Tag Archives: Tal Dvir

Walking again? Israeli team gears up to implant bioengineered spinal cord tissue into paralyzed patient

The Israeli team working on this regenerative medicine project has already (in 2022) been successful with mice. Diana Bletter’s August 21, 2025 Times of Israel article, excerpts of which can be found later in this posting, added some details that I appreciated. That said, the press release is quite accessible and informative.

An August 19, 2025 Tel Aviv University (TAU) press release (also on EurekAlert but edited and published on August 20, 2025) describes the upcoming human trial, Note: Links have been removed,

What if we could restore the ability to walk to people paralyzed by injury or illness? This vision is now moving closer to reality. Three years ago, Tel Aviv University researchers succeeded in engineering a human spinal cord in the lab for the first time. Since then, progress has been rapid, with animal trials showing unprecedented success. Now, for the first time, the technology is set to be tested in human patients.

Prof. Tal Dvir, of TAU’s Sagol Center for Regenerative Biotechnology, head of the Nanotechnology Center, and Chief Scientist of the biotech company Matricelf, explains: “The spinal cord is made up of nerve cells that transmit electrical signals from the brain to every part of the body. When the spinal cord is torn due to trauma — from a car accident, a fall, or a battlefield injury — this chain is broken. Think of it like an electrical cable that’s been cut: if the two parts don’t touch, the electrical signal can’t pass. The cable won’t carry electricity, and in the same way, the person can’t transmit the signal beyond the site of the injury.”

This is one of the few injuries in the human body with no natural ability to regenerate. “Neurons are cells that do not divide and do not renew themselves. They are not like skin cells, which can repair themselves after injury. They are more similar to heart cells: once damage occurs, the body cannot restore them,” notes Prof. Dvir.

 Engineering a Personalized Implant

To overcome this challenge, the TAU researchers developed a fully personalized process. Blood cells are taken from the patient and reprogrammed through genetic engineering to behave like embryonic stem cells, capable of becoming any type of cell in the body.

Meanwhile, fat tissue from the same patient is used to extract substances such as collagen and sugars. These are used to produce a unique hydrogel. “The beauty of this gel is that it’s also personalized, just like the cells. We take the cells that we’ve reprogrammed into embryonic-like stem cells, place them inside the gel, and mimic the embryonic development of the spinal cord,” says Prof. Dvir.

The result is a complete three-dimensional implant. “At the end of the process, we don’t just turn the cells into motor neurons — because cells alone won’t help us — but into three-dimensional tissue: neuronal networks of the spinal cord. After about a month, we obtain a 3D implant with many neurons that transmit electrical signals. These 3D tissues are then implanted into the damaged area.”

Visualization of the next stage of the research – human spinal cord implants for treating paralysis (Photo: Sagol Center for Regenerative Biotechnology)

From Animals to Human Patients

The researchers first tested the implant in lab animals. “We showed that we can treat animals with chronic injuries. Not animals that were injured just recently, but those we allowed enough time to pass — like a person more than a year after an injury. More than 80% of the animals regained full walking ability,” Prof. Dvir explains.

Encouraged by these results, the team submitted the findings to Israel’s Ministry of Health. “About six months ago we received preliminary approval to begin compassionate-use trials with eight patients. We decided, of course, that the first patient would be Israeli. This is undoubtedly a matter of national pride. The technology was developed here in Israel, at Tel Aviv University and at Matricelf, and from the very beginning it was clear to us that the first-ever surgery would be performed in Israel, with an Israeli patient.” he says.

Looking Ahead

The first implant in a human patient is expected within about a year. For the initial trials, the team will focus on patients whose paralysis is relatively recent — within about a year of injury. “Once we prove that the treatment works — everything is open, and we’ll be able to treat any injury,” says Prof. Dvir.

Behind the initiative are key figures from both academia and industry. Prof. Dvir founded Matricelf in 2019 together with Dr. Alon Sinai, based on the revolutionary organ engineering technology developed at TAU under a licensing agreement through Ramot, the University’s technology transfer company. The company’s CEO is Gil Hakim, while the scientific development is led by Dr. Tamar Harel-Adar and her team.

“They managed to get us to the stage of regulatory approvals so quickly — and that’s amazing,” says Prof. Dvir.

