two marks: 1. what do you mean by bioethics? 2. what do ... · two marks: 1. what do you mean by...
TRANSCRIPT
Two marks
1 What do you mean by Bioethics
Bioethics is the philosophical study of the ethical controversies
brought about by advances in biology and medicine Bioethicists are
concerned with the ethical questions that arise in the relationships among life
sciences biotechnology medicine politics law philosophy and theology
2 What do you mean by Biological Warfare
Biological warfare (BW) also known as germ warfare is the use
of pathogens such as viruses bacteria other disease-causing biological agents
or the toxins produced by them as biological weapons Biological warfare has
been practiced repeatedly throughout history It may also be defined as the
material or defense against such employment
3 Define Human embryo
An embryo is a multicellular diploid eukaryote in its earliest
stage of development from the time of first cell division until birth hatching
or germination In humans it is called an embryo until about eight weeks after
fertilization (ie ten weeks LMP) and from then it is instead called a fetus
4 What is Fertilisation
Fertilisation is the fusion of gametes to produce a new
organism In animals the process involves a sperm fusing with an ovum
which eventually leads to the development of an embryo Depending on the
animal species the process can occur within the body of the female in internal
fertilisation or outside in the case of external fertilisation
5 Give a note on Experimental Models
The Experimental model is a species that is extensively
studied to understand particular biological phenomena with the expectation
that discoveries made in the organism model will provide insight into the
workings of other organisms In particular experimental models are widely
used to explore potential cases and treatments for human disease when
human experimentation would be unfeasible or unethical This strategy is
made possible by the common descent of all living organisms and the
conservation of metabolic and developmental pathways and genetic material
over the course of evolution
6 AIDS virus ndash comment
Acquired immune deficiency syndrome or acquired
immunodeficiency syndrome (AIDS) is a disease of the human immune
system caused by the human immunodeficiency virus (HIV) AIDS is now a
pandemic This condition progressively reduces the effectiveness of the
immune system and leaves individuals susceptible to opportunistic infections
and tumors HIV is transmitted through direct contact of a mucous membrane
or the bloodstream with a bodily fluid containing HIV such as blood semen
vaginal fluid preseminal fluid and breast milk
7 Comment on gene therapy
Gene therapy is the insertion of genes into an individuals
cells and tissues to treat a disease such as a hereditary disease in which a
deleterious mutant allele is replaced with a functional one Most gene therapy
studies are aimed at cancer and hereditary genetic diseases Gene therapy may
be classified into the following types Germ line gene therapy Somatic
gene therapy
8 What are genetic disorders
A genetic disorder is an illness caused by abnormalities in
genes or chromosomes While some diseases such as cancer are due in part
to a genetic disorders they can also be caused by environmental factors Most
disorders are quite rare and affect one person in every several thousands or
millions Some types of recessive gene disorders confer an advantage in the
heterozygous state in certain environments
9 Recombinant DNA techniques
The Recombinant DNA technique was engineered by
Stanley Norman Cohen and Herbert Boyer in 1973 It is a technique to isolate
and amplify genes or DNA segments and insert them into another cell with
precision creating a transgenic bacterium Recombinant DNA technology was
made possible by the discovery of restriction endonucleases by Werner Arber
Daniel Nathans and Hamilton Smith for which they received the 1978 Nobel
Prize in Medicine
10What is the Biological weapon convention
The Biological Weapons Convention (BWC) was the first multilateral
disarmament treaty banning the production of an entire category of weapons
Permitted purposes under the BWC are defined as prophylactic protective
and other peaceful purposes The BWC was opened for signature on April 10
1972 and entered into force March 26 1975
11 Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by
doctors swearing to ethically practice medicine It is widely believed to have
been written by Hippocrates the father of western medicine in the 4th
century BC Although mostly of historical and traditional value the oath is
considered a rite of passage for practitioners of medicine although nowadays
the modernized version of the text varies among the countries
The original text of the Hippocratic Oath is usually
interpreted as one of the first statements of a moral of conduct to be used by
physicians assuming the respect for all human life even unborn Most
Christian tradition interprets the original Hippocratic Oath as a condemnation
of abortion and infanticide
12 Infliction of pain
Looking around for what could be used to inflict large amounts of
endless bleeding and pain Plastic could be used again to slit their wrists a
knife to cut their throat or an overdose of sleeping pills and never wake up
They feel theyre not doing good if there is no pain applied Broken skin and
flesh cut straight to the bone and left there to bleed But mostly there are
scars to hide for the world not to see the pain deep inside
13 Diseases suitable for gene therapy
The diseases suitable for gene therapy are Severe Combined Immune
Deficiency (ADA-SCID) Chronic Granulomatus Disorder (CGD) Hemophilia
congenital blindness muscular dystrophy Cancer Neurodegenerative
Diseases influenza HIV hepatitis heart disease and diabetes
14 Define genes
A gene is the basic unit of heredity in a living organism All living
things depend on genes Genes hold the information to build and maintain
their cells and pass genetic traits to offspring A modern working definition of
a gene is a locatable region of genomic sequence corresponding to a unit of
inheritance which is associated with regulatory regions transcribed
regions and or other functional sequence regions In cells a gene is a
portion of DNA that contains both coding sequences that determine what
the gene does and non-coding sequences that determine when the gene is
active (expressed)
15 Human Growth Hormone
Growth hormone (GH) is a Protein Poly-peptide hormone It
stimulates growth and cell reproduction and regeneration in humans and
other animals Somatotrophin refers to the growth hormone produced
natively and naturally in animals whereas the term somatropin refers to
growth hormone produced by recombinant DNA technology[1] and is
abbreviated rhGH in humans Growth hormone is used clinically to treat
childrens growth disorders and adult growth hormone deficiency In recent
years replacement therapies with human growth hormones (HGH) have
become popular
16 Give a note on transferred genes
Horizontal gene transfer (HGT) also Lateral gene
transfer (LGT) is any process in which an organism incorporates genetic
material from another organism without being the offspring of that organism
By contrast vertical transfer occurs when an organism receives genetic
material from its ancestor eg its parent or a species from which it evolved
Most thinking in genetics has focused upon vertical transfer but there is a
growing awareness that horizontal gene transfer is a highly significant
phenomenon and amongst single-celled organisms perhaps the dominant
form of genetic transfer Artificial horizontal gene transfer is a form of genetic
engineering
17 What is meant by animal rights
Animal rights also referred to as animal liberation is the
idea that the most basic interests of animals should be afforded the same
consideration as the similar interests of human beings[2] Advocates approach
the issue from different philosophical positions but agree that animals should
be viewed as legal persons and members of the moral community not
property and that they should not be used as food clothing research subjects
or entertainment The year 1641 was significant for the idea of animal rights
18 Define character of somatic cell
Somatic cells are any cells forming the body of an organism as opposed to
germline cells In mammals germline cells (also known as gametes) are the
spermatozoa and ova which fuse during fertilization to produce a cell called a
zygote from which the entire mammalian embryo develops Every other cell
type in the mammalian bodymdashapart from the sperm and ova the cells from
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
workings of other organisms In particular experimental models are widely
used to explore potential cases and treatments for human disease when
human experimentation would be unfeasible or unethical This strategy is
made possible by the common descent of all living organisms and the
conservation of metabolic and developmental pathways and genetic material
over the course of evolution
6 AIDS virus ndash comment
Acquired immune deficiency syndrome or acquired
immunodeficiency syndrome (AIDS) is a disease of the human immune
system caused by the human immunodeficiency virus (HIV) AIDS is now a
pandemic This condition progressively reduces the effectiveness of the
immune system and leaves individuals susceptible to opportunistic infections
and tumors HIV is transmitted through direct contact of a mucous membrane
or the bloodstream with a bodily fluid containing HIV such as blood semen
vaginal fluid preseminal fluid and breast milk
7 Comment on gene therapy
Gene therapy is the insertion of genes into an individuals
cells and tissues to treat a disease such as a hereditary disease in which a
deleterious mutant allele is replaced with a functional one Most gene therapy
studies are aimed at cancer and hereditary genetic diseases Gene therapy may
be classified into the following types Germ line gene therapy Somatic
gene therapy
8 What are genetic disorders
A genetic disorder is an illness caused by abnormalities in
genes or chromosomes While some diseases such as cancer are due in part
to a genetic disorders they can also be caused by environmental factors Most
disorders are quite rare and affect one person in every several thousands or
millions Some types of recessive gene disorders confer an advantage in the
heterozygous state in certain environments
9 Recombinant DNA techniques
The Recombinant DNA technique was engineered by
Stanley Norman Cohen and Herbert Boyer in 1973 It is a technique to isolate
and amplify genes or DNA segments and insert them into another cell with
precision creating a transgenic bacterium Recombinant DNA technology was
made possible by the discovery of restriction endonucleases by Werner Arber
Daniel Nathans and Hamilton Smith for which they received the 1978 Nobel
Prize in Medicine
10What is the Biological weapon convention
The Biological Weapons Convention (BWC) was the first multilateral
disarmament treaty banning the production of an entire category of weapons
Permitted purposes under the BWC are defined as prophylactic protective
and other peaceful purposes The BWC was opened for signature on April 10
1972 and entered into force March 26 1975
11 Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by
