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Australasian Bioethics Information |
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| Friday, 26 July 2002 | ||
| A weekly newsletter for health and legal professionals | ||
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Softly, softly, says Trounson CLONING / Warnock backs reproductive cloning POLITICS / Environmentalists oppose human genetic engineering IVF / Mix-ups common, says scientist ETHICISTS / Call for disclosure of corporate funding sources BUSINESS / Shaky finances put therapeutic cloning firms at risk REGENERATIVE MEDICINE / Kickstarting silent genes SUICIDE / Elderly at risk in US DRUG INDUSTRY / Drugs needed for neglected diseases EMBRYO SCREENING / Americans uneasy about growth of sex selection IN BRIEF / Baby-selling mother in court; obesity lawsuit STEM CELL DEBATE / Softly, softly, says Trounson
Professor Trounson, who is the CEO of the new Centre for Stem Cells and Tissue Repair, was responding to a complaint by the director of the Murdoch Children's Research Institute, Professor Bob Williamson, that the Australian debate had been hijacked by fundamentalists obsessed by the potentiality of stem cells. However, Trounson, according to Australian Biotechnology News, said that there was little point in arguing for the right to do therapeutic cloning because scientific literature did not support the need for it. "I think there are other ways of doing it and the literature is starting to show that there are other ways of getting cells into a pluripotential state," he said. In a few weeks' time the Federal Parliament will debate a bill making some frozen IVF embryos available for research but banning all forms of cloning. Professor Trounson appears to fear that talk of therapeutic cloning at the moment might bolster opponents of the bill. His caution now contrasts with his assertion earlier this year that he was "absolutely, unreservedly" behind it. ~ Australian Biotechnology News, July 25 RETURN TO TOP CLONING / Warnock backs reproductive cloning
"Some people argue that cloning would be morally wrong because only immoral people would want to have clones of themselves created. I do not believe that this is true. Infertile men, and their wives, might deeply want a clone of themselves. It therefore seems that human cloning should never be allowed, except perhaps in cases of complete male infertility, when all other remedies have failed. I believe that, with this possible exception in mind, it is perhaps a pity that the UK has joined the rest of Europe in an absolute ban on such cloning." ~ Herald (UK), July 25 POLITICS / Environmentalists oppose human genetic engineering
Among the issues raised by World Watch are the possible return of racist eugenics, heightened discrimination, drugs which could be used to control dissent, turning babies into commodities, widening economic inequality, the destruction of a democratic ethos, and the creation of new terror weapons. ~ Press release, July RETURN TO TOP IVF / Mix-ups common, says scientist
Dr Lee said that doctors had closed ranks to portray the error as a one-off, but mistakes occurred regularly at IVF clinics. "I am aware of the wrong embryos being transferred to the wrong patients at several NHS (National Health Service) units during the past ten years. I have also confidentially been told about a number of cases where the wrong sperm were used to inseminate eggs. I know dishes have been dropped and people forget to top up liquid nitrogen freezers. Eggs are damaged, particularly during sperm injection; eggs and embryos sometimes are inadvertently placed in the wrong dish. Eggs and embryos are lost in transit as they are moved from dish to dish." Dr Lee said that the problems stemmed from weaknesses in the recruitment and training of embryologists. "The IVF laboratory is not the place to train a rookie, as so often happens. Many have entered human embryology immediately or soon after graduation." A spokesperson for the Human Fertilisation and Embryology Authority, the government body which licenses clinics in Britain, said that Dr Lee was being "unnecessarily alarmist". ~ The Scotsman, July 24 RETURN TO TOP ETHICISTS / Call for disclosure of corporate funding sources
As an example, the CPSI cited the University of Pennsylvania Center for Bioethics, which is developing a code of ethics for the agricultural biotech industry funded by giant companies like Dow, DuPont and Monsanto. Biomedical companies have also given at least US$2 million to bioethics centres and offered contracts to academic researchers, according to the magazine U.S. News & World Report. "The problem with ethics consultants is that they look like watchdogs but can be used like show dogs," says Carl Elliott, a bioethicist at the University of Minnesota. "No matter how outrageous a corporate policy, no matter how troubling a headline in the morning paper, it will be softened by the knowledge that the corporation in question has consulted with a team of ethics experts." The CPSI has written to more than 125 bioethics organisations and journals to urge them to disclose possible conflicts of interests and to reject papers whose objectivity is compromised by conflicts of interest. ~ CPSI website, The Scientist, July 22 RETURN TO TOP BUSINESS / Shaky finances put therapeutic cloning firms at risk