Gil Hakim, CEO of Matricelf , concludes: “This milestone marks the shift from pioneering research to patient treatment. For the first time, we are translating years of successful preclinical work into a procedure for people living with paralysis. Our approach, using each patient’s own cells to engineer a new spinal cord, eliminates key safety risks and positions Matricelf at the forefront of regenerative medicine. If successful, this therapy has the potential to define a new standard of care in spinal cord repair, addressing a multi-billion-dollar market with no effective solutions today. This first procedure is more than a scientific breakthrough, it is a value-inflection point for Matricelf and a step toward transforming an area of medicine long considered untreatable. We are proud that Israel is leading this global effort and are fully committed to bringing this innovation to patients worldwide.”

Diana Bletter’s August 21, 2025 article for The Times of Israel (h/t August 21, 2025 Google alert) covers much of the same ground as the press release but there are some new details, Note: Links have been removed,

Prof. Tal Dvir, head of the Sagol Center for Regenerative Biotechnology and the Nanotechnology Center at Tel Aviv University, said his research team is now able to engineer a spinal cord that functions exactly like a natural one by implanting 3D-engineered tissue into the damaged area.

Fusion then occurs between the new tissue and the healthy areas above and below the injury that will end the paralysis.

The upcoming spinal cord implant surgery marks the next stage in a process that began about three years ago, when Dvir’s lab at Tel Aviv University succeeded in engineering a personalized 3D spinal cord in the laboratory.

The groundbreaking findings, published in the prestigious journal Advanced Science, demonstrated for the first time ever that mice suffering from chronic paralysis that were treated with these engineered implants started to walk — and even scamper — again.


The success rate with the engineered spinal cord was 80 percent for mice with chronic paralysis. Among those with recent or short-term paralysis, 100% of the mice walked.

Patients remain paralyzed because neurons do not renew

Around the world, there are over 15 million people who have suffered spinal cord injuries. Professionals can help stabilize the injury but not much else.

Dvir said that as a result, the damage only worsens. Over time, the damaged area becomes scar tissue.

“The patient remains paralyzed below the site of injury,” he said. “If the injury is in the neck, all four limbs may be paralyzed. If in the lower back, the legs will not move, and so on.”

Spinal cord injuries are one of the very few injuries in the human body that are not impacted by natural regenerative ability, Dvir explained.

“The neurons do not divide and do not renew themselves,” he said. “These cells are not like skin cells, which can heal after injury, but are more like heart cells: Once damaged, the body cannot repair them.”

“The spinal cord is composed of nerve cells that transmit electrical signals from the brain to all parts of the body,” Dvir said. “The decision is made in the brain, the electrical signal passes through the spinal cord, and from there, neurons activate the muscles throughout the body.”

When the spinal cord is severed due to trauma, such as a car accident, a fall, or a combat injury, this chain is broken.

“Think of an electrical cable that has been cut,” Dvir said. “When the two ends no longer touch, the electrical signal cannot pass. The cable will not transmit electricity, and the person cannot transmit the signal beyond the injury.”

Dvir’s team aims to fix that.

Implanting an engineered human spinal cord

Dvir said that the researchers start the process with a small biopsy from the belly.

They then take these blood cells and perform a process known as reprogramming — genetic engineering that transforms the cells into embryonic stem cell-like cells, capable of developing into any cell type in the body.

In the next step, the scientists take fatty tissue from the patient, extract key components such as collagens and sugars, and build a customized hydrogel. The embryonic stem cell-like cells are placed in this gel, and the embryonic development of a spinal cord is mimicked.

This spinal cord will then be transplanted into the human body, restoring the body’s abilities.

I have a link to Dvir’s company, Matricelf and a link to and a citation to the Dvir team’s 2022 study,

Regenerating the Injured Spinal Cord at the Chronic Phase by Engineered iPSCs-Derived 3D Neuronal Networks by Lior Wertheim, Reuven Edri, Yona Goldshmit, Tomer Kagan, Nadav Noor, Angela Ruban, Assaf Shapira, Irit Gat-Viks, Yaniv Assaf, Tal Dvir. Advanced Science Volume9, Issue 11 April 14, 2022 2105694 DOI: https://doi.org/10.1002/advs.202105694 First published online: 07 February 2022

This paper is open access.

One more note, there is other work devoted to enable paralyzed people to walk again such as the Walk Again Project (Wikipedia entry), Note: Links have been removed,

Walk Again Project is an international, non-profit consortium led by Miguel Nicolelis, created in 2009 in a partnership between Duke University and the IINN/ELS [International Institute for Neurosciences of Natal – Edmond and Lily Safra or Instituto Internacional de Neurociências Edmond e Lily Safra; (INN-ELS)], where researchers come together to find neuro-rehabilitation treatments for spinal cord injuries,[1][2][3] which pioneered the development and use of the brain–machine interface, including its non-invasive version,[4] with an EEG.[5]

My May 15, 2019 posting “Walking again with exoskeletons and brain-controlled, non-invasive muscle stimulation enabling people to walk” features more information about the Walk Again Project (scroll down to the ‘Brazil and Walk Again” subhead and a Canadian project (Note: The CBC has removed access to a video that I’d embedded in the posting.)

