Art Caplan on cloned human embryos

Over at MSNBC, Art puts the news that a company has cloned human embryos into context:

Stemagen, a private company in La Jolla, Calif., has published a paper in which its scientists claim they have successfully created cloned human embryos. If you think you have heard this announcement before, you are right.

Just about two years ago, a team of scientists at Seoul National University in Korea announced in the journal Science that they had cloned human embryos and had gotten stem cells to grow from them. The Korean work could not be replicated. Eventually Hwang woo-suk, the lead scientist involved, admitted he had lied. There were no cloned embryos. He resigned his university position in complete disgrace.

So, two questions arise about today’s human cloning news. Did Stemagen scientists really do what they are saying they did? If they did, what does it mean for the future of human cloning and stem cell research?

The only way to prove that Stemagen team has succeeded in making a human embryo — 10 years after the cloning of Dolly — is for someone else to replicate what they did. That will take some time.

The California group was very cautious in presenting the evidence in its just-released paper. Scientists checked the DNA carefully in the donor cells from which DNA was taken and in the embryos which were cloned from that DNA to make sure it was the same. And they had an independent laboratory confirm the result.

There are enough checks and balances reported in the paper — and a keen awareness by the authors of the fraud perpetrated by the South Korean group — to believe that they are really the first to achieve the cloning of human embryos in a verified, peer-reviewed process.

Now that this is done, what does it mean?

No interest in human clones
Some will argue that the creation of human cloned embryos brings us that much closer to the cloning of adult human beings. Now, the prospect of human cloning has become more real.

Nonetheless, no one at the company has any interest in making human clones. Hollywood loves the prospect of human cloning. Science does not.

For Hollywood, human cloning offers great story lines and plenty of freakiness for audiences who aren’t quite sure what to expect when a clone moves into their neighborhood. Forget the fact that if there were human clones, they would pose no special threats to anyone. Nasty, vicious human clones are better for TV ratings and box office receipts.

Scientists don’t care about human cloning. They know the fame and the monetary rewards lie in turning cloned human embryos into stem cells that can be used to repair damaged tissues and body parts. When it comes to human cloning, the future will involve manipulating eight-cell embryos to repair damaged brain cells for people with Parkinson's — not deciding what to do about the evil clone army threatening the Northeast corridor.

Why do scientists need to clone embryos to get stem cells? Didn’t we spend the last days of 2007 rejoicing that scientists had found ways to create stem cells using methods that do not rely on embryo destruction of any kind?

With the appearance of some new scientific tricks to get adult cells to act more embryo-like, scientists, the president and a host of pundits declared the end of the long stem cell research battle. Not so fast. Not everyone thinks reprogramming adult cells to make them act like embryos is going to work. If you want to build your own repair kit to fix damaged heart muscle, torn nerves, severed spinal cords or worn-out joints, then cloning from your own healthy cells still strikes many as the way to go.

The California company is among those who see human cloning as the best source of stem cell repair kits. It's too soon to tell if they are right.

Where to get the eggs?

There is, however, a huge boulder in the path of companies like Stemagen who are betting on cloning to get them to the holy grail of stem cells that can be turned into curative cells. Where to get the eggs needed to make human embryonic clones?

In the paper announcing the breakthrough, the authors note that they got three out of 25 attempts at clones to turn into human clone embryos. That is a success rate of about 10 percent. Even if that success rate improves in the future, it still means that six or more eggs are going to be required for a researcher to make a stem cell from a clone made from the DNA of one of your own cells.

Where will hundreds of thousands of eggs come from when hundreds of thousands seek cures? Will we pay poor women to create them? Egg-farming, using powerful drugs with serious risks, may not be the most humane way to ask a poor woman to earn a living.

The cloning of human embryos has now been accomplished. Is it a viable strategy for creating stem cells to cure diseases? A lot more research will have to be done to find out. While we wait, let's not be frightened by scare tactics into not funding research that may be the key to curing what is currently incurable.

Arthur Caplan, Ph.D., is director of the Center for Bioethics at the University of Pennsylvania.

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Humans have 46 chromosomes: 23 come from the mother (egg); 23 from the father (sperm). An egg without a sperm has only 23 chromosomes; it must be "fertilized" by the sperm to be endowed with all the genetic information (carried on the DNA of the 46 chromosomes) required for life.

All cells in the body are derived from this one fertilized egg. All the cells have the same chromosomes; the same DNA. What makes cells different is that different parts of the DNA are active in different cells. This activity is controlled by the activity of proteins and RNA (two things which are derived from the information carried by DNA).

The fertilized egg is a stem cell, but it's not the only stem cell. The fertilized egg divides into two cells and then four cells and then 8 cells. A stem cell can give rise to all of the tissues and organs necessary to make a human being. At a certain point, however, the stem cell becomes a "committed" cell. It can no longer make a human being. It can only make a certain type of tissue.

The "first generation" embryonic stem cell method of making a stem cell is to take an egg from a woman and fertilize the egg with donor sperm (actually a bunch of eggs, as excess embryos are typically created in in vitro fertilization clinics at the same time; the excess eggs/embryos are stored in liquid nitrogen for possible latter use). The fertilized egg is allowed to divide several times in cell culture, resulting in a little ball of typically 4 - 16 stem cells; in effect, the earliest embryo.

But stem cells are now able to be created using a "second generation" embryonic stem cell technology. Take an adult skin cell; introduce a small number of genes which direct the "committed" adult skin cell to revert all the way back to an embryonic stem cell; potentially capable of not only being used for stem cell research, but potentially capable of developing into a human baby, given the proper growth conditions.

This "second generation" embryonic stem cell would have the same genetic material and the same capabilities as a "first generation" stem cell. It would be the same cell as it was at the time it was a newly fertilized egg. It would genetically be an identical twin; a clone of the original fertilized egg, in every sense of the word.

But the cells are the same. In one case, the cells are created by going forward (fertilizing an egg). In the other case, the cells are created by going backwards (introducing a handful of gene to reprogram the DNA of an adult cell, so that the cell reverts back to the state of a newly fertilized egg). But the cells potentially are the same, with the same potential for developing into a baby.

In point of fact, it may well be that the first cloned human baby will come from this "second generation" technology and not from the "first generation" technology which everyone worries about. By officially sanctioning research into this "second generation" technology, the critics of embryonic stem cell research may actually be lending their support to a technology which has the greater potential for being used for a purpose they condemn (the cloning of a human).

Well, here it is!

http://stemcells.alphamedpress.org/cgi/reprint/2007-0252v1.pdf

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