BioEdge 253 -- Wednesday, 13 June 2007

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BioEdge 253: Will therapeutic cloning be mothballed before it succeeds?

THIS WEEK


bullet 
Will therapeutic cloning be mothballed before it succeeds?
      Stunning new research rivals Dolly
bullet 
Just a coincidence?
      News appears just in time for Congress vote
bullet 
Embryonic stem cell debate on YouTube
      Hollywood director mocks Bush
bullet 
Kevorkian explains his philosophy of life
      ... and it looks pretty bleak
bullet 
IVF clinics offering "risky" fertility treatment
      Slips through regulation net
bullet 
Australian row over stem cells
      New South Wales to be next therapeutic cloning state
bullet 
Lancet cuts ties with arms trade
      Publisher succumbs to campaign
bullet 
Chador leads to cosmetic surgery boost in Iran
      Facing up to problem
bullet 
Self-mutilation ethical, says Welsh academic
      ... at least for libertarians
bullet 
There's life in the old dog yet
      Hwang flies to Thailand
bullet 
IN BRIEF: Parkinson's; assisted suicide; cosmetic surgery; apology

WILL THERAPEUTIC CLONING BE MOTHBALLED
    BEFORE IT SUCCEEDS?

Ten years ago there was Dolly the Scottish cloned sheep and the race towards therapeutic cloning was on. Ten years later there are Japanese mice and the race could be over. Three different groups reported last week that normal skin cells in mice can be reprogrammed to an embryonic state. "Neither eggs nor embryos are necessary. I've never worked with either," says Shinya Yamanaka of Kyoto University, who first unveiled the technique a year ago to sceptical colleagues.

Now his results have been confirmed by two other teams, at the Whitehead Institute for Biomedical Research in Cambridge, Massachusetts and the Harvard Stem Cell Institute. The reprogrammed cells meet all the tests of pluripotent cells -- they form colonies, propagate continuously and form cancerous growths called teratomas, as well as producing chimaeras. "Its unbelievable, just amazing," says Hans Schöler, a German stem cell expert. "For me, it's like Dolly. It's that type of an accomplishment."

What Yamanaka did was to take a mouse skin cell and introduce into it four proteins which trigger the expression of other genes to make it pluripotent. He calls the result induced pluripotent stem cells (iPS cells). "It's easy. There's no trick, no magic," he says.

Naturally, it's easy only for experts at the moment. In practice, the four transcription factors reprogram cells inefficiently -- only 0.1% of the cells in a skin biopsy. Then these cells have to be isolated. But Yamanaka has developed a technique for this as well. And there are some worrying issues to contend with: one of the proteins seems to contribute to cancers in 20% of the chimaeric mice.

But Harvard researcher Chad Cowan says that it will change the field: "The most amazing thing about these papers is you now take this whole idea of reprogramming out of the hands of cloning specialists and put it into the hands of anyone who can do molecular and cell biology." Now the race is on to apply the technique to human cells. "We are working very hard -- day and night," says Yamanaka.

Executives from embryonic stem cell companies were not optimistic about the new technique. Because it involves tinkering with the genome, it could be dangerous, in the opinion of Thomas B. Okarma, of Geron. Getting approval from regulatory authorities would become far more complicated. And the head of the team at the Whitehead Institute, Rudolph Jaenisch, still insists that therapeutic cloning remains "absolutely necessary".

The ethical implications of this development were immediately seized upon by opponents of embryonic stem cell research. "Morally and practically, this new approach appears to be far superior," commented Richard Doerflinger, a spokesman for the US Catholic bishops conference. ~ New York Times, Jun 7; Nature, Jun 7; Science, Jun 8   

JUST A COINCIDENCE?

There was excitement, too, on Capitol Hill, in Washington DC, over the stunning new research, which appeared in the journal Nature just before the House of Representatives voted to loosen restrictions imposed by President Bush on funding for embryonic stem cell research. In any case it came too late to influence the passage of the bill, which failed to get the numbers required to override the expected presidential veto.

Was it just a coincidence? Some legislators thought not. "It is ironic that every time we vote on this legislation, all of a sudden there is a major scientific discovery that basically says, 'You don't have to do stem cell research,'" says Democratic Caucus Chairman Rahm Emanuel. "Convenient timing," said bioethicist Arthur Caplan.