I wish all the best for everyone involved in the upcoming human trial.

First 3D heart printed using patient’s biological materials

This is very exciting news and it’s likely be at least 10 years before this technology could be made available to the public.

Caption: A 3D-printed, small-scaled human heart engineered from the patient’s own materials and cells. Credit: Advanced Science. © 2019 The Authors.

An April 15, 2019 news item on ScienceDaily makes a remarkable announcement,

In a major medical breakthrough, Tel Aviv University researchers have “printed” the world’s first 3D vascularised engineered heart using a patient’s own cells and biological materials. Their findings were published on April 15 [2019] in a study in Advanced Science.

Until now, scientists in regenerative medicine — a field positioned at the crossroads of biology and technology — have been successful in printing only simple tissues without blood vessels.

“This is the first time anyone anywhere has successfully engineered and printed an entire heart replete with cells, blood vessels, ventricles and chambers,” says Prof. Tal Dvir of TAU’s School of Molecular Cell Biology and Biotechnology, Department of Materials Science and Engineering, Center for Nanoscience and Nanotechnology and Sagol Center for Regenerative Biotechnology, who led the research for the study.

An April 15, 2019 Amricna Friends of Tel Aviv University (TAU) news release (also on EurekAlert), which originated the news item, provides more detail,

Heart disease is the leading cause of death among both men and women in the United States. Heart transplantation is currently the only treatment available to patients with end-stage heart failure. Given the dire shortage of heart donors, the need to develop new approaches to regenerate the diseased heart is urgent.

“This heart is made from human cells and patient-specific biological materials. In our process these materials serve as the bioinks, substances made of sugars and proteins that can be used for 3D printing of complex tissue models,” Prof. Dvir says. “People have managed to 3D-print the structure of a heart in the past, but not with cells or with blood vessels. Our results demonstrate the potential of our approach for engineering personalized tissue and organ replacement in the future.

Research for the study was conducted jointly by Prof. Dvir, Dr. Assaf Shapira of TAU’s Faculty of Life Sciences and Nadav Moor, a doctoral student in Prof. Dvir’s lab.

“At this stage, our 3D heart is small, the size of a rabbit’s heart, [emphasis mine] ” explains Prof. Dvir. “But larger human hearts require the same technology.”

For the research, a biopsy of fatty tissue was taken from patients. The cellular and a-cellular materials of the tissue were then separated. While the cells were reprogrammed to become pluripotent stem cells, the extracellular matrix (ECM), a three-dimensional network of extracellular macromolecules such as collagen and glycoproteins, were processed into a personalized hydrogel that served as the printing “ink.”

After being mixed with the hydrogel, the cells were efficiently differentiated to cardiac or endothelial cells to create patient-specific, immune-compatible cardiac patches with blood vessels and, subsequently, an entire heart.

According to Prof. Dvir, the use of “native” patient-specific materials is crucial to successfully engineering tissues and organs.

“The biocompatibility of engineered materials is crucial to eliminating the risk of implant rejection, which jeopardizes the success of such treatments,” Prof. Dvir says. “Ideally, the biomaterial should possess the same biochemical, mechanical and topographical properties of the patient’s own tissues. Here, we can report a simple approach to 3D-printed thick, vascularized and perfusable cardiac tissues that completely match the immunological, cellular, biochemical and anatomical properties of the patient.”

The researchers are now planning on culturing the printed hearts in the lab and “teaching them to behave” like hearts, Prof. Dvir says. They then plan to transplant the 3D-printed heart in animal models.

“We need to develop the printed heart further,” he concludes. “The cells need to form a pumping ability; they can currently contract, but we need them to work together. Our hope is that we will succeed and prove our method’s efficacy and usefulness.

“Maybe, in ten years, there will be organ printers in the finest hospitals around the world, and these procedures will be conducted routinely.”

Growing the heart to human size and getting the cells to work together so the heart will pump makes it seem like the 10 years Dvir imagines as the future date when there will be organ printers in hospitals routinely printing up hearts seems a bit optimistic. Regardless, I hope he’s right. Bravo to these Israeli researchers!

