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Therapeutic cloning of cells, tissue touted as a disease fighter
Thursday, March 29, 2001
By Anita Srikameswaran, Post-Gazette Staff Writer
While scientists and politicians in Washington, D.C., debated
human cloning as a solution for infertility, tissue engineering
experts in Pittsburgh yesterday talked about using cloning
techniques to generate human replacement cells and tissues.

This so-called therapeutic cloning could lead to revolutionary
treatments for Type I diabetes, Parkinson's disease and other
conditions.

Dr. Robert Lanza, vice president of medical and scientific
development at Massachusetts-based Advanced Cell
Technology, talked about the technique at the Engineering
Tissue Growth International Conference and Exposition,
now under way at the Marriott City Center.

"Cloning is conceptually very simple," Lanza said. A single
mature cell from the skin is placed next to an egg from which
the genetic material has been removed. A jolt of electricity is
applied to the two cells, fusing them together and loading the
skin cell's genetic material into the egg.

"Then you fool the egg, chemically or otherwise, into thinking
it's been activated and [so it] starts to divide," Lanza explained.

A ball of about 100 cells, called a blastocyst, forms as new cells
are generated. Rather than implanting the cell ball into the uterus
of a surrogate mother, where it might then develop into a fetus,
the primitive stem cells are put in test tubes and Petri dishes.
There they can be treated with chemical growth factors and other
agents.

"The goal then would be to generate different replacement
cell types in the laboratory and put them back in the patient"
for disease treatment, Lanza said.

So a patient with diabetes could get a transplant of insulin-making
pancreatic cells that are genetically identical to his own. There
would be no danger of rejection, and no long wait for a donor
pancreas transplant.

Similarly, neurons that make dopamine could be given to people with
Parkinson's disease, who suffer from a progressive loss of the brain
chemical.

Lanza said cloning could also provide a means to avoid the biggest
obstacle to transplanting animal organs into humans, also known as
xenotransplantation.

A type of sugar molecule is attached to the surface of blood vessel
cells in animals. The human immune system recognizes the sugar as
foreign and launches an all-out attack, which leads to rapid rejection
of the animal organ.

But scientists could snip out the gene that makes the offending
sugar in an animal cell and clone it to produce mature animals with
organs that will not set off the human immune system. Those organs
could be used for transplantation.

Lanza acknowledged that there are ethical issues at stake in human
cloning. He said few scientists, including himself, would support it
as a means to create new people.

But the procedure holds the promise of alleviating many common
diseases. Does the microscopic ball of cells used in the therapeutic
cloning technique merit the same "rights and reverence" as a
deathly sick child or adult?

At the blastocyst stage of development, 90 percent of the cells are
used to make the placenta and other non-embryonic tissues.

"So they'd be discarded in any case," Lanza said. "Medically
speaking, the first trace of the embryo doesn't occur until
implantation" in the uterus.

In January, the British House of Lords voted in favor of
allowing this type of limited human cloning for medical research.
"We would all like to be able to use the human [cell] lines,"
said K. Sue O'Shea, a developmental biologist at the University
of Michigan. Apart from tissue engineering and other
applications, there is a lot of basic science to be learned.

"I've reviewed a lot of grant proposals and papers from people all
over the world and we're not allowed to do the same research that
I'm reviewing," O'Shea noted. "That's really frustrating."

More than 550 people from 24 countries are attending the tissue
engineering conference.

http://www.post-gazette.com/healthscience/20010329cellclone4.asp

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