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CORD BLOOD:<br />

BIOLOGICAL INSURANCE<br />

Scientists have discovered biologically valuable cells<br />

in the umbilical cord.<br />

Science<br />

WORKS<br />

In the past, when a baby was born, the<br />

umbilical cord was cut and discarded<br />

(Figure 1). Scientists have now discovered<br />

that stem cells are present in a newborn’s<br />

umbilical cord. In a biological sense,<br />

these cells are potentially very valuable.<br />

Cord blood stem cells can turn into any<br />

type of blood cells: red blood cells, white<br />

blood cells, or platelets. Therefore, stem<br />

cells collected from cord blood could<br />

potentially be transplanted into people<br />

who have diseased blood cells that<br />

cannot be repaired or replaced. Once<br />

inside the body, the stem cells could<br />

replace the diseased blood cells by<br />

turning into healthy blood cells.<br />

Currently, people can receive stem<br />

cells found in bone marrow through<br />

bone marrow transplants. However,<br />

bone marrow cells from other individuals<br />

can be rejected. If the recipient’s immune<br />

system identifies the donor stem cells as<br />

foreign, the immune system destroys the<br />

cells. One potential advantage of cord<br />

blood stem cells is that when they are<br />

transplanted, they are not recognized<br />

as being foreign. This eliminates the<br />

problem of rejection. Cord blood<br />

transplants have been successful in treating<br />

some blood diseases, such as leukemia.<br />

Across North America, private clinics<br />

offer to bank a newborn’s cord blood, as<br />

a supply of stem cells that could be used<br />

if the child developed a life-threatening<br />

blood illness or disease in the future.<br />

This technique is being marketed to<br />

worried parents as a unique opportunity<br />

to do something now that could possibly<br />

save their child’s life in the future.<br />

Banking blood at public cord-blood<br />

banks is encouraged by the medical<br />

community because the stem cells<br />

would be available to any needy<br />

patient, but banking at private clinics<br />

is discouraged. Some European<br />

countries have actually outlawed private<br />

cord-blood banking. Canada has both<br />

public and private cord-blood banks.<br />

What do you think? Should parents<br />

be able to bank their child’s cord blood<br />

and keep it at a private clinic for use only<br />

by their family? This is just one of the<br />

many interesting issues your generation<br />

will decide upon in the future.<br />

Figure 1 The umbilical cord is still attached to this newborn.<br />

122 NEL

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