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Cloning won't help patients anytime soon 

By Rosie Mestel 
Los Angeles Times 
 
In Seattle, pioneers in cloning urge bans on
reproductive use 
 
The report of a successfully cloned human embryo was a
milestone in the field of stem-cell research, but the
medical rewards of such endeavors are still years in
the future, scientists said yesterday. 

Cloning human embryos to a stage in which stem cells
can be extracted would theoretically permit scientists
to create genetically matched tissues that can be
inserted into patients' bodies to treat a range of
diseases, such as diabetes, Parkinson's and multiple
sclerosis. 

Because the tissues would be perfect genetic matches
to the patient, they would be unlikely to be rejected
by the body. 

But before stem-cell therapy can be used in medicine,
many hurdles must be overcome. The achievement of
South Korean scientists in cloning a human embryo and
extracting stem cells is only one of many necessary
breakthroughs. 

It will likely take years, maybe decades, before the
treatments become a reality. 

Scientists must learn how to create specific body
cells with sufficient purity, longevity and stability.


"It's like herding cats, trying to get these cells to
all do the same thing," said David Anderson, professor
of biology at the California Institute of Technology.
"They start whispering among each other and all go off
in different directions to form different tissues." 

Researchers must also show that such tissues can be
safely inserted into a test animal and perform the
functions of the cells they are meant to be. 

Finally, researchers must show that the therapy works
in people. A patient with diabetes, for example, could
be helped with stem cells that have been coaxed into
becoming insulin-secreting pancreas cells, boosting
the body's insulin-producing ability. 

So far, the overwhelming majority of such work has
been conducted not with human embryonic cells but with
animal cells. The work is based on decades of research
into basic embryo development, with some impressive
results. 
 
In one instance, researchers at Columbia University
used a complex series of chemical treatments to turn
an embryonic stem cell into a type of nerve cell
called a motor neuron. 

First they turned it into a kind of generic nerve
cell, capable of becoming many kinds of nerves. Then
they gave it additional chemical treatments to prod it
into becoming a motor neuron. 

The scientists grafted the cells into chicken embryos.
The cells appeared to link up with other nerves just
as if they were motor neurons. 

In another experiment, a group at the National
Institutes of Health created cells that secrete the
brain chemical dopamine, which is deficient in
patients with Parkinson's. 

When the cells were grafted into the brains of mice
with a Parkinson's-like condition, certain behaviors
(such as the ability to grasp food with both paws)
improved, said Ron McKay, the NIH stem-cell researcher
whose lab conducted the experiment. 

"I want to avoid saying the mice were cured; we've got
a long way to go," McKay said. "But it does look
promising." 

Other areas of stem-cell research are not as far
along. For instance, some scientists have reported the
creation of insulin-secreting cells, but other
scientists believe the cells were sucking up insulin
from the culture medium they were grown in and
spitting it out. 

Copyright © 2004 The Seattle Times Company 



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