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Of Stem Cells, Sacrifices, and Medicine In the Time of Cholera

cholera | germ theory | medicine | O Ceallaigh: Science Belief and Society | research | stem cells | veto

As you may know, back on Wednesday of this week (19 July 2006), US President George W. Bush vetoed legislation calling for increased Federal funding for stem cell research. Or perhaps you don’t know. It’s been tough for anything to get attention these last few days that isn’t the howl of a rocket. Or of a jet with a Star of David painted on it. Or of a blogger who is still surprised that Google AdSense hasn’t yet made the payments on the family yacht. Anyway, BigBadJohnny found himself in agreement with the veto, siding with those who consider research on embryonic stem cells “an insult to God�, and he asked me what I thought about it. Here’s my answer.

Might could be you’ve already heard more about stem cells than you ever thought necessary. But if you think you need to stop me from posting a brief review, you’re going to have to move awfully fast.

A “stem cell� is a cell in an animal’s body that can divide to make almost any kind of cell. Stem cells can make more stem cells, or they can make, say, muscle cells, or nerve cells. I used to speak of stem cells as “undifferentiated�, because they have not changed into cells that perform a specific function, like those muscle or nerve cells; they have not “differentiated�.

There are “adult� stem cells, ones that are a normal part of an animal’s body. The blood marrow cells, from which differentiated red and white blood cells are created, are adult stem cells. And there are “embryonic� stem cells, found only in animal embryos – in the earliest stages of the embryo, stem cells basically make up the whole thing.

It’s the embryo thing, of course, that’s responsible for all the fuss. Because, while you can get (almost) all the bone marrow cells you want from yourself for an experiment and still get up in the morning, you don’t (yet) have that option for an embryo. It either winds up as a layer of stem cells on a plate or a baby. We haven’t figured out how to do both yet. And that gets us into the whole “pro-life�, “insult to God� business.

More on that in a bit. But first – why do we get tangled up in this argument at all? If you can get all the stem cells you desire from your arm, can’t we just leave the embryos alone and keep the religious right the hell out of this?

Well, no. You see, not all stem cells are created equal. Sorry about that. Only the cells in the earliest stages of the embryo are totipotent, capable of making anything. Anything cellular, that is. You still have to get your iPod from Apple Computer. Sheesh. Stem cells in later embryonic stages, and adult stem cells, are pluripotent. They can make a lot of things, but not everything.

And the researchers, being kinda greedy people, don’t want to understand how these cells make just some things. Though adult stem cells certainly can make a lot. And sometimes what they don’t make is as important as what they do. Y’see, among the “everything� that cultured embryonic stem cells can make is “tumors�. The idea is to treat cancer, not cause it.

But that’s the point. Researchers don’t want to promote medical procedures that can turn into blobs while they’re not looking. Researchers wish to understand how all the processes that lead from an undifferentiated cell to a differentiated one work. And, if possible, vice versa. So that their treatments work. That’s not possible unless you can work from the earliest possible point in the process. That means embryos.

And that means a fundamental disagreement with the pro-life folks. Which leads to Bush’s veto on principle – the principle that he has so few folks left who support himself or his Administration, he can’t afford to hack off the ones who remain.

Yet, even so, the pro-lifers in this context, I think, perform an important function. The potential impacts of understanding human cell and tissue development through research on embryonic stem cells are staggering. The Forbes article cites numerous instances of practical applications of stem cell research, applications that are making stunning differences in how we understand and treat degenerative conditions caused by disease microbes, or rogue genes, or “simple� aging. The Fountain of Youth may well be within our grasp at last. And that prospect can cause an awful stampede towards Fame and Fortune. The nightmare vision is that no ovary, no conception, is safe from the mad scientists and corporations trying to find the Elixir of Eternal Life.

The pro-lifers remind us of the principle of sacrifice. That we are in fact dealing with human life, and that life is, supposedly, sacred. I wish we could convince certain people in the Middle East of this right now. That sacred life is only to be taken under circumstances in which the benefits far outweigh the costs. Lest we lose any remaining respect for life.