doctors swearing to ethically practice medicine It is widely believed to have
been written by Hippocrates the father of western medicine in the 4th
century BC Although mostly of historical and traditional value the oath is
considered a rite of passage for practitioners of medicine although nowadays
the modernized version of the text varies among the countries
The original text of the Hippocratic Oath is usually
interpreted as one of the first statements of a moral of conduct to be used by
physicians assuming the respect for all human life even unborn Most
Christian tradition interprets the original Hippocratic Oath as a condemnation
of abortion and infanticide
12 Infliction of pain
Looking around for what could be used to inflict large amounts of
endless bleeding and pain Plastic could be used again to slit their wrists a
knife to cut their throat or an overdose of sleeping pills and never wake up
They feel theyre not doing good if there is no pain applied Broken skin and
flesh cut straight to the bone and left there to bleed But mostly there are
scars to hide for the world not to see the pain deep inside
13 Diseases suitable for gene therapy
The diseases suitable for gene therapy are Severe Combined Immune
Deficiency (ADA-SCID) Chronic Granulomatus Disorder (CGD) Hemophilia
congenital blindness muscular dystrophy Cancer Neurodegenerative
Diseases influenza HIV hepatitis heart disease and diabetes
14 Define genes
A gene is the basic unit of heredity in a living organism All living
things depend on genes Genes hold the information to build and maintain
their cells and pass genetic traits to offspring A modern working definition of
a gene is a locatable region of genomic sequence corresponding to a unit of
inheritance which is associated with regulatory regions transcribed
regions and or other functional sequence regions In cells a gene is a
portion of DNA that contains both coding sequences that determine what
the gene does and non-coding sequences that determine when the gene is
active (expressed)
15 Human Growth Hormone
Growth hormone (GH) is a Protein Poly-peptide hormone It
stimulates growth and cell reproduction and regeneration in humans and
other animals Somatotrophin refers to the growth hormone produced
natively and naturally in animals whereas the term somatropin refers to
growth hormone produced by recombinant DNA technology[1] and is
abbreviated rhGH in humans Growth hormone is used clinically to treat
childrens growth disorders and adult growth hormone deficiency In recent
years replacement therapies with human growth hormones (HGH) have
become popular
16 Give a note on transferred genes
Horizontal gene transfer (HGT) also Lateral gene
transfer (LGT) is any process in which an organism incorporates genetic
material from another organism without being the offspring of that organism
By contrast vertical transfer occurs when an organism receives genetic
material from its ancestor eg its parent or a species from which it evolved
Most thinking in genetics has focused upon vertical transfer but there is a
growing awareness that horizontal gene transfer is a highly significant
phenomenon and amongst single-celled organisms perhaps the dominant
form of genetic transfer Artificial horizontal gene transfer is a form of genetic
engineering
17 What is meant by animal rights
Animal rights also referred to as animal liberation is the
idea that the most basic interests of animals should be afforded the same
consideration as the similar interests of human beings[2] Advocates approach
the issue from different philosophical positions but agree that animals should
be viewed as legal persons and members of the moral community not
property and that they should not be used as food clothing research subjects
or entertainment The year 1641 was significant for the idea of animal rights
18 Define character of somatic cell
Somatic cells are any cells forming the body of an organism as opposed to
germline cells In mammals germline cells (also known as gametes) are the
spermatozoa and ova which fuse during fertilization to produce a cell called a
zygote from which the entire mammalian embryo develops Every other cell
type in the mammalian bodymdashapart from the sperm and ova the cells from
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
9 Recombinant DNA techniques
The Recombinant DNA technique was engineered by
Stanley Norman Cohen and Herbert Boyer in 1973 It is a technique to isolate
and amplify genes or DNA segments and insert them into another cell with
precision creating a transgenic bacterium Recombinant DNA technology was
made possible by the discovery of restriction endonucleases by Werner Arber
Daniel Nathans and Hamilton Smith for which they received the 1978 Nobel
Prize in Medicine
10What is the Biological weapon convention
The Biological Weapons Convention (BWC) was the first multilateral
disarmament treaty banning the production of an entire category of weapons
Permitted purposes under the BWC are defined as prophylactic protective
and other peaceful purposes The BWC was opened for signature on April 10
1972 and entered into force March 26 1975
11 Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by
doctors swearing to ethically practice medicine It is widely believed to have
been written by Hippocrates the father of western medicine in the 4th
century BC Although mostly of historical and traditional value the oath is
considered a rite of passage for practitioners of medicine although nowadays
the modernized version of the text varies among the countries
The original text of the Hippocratic Oath is usually
interpreted as one of the first statements of a moral of conduct to be used by
physicians assuming the respect for all human life even unborn Most
Christian tradition interprets the original Hippocratic Oath as a condemnation
of abortion and infanticide
12 Infliction of pain
Looking around for what could be used to inflict large amounts of
endless bleeding and pain Plastic could be used again to slit their wrists a
knife to cut their throat or an overdose of sleeping pills and never wake up
They feel theyre not doing good if there is no pain applied Broken skin and
flesh cut straight to the bone and left there to bleed But mostly there are
scars to hide for the world not to see the pain deep inside
13 Diseases suitable for gene therapy
The diseases suitable for gene therapy are Severe Combined Immune
Deficiency (ADA-SCID) Chronic Granulomatus Disorder (CGD) Hemophilia
congenital blindness muscular dystrophy Cancer Neurodegenerative
Diseases influenza HIV hepatitis heart disease and diabetes
14 Define genes
A gene is the basic unit of heredity in a living organism All living
things depend on genes Genes hold the information to build and maintain
their cells and pass genetic traits to offspring A modern working definition of
a gene is a locatable region of genomic sequence corresponding to a unit of
inheritance which is associated with regulatory regions transcribed
regions and or other functional sequence regions In cells a gene is a
portion of DNA that contains both coding sequences that determine what
the gene does and non-coding sequences that determine when the gene is
active (expressed)
15 Human Growth Hormone
Growth hormone (GH) is a Protein Poly-peptide hormone It
stimulates growth and cell reproduction and regeneration in humans and
other animals Somatotrophin refers to the growth hormone produced
natively and naturally in animals whereas the term somatropin refers to
growth hormone produced by recombinant DNA technology[1] and is
abbreviated rhGH in humans Growth hormone is used clinically to treat
childrens growth disorders and adult growth hormone deficiency In recent
years replacement therapies with human growth hormones (HGH) have
become popular
16 Give a note on transferred genes
Horizontal gene transfer (HGT) also Lateral gene
transfer (LGT) is any process in which an organism incorporates genetic
material from another organism without being the offspring of that organism
By contrast vertical transfer occurs when an organism receives genetic
material from its ancestor eg its parent or a species from which it evolved
Most thinking in genetics has focused upon vertical transfer but there is a
growing awareness that horizontal gene transfer is a highly significant
phenomenon and amongst single-celled organisms perhaps the dominant
form of genetic transfer Artificial horizontal gene transfer is a form of genetic
engineering
17 What is meant by animal rights
Animal rights also referred to as animal liberation is the
idea that the most basic interests of animals should be afforded the same
consideration as the similar interests of human beings[2] Advocates approach
the issue from different philosophical positions but agree that animals should
be viewed as legal persons and members of the moral community not
property and that they should not be used as food clothing research subjects
or entertainment The year 1641 was significant for the idea of animal rights
18 Define character of somatic cell
Somatic cells are any cells forming the body of an organism as opposed to
germline cells In mammals germline cells (also known as gametes) are the
spermatozoa and ova which fuse during fertilization to produce a cell called a
zygote from which the entire mammalian embryo develops Every other cell
type in the mammalian bodymdashapart from the sperm and ova the cells from
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
12 Infliction of pain
Looking around for what could be used to inflict large amounts of
endless bleeding and pain Plastic could be used again to slit their wrists a
knife to cut their throat or an overdose of sleeping pills and never wake up
They feel theyre not doing good if there is no pain applied Broken skin and
flesh cut straight to the bone and left there to bleed But mostly there are
scars to hide for the world not to see the pain deep inside
13 Diseases suitable for gene therapy
The diseases suitable for gene therapy are Severe Combined Immune
Deficiency (ADA-SCID) Chronic Granulomatus Disorder (CGD) Hemophilia
congenital blindness muscular dystrophy Cancer Neurodegenerative
Diseases influenza HIV hepatitis heart disease and diabetes
14 Define genes
A gene is the basic unit of heredity in a living organism All living
things depend on genes Genes hold the information to build and maintain
their cells and pass genetic traits to offspring A modern working definition of
a gene is a locatable region of genomic sequence corresponding to a unit of
inheritance which is associated with regulatory regions transcribed
regions and or other functional sequence regions In cells a gene is a
portion of DNA that contains both coding sequences that determine what
the gene does and non-coding sequences that determine when the gene is
active (expressed)
15 Human Growth Hormone
Growth hormone (GH) is a Protein Poly-peptide hormone It
stimulates growth and cell reproduction and regeneration in humans and
other animals Somatotrophin refers to the growth hormone produced
natively and naturally in animals whereas the term somatropin refers to
growth hormone produced by recombinant DNA technology[1] and is
abbreviated rhGH in humans Growth hormone is used clinically to treat
childrens growth disorders and adult growth hormone deficiency In recent
