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Flawed embryos seen as source for stem cells

By Colin Nickerson
Globe Staff / January 28, 2008
From what is now considered medical waste might be fashioned bio-treasure: 
stem cells able to form into any of the body's 220 cell types, including 
blood, nerves, bone, and skin tissue, new research suggests.
Scientists at Children's Hospital Boston have forged stem cells from the 
"flawed" and "poor quality" early-stage embryos that in vitro fertilization 
clinics discard by the hundreds of thousands every year, according to 
research published yesterday in the journal Nature Biotechnology.
These are embryos created by IVF technicians but culled because 
abnormalities make them unsuitable for implantation into the wombs of women 
unable to conceive naturally. The embryos, usually containing no more than a 
few score cells, are deemed medical waste and simply tossed away.
Such embryos can "provide a reliable source for embryonic stem derivation," 
said Dr. Paul H. Lerou, lead author of the study and a neonatologist at 
Children's and Brigham & Women's Hospital.
Stem cells are thought to represent medicine's single best hope for healing 
damaged heart cells, mending shattered spinal cords, and curing or treating 
an array of other horrendous afflictions.
The cells derived from low-quality embryos may be limited to use in general 
stem cell research because they might carry tiny abnormalities making them 
too risky for direct patient therapy, said George Q. Daley, a stem cell 
scientist at Children's and the study's senior author.
Meanwhile, he said in an interview, the procedure represents "an ethically 
acceptable source" for the generation of embryonic stem cell lines, or 
self-renewing colonies, urgently needed by researchers exploring the 
potential benefits of stem cells.
"These embryos are destined to be waste, they are defective, and would not 
be even considered for use in [inducing IVF] pregnancy," he said. "This way 
they serve a beneficial use."
Religious conservatives sharply dispute the idea that using any embryos is 
ethically acceptable. They oppose most research involving embryos on the 
grounds that embryos are humans and it is immoral to destroy them, even for 
medicine.
The conservatives have a powerful arrow in their quiver: Late last year, 
researchers in Japan and the United States stunned the world by creating 
human embryonic-like stem cells from adult skin tissue, without any use of 
embryos. No ethical issues are associated with these stem cells, which have 
already started receiving tens of millions of dollars in research funds from 
the federal government.
Nonetheless, it may be years before such so-called "induced" cells can be 
used in treatment, if ever - the cells contain gene-altered viruses that may 
be too dangerous to use in human therapy. Meanwhile, many front rank stem 
cell scientists, including Daley, believe stem cells derived from human 
embryos remain critical for research and near-term therapies.
The researchers at Children's scored their best success rate in creating 
stem cell lines from flawed IVF embryos that had reached the "blastocyst" 
stage, an entity about five days old and containing 50 to 200 cells. This 
appears to refute earlier studies suggesting that flawed or poor quality IVF 
embryos could not be consistently cultivated into healthy stem cell lines.
"We have shown that blastocyst stage embryos are a robust source of stem 
cells," said Daley, who is also a professor of biology at Harvard and 
president of the International Society for Stem Cell Research. "We have 
taken chromosomally abnormal embryos and used them to derive stem cells that 
are normal."
The study put a damper, however, on the notion proposed by the President's 
Council of Bioethics that stem cells might be ethically harvested from 
so-called "early arrested" embryos - two- or three-day old entities so 
hopelessly defective that their state is roughly equivalent to adults 
determined brain dead. These are so defective they rarely reach even the 
blastocyst stage.
The Children's researchers were able to harvest stem cells from such embryos 
at a rate "too inefficient for science," in Daley's words.
© Copyright 2008 Globe Newspaper Company.
The poor quality embryos are "an ethically acceptable source" for
the creation of stem cell lines.
Scientist George Q. Daley
Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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