California-based Geron Corporation has laid off 30% of its staff and has only enough assets to finance two more years of operations. PPL Therapeutics, the British company which created Dolly the sheep, has had to sell its pig-cloning technology because it could not finance additional research. The staff of Advanced Cell Technology, which announced late last year that it had cloned human embryos, are financing some of the research themselves. Large-scale therapeutic cloning research may not be feasible because of the cost and difficult of obtaining the human eggs required for research, says the Times. ~ kaisernetwork, July 19; Financial Times, July 18 RETURN TO TOP REGENERATIVE MEDICINE / Kickstarting silent genes
The newt, a kind of salamander, is one of nature's regenerative superstars: it can actually regrow whole limbs. Researchers at Hydra want to find out if it is possible for humans to do the same. Regeneration would sidestep the ethical issues which bedevil embryonic stem cell research, they say. It would also be easier to get government approval for drugs which induce the regeneration process than for therapies involving stem cell transplants. Other scientists are sceptical of the commercial potential of this line of investigation, however, because it will take years to discover the complex sequence of chemicals which govern the pace and direction of regrowth. "It's great science, but where's the business?" commented a researcher from MIT's Whitehead Institute. ~ Boston Globe, July 25 RETURN TO TOP SUICIDE / Elderly at risk in US
The elderly are far more successful at committing suicide, as well. Four older people attempt suicide for each one who succeeds, compared to 200 attempts for every completed suicide amongst young adults. Compounding the problem is the myth that it is normal to feel sad or depressed as one ages. A US specialist in elderly suicide, Dr Yeates Conwell, says that doctors also tend to believe this and do not diagnose treatable depressive illness. ~ AP, July 22 RETURN TO TOP DRUG INDUSTRY / Drugs needed for neglected diseases
Although public-private partnerships have developed drugs for AIDS, malaria and TB during the past ten years, many neglected infectious diseases still have no effective, affordable or easy-to-use drug treatment. There is little that can be done for kala-azar, Chagas' disease and sleeping sickness -- largely because patients could never afford the treatment. Out of 1,393 new drugs marketed between 1975 and 1999, only 16 were for neglected diseases, even though these constitute more than 10% of the global disease burden. Sleeping sickness, which kills thousands in Africa each year, is a good example of the problem. Melarsoprol, which was developed over 50 years ago, can cure the disease. But it kills up to 10% of the people who take it and in some regions drug resistance means that it is ineffective in a third of those who take it. A more effective and less toxic drug, eflornithine, exists but the manufacturer stopped production in 1995 because it was a commercial failure. However, it restarted in the US five years later when it was found to remove women's unwanted facial hair. ~ BMJ, July 27 RETURN TO TOP EMBRYO SCREENING / Americans uneasy about sex selection
Dr Jaroslav Marik, of the Tyler Medical Clinic, in Los Angeles, is an enthusiastic defender of embryo sorting, even for gender. "What is medical need?" he asks. "Isn't the right to happiness and health a part of that?" Even other IVF specialists, however, object to this approach. "I went into this [business] to help people with disease. Last time I checked, your gender is not a disease," says Dr Mark Hughes, of Wayne State University in Detroit. Some IVF doctors believe that embryo screening will also be a way of boosting their success rates, as embryos often have hidden defects in their chromosomes and perish in the womb. However, others say that clinics test no more than 8 of the 23 pairs of chromosomes and that embryos could be damaged in the process of extracting a cell. Nearly 2,000 embryo-screened babies have been born world-wide since 1992. Germany has banned embryo screening for any reason; the UK allows it only to check for gender-related diseases. Australia is currently a patchwork of different laws, with sex selection legal in NSW, but forbidden in Victoria unless disease is involved. The US has very little regulation of fertility clinics and there are no restrictions on embryo screening. ~ Los Angeles Times, July 23 RETURN TO TOP
To subscribe to our weekly email newsletter, click here for the HTML version. click here for the text version. To cancel your newsletter subscription, click here. Australasian Bioethics Information ISSN 1446-2117 www.australasianbioethics.org Director: Dr Amin Abboud PO Box 582, Roseville NSW 2057, Australia Editor: Michael Cook 31 Alexander St, Sandy Bay TAS 7005, Australia
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