2. Does the fusion of a human cell and an egg from a non-human animal result in a human embryo? The common understanding of a human embryo includes, at least, the concept of an organism at its earliest stage of development, which has the potential, if transferred to a uterus, to develop in the normal course of events into a living human being. At this time, however, there is insufficient scientific evidence to be able to say whether the combining of a human cell and the egg of a non-human animal results in an embryo in this sense. In our opinion, if this combination does result in an embryo, important ethical concerns arise, as in the case with all research involving human embryos. These concerns will be made more complex and controversial by the fact that these hybrid cells will contain both human and non-human biological material. It is worth noting that these hybrid cells should not be confused with human embryonic stem cells. Human embryonic stem cells, while derived from embryos, are not themselves capable of developing into children. The use of human embryonic stem cells, for example to generate cells for transplantaion, does not raise the same type of moral concerns. 3. If the fusion of a human cell and the egg of a non-human animal does not result in an embryo with the potential to develop into a child, what ethical issues remain? If this line of research does not give rise to human embryos, we do not believe that totally new ethical issues arise. We note that scientists routinely conduct non-controversial and highly beneficial research that involves combining material from human and other species. This research has led to such useful therapies as: blood clotting factor for hemophilia, insulin for diabetes, erythropoietin for anemia, and heart valves for transplants. Combining human cells with non-human eggs might possibly lead some day to methods to overcome transplant rejections without the need to create human embryos, or to subject women to invasive, risky medical procedures to obtain human eggs. We recognize that some of the issues raised by this type of research may also be pertinent to stem cell research in general. We intend to address these and other issues in a report that you requested regarding human stem cell research. Sincerely, Harold T. Shapiro Chair