However, the Washington Post consulted experts on probability. Happenstance -- or an underhanded plot to sink the bill? Skulduggery by American opponents of stem cell research? By rival British researchers bent on world domination? The experts backed coincidence. "Papers are coming out about embryonic stem cells so regularly that the odds are going to be high that some will come out when Congress is voting on them," says David Ropeik, a Harvard expert in risk assessment. ~ Washington Post, Jun 10   

EMBRYONIC STEM CELL DEBATE ON YOUTUBE

Another coincidence. The news that scientists might not need to destroy embryos to create cures overlapped with the release of a slick YouTube video arguing that they are essential. Jerry Zucker, the director of My Best Friend's Wedding, Naked Gun, and Airplane, has produced a video in a guerilla marketing campaign to undermine the Bush restrictions. It depicts two fertility clinic workers arguing with a heartless and brainless President Bush.   

KEVORKIAN EXPLAINS HIS PHILOSOPHY OF LIFE

It's hard to know why Jack Kevorkian, the paroled Michigan doctor who has helped 130 people to die, agreed to be interviewed by the author of Tuesdays with Morrie, which may be the most persuasive anti-euthanasia book ever written. But he did -- and the result was exactly as one would expect.

The Kevordian charm offensive failed on Mitch Albom, a well-known columnist for the Detroit Free Press: "I couldn't imagine a suffering so bad that I would want Kevorkian to be the last person I'd see on Earth."

Here are the highlights:

    "He didn't seem to think much of the human race. He likened life to 'a tragedy'. He quoted famous people saying they wouldn't bring babies into this world. When I said that would wipe out mankind, he said, 'What's wrong with that?' "I began to sense a man who was more interested in death than life. Death was his academic passion, and sick patients were part of that academic pursuit, like lab rats. Is there a meaning to our lives? I asked. 'No,' he said. Was he happy? 'I don't expect the object of life is happiness. That's why I'm happy.' Set the bar low, in other words? 'That's the way to go,' he said."

Nonetheless, Kevorkian has his fans. The University of Florida has offered him US$50,000 to give a lecture. ~ Detroit Free Press, Jun 10; St Petersburg Times, Jun 8   

IVF CLINICS OFFERING "RISKY" FERTILITY TREATMENT

A leading British immunologist has warned that many fertility clinics are offering women an unnecessary, potentially dangerous and possibly counterproductive treatment. Ashley Moffett, of the University of Cambridge, says that many clinics administer steroids or intravenous immunoglobulin to lower the level of uterine natural killer cells -- despite the fact that there is scant evidence that this will increase fertility.

"This has somehow slipped through the net of any regulation," Dr Moffett told Nature Medicine. "It is bizarre that women who may be in early pregnancy are exposed to this sort of risk." Immunoglobulin has a number of potential side effects, including kidney failure and hepatitis. The UK's fertility regulator only deals with the creation and handling of embryos, not drug regimes for fertility patients.

"The get-out clause is that [doctors] discuss it with their patient," says Raj Rai, of Imperial College London. "But this is disingenuous, because how is a patient supposed to decide?" ~ Nature Medicine, June 07   

AUSTRALIAN ROW OVER STEM CELLS

Another Australian state is on the road to approving therapeutic cloning and embryonic stem cell research. After a heated debate in the media, the lower house of the New South Parliament has voted 65 to 26 to support it, following the lead of its southern neighbour, Victoria. But generating even more controversy than the scientific and ethical issues of stem cell research were remarks by the outspoken Catholic Archbishop of Sydney, Cardinal George Pell. He has had to weather a blizzard of criticism over his comment that Catholic parliamentarians faced unspecified "consequences" for their religious life if they supported the bill.

Premier Morris Iemma, a Catholic, voted for the bill. "I've already thought seriously about this legislation and it passes all the ethical and moral issues that I need passed, and gives people hope," he said. Emergency Services Minister Nathan Rees even suggested that Pell's intervention might constitute contempt of parliament. This was also mooted on the other side of Australia, in Perth, where similar remarks made by Catholic Archbishop Barry Hickey were referred to that state's parliamentary privileges committee. Speaker Fred Riebeling said they had been "threatening" to MPs.

Cardinal Pell, who funds adult stem cell research, was unmoved. "Adult stem cell has been much more productive than work on embryonic stem cells, which so far has proved to be a dead end. Little has been produced except massive grants for the researchers," he argues. ~ Sydney Morning Herald, Jun 7   

LANCET CUTS TIES WITH ARMS TRADE

After enduring two years of criticism, the international publishing conglomerate which owns the Lancet, Reed Elsevier, has agreed to abandon its involvement in weaponry trade fairs. The indirect link of the Lancet (and many other scientific and medical publications) to defence exhibitions, was excruciatingly embarrassing and had attracted a huge amount of negative publicity. Its rival, the British Medical Journal, had even called upon medical societies to look for other publishers and for researchers to boycott the Lancet.

