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- <text id=94TT1133>
- <title>
- Aug. 29, 1994: Science:Brave New Embryos
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1994
- Aug. 29, 1994 Nuclear Terror for Sale
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- SCIENCE, Page 60
- Brave New Embryos
- </hdr>
- <body>
- <p> U.S. rules for studies of early development are sure to stir
- up a storm
- </p>
- <p>By Christine Gorman--Reported by Alice Park/New York and Dick Thompson/Washington
- </p>
- <p> There is no greater miracle in all of biology than the nine-month
- journey that begins with a fertilized egg and culminates in
- the birth of a tiny human being. From the moment the egg and
- sperm unite, an ancient and astonishingly intricate ballet unfolds.
- The still microscopic sphere divides into two, then four, then
- eight parts. Soon after, individual cells begin an extraordinary
- trek across this globe of living matter. Some dive deep into
- the core, where they give rise to the intestinal tract. Others
- bunch along the surface, forming a hollow tube--one end of
- which buds into a brain. Somehow every cell knows its place
- and fulfills its destinyas heart, bone, blood and sinew weave
- together into a single, organic whole.
- </p>
- <p> For the past 14 years, scientists in the U.S. could only marvel
- at such complex choreography. To learn any more about it, they
- would have had to conduct experiments on human embryos and aborted
- fetal tissue. But federal funding for any such research was
- forbidden by the pro-life Administrations of Ronald Reagan and
- George Bush. Last year President Clinton quietly called for
- an end to his predecessors' ban and asked the National Institutes
- of Health to develop rules to guide the research. And since
- February an expert NIH advisory panel has been debating the
- details of what is sure to be one of the most controversial
- policies to come out of the Clinton Administration.
- </p>
- <p> The panel's recommendations are not expected to be made public
- until next month at the earliest, but according to a report
- in last week's issue of the journal Science, the group has already
- made some tentative decisions that will upset pro-lifers--and perhaps many others as well. To begin with, the committee
- apparently favors federal funding for experiments conducted
- on "spare" embryos collected at fertility clinics. During the
- process of in vitro fertilization, many eggs are fertilized
- but not all are implanted in the would-be mother. The extra
- ones are routinely discarded, and some countries already allow
- experiments on such embryos. But the proposed U.S. guidelines
- would go further: they would allow scientists to create and
- discard human embryos solely for research purposes. In other
- words, eggs and sperm could be donated by men and women who
- had no intention of becoming parents.
- </p>
- <p> Scientists argue that such work could lead to breakthroughs
- in the treatment of everything from infertility to aging to
- cancer. Moreover, the guidelines would bring some discipline
- to the currently unregulated field of fertility research. But
- experiments on embryos raise the same tough question already
- at the center of the abortion debate: When do life--and human
- rights--begin? "This represents moral terra incognita for
- us as a society," says James Nelson, an ethicist at the Hastings
- Center in New York. "We have a huge range of definitions of
- what an embryo is--anywhere from a person to just a bunch
- of tissue like any clump in the body."
- </p>
- <p> Pro-life organizations are not waiting for the official release
- of the NIH recommendations; they are lining up political allies
- in an effort to derail the guidelines. A group of 32 members
- of Congress, led by Representative Robert Dornan, a California
- Republican, has sent NIH director Dr. Harold Varmus a letter
- of protest. "It's Frankensteinesque," Dornan says. "What they
- are doing is embryo destruction, and there's no way that they
- can adjust that to suit me." The uproar could be louder than
- the denunciations last year of the two George Washington University
- doctors who announced that they had split a human embryo in
- a process called cloning.
- </p>
- <p> The expected debut of the NIH guidelines is hardly coming at
- an ideal time for the White House, since September will be a
- make-or-break month in the Administration's push to pass health-care
- reform legislation this year. Among the many parts of the Democrats'
- health plan that have stirred opposition is the President's
- insistence that abortion services be covered by insurance. Some
- pro-life members of Congress may turn against the entire plan
- on this issue alone, and they will be doubly upset by the proposals
- for federally funded embryo research.