years replacement therapies with human growth hormones (HGH) have
become popular
16 Give a note on transferred genes
Horizontal gene transfer (HGT) also Lateral gene
transfer (LGT) is any process in which an organism incorporates genetic
material from another organism without being the offspring of that organism
By contrast vertical transfer occurs when an organism receives genetic
material from its ancestor eg its parent or a species from which it evolved
Most thinking in genetics has focused upon vertical transfer but there is a
growing awareness that horizontal gene transfer is a highly significant
phenomenon and amongst single-celled organisms perhaps the dominant
form of genetic transfer Artificial horizontal gene transfer is a form of genetic
engineering
17 What is meant by animal rights
Animal rights also referred to as animal liberation is the
idea that the most basic interests of animals should be afforded the same
consideration as the similar interests of human beings[2] Advocates approach
the issue from different philosophical positions but agree that animals should
be viewed as legal persons and members of the moral community not
property and that they should not be used as food clothing research subjects
or entertainment The year 1641 was significant for the idea of animal rights
18 Define character of somatic cell
Somatic cells are any cells forming the body of an organism as opposed to
germline cells In mammals germline cells (also known as gametes) are the
spermatozoa and ova which fuse during fertilization to produce a cell called a
zygote from which the entire mammalian embryo develops Every other cell
type in the mammalian bodymdashapart from the sperm and ova the cells from
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
childrens growth disorders and adult growth hormone deficiency In recent
years replacement therapies with human growth hormones (HGH) have
become popular
16 Give a note on transferred genes
Horizontal gene transfer (HGT) also Lateral gene
transfer (LGT) is any process in which an organism incorporates genetic
material from another organism without being the offspring of that organism
By contrast vertical transfer occurs when an organism receives genetic
material from its ancestor eg its parent or a species from which it evolved
Most thinking in genetics has focused upon vertical transfer but there is a
growing awareness that horizontal gene transfer is a highly significant
phenomenon and amongst single-celled organisms perhaps the dominant
form of genetic transfer Artificial horizontal gene transfer is a form of genetic
engineering
17 What is meant by animal rights
Animal rights also referred to as animal liberation is the
idea that the most basic interests of animals should be afforded the same
consideration as the similar interests of human beings[2] Advocates approach
the issue from different philosophical positions but agree that animals should
be viewed as legal persons and members of the moral community not
property and that they should not be used as food clothing research subjects
or entertainment The year 1641 was significant for the idea of animal rights
18 Define character of somatic cell
Somatic cells are any cells forming the body of an organism as opposed to
germline cells In mammals germline cells (also known as gametes) are the
spermatozoa and ova which fuse during fertilization to produce a cell called a
zygote from which the entire mammalian embryo develops Every other cell
type in the mammalian bodymdashapart from the sperm and ova the cells from
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
which they are made (gametocytes) and undifferentiated stem cellsmdashis a
somatic cell internal organs skin bones blood and connective tissue are all
made up of somatic cells The word somatic is derived from the Greek word
sōma meaning body
Five marks
1Point out the views of nature
Nature in the broadest sense is equivalent to the natural world
physical world or material world Nature refers to the phenomena of
the physical world and also to life in general It ranges in scale from the
subatomic to the cosmic
The word nature is derived from the Latin word natura or essential
qualities innate disposition and literally means birth[1] Natura was a
Latin translation of the Greek word physis which originally related to the
intrinsic characteristics that plants animals and other features of the world
develop of their own accord The concept of nature as a whole the physical
universe is one of several expansions of the original notion it began with
certain core applications of the word by pre-Socratic philosophers and has
steadily gained currency ever since This usage was confirmed during the
advent of modern scientific method in the last several centuries
Within the various uses of the word today nature may refer to
the general realm of various types of living plants and animals and in some
cases to the processes associated with inanimate objectsndashthe way that
particular types of things exist and change of their own accord such as the
weather and geology of the Earth and the matter and energy of which all these
things are composed It is often taken to mean the natural environment or
wildernessndashwild animals rocks forest beaches and in general those things
that have not been substantially altered by human intervention or which
persist despite human intervention For example manufactured objects and
human interaction generally are not considered part of nature unless
qualified as for example human nature or the whole of nature This more
traditional concept of natural things which can still be found today implies a
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
distinction between the natural and the artificial with the artificial being
understood as that which has been brought into being by a human
consciousness or a human mind Depending on the particular context the
term natural might also be distinguished from the terms unnatural the
supernatural and the artifactual
Earth has evolved through geological and biological processes that
have left traces of the original conditions The outer surface is divided into
several gradually migrating tectonic plates which have changed relatively
quickly several times The interior remains active with a thick layer of molten
mantle and an iron-filled core that generates a magnetic field
The atmospheric conditions have been significantly altered from the
original conditions by the presence of life-forms which create an ecological
balance that stabilizes the surface conditions Despite the wide regional
variations in climate by latitude and other geographic factors the long-term
average global climate is quite stable during interglacial periods[8] and
variations of a degree or two of average global temperature have historically
had major effects on the ecological balance and on the actual geography of the
Earth
In modern times man occasionally perceives in nature an
apparently contradictory behaviour The advent of quantum theory brought in
a culture shock to theoreticians accustomed to the Newtonian expectations of
definitiveness in the behaviour of nature Special relativity gave a jolt to the
ingrained perception of time as an absolute uniformly flowing entity But the
overall self-consistency of the scheme began to make itself manifest gradually
Today we understand the micro-behaviour of nature better than at the
beginning of this century but several foundational issues remain
The relationship of man and the universe has many facets too It is
pure consciousness without any activity in it for all activity has been included
in objective nature It is consciousness which does not act but only knows as
it continues through a personrsquos experience illuminating the perceptions
thoughts and feelings that appear and disappear in the mind This
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
illumination is not any kind of act that consciousness starts doing at some
time and stops doing later Instead it is the essential being of consciousness
which shines and illuminates appearances simply by being what it is In the
same way by merely being what it is as it continues unchanged at the
background of experience it provides the underlying impersonal basis upon
which people communicate and put together perceptions thoughts and
feelings in coherent knowledge
For Aristotlersquos concept of nature as self-moving see RG
Collingwoodrsquos The Idea of Nature first published by Clarendon Press Oxford
1945 republished by Oxford University Press paperback (1960) Collingwood
points out the opposition implied by the classical Greek concepts of nature
(phusis) and artifice (techne) As opposed to the artificial objects of technical
manipulation the things of nature lsquohave a source of movement in themselvesrsquo
lsquoWhen a Greek writer contrasts phusis with techne (ie what things are when
left to themselves with what human skill can make of them) he implies that
things have a principle of growth organization and movement in their own
right and that this is what he means by their nature and when he calls things
natural he means that they have such a principle in themrsquo
2Narrate Hippocratic Oath
The Hippocratic Oath is a pledge supposedly taken by doctors swearing to
ethically practice medicine It is widely believed to have been written by
Hippocrates the father of western medicine in the 4th century BC or by one
of his students[1] and is usually included in the Hippocratic Corpus Classical
scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans
a theory that has been questioned due to the lack of evidence for a school of
Pythagorean medicine[2] The phrase first do no harm is often incorrectly
attributed to the oath Although mostly of historical and traditional value the
oath is considered a rite of passage for practitioners of medicine although
nowadays the modernized version of the text varies among the countries
Original
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
I swear by Apollo the healer Asclepius Hygieia and Panacea and I take to
witness all the gods all the goddesses to keep according to my ability and my
judgment the following Oath and agreement
To consider dear to me as my parents him who taught me this art to live in
common with him and if necessary to share my goods with him To look
upon his children as my own brothers to teach them this art
I will prescribe regimens for the good of my patients according to my ability
and my judgment and never do harm to anyone
I will not give a lethal drug to anyone if I am asked nor will I advise such a
plan and similarly I will not give a woman a pessary to cause an abortion
But I will preserve the purity of my life and my arts
I will not cut for stone even for patients in whom the disease is manifest I
will leave this operation to be performed by practitioners specialists in this
art
In every house where I come I will enter only for the good of my patients
keeping myself far from all intentional ill-doing and all seduction and
especially from the pleasures of love with women or with men be they free or
slaves
All that may come to my knowledge in the exercise of my profession or in daily
commerce with men which ought not to be spread abroad I will keep secret
and will never reveal
If I keep this oath faithfully may I enjoy my life and practice my art respected
