| |
Better Science
NEAVS'
Position on Xenotransplants
Xenotransplantationtransplanting cells,
tissues or organs from one species into another speciesbegan
in earnest in the early 1900s. There have been many different
attempts at xenotransplantation. In 1905, a French surgeon
put pieces of rabbit kidneys into a child who died two weeks
later. 1 In
1923, an American surgeon transplanted a lamb kidney into
a human who died nine days later. 2
In 1964, another American surgeon transplanted
a chimpanzee heart into a man who died two hours later. 3
In 1984 Leonard Bailey transplanted a baboon
heart into newborn "Baby-Fae" in California — she
died 20 days later. 4
In the entire history of xenotransplantation,
there has never been a successful whole-organ animal to human
transplant. 5 Most
human xenograft recipients die anywhere from hours to weeks
after receiving the animal organ. In this fact sheet, NEAVS
will focus on cross-species organ transplantation.
Why are
scientists doing cross-species organ transplants?
The majority of xenotransplant scientists
claim they are doing it because of the shortage of human organs
available for transplants. A group of scientists, physicians
and surgeons brought together by the International Society
for Heart and Lung Transplantation states, "…researchers
are constantly looking for ways to expand the number of donor
organs that become available. While there is no question that
human organs are best suited for humans, xenotransplantation
research should be pursued…because animals, such as the pig,
could [emphasis added] offer an unlimited supply
of organs and allow the transplant procedures to be scheduled
on an elective basis." 6
back to top
>>
How serious
is the human organ shortage? And what can be done to address
this shortage that is safer and better for humans than xenotransplantation?
Although there is a severe organ donation
shortage — the reason may not be due to a lack of
organs.
More public awareness of the organ donation
crisis would help increase the number of organs available
for transplant. At present, only about 20% of people who die
healthy (e.g. in accidents, from violence, etc.) have arranged
to donate their organs. 7
Additionally, many of the people receiving
transplants have diseases that are preventable. For instance,
it is estimated that 100,000 first-time heart attacks could
be averted and $13 billion in medical costs could be saved
by the year 2005 if Americans simply reduced their average
saturated fat intake by as little as one to three percentage
points. 8
The number of persons actually requiring
transplants could be reduced by funding preventative healthcare
programs advocating positive lifestyle measures such as not
smoking, exercising regularly, and eating a healthful diet.
Further, if the United States adopted laws
similar to those of Austria, Spain, Belgium, and Singapore
there would be a potential increase in the availability of
human organs. In these nations, organ donation rates soared
after "presumed consent" laws passed. Such laws
assume that citizens will donate their organs after death
unless they specifically "opt out." 9
In Sweden and Denmark similar "mandated choice"
laws require citizens to indicate whether or not they want
to donate their organs. These measures have increased donations
by hundreds of thousands. 10
back to top >>
What are
the dangers of xenotransplantation?
Putting animal parts into humans can expose
the recipient to potentially deadly animal viruses. Such cross-species viruses could hurt not only the original recipient but could
spread to humans worldwide. Dr. David Cooper, former transplant
surgeon and president of the International Xenotransplantation
Association, says, "The…concern is, are we going to do
any harm by transferring infectious agents to the patient…[and]
Then infect the community." 11
Even if scientists can screen for some viruses in
animals there is always the potential for unknown viruses
to exist and, therefore, to be missed by the screening. Also,
through mutations, viruses can change from benign to harmful
or even deadly. Finally, it is impossible
to have completely pathogen-free animals.
12
Many viruses can cross-over from animals
to humans, such as the hepadnavirus, papillomavirus, retrovirus,
aterivirus, togavirus, adenovirus, hantavirus, and papovavirus.
Viruses that have crossed-over from animals to humans have
killed scores of people. For instance, in the 1950s the Asian
flu killed a million people and in the late 1960s the Hong
Kong flu killed 700,000. And it is thought that the 1918 Spanish
flu that killed 20 million people was caused by a virus that
was transmitted from animals to humans. 13
Nearly all transplanted organs, except those
of identical twins, spur rejection by the recipient, even
in allotransplants — organs transplanted between the same
species. In xenotransplantation, the transplanted organ may
cause hyperacute rejection — a severe, life-threatening rejection
of the transplanted part and acute vascular rejection, an
inflammation of blood vessels. Researchers have spent millions
of dollars in developing transgenic pigs that have human "flags"
on their cells in hopes that their organs will not be rejected,
but these efforts so far have been completely unsuccessful.
