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Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert, PhD, DABT www.asmalldoseof.org

Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

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Page 1: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cells, Cloning & Bioethics

Bioethics as a basis for decision-making

Paula Fraser’s ClassMay 11, 2005

Steven G. Gilbert, PhD, DABTwww.asmalldoseof.org

Page 2: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

A Small Dose of Toxicology

See: www.asmalldoseof.org -- smdose

Page 3: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

WA State Legilation?

WA State Stem Cell Billshttp://www.leg.wa.gov/wsladm/billinfo1/billsearch.cfm?Searchterm=stem%20cell

"Regulating stem cell research“ (passed House 59-36 on 3/15/05 and failed in the Senate 26-23 on 4/11/05)

Forum on Science Ethics and Policy(FOSEP – at UW)

http://www.fosep.org/

Page 4: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Why Bioethics?

Page 5: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Current Bioethical Issues

Check the local news paper Stem cells (state, national, international) Genetically Engineered Organisms Knowing your genes In vetro fertilization – choosing your child's

genes and characteristics Global warming Chemicals exposures – human health Environmental health

Page 6: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

"A thing is right when it tends to preserve the integrity, stability, and beauty of the biotic community. It is wrong when it tends otherwise." -

Aldo Leopold, 1949, A Sand County Almanac

The First Bioethicist

---------- 1887 - 1948 ----------

Aldo Leopold

Page 7: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

“An ethic, ecologically, is a limitation on freedom of action in the struggle for

existence”Aldo Leopold

Limits on Freedom

Page 8: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

“The Commons”

The Tragedy of the CommonsBy Garrett Hardin, Science, 1968

Page 9: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Technical Solutions

“It is our considered professional judgment that

this dilemma has no technical solution.”

The Tragedy of the CommonsBy Garrett Hardin, Science, 1968

Page 10: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Problems – Solutions?

Lead and kids Fetal alcohol syndrome Nuclear disarmament Bioterrorism Ocean Fisheries Persistent chemicals The Commons

Page 11: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

1860’s - Scientific method in medicine, Gregor Mendel

1928 - Penicillin discovered – widely used WWII

1920’s - Lead in gasoline, lead in paint

1931 - 30 states had sterilization laws on books

1932 - Tuskegee syphilis study initiated

1947 - Nuremberg - The Doctors Trial

1952 - First open heart surgery & Chlorpromazine

1953 - Structure of DNA – Watson & Crick

Ethics and Science

Page 12: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

60’s - Thalidomide, mercury, chronic hemodialysis, amniocentesis, informed consent, IRB’s

70’s - Hastings Center founded, bioethics defined, Tuskegee noticed, Belmont Report (3 principles), Genentech Inc. founded, awareness of FAS, sensitivity of developing CNS

80’s - Recombinant microorganism could be patented, lead is harmful to developing brain

90’s - molecular biology, sequencing of human genome (other species), Jurassic Park

00’s - US stem cell research restricted

03 - Human cloned?

Ethics and Science

Page 13: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Question??

Who were the most influential people of the past century?

James Watson (L) and Francis Crick (R), and the model they built of the structure of DNA (and Rosalind Franklin).

Page 14: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

ELSI

Ethical Legal / Regulatory Social Implications or Issues What is unsaid or missing? Science Values Politics

Page 15: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Topics

Why this is topic important DNA to RNA to Proteins Stem Cells Cloning – Therapeutic and Human

Page 16: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cell History

1998 - Researchers first extract stem cells from human embryos

1999 - First Successful human transplant of insulin-making cells from cadavers

2001 - President Bush restricts federal funding for embryonic stem-cell research

2002 - Juvenile Diabetes Research Foundation International creates $20 million fund-raising effort to support stem-cell research

2003?? - California ok stem cell research

2004 - Harvard researchers grow stem cells from embryos using private funding

2004 - Ballot measure for $3 Billion bond for stem cells

Page 17: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Importance

Disease• Diabetes, Spinal

cord injury, Parkinson’s disease, heart disease

Genetic based Disease

• Cystic fibrosis, Huntington’s

Page 18: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

DNA – T-A C-G

Thymine (T) Adenine (A)Cytosine (C) Guanine (G)

Over 3 billion base pairs, 30,000 genesHumans are over 99.9% identical

Page 19: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Central Dogma of Molecular Biology

DNA

RNA

Protein

Transcription

Translation

Page 20: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

RNA Transcription Protein Translation

DNA RNA Protein

Gene Expression

Page 21: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Human Variability in DNA

• SNPs (single nucleotide polymorphisms)• Many examples directly cause disease

– Huntington’s, Cystic Fibrosis, Muscular Dystrophy, etc.