Those of you who have been following my posts realize, by now, that I have a metaphoric, rather than a literal, view of God. “God�, to me, is an image that we preserve to contain our memory of what has worked to preserve our communities, without which we perish in the time of crisis. We are social animals. Making and keeping a society is hard work. Our rules of society are given supernatural sanction to give them authority over our demanding selfishness, lest, as individuals, we get picked off from the village and devoured, one by one, by the grinding maw of credit card debt. To “insult God� is to offend the memory of a successful community strategy and provoke a surly response.

Unfortunately, “God� is very, very old, and slow to learn new tricks. Y’see, God wasn’t very happy with the germ theory of disease either. Yep, I said “germ theory�.

Unless you’re a lot older than I think you are, you grew up accepting as fact that germs (bacteria, fungi, viruses, prions, even an alga or two) are what make you sick. Most of the time anyway. But that idea, in its modern form, is not yet 200 years old. And those who considered disease to be an expression of divine retribution for sins weren’t too happy with the idea that an impartial agent, and one you couldn’t even see, was actually the responsible party.

A fellow by the name of John Snow worked out that a “germ�, not a vapor or a divine decree, was responsible for outbreaks of cholera in mid-19th century London. His idea, though, was not accepted until decades later, after the definitive studies on bacteria and disease by the likes of Louis Pasteur and Robert Koch – delaying for decades the investments in public works (like, safe water supplies) that could have saved hundreds of lives in each outbreak.

The good news, though, of course, is that those public works were eventually built, the germ theory was eventually accepted – after all, it worked – and bacterial disease is now treated with antibiotics, not sermons. Stories like this give me hope that we will see our way through “God’s� objection to stem cell research and its ilk as well. If we remember the concepts of patience, and of sacrifice, while we perform this research.

And if we can manage to avoid blowing ourselves up to Kingdom Come in the meantime.

- O Ceallaigh

Copyright © 2006 Felloffatruck Publications. All wrongs deplored.

All opinions are mine as a private citizen.

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BigBadJohnny's picture

stem cells, and "God",

Here we sit, in our 40's,(or 50's, or 30's). We've already had an eyeful of this thing called "life". Summer, Winter, Ursa Major, Christmas, driving the Vet, getting married, having children..
Now suppose you (or I) were still an unborn embryonic individual. We have it in the palm of our hand. We are going to have a "life", maybe 90 or 100 years of it. Remember, we are going to do these things, whether or not there is a conscious God in charge.
Then some well intended noble researcher comes along, and takes a look at our poor undeveloped bod', and decides to use it in his work. There goes Mommy, there goes Santa Clause, there goes my vacation in Cancun!
So, it's important.
But I didn't come to discuss all that, I came to discuss if I can still do my daily morning workout at 110 years of age. You answered in the afirmative, and you are the authority!
BBJ

o ceallaigh's picture

Don't follow me, I'm lost

The promise of that daily workout at 110 is out there, but it isn't a reality yet. There's lots of science and ethics to be worked out first. And I'm not one of those working on any of this, so I can claim no "authority" apart from whatever any active biological scientist could claim.

Some 50% of all vacations in Cancun are spontaneously aborted. In a world whose human population threatens to breed itself out of house and home, this fact is perhaps more blessing than curse. Those lost to all forms of human intervention (induced abortion, research, etc.) represent but a tiny fraction of the total.

IntricateGirl's picture

Johnny,

Mommy is going to go sooner or later anyway. Recent events have hammered that home. Santa Claus never existed. And I'm not one for beaches, so Cancun never looked very likely to begin with. As the signs throughout rural Kansas say, my mom chose life. And yet, even if I wanted to go to Cancun, it's no closer than it was when I was a fetus.

I'm not going to speak in absolutes, but there aren't a lot of women that would abort just so they could provide scientists with research material. Meaning, that fetus was going to cease to exist no matter what. If it can help researchers cure disease, and it can assuage some of the mother's guilt, then it's a chance to turn a negative into a less negative.

