Tissue Engineering Course Application The PTEI outreach education manual for tissue engineering can be utilized within the context of a standard high school introductory biology curriculum by serving as a platform for the introduction of a number of key biological concepts. Typically, biology instructors follow a direct path through a standard text, covering mandated content chapter by chapter, supplemented by suggested student activities meant to reinforce content, key concepts, and science process. This strategy often fails to reinforce critical connections between topics or concepts, and often does not provide a unifying theme or application that might serve to accomplish that elusive goal. In addition, students are rarely challenged to identify key questions that could serve to reveal underlying connections or suggest potential applications resulting from their elucidation. Introductory biology instructors often proceed up a perceived chain of organizational complexity, and this is reinforced by many textbooks. Chapters on basic chemistry, biochemistry lead to chapters on cell structure, organization, and physiology. Cell processes such as energy metabolism, transcription, translation, and reproduction often lead directly to genetics and applied DNA science. Throughout the sequence of the central dogma (DNA—RNA—protein, or transcription-translation) and DNA science, some teachers include a discussion of gene expression and perhaps its relationship to the process of multicellular development. Generally, human anatomy and physiology is addressed, if at all, late in the school year. For those that do include even a little human anatomy and physiology, it is often addressed in the context of a comparative survey among animal taxa. The concept of human health and biomedical research appears to be most often addressed as interesting sidelights to, or applications of, the current life science topic of study. Examples of this strategy include: abnormal gene function and its relationship to inherited disease, microbes influence on human disease, and abnormal cellular responses (or growth characteristics) leading to the progression of cancer. Tissue engineering provides a forum that could enable teachers to readily reveal the connections between many of these same basic content areas, with the added attraction of addressing human biomedical concerns. A curriculum employing tissue engineering as a unifying theme could address much of the content covered in introductory life science by challenging students to identify key questions and knowledge that might be required to aid people with compromised tissue function. One such approach to the course might begin with a familiar organizational theme. What is the composition of a human body? Basic chemical concepts, along with biochemistry, might serve to begin the search for a means to regenerate tissue. Higher order organization of these components naturally leads to a discussion of cellular anatomy and physiology. An understanding of both cell structures and physiologic processes can be identified as key components of the tissue regeneration puzzle. Certainly, it is hoped that teachers and students would further recognize the need to understand the organization and functionality of populations of cells. How do cells organize? What types of bodily structures might result, and how are their functions regulated? More subtle questions might involve the continuity of both structure and function. For example, do cell populations change in a given tissue? Are cells reproducing? Or dying? Do some cells change in form and function? How are these changes in cell populations regulated? More basically, how did these tissues and inherent dynamic processes come about? These questions address some of the key and most researched questions in life science, as well as serving to offer a dramatic segue into the realm of cell information processing. The questions posed in the preceding paragraph, as well those questions pertaining to multicellular development, cell replication, cell-cell (or tissue-tissue) interaction, and even certain disease states, can be intimately related to the phenomena of intracellular and extracellular information processing. At its root, the processes of DNA replication, transcription, and translation determine cell structure, multicellular development and organization, and tissue regulation. Thus, teachers can guide students to this realization by posing these defining questions, or have students independently generate such a list. For example, consider the fundamental question: How does the multicellular human condition arise? Clearly, students should eventually come to propose that it is not by chance. That is, cells are adhering to instructions or some form of information. Explaining the nature of the information (DNA sequences and molecules produced as a consequence of their ‘reading’) within this context provides a human focus to the central dogma. However, students might be able to recognize more subtle questions related to this standard explanation. Do all the cells of a particular human (or developing embryonic human) possess the same DNA? What key experiments shed light on this important question? If all cells of an embryo possess equivalent DNA, how do cells assume different structures and functions? What influences differentiation? How is the information passed from one generation to the next? Can information controlling tissue development and organization be adversely affected, and what might be the consequences of such disruption? Clearly, standard textbook material relating to the central dogma can serve as the basis for the answers to many of these questions. However, challenging students to define these key questions and to propose adequate answers should allow them to make connections not often stressed in typical classrooms. Once students come to realize that the DNA of embryonic cells is virtually equivalent, teachers can then lead them to the phenomena of extracellular influence. That is, molecular signals (another form of information) continually serve to influence cell behavior. Perhaps a slight diversion into adult physiology would permit greater student insight. The intercommunication of cells and tissues, mainly through hormones and their relatives, can be explained as another source of information for cells. Students might then more readily grasp the importance of signaling molecules in embryonic development. They should now have a basic understanding of the information that directs cell behavior in the process of embryogenesis. Cells need to proliferate, differentiate, and organize. Adult tissues often need to perform these same processes, though students might be challenged to consider some of the significant differences. For example, fully differentiated cells