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Tragedy At A Neonatal Ward In Mexico: ‘There Were Weeks When All The Moms Left Without Their Babies’

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For seven months babies have been dying in the same neonatal ward in Guadalajara, in the Mexican state of Jalisco. An outbreak of two bacteria in that intensive care area has deprived at least 18 mothers of their newborns. Some of those women have never met; others recognize each other because the other’s child slept in the incubator next to theirs. Together they have formed a WhatsApp group where they call themselves “Bereaved Moms.” The first recorded case dates back to March. As of today, they say, there are still four infected babies at the Gynecology-Obstetrics Hospital of the Western National Medical Center of the Mexican Social Security Institute (IMSS).

To reach the neonatal intensive care unit (NICU) on the second floor, parents pass through two glass doors under a sign announcing the neonatology area. After pressing a button there is an entrance filter with posters showing how to wash hands properly and put on a face mask and cap. You must enter without bracelets, watches, rings or accessories that could carry bacteria. The most fragile babies are admitted to a room of about 12 square meters, “by rough estimate,” describes Yuliana Guadalupe Vega Hernández, Dayana’s mother. There are around 10 incubators there, separated by only a few centimeters. In the next room, there are even more babies. The mothers say staff did not always follow the precautions they themselves were told to observe. “Staff come in with their cell phones and thermoses and don’t wash their hands between handling one child and another,” says Carolina, a pseudonym for a mother who requested anonymity.

The tragedy in the NICU began with Elías Miguel Escalante García, who was born on March 14 and died there 15 days later. The most recent victim was Hannah Guadalupe Ochoa González, born on April 9 and who died on September 28 at five months old. As a high-specialty hospital, most of those babies were vulnerable, either because they were born prematurely or were being treated for a condition. Some were born and died there, while others contracted the bacteria after undergoing a medical procedure there.

Valentina, the daughter of Evangelina Barajas, for example, was already living at home but visited the hospital for epileptic seizures. Once there, she contracted the bacteria after a catheterization procedure: “She had already recovered from the seizures and suddenly developed a fever. They told me she picked up the virus right there in the hospital.” “I came to them for help and they gave her back to me dead. I feel ravaged, I’m broken, shattered. She was my only daughter. Every day I need her, I need her chubby cheeks, her little smile, her scent,” she laments. Barajas meets with Fátima Pérez and Evelyn González outside the hospital. None of them has received psychological care or been contacted by the IMSS, they say. “We want those responsible to pay for what they did to us,” Pérez says.

About the bacterium Klebsiella pneumoniae and the fungus Candida albicans that her son had before he died nine days ago, González, 21, only knows “that they do a lot of harm” to babies. Carolina describes the bacterium as “a bug” that causes infections and resists antibiotics. Rosa María Wong, a lecturer at UNAM’s School of Medicine, explains to this newspaper that these are microorganisms that live in hospitals and colonize the intestines and skin of patients and workers. Premature birth, prolonged hospitalization and invasive procedures such as the placement of catheters or probes can be risk factors for newborns. To prevent and control their spread, Wong says, strict hand washing by health personnel is necessary.

The nine mothers interviewed directly by this newspaper say they found it alarming to realize that babies were becoming infected and dying one after another. “There were weeks when all the moms left without their babies,” Carolina says. Although death certificates list various causes, in many cases the symptoms match. The skin turned yellow, they stopped urinating, the liver failed, the kidneys tightened, they developed ascites (abnormal build-up of fluid in the abdomen) and finally septic shock. The parents of Elián, José Nayib and Anthony Jassiel, were the first to notice the pattern and report it; they are pursuing a collective complaint with the Attorney General’s Office. Others are filing individually, and the rest do not want to press charges.

The deaths extend from March 29 with Elías to September 28, just nine days ago. The first case was Elías Miguel Escalante García, born March 14 and who died 15 days later. After that came the cases of Dayana, who was admitted May 28 and died July 4; Marcos Jassiel Baltasar Reynoso, born June 19 and who died September 22; Camila Sofía Bautista Flores, born July 10 and who died August 9; Hannah Valentina Reséndiz Barajas, who was admitted August 3 and died a month later; Matías Bautista Saldaña, born August 3 and who died September 7; and Miriam, whose death was reported on September 14.

As of this Wednesday, three other mothers remain with Carolina in the same ward. One of them, the mother of twins, says her daughters have contracted and recovered from the bacteria twice. On Tuesday her worry increased: “One is very yellow.” The two exchange information after the four o’clock visit. Carolina comforts her and announces good news. She eagerly awaits the coming Monday, the day her baby is due to be discharged and appears to have overcome the Candida infection. The twin brother did not make it. “We’re going home. With the oxygen tank and all, but we will never come back,” she says.

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A Living Tissue Factory: Printed Cells To Create Everything From Bone Marrow To Lab Meat

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Nature has perfected the art of creating living cells over billions of years. A team of researchers is now learning from that process and looking for ways to speed it up. For Massimo Vassalli, chair of bioengineering at the University of Glasgow, the goal is to understand not only how living tissues form, but how they can be recreated in the laboratory.

