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"Preembryo"
“Many scientific publications and most legislation
refer to the embryo as beginning at conception, not as the stage of
human development that begins after implantation in the uterus. As a
result, people easily overlook the distinctions between
pre-implantation and post-implantation stages of development. As
Clifford Grobstein noted, the exposure to the microenvironment of the
uterine endometrium alters the developmental fate of the cells of the
inner cell mass of the blastocyst. Before implantation, those cells can
become any type of cell. If separated into two parts, they can yield
two embryos; if cells from two different blastocysts are merged, they
can result in a single embryo (1). He wrote, “It is only when the later
stage blastocyst has penetrated and implanted in the uterine wall that
the properties of the inner cell mass change and it becomes committed
to the production of a single individual” [(2), p. 27]. Not
distinguishing between these two stages leads to confusing the concept
of genetic individuality, established at fertilization, with
developmental individuality, established at the primitive streak stage
of embryogenesis.”
“We recommend that Science and other publications use
the term "preembryo" to cover the period between fertilization and
implantation. When appropriate, one can use the more specific terms
"zygote," "morula," or "blastocyst".”
(1) C. Grobstein, Ann.N.Y.Acad.
Sci.541, 346 (1988).
(2) C. Grobstein, Science
and the Unborn (Basic Books, New York, 1988).
See:
William H. Danforth and
William B. Neaves, 2005. Using Words Carefully, Science 309: 1815-1816.
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1. Recent data
suggest that the earliest inner cell mass ICM (and even the morula) is
heterogeneous[1]
and
contain a subpopulation of cells expressing the gene called nanog.[2]Only
these cells, which in
vitro would
give rise to the embryonic stem (ES) cells, can become any type of
cell.
Therefore, developmental fate of the other cells is to a great extent
established before implantation, and even before the 16-cell stage.[3]
2. Already before
implantation the ICM cells are committed to produce a single
individual; for
example, in primates it appears that one cannot even produce twins by
embryo
splitting after the 16-cell stage.[4]
On the other hand, also before the 16-cell stage the cells are
committed to
produce a single individual unless one separates the cells into several
parts.
Separation is a particular way of changing the developmental program of
cells
to produce clones. But one could also produce clones through
reprogramming of
adult cells. The possibility of reproductive cloning shows that also
after
implantation, and even after birth, no cell is committed “to the
production of
a single individual” if one applies appropriate engineering.
For these reasons we
do not feel there is any more necessity to use the term “preembryo” for
the
stage before implantation than the term “pre-fetus”
before the 7-8 week period, or
“pre-baby” before birth.
By contrast we
recommend using the term “pseudo-embryo” to denote entities like the
parthenotes recently produced by researchers of the Roslin Institute
(Edinburgh).[5]
These
parthenotes are generated by stimulating human eggs to start dividing
like an
embryo without the addition of any genetic material from a separate
source,
such as sperm. Reconstituted
parthenogenetic blastocysts can implant into the uterus wall,
and develop
till the stage when heart beating and blood circulation appears.
Nevertheless,
because of deficiencies in their differential expression of imprinted
genes,
they cannot go beyond and unfold spontaneous fetal motility.[6]
Therefore, the
parthenotes produced by the Edinburgh
team cannot be considered as true human embryos but should rather be
considered to share the same moral status as
a brain dead adult.[7]
If
one considers moral to obtain organs from a brain dead human body,
nothing
speaks against obtaining ES cells from such parthenotes. By contrast,
destroying in vitro fertilization embryos to harvest ES cells is like
harvesting someone’s heart before he dies. Parthenotes are
non-embryonic
entities exhibiting only an embryo-like development, and one should
avoid
considering them as embryos in the same way.
Joachim Huarte and
Antoine Suarez
[1] Zwaka T.P.
and J.A. Thomson. (2005). A germ cell origin of embryonic stem cells? Development 132:
227-233.
[2] Hatano, S. Y., M.
Tada, et al. (2005). Pluripotential
competence of cells associated with
Nanog activity. Mechanisms of
Development 122: 67-79.
[3] Rossant, J., Chazaud, C.
and Yamanaka, Y. (2003).
Lineage allocation and asymmetries in the early mouse embryo. Philos. Trans. R.
Soc. Lond. B Biol.Sci. 358: 1341-1349.
