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Scientists Clone Stem Cells From Human Patients

South Korean scientists have surmounted a key hurdle in stem cell
research, reporting today that they have produced 11 human embryo
clones of injured or sick patients and harvested individualized stem
cells in a process that could be used to treat patients with their own
genetically matched tissues.

If the technique can be replicated in other labs, scientists said they
could create individualized lines of stem cells to produce tissues
suitable for transplants without running the risk of rejection.
They could also develop cell lines to study every type of cancer and
all of the genes that contribute to diseases such as Alzheimer's,
Parkinson's and juvenile diabetes.

"It just opens a floodgate of possibilities," said Fred H. Gage, a
professor of genetics at the Salk Institute in La Jolla.

Ian Wilmut, the Scottish scientist who led the team that cloned Dolly
the sheep in 1996, said patient-specific lines of embryonic stem cells
could be created to produce new heart muscle to repair the damage from
a heart attack, for instance, or fresh brain tissue to treat stroke
victims.

The researchers, who published their work in the online edition of the
journal Science, insisted that their progress in cloning human embryos
will not make things easier for anyone attempting to create a cloned
baby, which they believe is impossible.

"Reproductive cloning is not our goal," said Woo Suk Hwang, the lead
researcher from Seoul National University. "Reproductive cloning is
unsafe and unethical, and so it shouldn't be done in any country."

The researchers collected 185 eggs from 18 women and removed the
genetic material. They also took small skin biopsies ~ about the size
of a small button ~ from 11 patients with spinal cord injuries,
juvenile diabetes and a form of severe combined immunodeficiency
disease, the so-called "bubble boy disease." After the skin samples
were treated in the lab, the researchers took DNA from them and
inserted it into the eggs.

The procedure resulted in 31 embryos. When they were 5 days old, they
were transferred to culture dishes, where 11 of them from nine
patients developed into stem cells.

Tests verified that the stem cells were able to multiply as well as
differentiate into neurons, muscle, bone, cartilage, respiratory and
islet cells, among others.

On average, the researchers were able to produce a cell line using
16.8 eggs. In their previous paper, they required 242 eggs to create a
single line of stem cells.

Wilmut called this a "remarkable improvement in efficiency" that marks
"a very significant step forward."

Dr. Robert Schenken, president of the American Society for
Reproductive Medicine, said the progress "should allay the concerns
expressed by some critics that stem cell research would somehow lead
to mass exploitation of women for their eggs."

Scientists also said it was significant that the South Koreans were
able to eliminate many of the animal products typically used in cells.
A study earlier this year by Gage and others found that human stem
cells nourished by tissue from mice, calves and other animals have
incorporated a type of acid that would trigger a harmful immune
response if transplanted into humans.

Each of the advances reported in the paper is considered crucial to
achieving the ultimate goal of customizing stem cells to treat
individual patients, said Gerald Schatten, a biomedical researcher at
the University of Pittsburgh who was a coauthor of the study.

Researchers strongly suspect that tissues made from stem cells
containing a patient's own genetic material are most likely to succeed
in a transplant.

"This may be nature's best repair kit," said Schatten, who leads the
Pittsburgh Development Center, a biology research institute.

The next step is to follow the recipe in the paper and create cells
with a variety of genetic diseases to study "the cellular mechanisms
that cause these diseases to occur," Gage said.

For instance, Gage envisions creating a line of stem cells using the
DNA of a patient with pancreatic cancer.

"The embryonic stem cells don't have cancer, but they have the
capacity for it," he said. "You could differentiate the cells into
pancreatic cells and watch as the cancer develops."

Scientists could use that information to develop a treatment that
might prevent cancerous tumors from forming. When researchers are
ready to test it, they could apply it to the cells and "see if we can
interfere with the progress of the disease," he said.
Ian Wilmut and Dr. Christopher Shaw, a neurologist at the Institute of
Psychiatry in London, are already making plans to collaborate with
Hwang's research group to produce embryonic stem cells cloned from
patients with motor neuron disease. They hope the cells will allow
them to zero in on causes of the disease and to test drugs that might
provide cures.

Schatten said Hwang is also collaborating with researchers at Memorial
Sloan-Kettering Cancer Center in New York who focus on degenerative
diseases like Parkinson's.

"This work is powerful evidence that stem cell research can unlock the
keys to understanding, and eventually treating conditions from spinal
cord injuries to diabetes," said Daniel Perry, president of the
Coalition for the Advancement of Medical Research.

Although 60% of Americans support embryonic stem cell research,
according to a poll conducted this month by Gallup, they remain
uncomfortable with the idea of human cloning, with 87% of respondents
calling it "morally wrong."

That queasiness, in part, underlies the Bush administration's
prohibition against using federal funds to develop or study stem cell
lines created after 2001.

Schatten pointed out that all of the experiments in the new study were
conducted in South Korea without any U.S. funding. But he said the
results might prompt Washington to reconsider its position. Congress
is considering several bills that would expand the government's role
in funding stem cell research.

"Would I encourage a reevaluation of our policies now that we're
nearly four years down the road?" he said. "Absolutely."


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