|
A summer of political biology
David Baltimore
This was
the summer when politics hit biology. In earlier years, the research community
successfully countered such attempts, but this summer the politicians
were determined to have their say. The scientific issues at stake were
two: stem cells and cloning. They entail quite separate processes but
they do interact. Lets start with stem cells.
The phrase
stem cells was coined long ago for cells that both renew themselves and
give rise to a variety of progeny cells. The first were ones that can
develop into blood cells. Then stem cells of skin and nerve and other
tissues were found. These are adult stem cells, and in each
case the specialized cells that can be derived from them are limited to
one organ. However, certain cells derived from early embryos have the
potential to make all the different cells of the embryothey are
known as embryonic stem cells. These cells have excited the politicians
because of the need to derive them from embryos. Their potential value
is that it might be possible to control their development so that they
become a source of cells to be used therapeutically anywhere in the body,
say for treating Parkinsons disease or diabetes.
Only a few
years ago scientists learned how to derive human embryonic stem cells.
As a source, they mainly used embryos derived in vitro, made by mixing
sperm and egg in the laboratory and allowing fertilization to occur. Thus,
these embryos have never been inside a person and can only grow into a
tiny ball of cells. If implanted into a woman, however, they can grow
into a human being, and couples use this form of reproductive assistance
for some types of infertility. Thus many embryos are made and stored frozen,
and many of these are ultimately discarded after the couple has the children
they want. This provides a ready source of starting material for making
embryonic stem cell lines.
Cloning is
shorthand for deriving a fertilized egg by killing the eggs own
nucleus and then implanting into the egg the nucleus from an adult cell.
An embryo derived from such a union is genetically identical to the adult
who donated the nucleus and thus a clone of that adult. The idea of human
clones has produced outrage among politicians and the public, even though
no one has ever made such a clone and in actuality identical twins are
clones in just this sense. If the method was safe, and it isnt,
it might be valuable to couples with certain types of infertility or inherited-genetic-disease
issues.
Where cloning
and embryonic stem cells interact is when embryos derived by cloning are
used for making stem cells. There is good reason to want to do thisthe
stem cells would be the perfect source of organs for the adult who donated
the original nucleus, because there would be no danger of immune rejection
of the cells by the recipient. This is called therapeutic cloning to differentiate
it from reproductive cloning, which might be used to make a whole person
by cloning.
I am not
aware of any work today at Caltech involving human embryonic stem cells,
or of any attempts at human cloning. However, the issues are ones that
concern all biologists because of a common interest in seeing that new
capabilities reach the public as new therapies.
With that
background, we can describe the events of the summer. Congress first got
into the cloning issue. The public seemed so incensed by the idea of cloning
that the House passed a bill banning it. However, the bill was drafted
by absolutists who lumped therapeutic cloning and reproductive cloning
together in the ban. The Senate has not acted and the slim Democratic
majority may be reluctant to act, so possibly no bill will come to the
president for signature. If it comes, he seems sure to sign it. Losing
the opportunity to make embryos to order is no problem at the moment,
but putting a ban into law would make reversing it in the future very
difficult.
The presidentwho
was responding to calls, mainly from religious groups and conservative
anti-abortionists, to ban the researchtook on the stem cell issue.
He agonized publicly over his decision for weeks, listened to many opinions,
including that of the Pope, and announced his decision in prime time on
television. He gave a surprisingly learned discourse on the issues before
making a Solomonic decision to allow the government to fund work on cells
that already exist, but not the derivation or study of new stem cell lines.
He did not listen to those in opposition who argued that adult stem cells
might be able to replace embryonic ones.
Predictably,
the conservatives argued that his decision was immoral, and the liberals
argued that it was insufficient. Although I think that limiting research
in this way is bad, I believe that Bushs decision was realistic
and is not the last word. If the research community can show that there
is actual as opposed to theoretical benefit to be derived from human stem
cells, but that the limiting factor is the need for new cell lines, I
would think that Bushor the next presidentand Congress would
be under enormous pressure from patients and their advocates to relax
the prohibitions.
So this has
been a momentous summer for biomedical research. In the 1970s, when recombinant
DNA research was first invented, there was a push for legislation to limit
the purview of the work or even to ban it. The research community fought
these efforts successfully and argued that it could police itself. The
issues were mainly about safety, so the moral considerations in the debates
were muted. This summer morality has been the key issue. Even in the cloning
discussions, where safety is a huge concern (in animals, cloning produces
mainly poorly formed offspring), the moral issues have been the main ones.
We still dont have signed legislation, and maybe we can avoid it,
but there is no question that the research community has now developed
capabilities that many people consider inappropriate human activities.
Peoples moral decisions change over time, and practical considerations
often outweigh moral ones when a new technology provides proven benefits.
So I expect this to be a changing landscape. But as physicists discovered
years ago, powerful sciences develop controversial capabilities. Now,
the biological research communitynever mind university administratorsis
going to have to take an ever-more-public role to explain and defend their
proposed activities.
|