Miniature, personalized reproductive system will test drugs for safety, effectiveness in women.
In research published in the journal Nature Communications, Northwestern Medicine scientists describe their development of a miniature female reproductive tract that fits in the palm of your hand and could eventually change the future of research and treatment of diseases in women’s reproductive organs.

This new 3–D technology – called EVATAR – is made with human tissue and will enable scientists to conduct much–needed testing of new drugs for safety and effectiveness on the female reproductive system.

EVATAR also will help scientists understand diseases of the female reproductive tract such as endometriosis, fibroids (which affect up to 80 percent of women), cancer and infertility.

The ultimate goal is to use stem cells of an individual patient and create a personalized model of their reproductive system.

EVATAR, which resembles a small cube, contains 3–D models of ovaries, fallopian tubes, the uterus, cervix, vagina and liver with special fluid pumping through all of them that performs the function of blood.

“This is nothing short of a revolutionary technology,” said lead investigator Teresa Woodruff, PhD, director of the Women’s Health Research Institute and chief of Reproductive Science in Medicine in the Department of Obstetrics and Gynecology.

The organ models are able to communicate with each other via secreted substances, including hormones, to closely resemble how they all work together in the body.

The project is part of a larger National Institutes of Health effort to create “a body on a chip.”

“If I had your stem cells and created a heart, liver, lung and an ovary, I could test 10 different drugs at 10 different doses on you and say, ‘Here’s the drug that will help your Alzheimer’s or Parkinson’s or diabetes,’” Woodruff said. “It’s the ultimate personalized medicine, a model of your body for testing drugs.”

“This will help us develop individualized treatments and see how females may metabolize drugs differently from males,” Woodruff said.

The EVATAR technology is revolutionary because the reproductive tract creates a dynamic culture in which organs communicate with each other rather than having static cells sit in a flat plastic dish.

“This mimics what actually happens in the body,” Woodruff said. “In 10 years, this technology, called microfluidics, will be the prevailing technology for biological research.”

For the project, Woodruff developed the ovaries; Julie Kim, PhD, the Susy Y. Hung Research Professor of Obstetrics and Gynecology in the Division of Reproductive Science in Medicine, developed the uterus; Spiro Getsios, PhD, a former Feinberg faculty member, developed the cervix and vagina and Joanna Burdette, of UIC, developed the fallopian tubes. The liver also is included in the system because it metabolizes drugs.

The microfluidic device is the size of a bento box and has a series of cables and pumps that cause media (simulated blood) to flow between wells.

The technology also will open doors into the causes of endometriosis, fibroids and some cancers.

“All of these diseases are hormonally driven, and we really don’t know how to treat them except for surgery,” UIC’s Burdette said. “This system will enable us to study what causes these diseases and how to treat them.”

“The systems are tremendous for the study of cancer, which often is studied as isolated cells rather than system–wide cells. This is going to change the way we study cancer,” Burdette added.