by all men and in all times but if I swerve from it or violate it may the reverse
be my lot
Modern
Modern translation of the English[4]
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all
the gods and goddesses making them my witnesses that I will fulfil
according to my ability and judgment this oath and this covenant
To hold him who has taught me this art as equal to my parents and to live my
life in partnership with him and if he is in need of money to give him a share
of mine and to regard his offspring as equal to my brothers in male lineage
and to teach them this artndashif they desire to learn itndashwithout fee and covenant
to give a share of precepts and oral instruction and all the other learning to my
sons and to the sons of him who has instructed me and to pupils who have
signed the covenant and have taken the oath according to medical law but to
no one else
I will apply dietic measures for the benefit of the sick according to my ability
and judgment I will keep them from harm and injustice
I will neither give a deadly drug to anybody if asked for it nor will I make a
suggestion to this effect Similarly I will not give to a woman an abortive
remedy In purity and holiness I will guard my life and my art
I will not use the knife not even on sufferers from stone but will withdraw in
favor of such men as are engaged in this work
Whatever houses I may visit I will come for the benefit of the sick remaining
free of all intentional injustice of all mischief and in particular of sexual
relations with both female and male persons be they free or slaves
What I may see or hear in the course of treatment or even outside of the
treatment in regard to the life of men which on no account one must spread
abroad I will keep myself holding such things shameful to be spoken about
If I fulfil this oath and do not violate it may it be granted to me to enjoy life
and art being honored with fame among all men for all time to come if I
transgress it and swear falsely may the opposite of all this be my lot
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
A widely used modern version of the traditional oath was penned by Dr Louis
Lasagna former Principal of the Sackler School of Graduate Biomedical
Sciences of Tufts University[5]
In the 1970s many American medical schools chose to abandon the
Hippocratic Oath as part of graduation ceremonies usually substituting a
version modified to something considered more politically and medically
correct or an alternate pledge like the Oath or Prayer of Maimonides
The Hippocratic Oath has been updated by the Declaration of Geneva In the
United Kingdom the General Medical Council provides clear modern
guidance in the form of its Duties of a Doctor[6] and Good Medical Practice[7]
statements
Modern relevance
The original text of the Hippocratic Oath is usually interpreted as one of the
first statements of a moral of conduct to be used by physicians assuming the
respect for all human life even unborn Most Christian tradition interprets the
original Hippocratic Oath as a condemnation of abortion and infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
3What are the important stages in human embryo development
Human prenatal development is divided into an embryonic period and a fetal
period The embryonic period begins with fertilization and ends eight weeks
later The staging of human embryos was introduced in 1914 by Franklin P
Mall at the Department of Embryology of the Carnegie Institution of
Washington Malls successor George L Streeter later refined the
classification of human embryos into 23 stages or developmental horizons
It is important to note that each of the 23 Carnegie stages represents an
arbitrary point along the time-line of development akin to a freeze-frame in
a movie The stages are based on a variety of morphological features and are
independent of chronological age or size As implied by the original term
horizon the stages are not definitive steps that when combined lead to a
fully formed human foetus but rather they are a series of events that must be
completed during development As the description of each stage is based on
the features seen in an average embryo individual embryos may not fit
exactly into a particular stage There may also be considerable variation within
a stage and overlap between stages
The human embryo
Growth
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
A 10mm embryo from an ectopic pregnancy still in the oviduct This embryo
is about five weeks old (or from the 7th week of pregnancy)
Week 1-3 5-7 days after fertilization the blastula attaches to the wall of the
uterus (endometrium) When it comes into contact with the endometrium it
performs implantation Implantation connections between the mother and the
embryo will begin to form including the umbilical cord The embryos growth
centers around an axis which will become the spine and spinal cord The
brain spinal cord heart and gastrointestinal tract begin to form
Week 4-5 Chemicals produced by the embryo stop the womans menstrual
cycle Neurogenesis is underway showing brain activity at about the 6th
week[3] The heart will begin to beat around the same time Limb buds appear
where the arms and legs will grow later Organogenesis begins The head
represents about one half of the embryos axial length and more than half of
the embryos mass The brain develops into five areas Tissue formation occurs
that develops into the vertebra and some other bones The heart starts to beat
and blood starts to flow
Week 6-8 Myogenesis and neurogenesis have progressed to where the
embryo is capable of motion and the eyes begin to form Organogenesis and
growth continue Hair has started to form along with all essential organs
Facial features are beginning to develop At the end of the 8th week the
embryonic stage is over and the fetal stage begins
4Describe foetus and feeling pain
A fetus (also spelled foetus or fœtus) is a developing mammal or other
viviparous vertebrate after the embryonic stage and before birth The plural is
fetuses
In humans the fetal stage of prenatal development starts at the beginning of
the 11th week in gestational age which is the 9th week after fertilization
There is much variation in the growth of the fetus When fetal size is less than
expected that condition is known as intrauterine growth restriction (IUGR)
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
also called fetal growth restriction (FGR) factors affecting fetal growth can be
maternal placental or fetal
Fetal pain its existence and its implications are debated politically and
academically According to the conclusions of a review published in 2005
Evidence regarding the capacity for fetal pain is limited but indicates that
fetal perception of pain is unlikely before the third trimester[12][13] However
there may be an emerging consensus among developmental neurobiologists
that the establishment of thalamocortical connections (at about 26 weeks) is
a critical event with regard to fetal perception of pain[26] Nevertheless
because pain can involve sensory emotional and cognitive factors it is
impossible to know when painful experiences may become possible even if
it is known when thalamocortical connections are established[26]
Whether a fetus has the ability to feel pain and to suffer is part of the abortion
debate[27] [28] For example in the USA legislation has been proposed by pro-
life advocates requiring abortion providers to tell a woman that the fetus may
feel pain during the abortion procedure and that require her to accept or
decline anesthesia for the fetus
5What are the ethical limits of animal use
Animals are used in many ways by people Do animals have a right to live
without pain caused by people Do they have a right to live free If animals
have rights then human beings have corresponding duties towards them
While we would all agree that we have some duties to animals there is
disagreement about just how many and what kind of duties we have We come
across these issues every day when we eat meat play with our pets or use
products made from or tested by animals
All people are members of Homo sapiens one of the millions of species alive
on the planet Earth Fundamentally we should ask whether humans are a
special form of life Are humans different from other living creatures By
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
comparing humans with other species we may be able to understand both the
differences and similarities of living organisms
In most peoples minds there are some differences between animals and
plants One significant difference between some animals and plants is the
capacity to feel pain Animals which feel pain are called sentient animals In
practice one important criteria we use in judging the use of animals is how
much pain is caused
Many extrinsic factors are important in deciding whether it is ethical to use
animals or not Destruction of nature and life by humans is caused by two
human motives - necessity and desire It is more ethically acceptable to
cause harm if there is necessity for survival than if it is only desire for more
pleasure
If we are going to harm life a departure from the ideal of doing no harm
or love of life it should be for a good reason Such a reason might be survival
and we can see this as natural - all organisms consume and compete with
others Plants compete with each other for space to grow animals eat plants
or other animals bacteria and fungi also compete for resources and space -
sometimes killing other organisms and other times competing without direct
killing This distinction is required ever more as human desire continues to
destroy the environment of the planet including many endangered animal
species
Other extrinsic factors that are important include human sensitivity to
suffering or the effects of upsetting other animals Being cruel to animals may
also lead to brutality in people There is debate over what is the natural way to
treat animals but certain religions give special status to some animals for
example Hindu religion gives cows a high status so that few Hindu persons
will kill cows for food
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
The issue of animal experiments has caused more debate than eating
animals It is a little ironic because in most countries eating animals is a
choice based on desire more than necessity However some animal
experiments are done with the hope of directly saving human life in medical
research On the other hand cosmetic testing can be said to be not necessary
In the past decade there have been less animal experiments conducted and
we can expect more ethical alternatives to continue to be developed using
alternative methods for testing product safety is also often cheaper and more
efficient
Some of the factors that are used in the guidelines to assess whether animals
should be used in experiments or not include
- Aim of the experiment - Realistic potential to achieve goals
- Species of animal - Possible pain
- Duration of discomfort or distress - Duration of experiment (in terms of
lifespan)
- Number of animals - Quality of animal care
- Available alternatives to the experiment
At the practical level the feeling of pain is the first major guiding principle for
animal treatment There is a debate about self awareness which would be
necessary for animals to express autonomy Also about which animals are
