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FDA Approves First Brain Stem Cell Transplant

no reason to be here writes "An article at CNN.com is reporting on the FDA granting approval to the first ever transplant of fetal stem cells into human brains. The stem cells will be transplanted into six children suffering from Batten disease, a rare, always fatal, genetic neurological illness, which renders its victims blind and speechless before finally paralyzing them and killing them." From the article: "The stem cells to be transplanted in the brain aren't human embryonic stem cells, which are derived from days-old embryos. Instead, the cells are immature neural cells that are destined to turn into the mature cells that makeup a fully formed brain. Parkinson's disease patients and stroke victims have received transplants of fully formed brain cells before, but the malleable brain cells involved here have never before been implanted."

38 of 245 comments (clear)

  1. A step forward? by ghstomahawks · · Score: 4, Interesting

    This could be an amazing step forward for the advance of this field of science, or an amazing step backwards for it. The question isn't whether or not it'll work, it's how it will be handled by everyone involved. It won't take much to make enemies on here!

    1. Re:A step forward? by Bit_Squeezer · · Score: 3, Funny

      Luddites, Screw em

    2. Re:A step forward? by MoogMan · · Score: 3, Interesting

      I personally think it's a very dangerous set of things to consider. Batten Disease, being a genetic disorder can be inherited. So by helping this person, we have potentially assisted the spread of this very dangerous disease. Now, I'm not trying to sound evil but do we want to interfere with natural selection?

      Does this process *fully* cure and modify the diseased genes? What are the chances that the offspring of this child also have Batten Disease?

    3. Re:A step forward? by Lord_Dweomer · · Score: 2, Interesting
      "So by helping this person, we have potentially assisted the spread of this very dangerous disease. Now, I'm not trying to sound evil but do we want to interfere with natural selection?"

      I love how people try to make Natural Selection something that only occurs without technology.

      WAKE UP! Technology is just as much a product of Natural Selection as anything else. Our intelligence enabled us to cure disease. This is us making progress towards eventually killing off the disease via technology.

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  2. Really? by connah0047 · · Score: 5, Funny

    which renders its victims blind and speechless before finally paralyzing them and killing them...

    Sounds like marriage.

  3. Identity problem by gringer · · Score: 4, Insightful

    "I'm sure there is no threat to anyone's identity," said Arthur Caplan, director of the University of Pennsylvania's Center for Bioethics. "But we are starting down that road."

    Is this guy suggesting that you could change a person's identity by injecting stem cells into their brain? It brings the idea of brainwashing to a whole new level.

    --
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    1. Re:Identity problem by Anonymous Coward · · Score: 2, Interesting

      It's hard to tell with such a brief quote, but it sounds like he's talking about chimera type issues. For example, if you know individual A's brain cells will develop in a defective way, you could try replacing them (at an early stage of development) with brain cells from individual B.

      What I don't understand is why, after we've been told how important it is to use undifferentiated stem cells from embryos, these people are doing human trials with stem cells from aborted fetuses. Even if we disregard the source of the cells, and even if we consider that the humans subject have a fatal disease, there are serious ethical issues here.

      Doctors have been injecting fetal nerve cells into the brains of patients with Parkinson's disease since the 1980s. It was claimed -- anecdotally -- to provide some improvement. But when blinded experimental trials were finally performed in the late 1990s, it was found that, if anything, the treatment actually makes the patients' condition worse.

      Linkage:

      "Parkinson's Research is Set Back by Failure of Fetal Cell Implants" (New York Times article)

      "No Symptomatic Benefit in Second Fetal Transplant Double-Blind Trial" (description by 'E-MOVE' of a conference report)

    2. Re:Identity problem by moviepig.com · · Score: 2
      ...you could change a person's identity by injecting stem cells into their brain?

      Brain cells come and go daily. Moreover, the precise location or composition of your "identity" is still posited as the hardest mystery confronting science. So, I wouldn't worry about the body-snatchers just yet...

      --
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    3. Re:Identity problem by novus+ordo · · Score: 2, Interesting

      I had a problem with this as well. You are esentially injecting a foreign substance into a developing brain--"immature neural cells that are destined to turn into the mature cells that makeup a fully formed brain." They have a different DNA so how this affects the body's response to these cells is questionable. The immune system might think these cells are some form of a threat to the body and so it would try to kill them. On the other hand, if they develop into functioning brain cells, how will the foreign DNA neural cells function with local DNA cells? The inserted neural cells will be able to produce the enzyme necessary to "help dispose of brain cellular waste," but how will that help the brain cells that can't produce this enzyme? The may as well still die so you will have this "foreign brain" in somebody else's body. Frightening.