14
back to top >>
What
are the financial costs of developing xenotransplantation?
Xenotransplantation research is an expensive
attempt to examine a risky and unethical enterprise. A noted
scientist, Mae-Wan Ho says, "…it is bad science working
together with big business for quick profit aided and abetted
by our government…" 15
Some researchers, however, hope for a lucrative market
and apparently ignore the risks and harm that xenotransplantation
actually poses. Millions of taxpayer dollars are allocated
for this research. The following are just a few of the federally-funded
xenotransplant projects recently undertaken:
- $1,974,144 of federal funds in 2000 went
to A.B. Cosimi at Massachusetts General Hospital (MGH) for
research on swine and nonhuman primates. And in 2001 he
received $2,028,495 for xenotransplantation research. 16
And David Sachs, also of MGH, received $1,481,206
federal dollars for xenotransplantation research. 17
- $99,900 went to John Gibbons of ProLinia,
Inc., in Athens, Georgia for "Novel Pig Cloning Procedures
for Xenotransplantation." Gibbons writes, "The
use of pigs as organ donors for humans is potentially a
$6 billion market. ProLinia will play a niche role in developing
xenotransplantation."18
- The National Heart, Lung, and Blood Institute
gave $113,853 to Moses Njenga of the University of Minnesota
Twin Cities to examine the risk of a porcine (pig) virus
in xenotransplantation. The research involves putting infected
pig tissues into immunodeficient mice and in studying monkey-to-monkey
and pig-to-monkey transplantations. 19
- According to a May 2001 Boston Globe
article, Massachusetts’ Immerge BioTherapeutics and Wisconsin’s
Infigen will receive $1.7 million from the Commerce Department’s
National Institute for Science and Technology in a joint
venture to produce pigs for xenotransplantation. 20
back to top >>
What
are some companies that are researching xenotransplantation?
A partial list includes:
- Alexion Pharmaceuticals of Connecticut
- Biotransplant of Massachusetts (Imutran,
a British company was bought out by Novartis and merged
with Biotransplant)
- Genzyme Transgenics Corporation of Massachusetts
- Geron of California
- Nextran Inc., a division of Baxter Healthcare
Corporation of New Jersey
back to top >>
What
is NEAVS’ position on xenotransplantation?
NEAVS believes all xenotransplantation research
should be permanently banned for the following reasons:
- Thousands of animals suffer and die for
xenotransplant experimenters’ curiosity and greed. Over
the years, baboons, chickens, chimpanzees, dogs, goats,
monkeys, pigs, rabbits, rats, and other species have died
in xenotransplant research.
- There is no guaranteed way to eliminate
the possibility of a transmissible deadly cross-species
virus that may cause a global human health catastrophe.
- Individual recipients die and their families
suffer as a result of these medical failures.
- The United States is spending millions
of dollars into developing risky and unsuccessful xenotransplant
procedures. Meanwhile, certain health problems that are
prevalent and can successfully be corrected go unaddressed.
Approximately 43 million Americans are without health insurance
coverage; 21
millions of Americans are turned away from under-funded,
under-available smoking, alcohol, and drug treatment programs
and facilities; industrial polluters of our environment,
a major cause of illness and death to Americans each year,
are allowed to operate with minimal if any adequate controls;
and preventative health measures are under-utilized and
under-encouraged.
Major accomplishments in fighting human disease would be
made if the government prioritized funding access to healthcare
coverage and treatment facilities for all Americans, and
promised all Americans freedom from industrially produced
environmental toxins. Spending taxpayers' money to help
develop the unpromising and even dangerous option of xenotransplantation
when there are better and safer options already available
is poor government spending and bad medicine.
The push for cross-species organ transplants profits only
those research and breeding facilities that will reap tremendous
financial gain whether the project ultimately succeeds or
fails. Meanwhile xenotransplantation promises to be a failure.
