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Human Cloning - Saskatchewan Elocution and Debate Association

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Brave New World Page 2 of 5<br />

Smithsonian, December 2001<br />

that are prevalent in families or<br />

in certain ethnic groups —<br />

starting with such single-gene<br />

disorders as cystic fibrosis, Tay-<br />

Sachs disease <strong>and</strong> sickle-cell<br />

anemia — because medical<br />

histories of affected families<br />

were available <strong>and</strong> the fruits of<br />

such research might save, or at<br />

least improve, countless lives.<br />

As our underst<strong>and</strong>ing of our<br />

genes has increased, so have our<br />

choices dealing with birth <strong>and</strong><br />

conception. For several decades,<br />

couples with family histories of<br />

particular diseases have sought<br />

the advice of genetic counselors<br />

about whether to have children.<br />

With amniocentesis — a<br />

procedure in which amniotic<br />

fluid is extracted from the<br />

womb <strong>and</strong> examined —<br />

expectant mothers have long<br />

been able to determine if a<br />

developing fetus has certain<br />

chromosomal disorders. But<br />

more recent advances have<br />

brought the potential for couples<br />

to be advised not only on the<br />

basis of family history but on<br />

the presence of genetic markers<br />

of hereditary disease in their<br />

DNA. And with IVF technology<br />

came the ability to screen<br />

embryos for chromosomal<br />

anomalies — <strong>and</strong> for specific<br />

genetic traits, including genetic<br />

diseases.<br />

Along with advances in<br />

screening in recent decades,<br />

there has been a surge of<br />

research on ways to treat<br />

existing genetic disorders. That<br />

research was based largely on<br />

two great truths that had been<br />

revealed about DNA. The first<br />

is that the sole function of most<br />

genes is to give cells encoded<br />

instructions for churning out<br />

particular proteins, the building<br />

blocks of life. There are tens of<br />

thous<strong>and</strong>s of different proteins<br />

in the human body — from<br />

collagen <strong>and</strong> hemoglobin to<br />

various hormones <strong>and</strong> enzymes<br />

— <strong>and</strong> each is encoded by a<br />

particular order of nucleotides<br />

in a gene. (Many diseases are<br />

caused by defective genes that<br />

don't produce their protein<br />

correctly — <strong>and</strong> treatments that<br />

introduce missing proteins have<br />

long been used for such<br />

disorders as diabetes <strong>and</strong><br />

hemophilia.)<br />

The second insight is that all<br />

living things use the same basic<br />

genetic code. Just as all the<br />

books in a great library can be<br />

written in a single language, so,<br />

too, are all living things the<br />

result of different messages<br />

"written" in the same exact<br />

DNA language — <strong>and</strong> "read" by<br />

our cells. This means that if a<br />

stretch of DNA is taken from a<br />

donor <strong>and</strong> inserted into the<br />

DNA of a host's cells, those<br />

cells will read the new message,<br />

regardless of its source.<br />

Though there are endless<br />

possible applications for this<br />

phenomenon (<strong>and</strong> at least as<br />

many complicating factors),<br />

doctors found particularly<br />

promising the idea of fixing<br />

broken genes by manipulating<br />

DNA through a process known<br />

as gene therapy, a form of<br />

genetic engineering.<br />

GENE THERAPY<br />

In some ways, manipulating dna<br />

is a completely natural<br />

phenomenon. Certain kinds of<br />

viruses — including HIV <strong>and</strong><br />

others — infect us by inserting<br />

their genetic information into<br />

our cells, which then haplessly<br />

reproduce the invading virus. In<br />

some forms of gene therapy,<br />

this kind of virus itself is<br />

engineered so that the viral gene<br />

that causes the disease <strong>and</strong><br />

allows the virus to reproduce is<br />

removed <strong>and</strong> replaced with a<br />

healthy version of the human<br />

gene that needs "fixing." Then<br />

this therapeutic, engineered<br />

virus is sent off to do its work<br />

on the patient's cells. There are<br />

hundreds of procedures using<br />

such "viral vectors" in clinical<br />

trials today, targeting diseases<br />

that range from rheumatoid<br />

arthritis to cancer. So far there<br />

have been few, if any, real<br />

successes — <strong>and</strong> the field<br />

received a serious setback in<br />

1999 when a patient died while<br />

undergoing gene therapy trials<br />

for liver disease.<br />

But even if this form of gene<br />

therapy, or one like it, can be<br />

made to be safe <strong>and</strong> effective, it<br />

still represents a relatively<br />

short-term approach to genetic<br />

disease — compared with what<br />

is theoretically possible. After<br />

all, even if individuals can be<br />

successfully treated, their<br />

descendants would likely still<br />

inherit the gene or genes that<br />

caused their ailments. The form<br />

of gene therapy we've been<br />

discussing affects so-called<br />

somatic cells, which make up<br />

the vast majority of cells in our<br />

body. But it is not somatic cells<br />

but germ cells — our eggs <strong>and</strong><br />

sperm — that pass our genes to<br />

our offspring.<br />

GENETIC ENGINEERING<br />

When talking about changing<br />

the DNA in human germ cells,<br />

scientists use the term "germ<br />

line therapy." But in plants or<br />

animals, it's what we commonly<br />

think of as "genetic<br />

engineering." Either way, it<br />

means altering the DNA of an<br />

organism in a way that increases<br />

the likelihood (or, in some<br />

cases, ensures) that all of its

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