capable of thinking These concerns are one reason why researchers try to
chose the animals lower on the evolutionary scale for experiments and
product testing
Some people choose not to eat animals A vegetarian is a person who does not
eat animals It can have some health advantages to eat less meat to lower the
level of saturated fat especially in middle-aged persons living in countries
where people eat too much Some chose not to eat animals for moral or
religious reasons Eating more plants also may have some environmental
advantages as food and energy is wasted in the transfer from plants to
animals However most people say it is natural for us to eat animals
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Beyond the motive another important criteria we use in judging the use of
animals is avoiding the infliction of pain Pain is more than sensation of the
environment While plants do send ionic potential signals in response to
harm that are similar to action potentials in animal nerves the difference is in
the processing of those signals to become the perception of pain Some
distinguish pain from suffering but they are both departures from the ideal
of avoiding harm Suffering can be defined as prolonged pain of a certain
intensity and it is claimed that no individual can suffer who is incapable of
experiencing pain The capacity for suffering andor enjoyment has been
described as a prerequisite for having any moral interests
Judging pain is subjective and there are parallels in the way animals and
humans respond Many of the neurotransmitters are similar between higher
animals and humans It is possible that animals do have a different quality of
pain as the frontal region of the cerebral cortex of humans is thought to be
involved in feelings of anxiety apprehension and suffering components of
pain This region is much smaller in animals and if it is surgically treated in
humans it can make them indifferent to pain There are differences seen in the
types of pain receptors some respond to mechanical stimuli some to noxious
or irritant chemicals and some to severe cold or heat The difference between
pain of animals and responses of plants (which include electrical response like
animals) is that a signal is only a signal whereas pain is something after the
reception and processing of the signal in the nervous system
There are numerous books and materials on animal experiments and animal
rights and these are written in many languages Often they are written from
the extreme support or extreme protest against animal use Please receive
suggestions from your country coordinator Often newspapers and magazines
have discussed these issues and the cases in those articles can be useful to
stimulate students In these teaching materials there are numerous examples
from different topics that can be used to show bioethics in real situations
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
6When should we use gene therapy
Three young adults who received gene therapy for a blinding eye condition
remained healthy and maintained previous visual gains one year later
according to an August online report in Human Gene Therapy One patient
also noticed a visual improvement that helped her perform daily tasks which
scientists describe in an Aug 13 letter to the editor in the New England
Journal of Medicine
These findings have emerged from a phase I clinical trial supported by the
National Eye Institute (NEI) at the National Institutes of Health and
conducted by researchers at the University of Pennsylvania Philadelphia and
the University of Florida Gainesville This is the first study that reports the
one-year safety and effectiveness of successful gene therapy for a form of
Leber congenital amaurosis (LCA) a currently untreatable hereditary
condition that causes severe vision loss and blindness in infants and children
These results are very significant because they represent one of the first steps
toward the clinical use of gene therapy for an inherited form of blindness
said NEI director Paul A Sieving MD PhD I anticipate that it is only a
matter of time before similar techniques will be applied to other genetic
diseases affecting vision
The three patients in the study mdash aged 22 24 and 25 mdash have been legally blind
since birth due to a specific form of LCA caused by mutations in the RPE65
gene The protein made by this gene is a crucial component of the visual cycle
The RPE65 protein is necessary for the production of a retina-specific form of
vitamin A that is required for the light-sensitive photoreceptor cells to
function Mutations in the RPE65 gene prevent this production which halts
the visual cycle and blocks vision
The RPE65 disease offers an opportunity for treatment in that it leaves some
photoreceptors intact In this study researchers pinpointed an area of intact
photoreceptors in the retina of each patient They injected healthy copies of
the RPE65 gene under the retina in this area in an attempt to repair the visual
cycle
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
One year after the procedure the therapy had not provoked an immune
response in the eye or in the body Though the patients visual acuity or ability
to read letters on an eye chart remained unchanged all three patients could
detect very dim lights that they were unable to see prior to treatment This
visual benefit provides evidence that the newly introduced RPE65 gene is
functional and is increasing the light sensitivity of the retina
These new reports extend our previous findings from three months after the
procedure At one year we have now found that the RPE65 gene therapy
appears to be safe and leads to a stable visual improvement in the patients
studied We are cautiously optimistic about these results and look forward to
additional reports that address the key issues of safety and effectiveness said
Artur V Cideciyan PhD research associate professor of ophthalmology at
the University of Pennsylvania and lead author of the publications
At 12 months one patient also noticed that while riding in a car she could
read an illuminated clock on the dashboard for the first time in her life When
researchers performed additional visual testing they found that this patient
focused on images with a different part of the retina than they expected
The fovea is the area of the retina where the sharpest central vision normally
occurs However instead of focusing on images with the fovea this patient
had gradually begun to use the area of the retina that had been treated with
gene therapy The area had already become more light sensitive than her fovea
at one month after treatment but it took 12 months for her to read dim
numerals mdash such as the illuminated clock mdash that she was previously unable to
read
This interesting finding shows that over time a person visually adapted to
gene therapy in a meaningful way said Samuel G Jacobson MD PhD
professor of ophthalmology at the University of Pennsylvanias Scheie Eye
Institute and principal investigator of the clinical trial As we continue our
studies we will look more closely at whether these slow visual gains could be
accelerated with visual training
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Researchers will continue to follow these patients over the next several years
to monitor safety and to learn whether the visual benefits remain This
ongoing phase I trial also includes additional groups of LCA patients mdash
children as well as adults mdash who are receiving different doses of the RPE65
gene therapy
The National Eye Institute (NEI) part of the National Institutes of Health
leads the federal governments research on the visual system and eye diseases
NEI supports basic and clinical science programs that result in the
development of sight-saving treatments The National Institutes of Health
(NIH) mdash The Nations Medical Research Agency mdash includes 27 Institutes and
Centers and is a component of the US Department of Health and Human
Services It is the primary federal agency for conducting and supporting basic
clinical and translational medical research and it investigates the causes
treatments and cures for both common and rare diseases
7What about the public perception of science
Public perception of science has direct bearing on social progress and national
prosperity as has been proved since ancient times even long long before the
appearance of modern scienceThe influence of science on the society is
determined by the level of development of science on the one hand and by the
extent of public understanding of science on the other It is through the
popularization of science that all scientific achievements without exception
produces an enormous impact on the society
Exploration is the life of science while popularization provides science with a
base for its existence and development People love science precisely because
it can be quickly turned into social wealth into a precious kind of material and
spiritual wealth The power of science lies in popularization which in a certain
sense is the end result and ultimate aim of all scientific pursuits
Today our world is confronted with the serious problem of public perception
of science which is exerting an influence upon the mankind on an enormous
scale as never before upon economic prosperity social progress and all
individuals welfare However science is getting farther and farther beyond
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
peoples common sense It is difficult even for those with the richest
imaginative power to get merely by means of their experiences and instincts
an exact understanding of modern science and the changes brought about by
itfor people to judge their values and meanings against the background of
their experience and knowledge The contradiction between functions of
science and the lack of knowledge has aroused attention and concern among
more and more people who consider it to be a new challenge to the world
today
Since the modern science took its place in the world tremendous progress
made in science and technology while bringing the mankind happiness very
often produces new problems with us and has negative influence on the
society The science and technology should be conditioned and judged by the
humanism the manrsquos rational and conscience and derive from this basis the
moral principles and the judgement of value with regard to the science and
technology For lack of control by these moral principles science and its
products could impair the human society and its future
The science and humanism should ever have been deep and everlasting
partners and the science in the 21st century ought to be the one of their
reunion and always lead the people to open the door of the paradise with their
boundless wisdom
At present in china there are approximately two thousand kinds of popular
science journals and around five thousand sorts of popular science books
being published every year A certain number of renowned research
institutions and university laboratatories are regularly opened to the public
for the purpose of helping them to keep abreast of current scientific forward
works and the activities of scientistsChina has 340 million households
owning more than 300 million domestic TVsets The CCTV broadcasts its
daily scientific programme at PM800 the peak viewing time transmitting