But if you want to be like them, you'll have to emulate. -Ayria

IntricateGirl's picture

O Ceallaigh, please beg your

O Ceallaigh, please beg your fellow scientists for me. I have no desire to workout when I'm a 110 years old. I know all the lines about age being just a number, but I am kinda looking forward to being like my 97 year old neighbor. I want to be sound of mind, weak in body, content with my own company, and loved by those around me.

But if you want to be like them, you'll have to emulate. -Ayria

o ceallaigh's picture

The possible vs. the practical

I have no desire to workout when I'm a 110 years old.

You remind me of the myth of Tithonus, whose immortal lover gained for him eternal life but forgot to ensure that the grant from Zeus included eternal youth.

I think you and I will be safe from such temptation, for while the scientists may prove the principle, its application is likely to be unavailable to all but the Warren Buffets of the world. While the scientist must not consider scientific work to be separate from ethics, it remains the scientist's principal role to discover the possible. Then, the scientist must participate with the rest of society in determining whether what can be done should be done.

And for those who wonder, no stem cells are obtained from aborted embryos, so far as I know. The principal source is in vitro fertilization, which commonly results in more embryos than can, or should, be implanted in the prospective mother's uterus. The cells are then placed into culture, so that one need not harvest an embryo every time one wishes to perform an experiment.

IntricateGirl's picture

Zeus was a tricky one. Eh,

Zeus was a tricky one. Eh, who am I kidding? All the Greek gods were.

That's fine. I think I have decided that even if it is possible on a mass level, I refuse to set foot on an elliptical past age 80. I may run a marathon, but that would be for my own amusement.

*shaking my head in disgust* I knew that, but forgot, and then I go opening my big mouth. lol

Seriously, I don't know if this changes matters for me. They were chosen, for whatever reason, to be culled. I remember him signing it surrounded by children that had been adopted, unused, frozen embryos. And the only thing I could think is "Why?" If this wasn't done as a political statement, why adopt frozen embryos? There are children all over the world, and a lot of them in the US that need parents. I'll admit that they might have a great reason why they did it. But we can't even keep the kids alive that are easy to see and relate to.

But if you want to be like them, you'll have to emulate. -Ayria

BigBadJohnny's picture

As a research scientist, and

As a research scientist, and a purist, O Ceallaigh promotes science, not ethics.
I think most of us can see the point that to deny an embryo a life when that life was nearly inevitable would be painful, and not in keeping with sustaining human attributes relating to the sanctity of life.
If life is painful, and unrewarding, what is the point? Consider those paralyzed, or horribly torn apart, as some of the soldiers in Iraq are. Consider the plight of those born with crippling diseases, spina bifida for example, which make happiness unlikely. In these rare cases, some, given the decision, might opt or plead to be allowed to die, quietly, and painlessly.
The vast majority however , despite suffering, and despite the "slings and arrows of outrageous fortune", opt always for life. And as humans, we have an inextinguishable drive to preserve and defend the lives of others.
Cultivating fetuses for research and destruction has got to be wrong. Particularly if we consider, given time, other options will surely become evident.

IntricateGirl's picture

Here is where you and I differ.

To me, mother nature is cold and heartless. Only through the kind of reseach that hasn't been pretty (or usually talked about because we just don't want to know what goes on) have such cases as you've described had the chance to opt for life at all. 100 years ago, if you were born with a severely debilitating disease, your chances were a lot slimmer. In fact, many of them didn't make it to birth at all. Now, we have all kinds of ways to monitor and ward off contractions that more children are being born that by all accounts should not be alive.

"And as humans, we have an inextinguishable drive to preserve and defend the lives of others."

