http://www.nationalreview.com/comment/smith200406040953.asp
June 04, 2004
A Bad Investment: Human cloning for therapeutic purposes
isn't likely to pan out.
By Wesley J. Smith
Ian Wilmut, co-creator of Dolly the cloned sheep, wants your tax dollars to pay
Big Biotech and their business partners in elite university life-science
departments to conduct research into human cloning. Wilmut dropped this little
bon mot to the London Telegraph while on his way to the United
Nations to lobby against a pending international protocol that would outlaw all
human-somatic-cell nuclear transfer (SCNT) cloning. He took the
opportunity of being interviewed to grouse that America's refusal to publicly
fund research into human cloning is stifling science and slowing
the development of new medical cures.
Wilmut's complaint is part of an intense public-relations campaign intended to
pressure federal and state governments to publicly fund human cloning.
Yet only three years ago, during the great stem-cell debate of 2001, biotech
advocates assured a wary nation that they only wanted taxpayers to pay for
embryonic-stem-cell research (ESCR) that would be strictly limited to using
embryos leftover from in-vitro-fertilization treatments. After a protracted
political struggle, President Bush partially accommodated the request by
allowing federal funding on embryonic stem-cell lines already in existence
as of August 9, 2001.
But now, we are being told that ESCR alone won't lead to treatments for
degenerative diseases and disabilities such as Parkinson's, spinal-cord
injury, Lou Gehrig's disease, juvenile diabetes, and the like. It seems that our
bodies might reject tissues developed from natural embryos. Indeed,
according to Robert Lanza, medical director of Advanced Cell Technology, writing
in the May 24 Scientific American, the rejection issue is so huge
that biotechnologists would require "millions of discarded embryos from IVF
clinics" to create stem-cell lines with sufficient genetic variations to
mitigate the problem through tissue matching.
Cloning proponents like Lanza claim that the solution to the tissue-rejection
conundrum is to make a cloned embryo of each patient and
extract the clone's stem cells for use in treatment, a process often called
"therapeutic cloning." In theory, since the patient and the clone's DNA
would be virtually identical, injected embryonic tissues would not be rejected
and the patient would be spared from a lifetime of taking immune
suppressant drugs.
If Lanza is right and cloning in fact leads to cures for hundreds of millions of
people with degenerative conditions worldwide, there would seem
to be no limit to the financial profits to be made in this area. Yes, investing
in such research would be risky since human cloning is far from
perfected. But venture capitalists have been taking substantial risks on
biotechnological research for years now: According to the May 20 Wall Street
Journal, investors have already poured $100 billion into the biotechnology
industry even though $40 billion has been lost. Hence, even if therapeutic
cloning is a long shot, cloning companies should still have to beat investors
away with a stick.
But the contrary is true. According to several recent news articles, biotech
companies hoping to strike it rich via human cloning are withering on the
financial vine. It isn't that private capitalists necessarily have moral qualms
about human cloning, though they should. More likely, their due
diligence has convinced them that therapeutic cloning would be so wildly
impractical and expensive to administer that investing money into developing
the technology makes about as much financial sense as putting cash through a
paper shredder.
These problems are many and varied, and most seem intractable. They include: The
human-egg dearth: Each attempt at somatic-cell nuclear transfer cloning
requires one human egg. (In theory, animal eggs might also be used, but that
would create human/animal combinations that in addition to being morally
objectionable could also increase the likelihood of rejection.) The National
Academy of Sciences has estimated that there are at least 100 million people
in America alone that could benefit from stem-cell therapies. Even if it only
took one egg per patient, that would still be 100 million eggs. But it
is utterly unrealistic to think that cloning will ever become that efficient.
Indeed, an article published last year by the NAS (written by
Peter Mombaerts of Rockefeller University) revealed that it would probably take
about 100 human eggs per patient to make just one viable cloned
embryonic-stem-cell line for use in "therapeutic cloning." If true, this means
we would need a mind-boggling 10 billion eggs just to treat 100
million Americans - never mind the hundreds of millions of patients who would
clamor for such care in the rest of the world. These staggering
numbers almost certainly doom therapeutic cloning from ever entering medicine's
armamentarium.
The unaffordable expense: The pro-cloning Mombaerts had more bad news for
therapeutic-cloning proponents. At present, young women sell their eggs for
use in fertility treatments for $1000 to $2000 each. Given this price, he
concluded that the cost of obtaining one cloned human-embryonic-stem-cell
line - not including the expenses associated with doctors, hospitals,
laboratories, etc. - would run in the neighborhood of $200,000 just for the
eggs, "a prohibitively high sum" that he predicted "will impede the widespread
application of this technology in its present form." Even this
cost-prohibitive estimate is wildly understated because it doesn't take into
account the exponential increase in demand for eggs that therapeutic cloning
would cause. Thus, rather than filling investors' coffers, therapeutic cloning
would be far more likely to bust the bank.
The problem of tumors: Embryonic stem cells often cause tumors in animal
studies, making their use in humans highly problematic. Therapeutic cloning
would do nothing to solve this significant safety problem.
The advances in adult-stem-cell research: Meanwhile, research into harnessing
non-embryonic sources of stem cells for use in medical therapies
is advancing at an astounding pace, both in animal studies and early human
trials. Human patients with neurological conditions, heart disease, and
other illnesses such as cycle-cell anemia, have received substantial benefit in
early human trials. Late stage juvenile diabetes in mice has been cured
completely using human spleen cells. On June 1, Johns Hopkins Kimmel Cancer
Center announced that bone-marrow stem cells helped rebuild damaged livers
in mice. Recently, the European Journal of Neuroscience reported that dental
pulp provides great support for nerve cells lost to Parkinson's. In Lisbon,
Portugal, Dr. Carlos Lima has helped restore some muscular and bladder control
to paralyzed patients using olfactory nerve cells. If such
breakthroughs continue at the current pace - and if no significant safetyissues
develop to stand in the way - within the decade embryonic sources for
use in stem-cell therapy might become superfluous.
Venture capitalists have no duty to risk their money on technology that almost
surely will never return a profit. Just because this starves Big
Biotech of funds to pay for human cloning doesn't mean that society is obliged
to fill the gap. Indeed, engaging in such blatant corporate welfare
could actually delay viable medical therapies from reaching the medical
marketplace, particularly if we divert funds that would otherwise have gone
to adult-stem-cell research, which venture capitalists are investing in and
which is already bringing such great hope to human patients.
- Wesley J. Smith is a senior fellow at the Discovery Institute and a special
consultant to the Center for Bioethics and Culture. His next book,
to be published in the fall, is Consumer's Guide to a Brave New World.