scientific knowledge with special channels in their efforts to build up an
Information Expressway on the Air between the science and the public
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
The growth in size of the science centre industry the increasing trends of
visitors and research on informal learning and visitor behaviour in science
centres all suggest that science centres perform an important role in science
communication raising public awareness of science and enhancing the
motivation of visitors to learn science
In the modern world science fundamental science should e seen as
part of culture If applied science is the basis of many industrial development
and the input of science into the economy of our civilization is obvious and
undisputed the interaction with society education and culture is much more
complex and even controversial On one hand science natural sciences for
that matter have now developed into an international enterprise
transcending national borders and acquiring a global scale
On the other hand culture is coupled ever more strongly to the
identity of nations and languages to local traditions Science is developing
mainly in terms of specific field of knowledge mainly connected by a common
subject and assessed by the inner circle of colleagues At the same time
society education to a great extent receive the message of science through
interdisciplinary studies Unfortunately the way modern science is managed
and funded these studies are not properly supported and recognized
These studies in most cases have a socially relevant message that is
poorly broadcast and understood by the layman and even those in power This
has become one of the reasons of the separation and loss of contact of science
from society and human needs in a world of those who know and those who
do not have access to knowledge The lack of a human and cultural message of
science has definitely contributed to the estrangement and even the divorce of
science from society can be seen in many instances
8How the Hippocratic Oath is adopted by the western medicine
The original text of the Hippocratic Oath is usually interpreted
as one of the first statements of a moral of conduct to be used by physicians
assuming the respect for all human life even unborn Most Christian tradition
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
interprets the original Hippocratic Oath as a condemnation of abortion and
infanticide
According to Margaret Mead For the first time in our tradition there was a
complete separation between killing and curing Throughout the primitive
world the doctor and the sorcerer tended to be the same person He with the
power to kill had power to cure including specially the undoing of his own
killing activities He who had the power to cure would necessarily also be able
to kill With the Greeks the distinction was made clear One profession the
followers of Asclepius were to be dedicated completely to life under all
circumstances regardless of rank age or intellect ndash the life of a slave the life
of the Emperor the life of a foreign man the life of a defective child [1]
Derivations of the oath have been modified over the years in various countries
Most Medicine schools administer some form of oath It has been suggested
that a similar oath should be undertaken by scientists a Hippocratic Oath for
Scientists
Modern challenged parts of the oath
1 To teach medicine to the sons of my teacher In the past medical
schools gave preferential consideration to the children of
physicians[citation needed]
2 To practice and prescribe to the best of my ability for the good of my
patients and to try to avoid harming them This beneficial intention is
the purpose of the physician However this item is still invoked in the
modern discussions of euthanasia
3 I will not give a lethal drug to anyone if I am asked nor will I advise
such a plan Physician organizations in most countries have strongly
denounced physician participation in legal executions However in a
small number of cases most notably the US states of Oregon[9]
Washington[10] Montana[11] and in the Kingdom of the Netherlands[12]
a doctor can prescribe euthanasia with the patients consent In
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
addition abortion in many western countries is legal rendering the
forbiddance of abortive remedies irrelevant in some circles of medicine
4 Similarly I will not give a woman a pessary to cause an abortion
Since the legalization of abortion in many countries the inclusion of
the anti-abortion sentence of the Hippocratic oath has been a source of
contention
5 To avoid violating the morals of my community Many licensing
agencies will revoke a physicians license for offending the morals of the
community (moral turpitude)
6 I will not cut for stone even for patients in whom the disease is
manifest I will leave this operation to be performed by practitioners
specialists in this art The stones referred to are kidney stones or
bladder stones removal of which was judged too menial for physicians
and therefore was left for barbers (the forerunners of modern
surgeons) Surgery was not recognized as a specialty at that time This
sentence is now interpreted as acknowledging that it is impossible for
any single physician to maintain expertise in all areas It also highlights
the different historical origins of the surgeon and the physician
7 To keep the good of the patient as the highest priority There may be
other conflicting good purposes such as community welfare
conserving economic resources supporting the criminal justice system
or simply making money for the physician or his employer that provide
recurring challenges to physicians
9Explain the concepts of fertilization
Fertilization is the process by which the nucleus of a sperm (a male
reproductive cell) fuses (combines) with the nucleus of an egg (a female
reproductive cell also called an ovum) Fertilization occurs somewhat
differently in plants and animals In flowering plants two sperm cells are
involved in the process of fertilization The first sperm cell combines with an
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
egg cell while the second sperm cell combines with two nuclei present in the
ovule (the structure that eventually becomes the seed) The structure formed
in the second fertilization eventually forms a storage site for nutrients needed
by the fertilized egg cell
A fertilized egg cell is known as a zygote Once formed the zygote undergoes
continuous cell division that eventually produces a new multicellular
organism
Sperm penetrating a hamster egg cell (Reproduced by permission of
Photo Researchers Inc
Fertilization in humans
In humans fertilization occurs in the fallopian tubes of the female
reproductive tract It takes place within hours following sexual intercourse
Approximately 300 million sperm are released into a females vagina during
intercourse However only one of these sperm can actually fertilize the single
female egg cell (also called an ovum) The successful sperm cell must enter the
uterus and swim up the fallopian tube to meet the egg cell There it passes
through the thick coating surrounding the egg This coating is known as the
zona pellucida
The head of the sperm cell contains enzymes (certain types of chemicals) that
break through the zona pellucida and make it possible for the sperm to
penetrate into the egg Once the head of the sperm is inside the egg the tail of
the sperm falls off The outside of the egg then thickens to prevent another
sperm from entering
In humans a number of variables affect whether or not fertilization occurs
following intercourse One factor is a womans ovulatory cycle The ovulatory
cycle is the series of events that bring about the ripening of an egg and its
release from the ovaries Human eggs can be fertilized for only a few days after
ovulation which usually occurs only once every 28 days
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Fertilization in other species
Nearly all forms of terrestrial (land) animals use some form of internal
fertilization similar to that in humans External fertilization however is more
common among aquatic animals It is simple enough for aquatic animals
simply to dump their sperm and eggs into the water and let currents mix the
two kinds of cells with each other
Reproduction of the sea urchin is a typical example of external fertilization
among aquatic animals A male sea urchin releases several billion sperm into
the water These sperm then swim towards eggs released in the same area
Fertilization occurs within seconds when sperm come into contact and fuse
with eggs
External fertilization in animals
Although it does not occur naturally in animals very often external
fertilization is also a possibility In the case of humans for example some
form of external fertilization may be necessary when a male and female wish
to have a child but one or the other is biologically incapable of contributing to
the normal process of internal fertilization
An example is the process known as in vitro fertilization The expression in
vitro means in glass that is in a glass test tube or petri dish The term is
used in contrast to in vivo fertilization where in vivo means in a living
organism
During in vitro fertilization eggs are removed surgically from a females
reproductive tract Those eggs then can be fertilized by sperm that has been
taken from a male and then stored in a test tube or petri dish After the
fertilized eggs have divided twice they are reintroduced into the females
body If all goes well the embryo and fetus develop eventually resulting in a
normal birth
In vitro fertilization has been performed successfully on a variety of domestic
animals since the 1950s In 1978 the first human birth following in vitro
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
fertilization occurred in England Since that time the procedure has become a
routine treatment for infertile couples who wish to have children
10How gene therapy affects the humans
Some of the problems of gene therapy include
Short-lived nature of gene therapy - Before gene therapy can become a
permanent cure for any condition the therapeutic DNA introduced into target
cells must remain functional and the cells containing the therapeutic DNA
must be long-lived and stable Problems with integrating therapeutic DNA
into the genome and the rapidly dividing nature of many cells prevent gene
therapy from achieving any long-term benefits Patients will have to undergo
multiple rounds of gene therapy
sometimes the new gene fails to express itself or the virus does not produce
the desired response
Immune response - Anytime a foreign object is introduced into human tissues
the immune system has evolved to attack the invader The risk of stimulating
the immune system in a way that reduces gene therapy effectiveness is always
a possibility Furthermore the immune systems enhanced response to
invaders it has seen before makes it difficult for gene therapy to be repeated in
patients
Problems with viral vectors - Viruses while the carrier of choice in most gene
therapy studies present a variety of potential problems to the patient --
toxicity immune and inflammatory responses and gene control and targeting
issues In addition there is always the fear that the viral vector once inside