      --
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  4. Cells from miscarriages and abortions... by Dria+Rain · · Score: 5, Insightful

    Though there's legitimate ethical debate on abortions, I don't think this is much different than having your organs donated after you die.

    1. Re:Cells from miscarriages and abortions... by AxelBoldt · · Score: 5, Insightful
      Have you considered that some of us came to have different views of abortion through learning that we ourselves nearly got aborted?

      That can of course easily be turned into an argument against all forms of birth control ("some of us learned that we ourselves nearly were prevented from being conceived altogether!"), indeed it is an argument against allowing anyone of reproductive age to spend a waking minute not having unprotected sex.

    2. Re:Cells from miscarriages and abortions... by AxelBoldt · · Score: 5, Insightful
      One is preventing a process from ever starting, the other is terminating a process already in motion.

      That depends on where you put the boundaries of the process, which is ultimately subjective. I could describe the process as two people of the opposite sex meeting, falling in love, having sex, conceiving a child, and the child being born. Granted that contraception interrupts this natural process at an earlier stage than abortion (and abstinence interrupts even earlier), but they all interrupt.

    3. Re:Cells from miscarriages and abortions... by AxelBoldt · · Score: 4, Interesting

      If my parents had decided to use birth control, I would not be here today and would never have been able to feel or think; if my parents had decided on an abortion, I would likewise not be here today and would never have been able to feel or think. To me, there's no difference in the sadness level of the two scenarios.

  5. what kind of logic is this? by bogaboga · · Score: 2, Insightful
    "...The stem cells to be transplanted in the brain aren't human embryonic stem cells, which are derived from days-old embryos. Instead, the cells are immature neural cells that are destined to turn into the mature cells that makeup a fully formed brain."

    I have issue with this statement. The question is: -

    Is it possible to make "human matter" from non-human matter? I doubt. With this kind of reasoning, I am beginning to doubt whether we as a human race actually understand when life begins. Again, using this kind of reasoning, a scientist could argue that sperm(s) cannot be anything human since these immature neural cells are not human matter at all anyway. But we all know that sperm(s) help form what is known as human beings today.

  6. Um, a little misleading in the intro... by Overzeetop · · Score: 5, Insightful

    Aside from ripping the first four paragraphs verbatim, it says ITFA:

    "What's more, some of the brain cells to be implanted will be derived from aborted fetuses, which Caplan also said raised ethical concerns for some."

    so the whole misdirection of not being embrionic is "technical" in nature for the right-to-life crowd.

    Anyway, it all seems academic until you read the bit at the bottom about the fellow who is going to enroll his 5 year old son, in hopes of not having to see his child die a horrible, slow death right in front of his eyes, with nothing he can do to save him. I think you have to be a parent to understand the enormity of the situation - I know for a fact that before I had a child, I wouldn't have experienced that "oh, my god" sinking feeling when reading his comments. I hope it works, and I fear that it works.

    Why do I fear that it works? Politics. If it works, there will be a "cure" for this horrible affliction. And it will likely require stem cells from pre-term fetuses, at least initially. If there's only one thing I can think of that's worse that seeing your child die slowly and painfully in front of you while you can't do anything to help, it would be having your child die slowly and painfully in front of you, knowing that there is a cure and not being able to get the cure. The fact that it would be the "religious" right that would block you from saving your own child is just and extra bone to try and swallow.

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    1. Re:Um, a little misleading in the intro... by Daniel+Dvorkin · · Score: 4, Interesting

      I fear the politics too, but I have to admit to a nasty little surge of glee at the thought of the "pro-life" crowd getting their hypocrisy and self-righteousness thrown back in their faces in such a dramatic manner.

      Just to make it clear where I'm coming from: I'm a parent too, and although my child is healthy and will hopefully remain so her whole life, I can tell you that if she ever does need some kind of treatment that someone objects to on religious grounds, that someone had better stay the hell out of my way.

      --
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    2. Re:Um, a little misleading in the intro... by omeomi · · Score: 5, Funny

      if she ever does need some kind of treatment that someone objects to on religious grounds, that someone had better stay the hell out of my way.

      Amen!

    3. Re:Um, a little misleading in the intro... by BocaJuniors · · Score: 2, Insightful
      I can tell you that if she ever does need some kind of treatment that someone objects to on religious grounds, that someone had better stay the hell out of my way.
      Indeed.

      Desire to harm anyone expressing religious opinion is much less neanderthal than doing harm in religion's name.

