Scientists have created the equivalent of embryonic stem cells from ordinary skin cells, a breakthrough that could someday produce new treatments for disease such as Spinal Cord Injuries and Parkinson's Disease without the explosive moral questions of embyro cloning.
Research teams in the United States and Japan showed that a simple lab technique can rival the complex and highly controversial idea of extracting stem cells from cloned embryos. It was a landmark achievement on all fronts, defusing one of the most divisive debates in modern medicine and religion. It was lauded by scientists, ethicists and religious groups.
"This work represents a tremendous scientific milestone — the biological equivalent of the Wright Brothers' first airplane," said Dr. Robert Lanza, whose company, Advanced Cell Technology, has been trying to extract stem cells from cloned human embryos. "It redefines the ethical terrain," said Laurie Zoloth, a bioethicist at Northwestern University.
"It's a win-win for everyone involved," said the Rev. Thomas Berg of the Westchester Institute, a Roman Catholic think tank. "We have a way to move forward which ... brings the kind of painful national debate over this controversial research to very much a peaceful and promising resolution."
The new technique reprograms cells, giving them the chameleon-like qualities of embryonic stem cells, which can morph into all kinds of tissue, such as heart, nerve and brain. As with embryonic cells, the hope is to speed medical research. For example, one day an ailing patient might benefit from genetically matched healthy tissue that would replace damaged cells.
The scientists themselves were startled by their success. "I was surprised when we achieved our results with the mouse," Yamanaka said. "But proving what we could do with human cells really bowled me over."
Thomson said he was surprised it didn't take longer to discover how to reprogram ordinary cells. The technique, he said, is so simple that "thousands of labs in the United States can do this, basically tomorrow." In contrast, the cloning approach is so complex and expensive that many scientists say it couldn't be used routinely to supply stem cells for therapy.
The new work shows that like cloning, "direct reprogramming" can also use ordinary body cells to create versatile cells that are genetically matched. "It's a bit like learning how to turn lead into gold," said Lanza, while cautioning that the work is far from providing medical payoffs.
"It's a huge deal," agreed Rudolf Jaenisch, a prominent stem cell scientist at the Whitehead Institute in Cambridge, Mass. "You have the proof of principle that you can do it."
Still, scientific questions remain about the cells produced by direct reprogramming, called "iPS" cells. One is how the cells compare to embryonic stem cells in their behavior and potential. Eventually, iPS cells might prove better for some scientific uses and cloned stem cells preferable for other uses. For example, scientists want to study the roots of genetic disease and screen potential drug treatments in their laboratories.
Scottish researcher Ian Wilmut, famous for his role in cloning Dolly the sheep a decade ago, has said he is giving up the cloning approach to produce stem cells and plans to pursue direct
reprogramming instead. "We'll see, ultimately, which one works and which one is more practical," he said.