those are usable once they arrive at the surgery center. As a result, nearly 75 percent of possible lungs never make it to the recipient in need.

What if these lungs could be rejuvenated? This concept informs Dr. Rothblatt’s next approach.

In 2016, United Therapeutics invested $41.8 million in TransMedics Inc., an Andover, Massachusetts company that develops ex vivo perfusion systems for donor lungs, hearts, and kidneys.

The XVIVO Perfusion System takes marginal-quality lungs that initially failed to meet transplantation standard-of-care criteria and perfuses and ventilates them at normothermic conditions, providing an opportunity for surgeons to reassess transplant suitability.

Rejuvenate Young Blood and Parabiosis
In HBO’s parody of the Bay Area tech community, Silicon Valley, one of the episodes (Season 4, Episode 5) is named “The Blood Boy.”

In this installment, tech billionaire Gavin Belson (Matt Ross) is meeting with Richard Hendricks (Thomas Middleditch) and his team, speaking about the future of the decentralized internet. A young, muscled twenty-something disrupts the meeting when he rolls in a transfusion stand and silently hooks an intravenous connection between himself and Belson.

Belson then introduces the newcomer as his “transfusion associate” and begins to explain the science of parabiosis: “Regular transfusions of the blood of a younger physically fit donor can significantly retard the aging process.”

While the sitcom is fiction, that science has merit, and the scenario portrayed in the episode is already happening today.

On the first point, research at Stanford and Harvard has demonstrated that older animals, when transfused with the blood of young animals, experience regeneration across many tissues and organs.

The opposite is also true: young animals, when transfused with the blood of older animals, experience accelerated aging. But capitalizing on this virtual fountain of youth has been tricky.

Ambrosia
One company, a San Francisco-based startup called Ambrosia, recently commenced one of the trials on parabiosis. Their protocol is simple: Healthy participants aged 35 and older get a transfusion of blood plasma from donors under 25, and researchers monitor their blood over the next two years for molecular indicators of health and aging.

Ambrosia’s founder Jesse Karmazin became interested in launching a company around parabiosis after seeing impressive data from animals and studies conducted abroad in humans: In one trial after another, subjects experience a reversal of aging symptoms across every major organ system. “The effects seem to be almost permanent,” he said. “It’s almost like there’s a resetting of gene expression.”

Infusing your own cord blood stem cells as you age may have tremendous longevity benefits. Following an FDA press release in February 2019, Ambrosia halted its consumer-facing treatment after several months of operation.

Understandably, the FDA raised concerns about the practice of parabiosis because to date, there is a marked lack of clinical data to support the treatment’s effectiveness.

Elevian
On the other end of the reputability spectrum is a startup called Elevian, spun out of Harvard University. Elevian is approaching longevity with a careful, scientifically validated strategy. (Full Disclosure: I am both an advisor to and investor in Elevian.)

CEO Mark Allen, MD, is joined by a dozen MDs and Ph.Ds out of Harvard. Elevian’s scientific founders started the company after identifying specific circulating factors that may be responsible for the “young blood” effect.

One example: A naturally occurring molecule known as “growth differentiation factor 11,” or GDF11, when injected into aged mice, reproduces many of the regenerative effects of young blood, regenerating heart, brain, muscles, lungs, and kidneys.

More specifically, GDF11 supplementation reduces age-related cardiac hypertrophy, accelerates skeletal muscle repair, improves exercise capacity, improves brain function and cerebral blood flow, and improves metabolism.

Elevian is developing a number of therapeutics that regulate GDF11 and other circulating factors. The goal is to restore our body’s natural regenerative capacity, which Elevian believes can address some of the root causes of age-associated disease with the promise of reversing or preventing many aging-related diseases and extending the healthy lifespan.

Conclusion
In 1992, futurist Leland Kaiser coined the term “regenerative medicine”:

“A new branch of medicine will develop that attempts to change the course of chronic disease and in many instances will regenerate tired and failing organ systems.”

Since then, the powerful regenerative medicine industry has grown exponentially, and this rapid growth is anticipated to continue.

A dramatic extension of the human healthspan is just over the horizon. Soon, we’ll all have the regenerative superpowers previously relegated to a handful of animals and comic books.

What new opportunities open up when anybody, anywhere, and at anytime can regenerate, replenish, and replace entire organs and metabolic systems on command?

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