    4. Re:Um, a little misleading in the intro... by omeomi · · Score: 2

      I am against embryonic stem cells. Now I'll admit that I am not dead set on this. On the one hand, as long as you have murdered someone (make no mistake, that is how I see abortion) then perhaps we should take what good we can from that to make the best of the terrible situation.

      Not that I would want to complicate things with the facts or anything, but there's a difference between an embryo and a fetus. Leftover embryos come from the in vitro fertilization process. When a couple goes to a doctor for in vitro, a number of eggs are harvested along with sperm. A bunch of embryos are created in the laboratory, some are implanted into the woman, and the rest are put on ice, in case they're needed. If all goes well, the couple gets pregnant, and the rest of the embryos can either be kept on ice or destroyed. A fair amount are destroyed. If you don't want any more kids, there's not much reason to keep them. The strange thing about being against the scientific use of embryonic stem cells is that they're being destroyed anyway. But then, to understand that means taking a bit of time to look up what the term "embryonic stem cells" means, instead of just believing whatever some blowhard conservative on the radio/tv tells you. To hell with facts, bring us misguided emotions!

    5. Re:Um, a little misleading in the intro... by be-fan · · Score: 2, Interesting

      Since when do you care about the death of another child? Since when does anyone? I ordered a PowerMac the other day. I didn't really need one, but they looked cool. I could have taken that money and given it to a starving kid in Bangladesh (my native country). The average Bengali works 5 years to accumulate that much money, and you can bet it would have saved at least one life. With my lack of concern, I basically allowed somebody to die. At a logical level, it is no different than if I had let someone get hit by a bus, without trying to warn them or push them out of the way. It might not have the same emotional impact, but at an abstract level, it is no different. This is a poignant, yet somehow painless truth.

      What am I getting at? That we're all evil for letting children starve? No! We cannot live our lives shackled to the destinies of others. We cannot torture ourselves for the good we could do but do not. We are only human, we're not built to care for other people in that way. You claim to care about human life, but would you sacrifice your comfort to preserve it? Would you sacrifice a nice home for your family, a nice school for your children, your gas-guzzling, environment-polluting car, or even your trifling conveniences and luxuries? Would you sacrifice any of these things? There are some people who do, and while we admire such people at an intellectual level, almost none of us are willing to follow their example.

      It is for this reason that I find the "pro life" argument disturbing. Here are people who allegedly care about life, yet, they spend an enormous amount of effort (and a not-insignificant amount of money), fighting for "abstract people", while letting "concrete people" die every day. I can't see how anybody can rationalize that. It makes no sense at a concrete level, or at an abstract level.

      --
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  7. Bush is scheduled too by Anonymous Coward · · Score: 5, Funny

    George is looking forward to his first human brain cells.

  8. Hollywood is rubbing its hands with glee by MilenCent · · Score: 2, Funny

    How long before we get some kind of lame-ass movie story about someone who receives donor brain cells from an unborn embryo and rapidly become EvIl InCaRnAtE?

  9. Finally! by NightWulf · · Score: 4, Funny

    Finally a use for my sliver of Hitler's brain! These six children will be the new Boys of Brazil!

  10. Brain - stem cells by saskboy · · Score: 3, Interesting

    The title is a bit ambiguous isn't it? Brain stem, or stem cells, or brain stem stem cells?

    But I thought that the thing that made stem cells special was that they could be encouraged to grow into any other type of human cell? Or are there special stem cells just for brains, brain stems, or spinal nerves?

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  11. wow. by CDPatten · · Score: 2, Interesting

    sometimes you have to just stop and think about the magnitude of scale something like this is. Just incredible. We are very fortunate to live in this time, I can't wait to see what happens this century, hopefully we can avoid blowing ourselfs up before we start discovering the really cool stuff...

  12. Yikes, this is kind of scary by zappepcs · · Score: 4, Interesting

    All the good comments aside, could this end up like a cure for the terminally stupid?

    If its possible to cure brain diseases with this process(s), couldn't you also fix things like bad memory? or turn people in to 'lawn mower men' kind of people? What happens when you augment the wetware of 'normal' people? Would they stop smoking? Could you break peoples ingrained habits with a wetware upgrade?

    The implications are way more than anyone has mentioned yet...

    If you look at human minds/brains as a wetware machine, then some very odd thinking patterns have been (more or less) shown to be wetware problems (epilepsy etc.) and if that is so, can we cure all kinds of psychosis with a wetware upgrade? How does that affect our views of god, humanity, and disease? What if we can make people smarter than Einstein? Science fiction stories have had fields days with this kind of stuff.

