Stem cells, with ethics By Nicholas Wade The New York Times SUNDAY, OCTOBER 16, 2005
NEW YORK In a development that may shift the political debate over embryonic stem cells, researchers have devised two new techniques designed to alleviate ethical concerns. In one, the cells are derived without the need to destroy an embryo, the principal objection of anti-abortion advocates who have strenuously opposed federal financing of the research. The other technique makes a skin cell revert to the embryonic state in a way that prevents the embryo from implanting in the uterus. Both techniques, described in the online edition of Nature, have been developed in mice and have yet to be adapted to people, but the two species are very similar at this level of embryonic development. "This gets around all of the ethical arguments except for that small minority of the pro-life community that doesn't even support in vitro fertilization," said Representative Roscoe Bartlett, Republican of Maryland, an abortion opponent, referring to the first technique. Until now the only way of deriving human embryonic stem cells has been to break open the embryo before it implants in the uterus, a stage at which it is called a blastocyst, and take out the inner cell mass, whose cells will form all the tissues of the future infant. Although the blastocysts used in the procedure are ones that fertility clinics have rejected for implantation, anti-abortion advocates say destruction of any embryo is wrong. Congress has forbidden the use of federal funds for any such research, and federally supported scientists can work with only a small number of existing lines of embryonic stem cells that have been exempted by President George W. Bush. Robert Lanza and colleagues at Advanced Cell Technology, a biotechnology company in Worcester, Massachusetts, have now developed an alternative way of generating embryonic stem cells that leaves the embryo viable. At the eight-cell stage, reached by a fertilized mouse egg after its third division and just before the blastocyst is formed, they removed one cell. They then coaxed this cell, known as a blastomere, into growing in glassware and forming cells that have all the same essential properties as embryonic stem cells derived from the inner cell mass, Lanza's team reports. The seven-cell embryo was implanted in the mouse uterus and grew successfully to term. This part of the procedure is known to work with humans too, because it is the basis of a well-established technique known as preimplantation genetic diagnosis. In the technique, one cell is removed from each of a set of embryos and tested for any of 150 genetic defects, giving the parents the choice of implanting an embryo that is disease-free. Lanza's technique is likely to be welcomed by many in the middle of the debate, although it has not won over the United States Conference of Catholic Bishops. Richard Doerflinger, its deputy director for pro-life activities, dismissed the technique, saying that preimplantation genetic diagnosis itself was unethical. The technique "is done chiefly to select out genetically imperfect embryos for discarding, and poses unknown risks of future harm even to the child allowed to be born," he said in an e-mail message. Only a procedure that generated embryonic stem cells without creating or destroying embryos "would address the Roman Catholic Church's most fundamental moral objection to embryonic stem cell research as now pursued," Doerflinger told the President's Council on Bioethics last December. Senator Sam Brownback of Kansas, a leader of anti-abortion forces, did not return a call to his office. Edmund Pellegrino, the new chairman of the President's Council on Bioethics, said through a spokeswoman that he would have no comment. But Markus Grompe, a leading stem cell scientist and a Catholic who supports the church's teaching on the unacceptability of destroying embryos, praised the Lanza approach, provided that the extracted blastomere could not develop into an embryo all by itself. "I find it clearly less objectionable than the outright destruction of the embryo," said Grompe, who studies liver stem cells at the Oregon Health and Science University. In response to Grompe's reservation, Lanza said that individual human blastomeres had never been shown to create viable embryos. The reason is that by the eight-cell stage, each blastomere is probably committed to becoming either the outer shell of the blastocyst, which later forms the placenta, or the inner cell mass, which forms the fetus. Only the fertilized egg and the two-cell, and perhaps four-cell, stages retain the ability to form all the placental and embryonic tissues, Lanza said. If Lanza's technique works in humans, it could do more than just provide researchers with a new source of cells. It might allow every child born through preimplantation genetic testing to have its own line of embryonic cells banked for the future. The blastomere removed at the eight-cell stage could be allowed to divide, with one cell being used for genetic testing and the other for growing a culture of perfectly matching embryonic stem cells. The cells would be available throughout the person's lifetime for the kind of tissue and organ repair that it is hoped stem cells will one day provide. With the parents' consent, these cells could also be used for research, providing many new embryonic stem cell lines for laboratories. The procedure might be even be offered for all embryos generated in fertility clinics when its theoretical risk has been better assessed. [Non-text portions of this message have been removed] ------------------------ Yahoo! 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