Here’s a link to and a citation for the paper,

3D Printing of Personalized Thick and Perfusable Cardiac Patches and Hearts by Nadav Noor, Assaf Shapira, Reuven Edri, Idan Gal, Lior Wertheim, Tal Dvir. Advanced Science DOI: https://doi.org/10.1002/advs.201900344 First published: 15 April 2019

This paper is open access.

Cardiac patch that’s both organic and engineered: a cyborg heart patch

A March 15, 2016 article by Michael Grothaus for Fast Company breaks the news about the ‘cyborg’ heart patch (Note: A link has been removed),

Researchers at Tel Aviv University’s Department of Biotechnology, Department of Materials Science and Engineering, and Center for Nanoscience and Nanotechnology have created a “cyborg heart patch” that may “single-handedly change the field of cardiac research,” reports EurekAlert. …

The researchers have made an illustration of the cyborg heart patch available,

 

Caption: A remotely regulated living bionic heart is pictured. The engineered tissue is comprised of living cardiac cells, polymers, and a complex nanoelectronic system. This integrated electronic system provides enhanced capabilities, such as online sensing of heart contraction, and pacing when needed. In addition, the electronics can control the release of growth factors and drugs, for stem cell recruitment and to decrease inflammation after transplantation. Credit: Tel Aviv University

A March 14, 2016 American Friends of Tel Aviv University news release (also on EurekAlert) expands on the theme,

More than 25% of the people on the national US waiting list for a heart will die before receiving one. Despite this discouraging figure, heart transplants are still on the rise. There just hasn’t been an alternative. Until now.

The “cyborg heart patch,” a new engineering innovation from Tel Aviv University, may single-handedly change the field of cardiac research. The bionic heart patch combines organic and engineered parts. In fact, its capabilities surpass those of human tissue alone. The patch contracts and expands like human heart tissue but regulates itself like a machine.

The invention is the brainchild of Prof. Tal Dvir and PhD student Ron Feiner of TAU’s Department of Biotechnology, Department of Materials Science and Engineering, and Center for Nanoscience and Nanotechnology. Their study was published today in the journal Nature Materials.

Science fiction becomes science fact

“With this heart patch, we have integrated electronics and living tissue,” Dr. Dvir said. “It’s very science fiction, but it’s already here, and we expect it to move cardiac research forward in a big way.

“Until now, we could only engineer organic cardiac tissue, with mixed results. Now we have produced viable bionic tissue, which ensures that the heart tissue will function properly.”

Prof. Dvir’s Tissue Engineering and Regenerative Medicine Lab at TAU has been at the forefront of cardiac research for the last five years, harnessing sophisticated nanotechnological tools to develop functional substitutes for tissue permanently damaged by heart attacks and cardiac disease. The new cyborg cardiac patch not only replaces organic tissue but also ensures its sound functioning through remote monitoring.

“We first ensured that the cells would contract in the patch, which explains the need for organic material,” said Dr. Dvir. “But, just as importantly, we needed to verify what was happening in the patch and regulate its function. We also wanted to be able to release drugs from the patch directly onto the heart to improve its integration with the host body.”

For the new bionic patch, Dr. Dvir and his team engineered thick bionic tissue suitable for transplantation. The engineered tissue features electronics that sense tissue function and accordingly provide electrical stimulation. In addition, electroactive polymers are integrated with the electronics. Upon activation, these polymers are able to release medication, such as growth factors or small molecules on demand.

Cardiac therapy in real time

“Imagine that a patient is just sitting at home, not feeling well,” Dr. Dvir said. “His physician will be able to log onto his computer and this patient’s file — in real time. He can view data sent remotely from sensors embedded in the engineered tissue and assess exactly how his patient is doing. He can intervene to properly pace the heart and activate drugs to regenerate tissue from afar.

“The longer-term goal is for the cardiac patch to be able to regulate its own welfare. In other words, if it senses inflammation, it will release an anti-inflammatory drug. If it senses a lack of oxygen, it will release molecules that recruit blood-vessel-forming cells to the heart.”

Dr. Dvir is currently examining how his proof of concept could apply to the brain and spinal cord to treat neurological conditions.

“This is a breakthrough, to be sure,” Dr. Dvir said. “But I would not suggest binging on cheeseburgers or quitting sports just yet. The practical realization of the technology may take some time. Meanwhile, a healthy lifestyle is still the best way to keep your heart healthy.”

It’s exciting news but this is at the proof-of-concept stage and there has been no testing, which (as Dvir seems to be hinting) means it could be several years before clinical trials.