    If we can augment or repair natural decay, could we also tinker with the endocrine system in general? Perhaps diabetes is just a failed ROM chip initially? Would Thyroidism just be a Flash chip change?

    This is indeed exciting, but also very scary. We have had stories about countries not getting enough vaccines for aids and now H5N1 etc. What kind of abuses can this lead to, and how do we set out rules for how this sort of thing should be dealt with?

    All we need is one Dr Moreaux (sp) to mess up and everything could get very whacked out indeed.

    I'm rather perplexed at the implications.

  13. The religious / pro life argument is insensible by whogben · · Score: 5, Insightful

    Sure, even if you believe a fetus is a human being - if it comes to one life for another, the potential to be a human shouldn't surpass an actual, living human in need of help! The counterclaim has sometimes been: We aren't gods! Giving life to Jimmy at the expense of the fetus is arrogance in the face of God! Wait a moment - when has it not been ok to choose one life over another? Where was the religious right during the cold war? Or the Iraq war? Or capital punishment? Surprise - life vs life decisions are made all the time, for a variety of reasons, convenience among others - by those same people who will tell you that they can't choose in the case of "fetus 4971 Vrs Jimmy"

  14. im very glad, by shrewd · · Score: 2, Interesting

    advancements in these life-saving feilds always seems to get stunted by idiotic activists and religious people, somehow saving lives offends god and we should stop it.

    don't mod this funny, because it's not.

  15. I do research on Batten Disease by Seoulstriker · · Score: 4, Informative

    It is an interesting therapeutic strategy to inject stem cells foreign to the suffering patient to alleviate the problems with the patient's own DNA. The cause of Batten Disease is a series of mutations in membrane transporters with unknown function. While the mutations affect all body tissues, it is powerfully destructive to neurons and so there is the typical accumulation of autofluorescent pigments (the so-called ceroid lipofuscinosis neuronal).

    I think the most important lesson here is that injection of stem cells and the differentiation of those cells and eventual incorporation into the functional neural network is astounding. However, the limits of the therapy are quite evident, since the patient's entire brain suffers from the accumulation of lipofuscin. You'd have to inject enough stem cells to regenerate an entire brain, which is on the scale of billions (could be off by a few factors of ten though....).

    As for the cellular and genetic basis for the accumulation of pigments, I'll have to get back to you on that when I conclude my research. :-)

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  16. No matter... by wingsofchai · · Score: 4, Insightful

    Whether you agree with this or not this should strike you as an enormous event likely of the millennium should this be successful. This single event may open the doors to ethical debates we've only seen the tips of, and in the end it may not just stop at words, but violence. One side would argue that violence is already occurring just to do it at all.

    --
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  17. Rights by hhawk · · Score: 3, Interesting

    #0 This is a major advance that we are at the point of being able to do this type of experiment; the more we learn about our bodies the better our lives will be.

    #1 I think the rights of the living out weight the rights of the unborn.

    #2 Let's be honest, EVERY medical advance for the last 500 or 1000 years was SEEN AS moral "issue" for those deeply religous including most Christians. I think they are all ethnically bankrupt for accepting ANY modern medical treatment. True Christians should take the point of view of the Christian Scientist movement and leave ANY healing in GODS hands; to do anything LESS than that, is not to accept both GOD and Jesus.

    --
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    1. Re:Rights by bani · · Score: 2, Informative

      Were antibiotics seen as a moral issue by Christians? No.

      Actually, yes. They were considered "violating god's will", eg god wants this person to die, who are you to interfere with god's will? Pretty amazing, but that's the reasoning put forth by christians. Jenner's cowpox vaccine was objected to on the same grounds by christians, and they had no moral objections to using fearmongering like "the cowpox vaccine turns you into a cow" in order to scare people away from taking it.

      Has anything changed between jenner and today? Not really. christians still use fearmongering / "god's will" as arguments against.. well, just about anything they disagree with. The christian fearmongering nonsense will lose out in the end, but it will leave many dead / injured / suffering people in their wake, and that's the real tragedy.

  18. The real question is... by slashname3 · · Score: 2, Funny

    Can we volunteer upper management for a brain cell injection? I think there are plenty of people in the office willing to chip in to cover the costs. Even if this does not fix them it would keep them from making stupid decisions for a short period of time while they are in the hospital.

    ;)

  19. Re:Could sperm cells be used instead? by Thunderbuck_YT · · Score: 2, Interesting

    I think the pro-lifers would call this an essentially semantic evasion. Fertilization is fertilization, no matter where it happens. If you believe that life begins at conception, this would not be a way around it, because a human life is still theoretically being conceived.