might make up the bulk of a mature tissue, and they are unlikely to provide a means of proliferating. Discussions of the cell cycle, another standard textbook topic, and its regulation can now be brought to bear on embryogenesis and adult tissue maintenance. Disruptions of this process, including cancer, might also be presented to stimulate student interest and to increase student awareness of the challenges facing multicellular animals. At this point, students can now attempt to formulate the basis of a strategy for fabricating new tissues for compromised individuals. Again, descriptions of adult tissue structure, function, and maintenance might be included to more narrowly define a tissue engineering project. It is hoped that students would recognize the need for a combination of effective cell populations, proper signals, and perhaps an organizing framework for the cell population. One strategy for encouraging student comprehension can take the form of the question: “Embryos succeed at generating tissues, so how could you mimic that process artificially?” Again, describing both embryonic and adult tissue composition can provide clues. Undifferentiated cells, stem cells, permit proliferation and ultimate differentiation. Clearly, a number of issues can be raised at this point in the curriculum. Where would one obtain undifferentiated cells? Considering the previous topics addressed relating to embryogenesis and adult tissue maintenance, the concept of stem cells should become apparent. What signals might be required, and at what concentration, for influencing cells to proliferate and differentiate according to plan? Again, previous topics, particularly those involving hormones and gene expression, provide sufficient clues. A more subtle question involving organization arises. How can a population of cells produce the correct three-dimensional tissue construct. Clues might be found in a review of adult tissue composition, revealing the importance of the extracellular matrix, which might also provide clues to developing a temporary, biodegradable scaffold for such cell organization. The importance of angiogenesis might also be addressed as a necessary requirement for successful tissue regeneration. Other issues alluded to in standard texts can also be reinforced through this thematic approach. For example, culturing and maintaining cells outside of a body provides students with puzzles to spark their interest while reinforcing concepts of basic and applied life science. Certainly, the very application of such principles raises a myriad of bioethical issues which can addressed throughout this type of curriculum. Stem cell technology and its utilization within our health care system present one such fascinating dilemma for student consideration. In all, it can be clearly demonstrated that many of the basic biology concepts presented within introductory biology can be taught within a thematic framework of regenerative medicine. The challenges facing tissue engineers can be used a means to expose students to some of the most relevant and intriguing questions in life science. In addition, students can more readily grasp the connections inherent in the realm of biology through the challenge of restoring normal tissue function by means of a dawning biomedical revolution. Engaging students with a relevant, exciting puzzle can only make the science of biology appear to be a more personal and dynamic activity. Tissue Engineering Course Application Within the context of a standard high school introductory biology curriculum, the PTEI outreach education manual in tissue engineering can serve as a platform for the integration of a number of key biological concepts. Biology instructors typically follow a direct path through a standard text, covering mandated content chapter by chapter, supplemented by suggested student activities meant to reinforce content, key concepts, and science process. This strategy often fails to reinforce critical connections between topics or concepts because it does not provide a unifying theme or example to accomplish that elusive goal. As well, students are rarely challenged to identify key questions that could elucidate underlying connections and to suggest their potential applications in the real world. Teachers of introductory biology generally proceed up a perceived chain of organizational complexity, and this is reinforced by many textbooks. Chapters on basic chemistry and biochemistry lead to chapters on cell structure, organization, and physiology. Cell processes such as energy metabolism, transcription, translation, and reproduction often lead directly to genetics and applied DNA science. Throughout the sequence of the central dogma (DNA transcription to RNA: RNA translation to protein) and DNA science, some teachers may include a discussion of gene expression and perhaps its relationship to the process of multicellular development, but this often is not related to human physiology and pathology. As well, human anatomy and physiology are often addressed late in the school year, if at all. For those teachers who do include even a little human anatomy and physiology, it is often in the context of a comparative survey among animal taxa. The concepts of human health and biomedical research appear to be addressed most often as interesting sidelights to, or applications of, the current life science topic of study. Examples of this strategy include abnormal gene function and its relationship to inherited disease, microbial influence on human disease, and abnormal cellular responses (or growth characteristics) leading to cancer. Tissue engineering provides a forum that could enable teachers to readily reveal the connections between many of these same basic content areas, with the added attraction of addressing human biomedical concerns. A curriculum employing tissue engineering (TE) as a unifying theme can address much of the content covered in introductory life science by challenging students to identify key questions and knowledge that might be required to aid people with compromised tissue function. One such approach might begin with a familiar organizational theme. What is the composition of a human body? Basic chemical concepts, along with biochemistry, would serve to begin the search for a means to regenerate tissue. Higher-order organization of these components leads logically to a discussion of cellular anatomy and physiology. An understanding of cell structure and physiologic processes can be identified as key components of the tissue regeneration puzzle. Teachers and students would then be motivated to understand the organization and functionality of populations of cells: How do cells organize? What types of body structures result, and how are their functions regulated? More subtle questions would involve the continuity