There exactly is the crux of the matter. It is preservation through the use of these embryos. My husband was one of the children I described above. He should not be alive today. Through research, some of which I am absolutely certain was not pretty, he is. And I have to wonder how many people died before they knew enough about his condition to help him. Mother nature had no conscience when it came to him, but some humans did. So you see, I can't give a damn about a fetus that was selected for removal by someone with a very good reason for removing it, when it LITERALLY may mean the life of someone close to me. We take fertility drugs to get around mother nature's ruling that some people are not allowed to have children. They get pregnant, and because the drugs work so extremely well, they may find that they are pregnant with 7 kids. Which is about 6 more than should typically be carried. They intended to get pregnant with one, and they keep one. They don't know whether that child will turn out to be George Washington or Charles Manson. And it doesn't matter. Because in the eyes of mother nature, they are all equal. It's a great cosmic flowchart. If you are capable of survival, you live. If not, you die. So those hypothetical six never had hope, because they were not supposed to exist. Even in a properly working female body, they would have most likely been eliminated. Once drugs got involved, they still were not supposed to survive and develop into laughing children.

And for me at least, see O Ceallaigh's poem yesterday. When I die, I hope my body is donated to the body farm so that the things of my worst nightmares can teach someone something. THAT is immortality. I don't search for it, but I don't fear death either.

But if you want to be like them, you'll have to emulate. -Ayria

o ceallaigh's picture

Science and ethics: deep waters

O Ceallaigh promotes science, not ethics.

Actually, I promote both, as co-equally essential components of a healthy human society. I am a scientist, I am not an ethicist. My original contributions, to date anyhow, are to the former, not the latter. This fact, however, does not absolve me from contributing information to the ethicist, participating with the ethicist in that profession's work, and taking the results of that work into consideration when planning my actions as a scientist.

This can be a minefield. There are scientists who have argued that ethical considerations have no place in their work (lest that work be fatally hampered), and have acted accordingly. Such people have a point. Ethics can be a "mere" extension of doctrine. If scientists never challenged doctrine, Galileo and Darwin would never have worked, and we'd still likely believe that the Earth was the center of the Universe and that all things on this Earth were specially created.

On the other hand, there is the example of Josef Mengele. The resulting "mad scientist" image has been far more harmful to our work than any a priori consideration of ethical principles could ever have been, in my opinion.

we have an inextinguishable drive to preserve and defend the lives of others.

Yes and no. Evolutionary theorists have argued for years how this can be so, since natural selection can only act on the individual.

The too-short answer is that this kind of cooperation only occurs when, over time and the greater number of cases, the individual benefits. The strength of this "inextinguishable" drive is, in most cases, directly proportional to degree of genetic relationship to the recipient.

The larger "altruistic acts" are measured, not in degree of benefit to the recipient, but the degree of benefit to the donor - specifically, the uniting power of the act, strengthening the image of the donor community in its own eyes and thus acting to train the donor community so it may better ward off present or future threats.

in the eyes of mother nature, they are all equal.

Um, no. In this animal farm, some most definitely are more equal than others. If all were equal, then there would be no basis for natural selection to work, and we'd all still be amoebae.

Believe it or not, there are scientists who seriously worry about this, because with the advent of heroic medicine, we have done much to minimize the effects of natural selection on our species.

Scientists have tracked this sort of phenomenon in other species; the results include rapid speciation where the variations created are free to occupy lots of different places and adopt different kinds of living arrangements, or extinction when the accumulation of unfavorable traits puts the species at a disadvantage relative to a strong competitor.

One possible concern with humans is, the accumulation of unfavorable traits that are carried in the population thanks to heroic medicine will necessarily promote more heroic medicine in order to manage, and correct for, these unfavorables.

Do we have such an explosion of allergies and asthmas in our human population now because our world is so much more full of allergens? Or is it because, in the heroic-medicine-linked tripling of the global human population since 1945, the allergy-sensitive, who formerly contracted respiratory infections and died as infants and children, now survive to adulthood and reproduce, passing on their sensitivities?

Stem cell research can be viewed as one component of this "heroic medicine". In a sense, it represents an emerging phase of human evolution by technological selection, to replace the evolution by natural selection from which we're working to exempt ourselves.

You will be assimilated. Resistance is futile.

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