    There was an article in WIRED a couple of months ago about a biologist who wanted to engineer genetically incomplete humans specifically for the purpose of harvesting stem cells. Essentially, they would be genetically-engineered embryos that would be missing some component vital to further development. I don't remember the doctor's name, but he claimed to be very much "pro-life", but he hoped that this would somehow please both pro-lifers and the scientists who wanted to expand the research and use of stem cells. Personally, I just found the whole prospect deeply creepy.

    Interesting, though, that the "moral furore" over in vitro fertilization seems to have been largely dropped.

  20. From the other side by Anonymous Coward · · Score: 4, Insightful

    I'm probably going to get flamed straight to Hell by the hardcore left fanatics but I'm still posting. Unpopular opinion is still protected by the first amendment.

    When I read this my stomach essentially sank. Anyone who thinks this is absolute right vs absolute wrong doesn't know what they're talking about.

    What the moral issue here is, is that it's essentially harvesting of human life. A human fetus is essentially a human child that has developed to the point of posessing organs, human shape and a brain. Essentially a viable human life at this point. In fact this leads to partial birth abortion in a way.

    You see partial birth abortion is essentially using a probe to kill a human fetus in the womb then extracting it. This is done with fetuses that are viable human lives once removed, thus must be killed before removal or it is considered a living human child.

    In short this is the equivilent of killing a newborn baby with the only difference being location. That however isn't the subject of this post and I'll move on.

    The article wasn't entirely clear but I'm suposing this is more likely early term fetuses not yet viable as living once removed, however it's dangerously close.

    It is a good thing that there's a method of saving human lives, and yes it's natural for one to place one's self in the situationo f the parents of these children. However that's the case of parental instinct to choose one's own offspring over another.

    Would you honestly hesitate to kill someone else's child to save your own? This is essentially the case. Any attempts to justify things into black and white are nothing more than attempts to convince one's self. Lions will sometimes kill the offspring of other lions in order to mate with the mothers and produce their own young. It's the same underlying primal instinct behind the very heated statements before this post.

    If placed in the same situation I would probably make the natural descision to save my own young at the expense of another. However I'm not going to put myself in that position and rather should make a logical choice as a third party. As a third party without emotional attachment, and assuming we are dealing with a viable human life on the other side the two sides stand roughly equal.

    In this case the side with a parent willing to take another life in order to save their child's life, against the child with a parent looking rather to avoid becoming a parent (and obviously not considering the option of adoption, which puts infertile couples on multi year waiting lists and continues to fund america's abortion industry), yes the parent willing to take one life to save their child's when met with no oposition will succeed every time.

    Much in the way herd animals will allow their young to be chased down and killed by predators in order to save themselves, as a breeding age, healthy animal has a better chance of reproducing than a still vulnerable calf that is until it's an adult, still expendable.

    But let's look at the human side of this now. Let's forget baser animal instincts and use that intellect that sets us apart from predators and prey. If you put a logical argument of life vs life, you can't so easilly come with a right answer. You have your animal instinct that gives you a gut answer, or you have the religious right with an imposed super-ego which gives them an automatic gut answer in the oposite direction.

    If we were going strictly by Darwinism, it would be better to allow the healthy unborn child to live, while allowing the child with a genetic defficiency to die. However don't confuse me as stating that that is the morally right answer.

    In terms of human morality, which exists somewhere undefinable between our base insticts, our concious intellect, and our ingrained super-ego, there isn't a clear right answer.

    Human morality dictates that human life be valued equally. An individual with a genetic defficiency has as much right to live as a healthy individual. Even

  21. the obvious question by Quadraginta · · Score: 2, Insightful

    So, any prospect of a genetic test that can be done in utero before, say, 10-12 weeks gestation? I gather you're not talking a SNP, more's the pity, but a good genetic test would be a God-send. It's hideous to abort your 3-month-old fetus, but nothing compared to watching your little boy or girl die.

    1. Re:the obvious question by Seoulstriker · · Score: 2

      Yes, it should be fairly easy to do a genetic test of the spectrum of ceroid lipofuscinosis related genes by simply extracting DNA from any cell and amplifying the sequence and then sequencing those genes to find the mutation.

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  22. Re:Why fucking bother? by sw155kn1f3 · · Score: 2, Interesting

    Although it's obviously a flamebait, he has some points.
    It's genetic desease. So what if "cured" man wants to have offspring? Will his children need the same operation too? Who gonna pay for that?

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