of both structure and function; for example, do cell populations or subpopulations change in form and/or function in a given tissue? Are cells reproducing and/or dying? How are these changes in cell populations regulated? From a more basic standpoint, how did these tissues and inherent dynamic processes come about? These questions address some of the key and best-researched questions in life science and offer a dramatic segue into the realm of cell information processing. The questions posed in the preceding paragraph, as well those questions pertaining to multicellular development, cell replication, cell-cell (or tissue-tissue) interaction, and even certain disease states, can be intimately related to the phenomena of intracellular and extracellular information processing. At its root, the processes of DNA replication, transcription, and translation determine cell structure, multicellular development and organization, and tissue regulation. Thus, teachers can guide students to this realization by posing these defining questions, or have students independently generate such a list. For example, consider the fundamental question: How does the multicellular human condition arise? Clearly, students should eventually come to propose that it is not by chance. That is, cells are adhering to instructions or some form of information. Explaining the nature of the information (DNA sequences and molecules produced as a consequence of their ‘reading’) within this context provides a human focus to the central dogma. However, students might be able to recognize more subtle questions related to this standard explanation. Do all the cells of a particular human (or developing embryonic human) possess the same DNA? What key experiments shed light on this important question? If all cells of an embryo possess equivalent DNA, how do cells assume different structures and functions? What influences differentiation? How is the information passed from one generation to the next? Can information controlling tissue development and organization be adversely affected, and what might be the consequences of such disruption? Clearly, standard textbook material relating to the central dogma can serve as the basis for the answers to many of these questions. However, challenging students to define these key questions and to propose adequate answers should allow them to make connections not often stressed in typical classrooms. Once students come to realize that the DNA of embryonic cells is virtually equivalent, teachers can then lead them to the phenomena of extracellular influence. That is, molecular signals (another form of information) continually serve to influence cell behavior. Perhaps a slight diversion into adult physiology would permit greater student insight. The intercommunication of cells and tissues, mainly through hormones and their relatives, can be explained as another source of information for cells. Students might then more readily grasp the importance of signaling molecules in embryonic development. They should now have a basic understanding of the information that directs cell behavior in the process of embryogenesis. Cells need to proliferate, differentiate, and organize. Adult tissues often need to perform these same processes, though students might be challenged to consider some of the significant differences. For example, fully differentiated cells might make up the bulk of a mature tissue, and they are unlikely to provide a means of proliferating. Discussions of the cell cycle, another standard textbook topic, and its regulation can now be brought to bear on embryogenesis and adult tissue maintenance. Disruptions of this process, including cancer, might also be presented to stimulate student interest and to increase student awareness of the challenges facing multicellular animals. At this point, students can now attempt to formulate the basis of a strategy for fabricating new tissues for compromised individuals. Again, descriptions of adult tissue structure, function, and maintenance might be included to more narrowly define a tissue engineering project. It is hoped that students would recognize the need for a combination of effective cell populations, proper signals, and perhaps an organizing framework for the cell population. One strategy for encouraging student comprehension can take the form of the question: “Embryos succeed at generating tissues, so how could you mimic that process artificially?” Again, describing both embryonic and adult tissue composition can provide clues. Undifferentiated cells, stem cells, permit proliferation and ultimate differentiation. Clearly, a number of issues can be raised at this point in the curriculum. Where would one obtain undifferentiated cells? Considering the previous topics addressed relating to embryogenesis and adult tissue maintenance, the concept of stem cells should become apparent. What signals might be required, and at what concentration, for influencing cells to proliferate and differentiate according to plan? Again, previous topics, particularly those involving hormones and gene expression, provide sufficient clues. A more subtle question involving organization arises. How can a population of cells produce the correct three-dimensional tissue construct. Clues might be found in a review of adult tissue composition, revealing the importance of the extracellular matrix, which might also provide clues to developing a temporary, biodegradable scaffold for such cell organization. The importance of angiogenesis might also be addressed as a necessary requirement for successful tissue regeneration. Other issues alluded to in standard texts can also be reinforced through this thematic approach. For example, culturing and maintaining cells outside of a body provides students with puzzles to spark their interest while reinforcing concepts of basic and applied life science. Certainly, the very application of such principles raises a myriad of bioethical issues which can addressed throughout this type of curriculum. Stem cell technology and its utilization within our health care system present one such fascinating dilemma for student consideration. In all, it can be clearly demonstrated that many of the basic biology concepts presented within introductory biology can be taught within a thematic framework of regenerative medicine. The challenges facing tissue engineers can be used a means to expose students to some of the most relevant and intriguing questions in life science. In addition, students can more readily grasp the connections inherent in the realm of biology through the challenge of restoring normal tissue function by means of a dawning biomedical revolution. Engaging students with a relevant, exciting puzzle can only make the science of biology appear to be a more personal and dynamic activity.