• The ‘environment’ also plays a big role

Page 22: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

...AUC AUC UUU GGU...

...Ile Ile Phe Gly...

...AUC AU- --U GGU...

...Ile Il e Gly...

Normal

CF

Common Cystic Fibrosis Mutation

Page 23: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Parents to Children

Mother & Father both CarriersChildren?

1 – Not a carrier (25%)2 – Carrier (50%)1 – With CF (25%)

Page 24: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Gene Environment Interactions

• PKU and consumption of phenylalanine

• Malaria and Sickle Cell gene

• HIV infection and CCR5 receptor variant

• Alcohol intolerance and aldehyde dehydrogenase

• Beryllium disease (exposure to beryllium)

Page 25: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Sexual Reproduction

The Association of Reproductive Health Professionals

Page 26: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cell Differentiation

Princeton University

Page 27: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cell Cultivation

University of Wisconsin-Madison

Page 28: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Embryonic Stem Cells (ESCs)

August 9, 2001 - President Bush restricted federal funding of human embryonic stem cell research to 70 lines thought to be in existence

Only 11 now available and useable

Many researchers calling for change

Science and Politics of ESCs research

Page 29: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Blastocyst Diagram

Princeton University

Page 30: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Human Clones?

Are there human clones?

Yes – Identical Twins(Time 2.19.01)

Page 31: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Cloning Defined

• What is cloning?• Asexual reproduction

• Examples?• Bacteria, fungus• Plants – cutting – potato• Farm animals

Page 32: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Asexual Reproduction

The Association of Reproductive Health Professionals

Page 33: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Cloning Dolly

1997 - 2003

(Roslin Institute http://www.roslin.ac.uk/library/)

Page 34: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Cloning A Sheep

(Roslin Institute http://www.roslin.ac.uk/library/)

Page 35: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Human Stem Cell Production

Page 36: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Removing Nucleus

Removing the maternal nucleus before nuclear transfer

(Roslin Institute http://www.roslin.ac.uk/library/)

Page 37: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Nuclear transfer

Nuclear transfer embryo about to be activated

(Roslin Institute http://www.roslin.ac.uk/library/)

Page 38: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Coning for use in Stem Cells

Cloning techniques for creating stem cells

Therapeutic cloning

Reproductive cloning

Page 39: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

IVF – In Vitro Fertilization

Available since 1986 About 100,000 IVF kids in U.S. Often creates extra embryos U.S. - About 400,000 frozen

embryos (unregulated) England – 52,000 (regulated by

government)

Page 40: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cells and Cloning

Questions or Comments?

Page 41: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Stem Cell - References

Forum on Science Ethics and Policy(FOSEP – at UW)

http://www.fosep.org/

The bioscience-bioethics friendship Co-operative

http://www.bioscience-bioethics.org/portal.htm

A Small Dose of Toxicologywww.asmalldoseof.org

Page 42: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

Authorship Information

For Additional Information ContactSteven G. Gilbert, PhD, DABT

Director, [email protected]

[email protected]: www.asmalldoseof.org

This presentation is supplement to “A Small Dose of Toxicology”

Page 43: Stem Cells & Cloning 5/11/05 Stem Cells, Cloning & Bioethics Bioethics as a basis for decision-making Paula Fraser’s Class May 11, 2005 Steven G. Gilbert,

Stem Cells & Cloning 5/11/05

"Biology combined with diverse humanistic knowledge forging a

science that sets a system of medical and environmental

priorities for acceptable survival.“Global Bioethics (1988)

Bioethics

-------- 1911 - 2001 --------

Van Rensselaer Potter