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Stem
cell therapy could give hope to patients of Alzheimer's
and Parkinson's disease and other disorders that are
caused by the lack of specific cells.
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Is there any way around this "ethical minefield?" The answer
- as is often the case in philosophical debates - is maybe.
Stem cell researchers and research-opponents alike would both
prefer to see work done on what are known as adult stem cells,
said to be "pleuripotent". Like the "totipotent" embryonic
stem cells, adult stem cells divide infinitely and can specialize
to become a variety of cell types. Unlike embryonic stem cells,
however, adult stem cells can not become just any type of
cell.
Blood
cells, for instance, come from adult stem cells in the bone
marrow. These stem cells can specialize into red blood cells
or one of a variety of white blood cell types. But they can't
become other cells such as neurons, retina cells or liver
cells as embryonic stem cells could. The hope remains that
scientists could isolate a variety of adult stem cells that,
taken together, could provide all the cells necessary to treat
diseases.
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Stem cell researchers and research-opponents alike
would both prefer to see work done on what are known as
adult stem cells.
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Scientists
are already investigating adult stem cells' therapeutic potential.
In Australia, surgeons extracted adult stem cells from a cardiac
patient's bone marrow, then injected the pleuripotent cells
into the 74-year-old man's ailing heart. There, doctors hope,
the stem cells will give rise to new vessel growth. News of
the procedure hit the wires the same day Bush urged the U.S.
Senate to ban all human cloning.
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Dr.
Suku Thambar (right) of the Hunter Medical Research
Institute in Newcastle, Australia is working with adult
stem cells in a cardiac patient.
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Five
days later, on April 15th 2002, researchers at the Salk Institute
of Biologial Studies published some promising data in the
journal Nature Neuroscience. The investigators were able to
coax adult stem cells from rat brains into becoming new neurons.
This groundbreaking work could lead to cures for paralysis,
Alzheimer's and Parkinson's diseases and many other ailments.
But, in the Salk experiments, not all the cells became neurons,
and - of those that did - not all behaved normally. The Salk
scientists aren't sure if the problems were procedural or
were rooted in the adult stem cells themselves. Many scientists
worry adult stem cells are inherently less useful for therapeutic
purposes than embryonic stem cells, but only further research
can resolve the questions raised by these and other experiments.
And, according to Melton, if that research doesn't happen
in the United States, it may not happen anywhere.
"Either
it won't happen at all and we'll never know the answers, or
it will go so slowly that people will get discouraged," he
says. "You need a community of people to make progress in
an area. As with growing a tree, if you don't give it enough
food and water and sun, it just shrivels."

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Photo:
Australian Broadcasting Corporation

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