The scientific director of Bridge, Dr Alan Thornhill, says that because early-onset Alzheimer's strikes in the late 30s and early 40s, it can mean that the person "has only half a life worth living". However, he noted that people had to be very serious about the screening, as it is a very difficult process emotionally and physically. Screening for early-onset Alzheimer's is news only in the UK. Dr Yuri Verlinsky, of the Reproductive Genetics Institute of Chicago, did this as long ago as 2001. ~ London Telegraph, Sept 21
Hybrid embryos are clearly the Next Big Thing in stem cell research. Hard on the heels of a decision by the UK's fertility authority to allow approved research groups to create them, the idea is popping up everywhere. And, as usual, the more controversial the research, the more dramatic the alleged benefits.
In Scotland, the creator of Dolly the clone sheep has predicted that therapies resulting from stem cells will one day be as common as antibiotics. Professor Ian Wilmut says that hybrid embryos, created using cow eggs and human DNA, are essential to study genetic diseases and test drugs. "If we could have nerves in the dish which show that change, then people with the right sort of technology would be able to literally test thousands of compounds every year," he said. "That is probably 1000 times faster than anything that can be done in any other way at the present time." Professor Wilmut is thinking of applying for permission to create hybrid embryos.
In the US, the New York Times has given the "valuable alternative" of hybrid embryos its tentative backing. The main reason for this radical step, it notes, is that "there are distressingly few women willing to donate their eggs for experiments at the frontier of this promising science." According to the Times, stem cell researchers at Harvard spent US$100,000 in advertising to encourage women to donate their eggs -- but after hearing how difficult it would be, not one volunteered.
Even the disgraced Korean researcher Hwang Woo-suk is climbing onto the band wagon, although he apparently prefers the more neutral term "inter-species nucleus transplant". He and ten colleagues have moved to an unnamed university in Thailand to conduct research on hybrid embryos. According to a colleague at Cheju National University, Park Se-Pill, Hwang wants to avoid provoking further protests from civic and religious groups in Korea, even though he would not be breaking any laws there. "These days the ethical yardstick is more important than judicial judgements," Dr Park commented glumly.
Hwang is still fighting fraud charges in Korea over faked experiments which purported to show that his team had created human embryonic stem cell lines. ~ Sunday Herald, Sept 22: New York Times, Sept 24; Wired/AP
Sex-change operations leave patients satisfied
Despite significant complication rates, most sex-change surgery patients in Britain assert that they are happy with the outcome. According to a survey of 220 men who became women conducted by University Hospitals of Leicester shortly after the operation, 88% were "content" and only 7% were unhappy. However, in a survey of 70 patients a few years after the surgery, 29% reported major complications which could require further surgery. Still, three- quarters of these said that they were happy. ~ BBC, Sept 23
Death in gene therapy trial raises questions
The mysterious death of an Illinois woman in a gene therapy clinical trial has raised questions about informed consent and the future of novel therapies like embryonic stem cells. Jolee Mohr was a 36-year- old mother who suffered from rheumatoid arthritis. Her symptoms were already being managed with a new anti-inflammatory drug, but her doctor signed her up for an experiment run by a Seattle biotech, Targeted Genetics. Three weeks after an injection of genetically altered viruses, she was dead.
There has been no convincing evidence so far that her death was caused by the gene treatment, but the news is disquieting for potential investors in gene therapy. The final results of an autopsy are expected in December.
In the meantime, there has been much discussion of the informed consent process. Mrs Mohr was recruited by her doctor, but she was not told that he was being paid for every patient he signed up. He also secured her consent on the spot, rather than letting her study the 15-page form at home. Recruitment by doctors has always been a controversial practice, because patients routinely believe that experimental treatments recommended by their own doctor are likely to help them.
Bioethicist Arthur Caplan, of the University of Pennsylvania, says that the tragedy underscores the high risk of participating in clinical trials for novel therapies. He suggests that there should be a national insurance program for people injured in early-stage research studies, so that their bereaved families do not have to engage in lengthy litigation to pay their bills. He also questions whether there is enough protection for patients when drug companies are sponsoring much of the research, when for-profit ethics committees are reviewing trials, and when doctors are paid for recruiting patients. ~ Washington Post, Sept 18; MSNBC.com, Sept 17
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