Getting back to the heart of the matter (wordplay intended), here’s a link to and a citation for the paper,

Engineered hybrid cardiac patches with multifunctional electronics for online monitoring and regulation of tissue function by Ron Feiner, Leeya Engel, Sharon Fleischer, Maayan Malki, Idan Gal, Assaf Shapira, Yosi Shacham-Diamand & Tal Dvir. Nature Materials (2016) doi:10.1038/nmat4590 Published online 14 March 2016

This paper is behind a paywall.

The body as an electronic device—adding electronics to biological tissue

What makes this particular combination of electronic s  and living tissue special is t that it was achieved in 3-D rather than 2-D.  From the Boston Children’s Hospital Aug. 26, 2012 news release on EurekAlert,

A multi-institutional research team has developed a method for embedding networks of biocompatible nanoscale wires within engineered tissues. These networks—which mark the first time that electronics and tissue have been truly merged in 3D—allow direct tissue sensing and potentially stimulation, a potential boon for development of engineered tissues that incorporate capabilities for monitoring and stimulation, and of devices for screening new drugs.

The Aug. 27, 2012 news item on Nanowerk provides more detail about integration of the cells and electronics,

Until now, the only cellular platforms that incorporated electronic sensors consisted of flat layers of cells grown on planar metal electrodes or transistors. Those two-dimensional systems do not accurately replicate natural tissue, so the research team set out to design a 3-D scaffold that could monitor electrical activity, allowing them to see how cells inside the structure would respond to specific drugs.

The researchers built their new scaffold out of epoxy, a nontoxic material that can take on a porous, 3-D structure. Silicon nanowires embedded in the scaffold carry electrical signals to and from cells grown within the structure.

“The scaffold is not just a mechanical support for cells, it contains multiple sensors. We seed cells into the scaffold and eventually it becomes a 3-D engineered tissue,” Tian says [Bozhi Tian, a former postdoc at MIT {Massachusetts Institute of Technology} and Children’s Hospital and a lead author of the paper ].

The team chose silicon nanowires for electronic sensors because they are small, stable, can be safely implanted into living tissue and are more electrically sensitive than metal electrodes. The nanowires, which range in diameter from 30 to 80 nanometers (about 1,000 times smaller than a human hair), can detect voltages less than one-thousandth of a watt, which is the level of electricity that might be seen in a cell.

Here’s more about why the researchers want to integrate living tissue and electronics, from the Harvard University Aug. 26, 2012 news release on EurekAlert,

“The current methods we have for monitoring or interacting with living systems are limited,” said Lieber [Charles M. Lieber, the Mark Hyman, Jr. Professor of Chemistry at Harvard and one of the study’s team leaders]. “We can use electrodes to measure activity in cells or tissue, but that damages them. With this technology, for the first time, we can work at the same scale as the unit of biological system without interrupting it. Ultimately, this is about merging tissue with electronics in a way that it becomes difficult to determine where the tissue ends and the electronics begin.”

The research addresses a concern that has long been associated with work on bioengineered tissue – how to create systems capable of sensing chemical or electrical changes in the tissue after it has been grown and implanted. The system might also represent a solution to researchers’ struggles in developing methods to directly stimulate engineered tissues and measure cellular reactions.

“In the body, the autonomic nervous system keeps track of pH, chemistry, oxygen and other factors, and triggers responses as needed,” Kohane [Daniel Kohane, a Harvard Medical School professor in the Department of Anesthesia at Children’s Hospital Boston and a team leader] explained. “We need to be able to mimic the kind of intrinsic feedback loops the body has evolved in order to maintain fine control at the cellular and tissue level.”

Here’s a citation and a link to the paper (which is behind a paywall),

Macroporous nanowire nanoelectronic scaffolds for synthetic tissues by Bozhi Tian, Jia Lin, Tal Dvir, Lihua Jin, Jonathan H. Tsui, Quan  Qing, Zhigang Suo, Robert Langer, Daniel S. Kohane, and Charles M. Lieber in Nature Materials (2012) doi:10.1038/nmat3404 Published onlin26 August 2012.

This is the image MIT included with its Aug 27, 2012 news release (which originated the news item on Nanowerk),

A 3-D reconstructed confocal fluorescence micrograph of a tissue scaffold.
Image: Charles M. Lieber and Daniel S. Kohane.

At this point they’re discussing therapeutic possibilities but I expect that ‘enhancement’ is also being considered although not mentioned for public consumption.