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The Promise of Therapeutic Cloning

January 5, 2003
By GINA KOLATA






Scientists wasted little time deploring the announcement by
a religious sect that it has created the first human clone.
It's not just because Clonaid, the company founded by the
leader of the sect, the Raėlians, has so far failed to
support its claims with even a shred of evidence. It is
also because cloning has two meanings. And scientists worry
that the public and Congress don't understand the
distinctions.

What many scientists want to do is therapeutic cloning,
which would create replacement cells for sick people, cells
that their bodies would not reject because they would be
genetically identical to their own. They want to cure
diseases, not create cloned humans.

What Clonaid said it did is reproductive cloning, which
creates humans but has no role in curing disease. Please,
scientists plead with the public, don't tar us with the
same brush.

"A knee-jerk reaction to Clonaid's claims could set back
much important medical research for years," said Dr. Albert
H. Teich, head of the Directorate for Science and Policy
Programs at the American Association for the Advancement of
Science.

For all the handwringing by scientists, you might think
that therapeutic cloning is on the verge of curing a
disease or two.

But that is not the case.

Therein lies a familiar problem for scientists - that of
treading the fine line between touting the promise of the
work, at least enough to gain public support and money, and
being honest enough about the hurdles that lie ahead.

Despite optimistic statements about curing diseases, almost
all researchers, when questioned, confess that such
accomplishments are more dream than reality.

Someday, if therapeutic cloning goes well, scientists would
take a few cells from a person with a disease, say
diabetes, and use them to make an embryo that would have
the same genes as the sick person. Implanting that embryo
in a woman might enable it to grow into a baby who is a
clone of the sick person.

Instead, the embryo would grow in the laboratory for about
five days to the blastocyst stage, the point at which the
embryo has two distinct cell types. It consists of a hollow
ball with another ball of cells inside, known as embryonic
stem cells. They, in theory, could develop into any of the
body's specialized cells. The other embryo cells would be
discarded.

In the case of a diabetic, scientists would prod the stem
cells with an as-yet-undefined cocktail of chemicals so
they would grow into islet cells of the pancreas. That
could replace those lost to the disease. Voilą, a cure.

But no one has yet made a cloned human embryo. In two
reported attempts, one by scientists at Advanced Cell
Technology and the other by scientists in China, the
efforts utterly failed. The eggs died almost immediately
and no cloned embryos were produced.

"It's just a big failure," said Dr. Richard Schultz, a
developmental and reproductive biologist at the University
of Pennsylvania.

As it turns out, cloning is not even the first hurdle.
Scientists often find it impossible even to extract and
grow stem cells from a normal human blastocyst.

"Forget cloning, just to get human stem cells is not
trivial," Dr. Schultz said. "They are difficult to generate
and difficult to maintain."

Dr. Robert Lanza, the scientist at Advanced Cell Technology
who tried to generate cloned human embryos, agreed that
getting stem cells is a challenge in itself. "I know some
in the field who have tried with dozens and dozens of
embryos, without success," he said.

What about animal research? Can scientists take embryonic
stem cells from mouse blastocysts, for example, and use
them to cure diseases in mice? Not yet. Questions remain,
including how to induce stem cells to grow into the precise
type of cell needed, then how to persuade those cells to
function properly. For example, what if islet cells,
derived from stem cells, are inserted into a diabetic's
pancreas and then go into overdrive, churning out too much
insulin? Once the cells are in place, they can't be plucked
out.

It will take years and much federal money, many predict,
before therapeutic cloning has a chance of succeeding. For
now, Dr. Schultz said, the promise is all in the distant
future. Therapeutic cloning, he said, "is literally in an
embryonic stage."

http://www.nytimes.com/2003/01/05/weekinreview/05KOLA.html?ex=1042830363&ei=1&en=b5a00c3a4b74f8e4



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