Vassalli is the scientific coordinator of PRISM-LT, a five-year project funded by the European Union that will run until 2027. The team is developing a 3D bioprinting platform to create complex living tissues, with applications ranging from biomedical research to cultivated meat.

The project’s central idea sounds almost futuristic: engineered living materials, or ELMs. These are composite materials, wholly or partly made of living cells—including microorganisms such as bacteria or fungi—that can grow, respond to, and adapt to their environment. ELMs can self-organize and self-repair in ways conventional static materials cannot.

“Engineered living materials can have additional, dynamic features that we simply cannot replicate with traditional static materials,” Vassalli said.

Building with living cells

ELMs could transform multiple sectors, from healthcare to food production, but turning that potential into reality requires solving a difficult biological problem: how to print living cells into complex structures without killing them or losing control over their development.

The PRISM-LT team tackles this problem by creating living tissues from tiny capsules that contain living cells and a gel-like support material known as “bioink.”

“Instead of printing a continuous stream of bioink, we work with modular living components that are encapsulated,” said Laura Martinelli, PRISM-LT project coordinator and executive director of In Society, a research organization based in Udine, Italy.

“These capsules can be placed precisely by a robotic arm or bioprinted layer by layer to create complex tissue architectures,” Martinelli said. Conventional methods print cells in a continuous flow of material, without the biological guidance microorganisms can provide. In this approach, each capsule is a biological unit that includes both the scaffold and the artificial microorganisms that help steer cells as they develop.

These microorganisms have been genetically modified to act as biological guides. They detect when stem cells—cells that can develop into many different tissue types—begin to differentiate and respond by releasing chemical signals known as “growth factors” that direct them toward the desired tissue type.

The manufacturing process is fast, taking from a few minutes to an hour. The next stage is slower: a maturation period of about three weeks during which stem cells become bone, fat or muscle tissue. The team can currently produce roughly one square centimeter of thin tissue and is working to achieve a one cubic centimeter block.

What makes this especially complicated is that the process requires placing living components that, by nature, are not meant to coexist in the same environment.

“We have to create a symbiotic relationship between two systems not designed to live together, like yeast and stem cells,” Vassalli explained. “The main challenge is to create conditions suitable enough for both the yeast or bacteria and the stem cells while the latter differentiate.”

This curiosity about biological interaction was the project’s starting point. “We began this research because we were curious about that interaction,” Vassalli said. “In essence, that is how evolution happened too. Single-celled organisms interacted and evolved into the natural world as we know it.”

From bone marrow to the dinner table

Researchers are working to recreate two specific types of tissue. One is the interface between bone and adipose tissue found in bone marrow for biomedical research. The other is muscle-and-fat structures that reproduce the fat marbling that gives natural meat its texture and flavor—a quality long impossible to achieve in cultivated or lab-grown meat.

The platform will also be used to create miniature tissue models that mimic the structure of human organs, which could be used in drug testing and contribute to personalized medicine.

“The project aims to create a platform that allows the design of different tissues for very different purposes, but using the same principles,” Martinelli said.

In health care, the goal is to create three-dimensional bone marrow models to study drugs aimed at treating diseases that affect it, such as leukemia.

For food, achieving the right distribution of adipose tissue is essential for consumer acceptance of the product. “Thanks to our bioprinting technology, we can achieve the right texture in alternative meats, which gives us the opportunity to commercialize them,” Martinelli said.

Bringing this technology to the public will take time. “We are still far from real-world applications,” she said. “We focus on principles and mechanisms to see what is viable. However, we are already considering future challenges.”

Consumer perception is one such challenge. When developing cultivated meat, researchers chose to work with yeast rather than bacteria. “It would be hard to explain to consumers that meat was made using bacteria,” Martinelli noted.

Beyond the lab: the regulatory frontier

Scientific progress is only part of the challenge. Introducing genetically modified living materials into medicine or food production will also require a new regulatory approach.

Because ELMs combine living cells and, in some cases, genetically modified microorganisms, they do not fit neatly into existing regulatory frameworks, which are designed for conventional medicines or standard food products—not for materials that, in a sense, are alive.

In collaboration with the European Innovation Council, the team is already in contact with regulatory authorities, including the European Medicines Agency, to study what rules and authorizations these materials might need in the future.

“We have to adopt a new attitude toward this technology,” Martinelli said. “This collaboration helps us pave the way for the use of ELMs.”

Vassalli adds that ELMs could be “extremely powerful” if applied widely. “When we launched the project, we asked two key questions: is it viable? and is it scalable? Now we can say it is viable.”

Scalability is the next challenge. If the team succeeds, it could be another step toward a future in which living materials sit alongside the conventional materials we already take for granted.

This article was originally published in Horizon, the EU’s research and innovation magazine.

The research presented in this article was partly funded by the European Innovation Council (EIC).

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