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Shedding light on
the embryonic stem-cell debate
Is the embryo a
person or is it property?
Our culture is in
the midst of a major debate on stem cell research. In a graver sense, we
are on the brink of conceiving children with the purpose of harvesting
them as embryos, then killing and using them for “humanitarian”
purposes. In spite of the hype we hear, corporations and other investors
are unwilling to invest in the research our government is now
considering investing in. The reason is that there is little optimism
that embryonic stem cells will produce the healing results that some
expect. At the same time, adult stem cells and cord blood from new-borns—gathered
by ethical, moral, harmless means—are producing positive results. A
meeting of scholars in Washington, DC, recently discussed this issue.
Following are excerpts from that meeting compiled by Robert Moffit,
Ph.D.
Embryonic stem cells are the unspecialized cells that form the basic
building blocks for all of the specialized cell types in the body.
Researchers hope to treat human diseases by using stem cells taken from
embryos. The primary sources for embryonic stem cells are aborted
fetuses and the donated and unused embryos housed in in-vitro
fertilization (IVF) facilities. To obtain embryonic stem cells, an
embryo is formed and allowed to mature for five to seven days. The inner
mass of the stem cells is then removed, plated, and treated with
chemicals to become specialized cell types. In theory, these specialized
cells will be used to treat dead, diseased, or dying tissue.
Ethical Issues
In the process of harvesting embryonic stem cells, the embryo is
destroyed. The primary ethical question raised is whether embryos are
people or property. A second ethical issue lies in the extreme
inefficiency of harvesting embryonic stem cells. Specifically, the
process requires women’s eggs. To treat, for example, the 17 million
diabetes patients in the United States will require a minimum of 850
million to 1.7 billion human eggs. Collecting 10 eggs per donor will
require a minimum of 85 to 170 million women. The total cost would be
astronomical, at $100,000 to $200,000 for 50 to 100 human eggs per each
patient.
Even more important than the dollars and the difficulty is that the
process of harvesting a woman’s eggs for stem cells places that woman at
risk. Superovulation regimens for fertility treatments would be used to
obtain women’s eggs. The risks associated with superovulation regimens
or high-dose hormone therapies are debated. But there is a growing body
of evidence showing that these practices, when used for standard IVF,
can cause a wide spectrum of problems including memory loss, seizure,
stroke, infertility, cancer, and even death. This points to yet another
ethical issue: the future commercial exploitation of women, and
particularly poor women, to collect their eggs.
Practical Results
No currently approved treatments have been obtained using embryonic stem
cells. There are no human trials—despite all the hype and all the media.
After 20 years of research, embryonic stem cells haven’t been used to
treat people because the cells are unproven and unsafe. They tend to
produce tumors, cause transplant rejection, and form the wrong kinds of
cells.
Private investors aren’t funding embryonic stem cell research. They are
funding adult stem cell research, which is an ethical alternative. Some
of the most startling advancements using adult stem cells have come in
treating Parkinson’s disease, juvenile diabetes, and spinal cord
injuries.
The scientific data on embryonic stem cell research simply does not
support continued investment in research. Even if the research were
successful, it is morally bankrupt and endangers women. Federal funding
should not be used to pay for research that many Americans know is
morally wrong and scientifically unsound. That makes embryonic stem cell
research a bad investment for our tax dollars.
Let’s take a look at three sources of stem cells: embryonic stem cells,
adult bone marrow stem cells, and neo-natal cord blood stem cells.
Embryonic stem cells have theoretical advantages: they can become all
the different tissues of the body and they have a whole life’s worth of
cell divisions available to them. But they have also triggered malignant
carcinomas in animals, and so researchers are cautious about expecting
any clinical trials using embryonic stem cells in the near term.
Adult stem cells are typically drawn from the bone marrow of patients.
They also have advantages and have been used clinically about 30,000
times. They do have some disadvantages, however: there are risks to the
donor during extraction; there is significant risk of transmission of
infectious disease from donor to recipient; and the cells have the
potential for fewer divisions.
The Use of Cord Blood
...Neo-natal cord blood stem cells have some dramatic advantages: they
can become several—and perhaps all—the different tissue types; they
involve no donor risks; they have the capacity for many cell divisions;
and they cause less graft versus host disease, in which the donor cells
attack the tissue of the patient’s body, than adult bone marrow stem
cells.
The first patient to be treated with cord blood stem cells in 1988 today
shows no evidence of the Fanconi Anemia...
Good Results
So far, more than 6,000 patients and 66 diseases have been successfully
treated with stem cells from cord blood.The clinical advantages of cord
blood are promising. A recent study found a survival rate of around 70
percent among high-risk adults treated with cord blood. Results are even
more promising with children, with clinical trials showing an 80 percent
survival rate for children with immunodeficiency diseases. An article in
the New England Journal of Medicine last year showed a 90 percent
success rate in treating a disease called Hurler syndrome that affects
the brain. And for the first time, not only was cord blood arresting the
disease, Dr. Kurtzberg noted, but it was beginning to reverse the
symptoms.
Adult stem cells and, in particular, cord blood stem cells are going to
be the sources for the regenerative, miraculous medicine in the future.
Embryonic stem cell research is just not getting good research
results...
Taxpayer Burdens
There are millions of Americans who do not want to fund destructive
embryonic research for the same reason they don’t want to fund
abortions...
I want to read to you a fascinating quote from William Haseltine, CEO of
Human Genome Sciences, Inc., of Rockville, Maryland. He is a leading
advocate for embryonic stem cells, but here’s the interesting thing he
said: “The routine utilization of human embryonic stem cells for
medicine is 20 to 30 years hence. The timeline to commercialization is
so long that I simply would not invest. You may notice that our company
has not made such investments.” And what’s going on in California with
the taxpayers funding embryonic stem cell research is that the taxpayers
are funding what the venture capitalists will not fund. And that’s
exactly what’s going on in this city: People are trying to get the
federal taxpayers to fund what the venture capitalists will not fund.”
Robert Moffit, Ph.D., is Director of Health
Policy Studies at The Heritage Foundation. Kelly Hollowell, Ph.D., is a
molecular and cellular pharmacologist and a patent attorney. These
remarks were made at The Heritage Foundation event “Stem Cell Research:
What Taxpayers Must Know,” held on May 10, 2005, in Washington, D.C.
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