[4] Chan
AW et al. (2000). Clonal propagation of
primate offspring by embryo splitting. Science. 287:317-9.
[6] Gardner
R.L. et al. (1990). Use of triple tissue blastocyst reconstitution
to study the development of diploid parthenogenetic primitive ectoderm
in
combination with fertilization-derived trophectoderm and primitive
endoderm, Genetical
Research 56: 209-222.
[7]
Suarez A., M. Lang and J. Huarte. Is there a
scientific basis to distinguish the moral status
of biological entities? The example of parthenotes www.embryoperson.org,
published
online 22. March 2006
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“There
is no scientific basis for determining the moral status of human cells”
“There is no scientific basis for determining the moral
status of embryos disrupted at different stages by different mutations.”
“Can we distinguish the moral value of a human cell
based on its particular gene expression pattern? Can humanity really be
diagnosed at the level of a single cell?”
See:
Melton D.A., G. Daley, and
C.G. Jennings. 2004. Altered
Nuclear Transfer in Stem-Cell Research — A Flawed Proposal, The New
England Journal of Medicine, 351: 2791-2792.
Daley G. 2005. Testimony
before the Senate Appropriations Subcommittee, July 12. (Accessed July
23, 2005 at: http://blog.bioethics.net/2005/07/yammer-begins-senate-appropriations.html).
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Deciding about the moral status of an organism requires
observable biological criteria. The definition of death as brain death,
for instance, clearly establishes a transition point at which moral
status of a person disappears on the basis of objective observable
standards. Theoretically, one defines brain death as the complete,
irreversible loss of all brain and brain stem functions. In the
clinical praxis, one declares a body brain dead when it has lost the
potential to perform determined spontaneous movements, as for instance
breathing, eyes and legs movements.
By assuming that a brain dead organism is not a human
person, we immediately associate personhood (or in philosophical terms,
the activity of a human soul) with the potentiality for unfolding
spontaneous motility. In particular, we correlate the activity of a
human soul with neural activity as this reveals capability for
spontaneous movements. By contrast, we do not associate the activity of
the human soul directly with the activity of the heart, liver or
kidneys, even if a lethal injury to these organs will ultimately also
cause the loss of spontaneous movements. Consequently, transplantation
e.g. of the heart cannot be considered equal to “transplanting” the
human soul from one body to another.
Spontaneous fetal motility appears in humans from the
seventh pregnancy week (De Vries, Visser and Prechtl 1982).
Consequently, a gene expression program that makes it
possible to reach this stage is an observable basis for deciding that
the human cell is animated by a human soul, and deserves the moral
status of human person.
An alteration of the gene expression program
that inhibits the emergence of the neural activity responsible for
spontaneous motility while permits the emergence of heart beating and
blood circulation (a DIANA genomic alteration, see presentation) excludes the moral status.
However, the fact that a human cell goes on to produce an abnormal and
lethal growth in a very early developmental stage is not a sufficient
condition to exclude the moral status of a person.
References
De Vries J.I.P., G.H.A.
Visser and H.F.R. Prechtl. 1982. The
Emergence of Fetal Behaviour: I. Qualitative Aspects, Early Human
Development 7: 301–322.
See the videos at:
www.mamma.ch/de/hintergrund_embryo.htm
www.createhealth.org/dimensional.html
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“Nature
discards a high percent of human embryos”
“After conception following intercourse some 60 percent
of human embryos are discarded by nature at the early stages of
development, before 14 days. It would be difficult for society to
ascribe "rights" to something that has such a high natural mortality.”
See for instance:
Mark Hughes, A discussion of
the federal ban on human embryo research, Online Forum, March 14, 1997.
(Accessed September 18, 205 at: www.pbs.org/newshour/forum/march97/embryo3.html)
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A study in 1988 established that 31 percent of all
pregnancies ended in an early miscarriage [1]. Eleven years later, the
same research team reported that 25 percent of pregnancies miscarry
before the sixth week [2]. It is hard to know how many blastocysts are
eliminated before implantation.
Organisms eliminated in early miscarriages, and those
whose development stops in the early stages, often show severe
chromosomal and somatic anomalies. They could be compared to
parthenotes or to androgenotes, and in some instances this is precisely
what they are. This means that those organisms are eliminated because
they lack the appropriate genomic configuration for reaching advanced
development stages [3].
