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New Potential for Stem Cells Suggested
Findings of Three Studies May Affect Treatment of Diabetes,
Alzheimer's Disease
By Rick Weiss  -  Washington Post Staff Writer
Friday, April 27, 2001; Page A02
Three research reports provide evidence that cells from human embryos
and fetuses have the potential to cure ailments affecting millions of
Americans -- a conclusion that is likely to intensify an already heated
debate over the ethics of human embryo cell research.

In one report, old rats performed better on a test of memory and learning
after scientists injected brain cells from aborted human fetuses into the
rodents' age-addled brains. It's the first indication that such transplants
can prompt cognitive improvements, and it hints at a treatment for
Alzheimer's disease and other forms of dementia.

In a second report, scientists coaxed embryo cells in laboratory dishes
to become the specialized parts of the pancreas responsible for
regulating blood sugar levels -- an advance that could lead to an
effective treatment for many of the nation's 16 million diabetics.

A third study demonstrates that in mice, at least, cloned embryos
contain bona fide "embryonic stem cells," capable of growing into
virtually every kind of adult tissue. That suggests people may someday
want to clone their cells -- not to make full-grown duplicates of
themselves but to create embryos from which precious stem cells could
be retrieved.

Those stem cells could be grown into replacement tissues for
transplantation into the patient, and they would not be rejected because
they would match the patient's genes exactly.

The three studies, released by scientific journals yesterday, add a sense
of urgency to the escalating political and ethical controversy
surrounding human cloning and embryonic stem cell research.

Congress is poised to consider several anti-cloning bills -- including one
introduced yesterday by Sen. Sam Brownback (R-Kan.) and Rep. Dave
Weldon (R-Fla.) -- some of which could end up criminalizing not only
human cloning, but also cloning of human embryos. A plan by the
National Institutes of Health to fund research on human embryo cells
has been put on hold pending a Bush administration review of the
work's legal and ethical implications.

Critics find the work offensive because stem cells are typically retrieved
from aborted fetuses or human embryos slated for destruction at fertility
clinics. By contrast, Bush and others support work on what are called
adult stem cells, which have not shown the same range of potential as
embryo and fetal cells.

The new report do not suggest cures based on cloning or embryo cells
are imminent; indeed, human testing may be many years away. But
several scientists said yesterday the studies solidify the argument for
federal support of human embryo cell research.

"You need to do this kind of research to get to the goal of helping
people," said Robert Goldstein, chief scientific officer of the Juvenile
Diabetes Research Foundation in New York. "These kinds of results
have not been achieved with adult stem cells. And we'd really like to see
this helping kids."

In the most dramatic, but least well documented, of yesterday's reports,
Kiminobu Sugaya and his colleagues at the University of Illinois
injected "neural stem cells" from aborted human fetuses into 24-month-
old rats, which are equivalent in age to people about 80 years old. The
cells developed into neurons and other brain cells, the team says in
NeuroReport, a little known online journal.

When tested for their ability to learn and remember the location of a
movable submerged platform in a tub of milky water, the rats scored
better than they had before getting the transplants, on average doing as
well as young adult rats. Sugaya said he thought the new cells provided
added brainpower and also secreted natural chemicals that nurtured
older brain cells.

Several neuroscientists gave guarded assessments, saying the report,
though promising, lacked critical details.

"I'd be really shocked because it's asking a lot for this to happen in old
brains," said Stanford University's Irving Weissman, co-founder of
StemCells Inc. of Palo Alto, Calif., which hopes to commercialize stem
cell cures. "But this is a new field and I'm shocked a lot these days, so
who knows?"

By contrast, many scientists were enthusiastic about the report by NIH
scientist Ron McKay in today's issue of Science. McKay's group turned
mouse embryo stem cells into complex, many-celled structures that look
and act like islets of Langerhans -- the pancreatic structures that detect
high blood sugar levels and respond by secreting insulin.

The work suggests that similar clusters, grown from human embryo
cells, could be transplanted into children with type I diabetes, who lack
functioning islet cells. The islets worked properly when transplanted
into diabetic mice, albeit at a level too low to normalize the animals'
blood sugar. McKay and others said they think the cells will work better
when allowed to mature.

"This work is about the most exciting in the diabetes field in the last
decade," said Doug Melton, Harvard's chairman of molecular and cell
biology. "You don't have to be a rocket scientist to say, 'Let's try this
with human ES cells and see what happens.' "

In the third study, Teruhiko Wakayama and colleagues showed that
when mice are cloned, the resulting embryos contain true stem cells that
can be turned into all the major cell and tissue types. In one effort, the
team turned stem cells into dopamine-secreting neurons, the type of
brain cells that degenerate in Parkinson's disease.

A long-term goal is for Parkinson's patients to grow compatible
replacement neurons from their own cloned embryos, said Anthony
Perry, a co-author of the report in Science. Perry and Wakayama recently
left Rockefeller University for Advanced Cell Technology in Worcester,
Mass.

© 2001 The Washington Post Company

http://www.washingtonpost.com/wp-dyn/articles/A7411-2001Apr26.html

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