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Dec. 8, 2007, 2:42PM
We must make up for lost time in stem cell work
President did science no service

By ALAN I. LESHNER and JAMES A. THOMSON
The Washington Post

A new way to trick skin cells into acting like embryos changes both
everything and nothing at all. Being able to reprogram skin cells into
multipurpose stem cells without harming embryos launches an exciting new
line of research. It's important to remember, though, that we're at square
one, uncertain at this early stage whether souped-up skin cells hold the
same promise as their embryonic cousins do.

Far from vindicating the current U.S. policy of withholding federal funds
from many of those working to develop potentially lifesaving embryonic stem
cells, recent papers in the journals Science and Cell described a
breakthrough achieved despite political restrictions. In fact, work by both
the U.S. and Japanese teams that reprogrammed skin cells depended entirely
on previous embryonic stem cell research.

At a time when nearly 60 percent of Americans support human embryonic stem
cell research, U.S. stem cell policy runs counter to both scientific and
public opinion. President Bush's repeated veto of the Stem Cell Research
Enhancement Act, which has twice passed the House and Senate with votes from
Republicans and Democrats alike, further ignores the will of the American
people.

Efforts to harness the versatility of embryonic stem cells, and alleviate
suffering among people with debilitating disorders, began less than 10 years
ago. Scientists have continued to pursue embryonic stem cells because of
their ability to transform into blood, bone, skin or any other type of cell.
The goal is to replace diseased or dysfunctional cells to help people with
spinal cord injuries, neurodegenerative disorders, cancer, diabetes, heart
disease and other conditions.

Since 1998, many strategies for addressing sanctity-of-life concerns have
been pursued. While commendable, these efforts remain preliminary, and none
so far has suggested a magic bullet. In the same way, the recent tandem
advances in the United States and by Shinya Yamanaka's team in Japan are far
from being a Holy Grail. Though potential landmarks, these studies are only
a first step on the long road toward eventual therapies.

The argument that the president's misgivings about embryonic stem cell
research inspired innovative alternatives is fundamentally flawed, too.
Yamanaka was of course working in Japan, and scientists around the world are
pursuing the full spectrum of options, in many cases faster than researchers
in the United States.
Reprogrammed skin cells, incorporating four specific genes known to play a
role in making cells versatile, or pluripotent, did seem to behave like
embryonic stem cells in mice. But mouse studies frequently fail to pan out
in humans, so we don't yet know whether this approach will work for human
diseases. We simply cannot invest all our hopes in a single approach.
Federal funding is essential for both adult and embryonic stem cell
research, even as promising alternatives are beginning to emerge.

Unfortunately, under the policy President Bush outlined on Aug. 9, 2001, at
most 21 stem cell lines derived from embryos before that date are eligible
for federal funding. American innovation in the field thus faces inherent
limitations. Even more significant, the stigma resulting from the policy
surely has discouraged some talented young Americans from pursuing stem cell
research.

Discomfort with the notion of extracting stem cells from embryos is
understandable. But many of the life-changing medical advances of recent
history, including heart transplantation, have provoked discomfort.
Struggling with bioethical questions remains a critical step in any
scientific advancement.

A solution that might be more comfortable for many people already exists but
cannot be pursued unless the Stem Cell Research Enhancement Act becomes law.
Some percentage of the hundreds of thousands of frozen embryos from
fertility clinics will eventually be destroyed. American couples meanwhile
are not being given the choice to donate their frozen embryos to federal
research to help others through stem cell advances.

It remains to be seen whether reprogrammed skin cells will differ in
significant ways from embryonic stem cells. We remain hopeful, but it's too
early to say we're certain.

We hope Congress will override the president's veto of the Stem Cell
Research Enhancement Act. Further delays in pursuing the clearly viable
option of embryonic stem cells will result in an irretrievable loss of time,
especially if the new approach fails to prove itself.

Leshner is chief executive of the American Association for the Advancement
of Science and executive publisher of the journal Science. Thomson is a
professor of anatomy at the University of Wisconsin School of Medicine and
Public Health. He was the first scientist to create human embryonic stem
cells and is the senior author on the recent Science paper describing a
method for reprogramming skin cells. This article originally appeared in The
Washington Post.

Rayilyn Brown
Board Member AZNPF
Arizona Chapter National Parkinson's Foundation
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