the patient may recover its ability to cause disease
Multigene disorders - Conditions or disorders that arise from mutations in a
single gene are the best candidates for gene therapy Unfortunately some of
the most commonly occurring disorders such as heart disease high blood
pressure Alzheimers disease arthritis and diabetes are caused by the
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
combined effects of variations in many genes Multigene or multifactorial
disorders such as these would be especially difficult to treat effectively using
gene therapy
Chance of inducing a tumor (insertional mutagenesis) - The main problem
that geneticists are encountering is the viruses may target the wrong cellsIf
the DNA is integrated in the wrong place in the genome for example in a
tumor suppressor gene it could induce a tumor
ethical and legal problems - Many believe that this is an invasion of privacy
They believe that if prenatal tests are performed that these could lead to an
increase in the number of abortions
Religious concerns - Religious groups and creationists may consider the
alteration of an individuals genes as tampering or corrupting Gods work
since human experimentation is not allowed how much of simulated ampor
animal research findings amp observations can be reliably transferred to humans
remains a question
11Explain Biological warfare
Biological warfare (BW) also known as germ warfare is the use of
pathogens such as viruses bacteria other disease-causing biological agents or
the toxins produced by them as biological weapons (or bioweapons)
There is a clear overlap between biological warfare and chemical warfare as
the use of toxins produced by living organisms is considered under the
provisions of both the Biological and Toxin Weapons Convention and the
Chemical Weapons Convention (Toxins of organic origin are often called
midspectrum agents)
A biological weapon may be intended to kill incapacitate or seriously impair
a person group of people or even an entire population It may also be defined
as the material or defense against such employment
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Biological warfare is a military technique that can be used by nation-states or
non-national groups In the latter case or if a nation-state uses it
clandestinely it may also be considered bioterrorism[1]
[edit] The ancient world
The earliest documented incident of the intention to use biological weapons is
recorded in Hittite texts of 1500-1200 BC in which victims of plague were
driven into enemy lands Although the Assyrians knew of ergot a parasitic
fungus of rye which produces ergotism when ingested there is no evidence
that they poisoned enemy wells with the fungus as has often been claimed
According to Homers Iliad and Odyssey epic poems about the legendary
Trojan War spears and arrows were tipped with poison During the First
Sacred War in Greece in about 590 BC Athens and the Amphictionic League
poisoned the water supply of the besieged town of Kirrha (near Delphi) with
the toxic plant hellebore The Roman commander Manius Aquillus poisoned
the wells of besieged enemy cities in about 130 BC
During the 4th century BC Scythian archers tipped their arrow tips with snake
venom human blood and animal feces to cause wounds to become infected
There are numerous other instances of the use of plant toxins venoms and
other poisonous substances to create biological weapons in antiquity[2]
In 184 BC Hannibal of Carthage had clay pots filled with venomous snakes
and instructed his soldiers to throw the pots onto the decks of Pergamene
ships In about AD 198 the city of Hatra (near Mosul Iraq) repulsed the
Roman army led by Septimius Severus by hurling clay pots filled with live
scorpions at them[3]
[edit] Modern times
[edit] The 18th century
The Native American population was decimated after contact with the Old
World due to the introduction of many different fatal diseases[8] There is
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
however only one documented case of alleged germ warfare involving British
commander Lord Jeffrey Amherst and Swiss-British officer Colonel Henry
Bouquet whose correspondence included a reference to the idea of giving
smallpox-infected blankets to Indians as part of an incident known as
Pontiacs Rebellion which occurred during the Siege of Fort Pitt (1763) late in
the French and Indian War
Any smallpox transmitted by Native American tribes was due to the transfer of
the disease to blankets during transportation Historians have been unable to
establish whether or not this plan was implemented particularly in light of the
fact that smallpox was already present in the region and that scientific
knowledge of disease at that time had yet to discover bacteria or develop an
understanding of plague vectors
The roots of diseases that killed millions of indigenous peoples in the
Americas can be traced back to Eurasians living for millennia in close
proximity with domesticated animals Without long contact with domesticated
animals indigenous Americans had no resistance to plague measles
tuberculosis smallpox or most influenza strains
As it was well documented that many of European origin wished to
exterminate the Native peoples[citation needed] it has been assumed[by whom] that
there could have been many cases of smallpox being used as a quick way to kill
off the locals[9]
Despite the lack of historical evidence the belief that British and American
soldiers used germ warfare against North American tribes has remained fairly
strong in certain oral traditions and in popular culture Such claims that
smallpox infested blankets were used are especially strong in the oral
traditions of native nations in the Plains and along the west coast of
Canada[10]
[edit] The 19th century
In 1834 Cambridge Diarist Richard Henry Dana (Two Years Before the Mast
available in Project Gutenberg) visited San Francisco on a merchant ship His
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
ship traded many items including blankets with Mexicans and Russians who
had established outposts on the northern side of the San Francisco Bay
Local histories document that the California smallpox epidemic began at the
Russian fort soon after they left Blankets were a popular trading item and the
cheapest source of them was second-hand blankets which were often
contaminated
During the American Civil War General Sherman reported that Confederate
forces shot farm animals in ponds upon which the Union depended for
drinking water This would have made the water unpleasant to drink although
the actual health risks from dead bodies of humans and animals which did not
die of disease are minimal
Jack London in his story Yah Yah Yah describes a punitive European
expedition to a Pacific island deliberately exposing the Polynesian population
to Measles of which many of them died [3] While much of the material for
Londons South Sea Tales is derived from his personal experience in the
region it is not certain that this particular incident is historical
[edit] The 20th century
During the First World War Germany pursued an ambitious biological
warfare program Using diplomatic pouches and couriers the German
General Staff supplied small teams of saboteurs in the Russian Duchy of
Finland and in the then-neutral countries of Romania the US and Argentina
In Finland Scandinavian freedom fighters mounted on reindeer placed
ampules of anthrax in stables of Russian horses in 1916 [4] Anthrax was also
supplied to the German military attache in Bucharest as was Glanders which
was employed against livestock destined for Allied service
German intelligence officer and US citizen Dr Anton Casimir Dilger
established a secret lab in the basement of his sisters home in Chevy Chase
Maryland that produced Glanders which was used to infect livestock in ports
and inland collection points including at least Newport News Norfolk
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
Baltimore and New York and probably St Louis and Covington Kentucky In
Argentina German agents also employed Glanders in the port of Buenos Aires
and also tried to ruin wheat harvests with a destructive fungus
The Geneva Protocol of 1925 prohibited the use of chemical weapons and
biological weapons but said nothing about production storage or transfer
later treaties did cover these aspects Twentieth-century advances in
microbiology enabled the first pure-culture biological agents to be developed
by WWII
There was a period of development by many nations and Japanese Unit 731
based primarily at Pingfan in occupied China and commanded by Shirō Ishii
did research on BW conducted forced human experiments often fatal on
prisoners and provided biological weapons for attacks in China[11] Biological
experiments often using twins with one subject to the procedure and the
other as a control were carried out by Nazi Germany on concentration camp
inmates particularly by Joseph Mengele
[edit] Biological agents
Biological warfare is the deliberate use of disease and natural poisons to
incapacitate humans It employs pathogens as weapons Pathogens are the
micro-organism whether bacterial viral or protozoic that cause disease
There are four kinds of biological warfare agents bacteria viruses rickettsiae
and fungi Biological weapons are distinguished by being living organisms
that reproduce within their host victims who then become contagious with a
deadly if weakening multiplier effect Toxins in contrast do not reproduce in
the victim and need only the briefest of incubation periods they kill within a
few hours[31]
[edit] Identification of bioweapons
The goal of biodefense is to integrate the sustained efforts of the national and
homeland security medical public health intelligence diplomatic and law
enforcement communities Health care providers and public health officers
are among the first lines of defense In some countries private local and state
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
(province) capabilities are being augmented by and coordinated with federal
assets to provide layered defenses against biological weapons attacks During
the first Gulf War the United Nations activated a biological and chemical
response team Task Force Scorpio to respond to any potential use of
weapons of mass destruction on civilians
The traditional approach toward protecting agriculture food and water
focusing on the natural or unintentional introduction of a disease is being
strengthened by focused efforts to address current and anticipated future
biological weapons threats that may be deliberate multiple and repetitive
The growing threat of biowarfare agents and bioterrorism has led to the
development of specific field tools that perform on-the-spot analysis and
identification of encountered suspect materials One such technology being
developed by researchers from the Lawrence Livermore National Laboratory
(LLNL) employs a sandwich immunoassay in which fluorescent dye-
labeled antibodies aimed at specific pathogens are attached to silver and gold
nanowires [33]
Researchers at Ben Gurion University in Israel are developing a different
device called the BioPen essentially a Lab-in-a-Pen which can detect known
biological agents in under 20 minutes using an adaptation of the ELISA a
similar widely employed immunological technique that in this case
incorporates fiber optics
Ten marks