Therefore, regarding the status of the embryos
eliminated in spontaneous abortions, one is faced with the question of
distinguishing between embryos and pseudo-embryos (see presentation): Have they the potentiality
to develop up to the appearance of the type of movement which reveals
the presence of a spiritual soul? If this is not the case, and they
bear a DIANA genomic alteration should not be considered as
embryos, but as pseudo-embryos
In any case, it does not seem reasonable to consider as
a person an androgenote whose development ends with the production of a
hydatidiform mole. Since we have overriding evidence that the origin of
human adults normally begins with the fusion of an oocyte and a sperm
cell, we conclude that this procedure (fertilization) generates a human
embryo, and the soul of this embryo is the same as the human soul of
the adult into whom it will develop. However, today we also have
evidence that chromosomal and epigenetic abnormalities in the gametes
can lead to organisms with strongly altered developmental potentiality,
as for instance, androgenotes. In such cases, one could rationally
conclude that these abnormal organisms are pseudo-embryos, and that the
fusion from which they originated was pseudo-fertilization.
Let us note that we speak here of intrinsic potentiality
of a human cell, i.e. the cell’s capability to unfold spontaneous
motility and not only heart beating through implantation into a well
functioning uterus. It is evident, for instance, that a blastocyst
possessing intrinsically the minimal developmental potentiality may not
exert it in all situations (for example, because of a lack of a
suitable maternal environment). In addition, in the state of current
observations, in most cases it is impossible to know beforehand the
potentiality of an organism, and the conclusion that it does not
possess the potentiality to develop cannot be drawn unless it is
allowed to implant in favorable conditions.
References
[1] A.J. Wilcox et al., “Incidence
of Early Loss of Pregnancy,” New England Journal of Medicine 319.4
(July 28, 1988): 189–194.
[2] A.J. Wilcox, D.D. Baird, and L.R.
Weinberg, “Time
of Implantation of the Conceptus and Loss of Pregnancy,” New
England Journal of Medicine 340.23 (June 10, 1999): 1796–1799.
[3] D.B. Maier, “Genetic and Infectious
Causes of Habitual Abortion,” in Pathology of Infertility, ed. Bernard
Gondos and Daniel H. Riddick (New York: Thieme Medical Publishers,
1987), 201–218; R.J.M. Gardner and G.R. Sutherland, Chromosome
Abnormalities and Genetic Counselling (Oxford Monographs on Medical
Genetics) (Oxford: Oxford University Press, 1989): 175–177; M. Plachot
et al., “Cytogenetic Analysis and Developmental Capacity of Normal and
Abnormal Embryos after IVF,” Human Reproduction 4 (8 Suppl.; November
1989): 99–103; X.T. Zhou et al., “Chromosome Abnormalities in Early
Pregnancy Analyzed by Direct Chromosome Preparation of Chorionic
Villi,” Human Genetics 83.3 (October 1989): 277–279; S. Lehrer et al.,
“Oestrogen Receptor B-region Polymorphism and Spontaneous Abortion in
Women with Breast Cancer,” Lancet 335.8690 (March 17, 1990): 622–624.
J. Nichols et al., “Formation of Pluripotent Stem Cells in the
Mammalian Embryo Depends on the POU Transcription Factor Oct4,” Cell
95.3 (October 30, 1998): 379–391.
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“Twins”
“Before 14 days the embryo does not have human
individuality. It is a growing collection of cells which can divide
into two and naturally or artificially produce identical twins.”
See for instance:
Mark Hughes, A discussion of
the federal ban on human embryo research, Online Forum, March 14, 1997.
(Accessed September 18, 205 at: www.pbs.org/newshour/forum/march97/embryo3.html)
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First of all one should notice that this objection makes
sense only if one assumes that human individuality originates from a
spiritual soul, since this cannot divide.
However, the assumption that an embryo is ensouled before losing his
capacity of producing twinning by splitting is not at all
contradictory. Indeed one can very well assume that at the moment of
the splitting a new soul is created: the former soul continues to guide
the development of one of the twins, and the new soul the development
of the other.