Xenotransplantation offers nothing to the millions of Americans
who have health concerns that could and should be addressed
by non-animal based research and could and should be treated
with better health care priorities.
Xenotransplantation is neither good science nor good ethics
and should be banned. back to top
>>
How can I
help stop xenotransplant research and increase the human organ
donor pool?
- Politely tell Secretary of Health and
Human Services, Tommy Thompson, that you want a ban on xenotransplant
research and development for the reasons stated above.
Secretary Tommy Thompson
U.S. Department of Health and Human Services
200 Independence Ave., SW
Washington, DC 20201
Fax: 202-619-0257
Toll Free Tel: 1-877-696-6775
hhsmail@os.dhhs.gov
- Ask your congressional representative
to introduce "presumed consent" legislation.
For your senator: www.senate.gov/
contacting/index.cfm
For your representative(s):
www.house.gov/writerep
Call 800-688-9889 to find the names of your legislators.
The Honorable Representative __________
U.S. House of Representatives
Washington, DC 20515
- Become an organ donor.
Contact the United Network for Organ Sharing/Coalition on
Donation
1100 Boulders Parkway, Suite 700
Richmond, VA 23225-8770
Fax: 804-323-7343
Phone: 804-330-8620
coalition@unos.org
www.shareyourlife.org
Find out if your Motor Vehicle Registry allows you to register
on your driver’s license to be an organ donor. In the U.S.,
you can find your state’s Registry contact information by
going to: http://www.state.oh.us/odps/division/bmv/mv50.html
- Sign the Campaign for Responsible Transplantation’s
online petition:
www.crt-online.org/petition.html
- Minimize your chances of needing an organ
transplant by adopting a healthy lifestyle. Don’t smoke;
drink alcoholic beverages in moderation; exercise regularly;
and, eat a low-fat vegetarian diet.
May 2001
back to top >>
- C. Ray Greek and Jean
Swingle Greek, Sacred Cows and Golden Geese (New
York: Continuum, 2000), 206. back
to article >>
- Tony Stark, Knife
to the Heart: The Story of Transplant Surgery (UK:
Macmillan, 1996) 233. back
to article >>
- Ibid., 158-162. back
to article >>
- Anon, "Grandstand
Medicine", Nature Nov. 8, 1984. back
to article >>
- Medical Research Modernization
Committee’s publication, Of Pigs, Primates, and Plagues.
back to article
>>
- International Society
for Heart and Lung Transplantation press release December
15, 2000. back to
article >>
- Richard L. Worsnop,
"Organ Transplants: Can the Number of Donors Be Increased?,"
CQ Researcher 5, August 11, 1995. back
to article >>
- Gerry Oster, David Thompson,
"Estimated Effects of Reducing Dietary Saturated Fat
Intake on the Incident and Cost of Coronary Heart Disease
in the US," Journal of the American Dietetic Association
96 (1996): 127-31. back
to article >>
- Ian Kennedy, et al.,
"The case for Presumed Consent in Organ Donation,"
The Lancet, May 30, 1996: 351. back
to article >>
- Moussa Awounda, "Swedish
Organ-Donation Drive Set for Success," The Lancet,
May 18, 1996: 347. back
to article >>
- Maggie Fox, "Too
soon for animal-human heart transplants" The Hindustan
Times, December 18 2000. back
to article >>
- Institute of Medicine’s
1996 Report back
to article >>
- Greek and Greek, 216.
back to article
>>
- http://www.pbs.org/wgbh/pages/frontline/
shows/organfarm/etc/faqs.html back
to article >>
- The Unholy Alliance.
The Ecologist Vol. 27, no.4, pp. 152-158. back
to article >>
- NIH’s Computer Retrieval
of Information on Scientific Projects (CRISP) back
to article >>
- Ibid. back
to article >>
- Ibid. back
to article >>
- Ibid. back
to article >>
- Naomi Aoki, "Charlestown
biotech in pig-clone venture" Boston Globe
May 9, 2001. back
to article >>
- U.S. Census Bureau
statistic for 1999. back
to article >>
|
|