"We have listened closely to these concerns," said CEO Sir Crispin Davis, "and this has led us to conclude that the defence shows are no longer compatible with Reed Elsevier's position as a leading publisher of scientific, medical, legal and business content." ~ Lancet, Jun 9; BMJ, Jun 9   

CHADOR LEADS TO COSMETIC SURGERY BOOST IN IRAN

Even though cosmetic surgery procedures in the US and Britain are soaring, they are higher still in the Islamic Republic of Iran. According to Reuters, the number of young women, and men, sporting bandaged noses on the streets is striking. "Nose surgery is very popular," says plastic surgeon Nabiollah Shariati. "It makes people feel good about life and themselves."

The Islamic revolution which turned Iran into a theocratic state where women are supposed to wear the head-to-toe chador has actually sparked a growth in cosmetic surgery. "Because of the hijab women have to wear, the face becomes the most prominent part of the body," says Dr Shariati. And since Iranian noses tend to be larger than European or Asian ones, nose jobs are very popular. "Every year the figures go up," he says. "Compared with the United States and European countries, they are much higher in Iran." ~ Canada.com, Jun 10   

SELF-MUTILATION ETHICAL, SAYS WELSH ACADEMIC

While self-mutilation and extreme body modification are frowned upon by most bioethicists, a Welsh academic contends in the journal Bioethics that there can be no convincing arguments against them, so long as there is informed consent. In other words, tongue splitting, amputations, flesh staplings and so on, should not be actively discouraged.

Thomas Schramme calls self-mutilation "an ultimate test-case for liberal bioethics" since it pushes the envelope of two of its key presumptions: anti-paternalism and neutrality. "The easy dismissal of the body modification community as a bunch of eccentrics or pathological cases ought to be rejected".

Arguing from a libertarian perspective, Schramme says "bodily health is only one aspect of our well-being and probably not even the most important one. If people voluntarily choose to mutilate their flesh, we better assume that they take it to be in their interest." ~ Bioethics, on-line early publication   

THERE'S LIFE IN THE OLD DOG YET

Disgraced South Korean stem cell scientist Hwang Woo-suk has been in Thailand for discussions about setting up an international consortium for human embryonic stem cell research. "Dr Hwang has said he would visit Thailand at the invitation of two research institutes, including a national university, and planned to look at international stem cell research's situation," the Maeil Business Newspaper has reported. An American biomedical firm might be participating in the venture, too. Hwang is currently fighting charge of fraud and violating bioethics laws which could put him behind bars. ~ Scientific American, Jun 10   

IN BRIEF: Parkinson's; assisted suicide; cosmetic surgery; apology

PARKINSON'S: Monkeys with Parkinson's symptoms have been helped by injections of stem cells from human foetuses, researchers at the Harvard Institutes of Medicine in Boston say. Writing in the Proceedings of the National Academy of Sciences, they say that the implanted cells worked to protect brain cells against further damage. However, after four months, the symptoms began to return, possibly because the human tissue was being rejected. ~ New Scientist, Jul 11

ASSISTED SUICIDE: A Canadian has been found guilty of trying to help a patient in a residential care facility commit suicide and has been deregistered as a doctor. Dr Ramesh Kumar Sharma, of British Columbia, had also been found guilty of having sex with a patient in 2001. ~ Canada.com, Jun 11

COSMETIC SURGERY: A British businessman dubbed the king of cosmetic surgery is establishing a second chain of clinics throughout the UK specialising in breast enhancements. Mr John Ryan sold his first business, the Transform Medical Group, in 2002 and has since bought the Doncaster Rovers football club. His new venture is called MYA -- Make Yourself Amazing. "People often return to what they do best, and for me that means cosmetic surgery and football," he says. ~ Manchester Evening News, Jun 11

APOLOGY: The editor of Fertility and Sterility has officially apologised to a South Korean IVF specialist for statements made to the Los Angeles Times. With a lawsuit for defamation hanging over his head, Dr Alan DeCherney withdrew allegations of plagiarism and perjury in a complicated history of claims and counter-claims over the authorship of a paper. Dr Kwang-Yul Cha welcomed the retraction as "the right and honourable decision". The issue blew up at a sensitive time, because Dr Cha's California institute is to receive funding for stem cell research from the state government. ~ Los Angeles Times, Jun 9   

  

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Australasian Bioethics Information
ISSN 1446-2117
Website:www.australasianbioethics.org
BioEdge editor: Michael Cook
New Zealand Contributing Editor: Carolyn Moynihan


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