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Panel: Clinical use of embryonic stem cells jeopardized by Bush's policy on federal funding

he risk of creating cross-species infection is unnecessary," says John D. Gearhart, Ph.D., a leader of the panel and the C. Michael Armstrong Professor of Medicine in gynecology and obstetrics at Hopkins. (Researchers in Gearhart's lab were the first to isolate and grow primitive stem cells from human fetal tissue.)

Human ES cells are obtained from embryos created for in vitro fertilization. Because the cells can become any type of cell in the body, they may one day offer a chance to treat or cure diseases such as Parkinson's disease or type I diabetes. As research with ES cells advances and the cells' use in humans grows nearer, the panel wanted to anticipate and consider issues of patient safety and fair access that are likely to arise for Americans.

The federal government is by far the largest funder of biomedical research in the United States. However, according to President George W. Bush's policy, only human ES cell lines created before 9 p.m. ET, Aug. 9, 2001, can be used in federally funded research. But many ramifications of this policy conflict with the panel's carefully determined conclusions, which are reported in two papers: one in the November issue of Fertility and Sterility, and one in the November/December issue of The Hastings Center Report.

For example, even if scientists were willing to use mouse-exposed human ES cells in a clinical trial, the dozen or so cell lines approved for federal funding are likely to be appropriate for relatively few human subjects and patients, thanks to humans' genetic diversity, the panel concluded.

At issue is the likely event that transplanted ES cells and the recipient's cells probably will have to "match," just as required for blood, organ and bone marrow transplants. By matching key proteins called human leukocyte antigens (HLA) on cells' surfaces, the immune system distinguishes between the body's own cells
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Contact: Joanna Downer
jdowner1@jhmi.edu
410-614-5105
Johns Hopkins Medical Institutions
10-Nov-2003


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