- </p>
- <p> Sensitive to ethical concerns, the NIH advisory panel intends
- to recommend strict limits on embryo studies. In most cases,
- for example, the embryos would not be allowed to develop for
- more than 14 days, which is the standard in countries that allow
- such research. Under no circumstance would experiments on embryos
- be allowed after the 20th day, when the tube of cells that is
- destined to become the brain and spine closes off.
- </p>
- <p> The panel will come down against cloning to create duplicate
- babies. Specifically, the proposed rules will bar fertility
- specialists from splitting a fertilized egg into two, thereby
- creating identical embryos, and then placing them in a woman's
- uterus. Nor would researchers be allowed to make copies of adults
- by taking genetic information from, say, a skin cell and placing
- it in a fertilized egg stripped of its own DNA. But cloning
- like that performed by the George Washington doctors would be
- allowed. Because the eggs they used had been fertilized by more
- than one sperm, the embryos were destined to die within a few
- days anyway.
- </p>
- <p> While treading cautiously in many areas, the NIH panel is supportive
- of several innovative lines of research. For example, biologists
- have learned how to trick unfertilized animal eggs into developing
- as if they had been fertilized. Without the sperm's DNA, however,
- these so-called parthenotes quickly perish. One tentative NIH
- proposal would allow scientists to produce parthenotes from
- human eggs. Such experiments could yield information on how
- embryonic cells influence each other's growth.
- </p>
- <p> Most likely, the first people to benefit from embryo research
- would be the millions of couples (including an estimated 5 million
- in the U.S. alone) who have trouble conceiving. Much of the
- information in textbooks on developmental biology comes from
- research conducted between the turn of the century and the late
- 1940s. "It's a static picture, and some of it is wrong," says
- Dr. John Gearhart of the Johns Hopkins Medical Center. "Now
- we know what the questions are, and we have the tools we need
- to make the most of the small amount of material we could get."
- </p>
- <p> Studying development could also bring advances in cancer research.
- Rapidly dividing embryonic cells behave a lot like tumors. A
- difference, though, is that young cells mature into various
- types of tissue while cancer cells do not. "If we can understand
- what happens in a normally dividing cell, then we can understand
- an abnormally dividing cell," says Dr. Maria Bustillo at the
- Mount Sinai Medical Center in New York City. "We can figure
- out what turns the cancer cells on."
- </p>
- <p> Of course, no one knows what all the benefits of embryo research
- will be. Nor can anyone claim to know all the ethical questions
- that will have to be dealt with before studies can proceed.
- What seems certain is that the debate will soon move beyond
- a select circle of scientists and policymakers and into the
- public arena. The decisions made will set out nothing less than
- the definition of fetal rights and the limits of scientific
- freedom.
- </p>
- <p>THE DISPUTED GUIDELINES
- </p>
- <p> A partial list of the recommendations expected to emerge from
- the NIH advisory panel.
- </p>
- <p> ACCEPTABLE (with case-by-case approval)
- </p>
- <p> 1. Research on unused embryos from in vitro fertilization clinics
- until the 14th day after fertilization.
- </p>
- <p> 2. Limited creation of in vitro embryos for "compelling" research.
- </p>
- <p> 3. Removal of cells from embryos before their implantation back
- into the mother.
- </p>
- <p> NOT ACCEPTABLE
- </p>
- <p> 1. Use of sperm, eggs or embryos from donors who did not give
- explicit consent to research or who received more than reasonable
- compensation.
- </p>
- <p> 2. Sex selection of embryos, except to prevent sex-linked hereditary
- diseases.
- </p>
- <p> 3. Transfer of human embryos to animals for gestation.
- </p>
- <p> 4. Creation of human-human or human-animal chimeras.
- </p>
- </body>
- </article>
- </text>
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