1What are the experimental goals of human embryo research
This is a microphotograph of a just-fertilized ovum it is called
a zygote It will divide and re-divide repeatedly at about 20 hour intervals
It develops into a solid shapeless mass of cells called a morula Later it
becomes a blastocyst Some 2 weeks after fertilization when it becomes
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
implanted into the wall of the womb it is called an embryo Later from 9
weeks after fertilization until birth it is called a fetus 1
But this series of terms is mainly used by medical sources In popular usage
the term embryo is often used to refer to any stage of pre-natal mammalian
development from 0 to 8 weeks after fertilization We will use this
definition here
Definitions of terms
Much confusion is created when various groups assign different definitions to
the same terms For example
Item Pro-life definition Pro-choice and medical
definitions
Start of pregnancy At conception
When the embryo imbeds
itself in the womb lining
about 12 days after
conception
Start of human life At conception Various definitions eg
at viability or at birth
Abortion
The artificial
termination of human
life at any time from
conception to birth
Any termination of life
between implantation
and the start of the 3rd
trimester
Term used to refer to
the products of
conception
Baby the unborn the
pre-born
Zygote morula
blastocyst embryo fetus
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
History of embryo research funding in the US
Human embryo research in the US has been controlled by restricting the
flow of federal government funds to research projects 2 Some limited
research has been performed in private research projects without
government funding
1995 to 1999 During each fiscal year Congress has passed appropriation
bills which totally banned all federal government funding of human embryo
research The ban continues as of mid-1999 For example the 19967
appropriation act which funds the NIH included the amendment
No federal research funds may be used for the creation of a human embryo
for research purposes or for research in which a human embryo is
destroyed discarded or subjected to more than minimal risk 4
The National Institutes of Health interpreted the 19989 appropriation act
as follows
Section 513 reinstates the current ban that prohibits NIH from using
appropriated funds to support human embryo research Grant cooperative
agreement and contract funds may not be used for
1 the creation of a human embryo or embryos for research purposes
or
research in which a human embryo or embryos are destroyed discarded or
knowingly subjected to risk of injury or death greater than that allowed for
research on fetuses in utero underthe Public Health Service Act 5
Ethics of embryo research -- two views
Embryo research centers around the numerous frozen embryos which are
left over at fertility clinics as a result of in-vitro fertilization (IVF)
procedures Typically during IVF a womans ovaries are stimulated to
produce multiple ova These are fertilized by the husbands sperm Some of
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
the healthy embryos produced by this process are implanted in the womans
womb Hopefully one will develop normally into a fetus and be born nine
months later Excess embryos are generally frozen so that they can be used
in the future in the event that pregnancy did not develop or that the
couple wants another baby Some of these frozen embryos are used by
scientists to do research
Embryo research will likely develop new techniques for contraception as
well as methods to detect and treat many diseases and disorders
There is strong opposition to this research from pro-life groups and strong
support from pro-choice organizations No common ground no compromise
appears possible
C Ben Mitchell is a biomedical consultant for the Ethics amp Religious Liberty
Commission of the Southern Baptist Convention He said It is
unconscionable to create human embryos for the purpose of
experimentation and destruction This is biotech cannibalism consuming our
young for the sake of our own potential prosperity 13
They are concerned that if scientists can perform embryo experiments on
human persons who are a few weeks old there may be no stopping
scientists who want to experiment on older humans -- even newborns
infants humans and adults
They feel that leftover embryos should be retained indefinitely -- alive but
frozen -- at fertility clinics They might perhaps be offered to other infertile
couples who wish to have a child There are a very small percentage if
infertile couples in which the woman is unable to produce ova and the
husband does not produce sperm Those couples could use a few of the
frozen sperm
Some argue that this may happen
when the fetus resembles a human
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
the point of viability when the fetus can live independently or
when the fetal brain develops to the point where it experiences self-
awareness or
at birth or
at some other stage of pregnancy
An example of embryo research
Dr Mark Hughes was director of the Institute for Molecular and Human
Genetics at Georgetown University He was performing research into Pre-
implantation Genetic Diagnosis (PGD) 6 This would lead to a pre-natal test
that would detect genetically caused devastating diseases such as Tay
Sachs Pregnant women who are at risk of producing a baby with one of
these diseases must currently wait until the 15th week of pregnancy and
then undergo amniocentesis If the fetus is found to have the disease the
women must then decide whether to have a late term abortion In a small
percentage of cases the test itself can cause the fetus to abort
If Dr Hughes study was successful an embryo could be checked for one or
more genetically caused diseases One cell would be removed from the
morulla when it is an undifferentiated mass of 8 cells If the embryo was
found to be normal the morulla would be implanted into the womans
womb If it was defective it would have been destroyed and the woman
would start over from the beginning
Different women would see certain of these options as moral and certain as
immoral Since there is no societal consensus on which is moral and which is
the best choice for the couple involved most pro-choicers would prefer to
let the couple make an informed choice on their future
Dr Hughes studies would probably have met all of the requirements of the
Human Embryo Research Panels 1994-SEP recommendations They probably
would have met President Clintons 1994-DEC criteria But the NIH and
Georgetown University said that he had violated regulations of both the
Federal government and Roman Catholic church He resigned his post in
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
1997-JAN Women still must wait until their 15th week to have their
amniocentesis procedures unless they are are lucky enough to arrange a
PGD test
Recent developments
2001-MAR-14 Debate over continuing embryo research The George W
Bush administration the Republican-controlled Congresses and
conservative Christian pro-life groups are all actively promoting an end to
embryo research They are opposed by numerous agencies which promote
research into various debilitating and fatal diseases and by pro-choice
groups
2001-APR-27 Embryo research funding cancelled The National
Institutes of Health had planned a meeting to review researchers
requests for funding The Bush administration cancelled the meeting
even as scientists reported new advances in embryo research
Presumably when existing grants run out researchers will only be able to
obtain funding from non-governmental sources The administration has
ordered a review of the entire funding program it is scheduled to be
completed during 2001-Summer
2Write any 2 types of treatment of human genetic diseases
Scientists discover possible new treatment for genetic diseases
Scientists from Imperial College London the University of Leicester and
Hammersmith Hospital have found a way to stop certain types of genetic
diseases from occurring by modifying the way DNA is turned into proteins
The research published in this months Proceedings of the National Academy
of Science shows how the researchers have been able to restore proper
expression of defective genes and that this might potentially have a positive
effect in genetic diseases such as spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
The research was carried out at Imperial College London and the University of
Leicester as collaboration between Professor Francesco Muntoni and
Professor Ian Eperon
Professor Francesco Muntoni from Imperial College London and the
Hammersmith Hospital comments Many genetic diseases are caused by the
mutation of just one or two of the 32 billion base pairs of DNA which
comprise our genome The technique we have developed with our colleagues
at the University of Leicester allows us to correct genetic mutations which
result in abnormal splicing as it is the case for spinal muscular atrophy
Splicing is part of the process by which genes are converted into proteins
Large chunks of useless and meaningless sequence have accumulated in the
genes of higher organisations and the mutation of just one or two of the 32
billion base pairs which make up our genome can interfere with splicing
To make proteins genes first need to be processed into RNA (ribonucleic acid)
The information in the genes is broken up into islands of information called
exons which need to be stitched together while the meaningless sequences
are removed If the sequence of an exon is changed splicing can be disrupted
causing genetic mutations
The researchers were able to stick the right sequences back into the exon by
using short pieces of RNA (oligos) which stick to the exon of interest and had
been modified to recruit signals that influence splicing Using this novel
strategy the splicing reaction can be manipulated
This treatment was tested on cells from a patient suffering from spinal
muscular atrophy By putting these oligos into the cells much of the protein
required for the splicing process could be produced allowing normal
development of the cells
Professor Ian Eperon from the University of Leicester adds Although oligos
have previously been developed to block expression of genes this research
indicates that we can also use them to restore the proper expression of
defective genes As well as working in diseases with a clear genetic basis such
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy
as spinal muscular dystrophy we are aware that other conditions such as
inflammation or cancer involve changes in the splicing of normal genes and
our method might allow us to reverse these and facilitate treatment of the
illness
Spinal muscular atrophy is a serious and common disease affecting 1 in
10000 births resulting in mortality in babies who have the more serious
form The disease is caused by a mutation in a gene called SMN1 About 1 in
50 people have the defective version of SMN1
Even though everyone carries a second copy of the SMN1 gene SMN2 this
does not compensate for the problem as a difference in a single base pair from
SMN1 in just one exon prevents proper splicing This novel method that could
have broad applications also in other disease offers new hope for individuals
affected by spinal muscular atrophy