Actually, as far as one assumes that reproductive
cloning is technically possible also in humans, one also assumes that
the capacity for twinning is never lost. Suppose one would produce
several clones of me through Somatic Cell Nuclear Transfer (SCNT). It
is clear that the spiritual souls of these clones would not result
through division of my soul, but would be new souls coming to being
long time after my soul was created.
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“The
implantation constitutes an essential discontinuity in the embryonic
development”
“In the fertilized egg the genetic program is certainly
present. However, for the program’s processing the embryo requires the
symbiosis with the maternal organism. This is indispensable. The
implantation (by which the embryo comes directly in cellular contact
with another individual) is biologically one of the most discontinuous
things one can imagine. [...] The human embryo acquires the full
developmental potentiality, and therefore the moral status, only after
implantation and interaction with the mother’s organism.”
See:
Ch. Nüsslein-Volhard , Das
Werden des Lebens, Munich: Verlag C.H. Beck, 2004, p. 189-191.
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Consider an embryo A becoming a girl, and an embryo B
becoming a boy, both from the same mother. The embryo A possesses the
potentiality for becoming a girl (and not a boy) since the
fertilization, and not first at the implantation. Similarly possesses B
the potentiality for becoming a boy (and not a girl) also since
fertilization, before the implantation.
Consider now an embryo A reaching the stage of
spontaneous movements, and a pseudo-embryo B (carrying a strong
defective genomic configuration) reaching only the stage of
heart-beating and blood circulation, both in the same uterus. As for
the sex, the potentiality determining that the embryo A reaches
spontaneous movements and not only heart beating depends on the
intrinsic genomic configuration of the embryo, and not at all from the
interaction with the maternal organism.
The interaction with the uterus is essential
in order that an embryo A reaches birth, but it is irrelevant in order
that A becomes a girl instead a boy. Similarly a well functioning
uterus is not responsible for the fact that an embryo does not unfold
the neural activity necessary for exhibiting spontaneous movements.
The embryo possesses the specific potentiality for the
emergence of neural activity at the very onset of the first cell
division. This potentiality is the decisive fact determining the
capacity for animation through a human soul and the moral status.
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“Moral
status is unaffected by alteration: in order to block the capacity to
develop into a baby, simply don't implant”
“Both proponents and opponents of embryonic stem-cell
research should object to William Hurlbut's proposal for nuclear
transfer embryos to be genetically engineered to block their capacity
for development into human babies ("Altered embryos offered as solution
to stem-cell rift" Nature 436, 309; 2005). In describing such material
as 'embryo-like entities', Hurlbut misses the point that that is what
nuclear transfer embryos already are. Indeed, calling them 'embryos'
seems somewhat tenuous, considering that they are not the products of a
sexual process; nor are they clones. But, whatever they are called, it
is inescapable that any potential for development to babies can only be
realized by implantation into the wall of a uterus. Engineering then
seems pointless: in order to block the capacity to develop into a baby,
simply don't implant.”
See:
Lee Turnpenny, Correspondence,
Nature 437, 26 (1 September 2005)
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The fact that in a well functioning uterus an embryo
unfolds spontaneous movements and not only heart beating and
blood circulation, depends on the embryonic genetic and
epigenetic information, and not on any information coming from the
maternal organism. In this sense we say that an embryo has the specific
potential to develop spontaneous motility.
This specific potential to unfold spontaneous
motility (and not only heart beating) is the observable basis for
determining when the moral status appears - similarly as the clinical
criteria of brain death are the observable basis for determining when
the moral status of a person disappears. If a cell bears a gene
expression program that makes it possible to reach spontaneous fetal
motility (and not only heart beating), this cell is a human person. The
uterus is not responsible for the moral status, as it is not
responsible for the sex of the baby, or for trisomy 21 (Down syndrome).
Conversely, the moral status may be affected by
epigenetic alterations. An alteration that inhibits the emergence of
the neural activity responsible for spontaneous motility while permits
the emergence of heart beating and blood circulation (a DIANA
genomica alteration, see presentation)
excludes the moral status. Nevertheless, since Hurlbut’s proposal for
Altered Nuclear Transfer (ANT) does not distinguish between DIANA
and other genomic alterations, one should object to it: the fact that a
human cell goes on to produce an abnormal and lethal growth in a very
early developmental stage is not a sufficient condition to exclude the
moral status.
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