Good afternoon. My name is Thomas
Okarma. I am the President and CEO of Geron Corporation in Menlo Park,
California. Geron is a biopharmaceutical company focused on discovering,
developing, and commercializing therapeutic and diagnostic products for
applications in oncology, drug discovery and regenerative medicine. Geron's
product development programs are based upon three patented core technologies:
telomerase, human pluripotent stem cells, and nuclear transfer.
I am testifying today on behalf
of my company and the Biotechnology Industry Organization (BIO). BIO represents
more than 950 biotechnology companies, academic institutions, state
biotechnology centers and related organizations in all 50 U.S. states and 33
other nations. BIO members are involved in the research and development of
health care, agricultural, industrial and environmental biotechnology products.
Mr. Chairman, and members of the
Subcommittee, thank you for the opportunity to testify today at this important
hearing on cloning. Let me start by making our position perfectly clear: BIO
opposes human reproductive cloning. It is simply too dangerous technically and
raises far too many ethical and social questions.
That's why BIO wrote to President
Bush earlier this year and urged him to extend the voluntary moratorium on human
reproductive cloning which was instituted in 1997. I would respectfully ask for
this letter to be included in the hearing record.
It would be extremely dangerous
to attempt human reproductive cloning. It took over 270 attempts before Dolly
was successfully cloned. In fact, in most animals, reproductive cloning has no
better than a 3-5% success rate. That is, very few of the cloned animal embryos
implanted in a surrogate mother animal survive. The others either die in utero -
sometimes at very late stages of pregnancy - or die soon after birth. Only in
cattle have we begun to achieve some improvements in efficiency. However,
scientists have been attempting to clone many other species for the past 15
years with no success at all. Thus, we cannot extrapolate the data from the
handful of species in which reproductive cloning is now possible to humans. This
underlines that this would be an extremely dangerous procedure.
It is simply unacceptable to
subject humans to those risks. Rogue and grandstanding so-called scientists who
claim they can - and will - clone humans for reproductive purposes insult
the hundreds of thousands of responsible, reputable scientists who are working
hard to find new therapies and cures for millions of individuals suffering from
a wide range of genetic diseases and conditions.
The Food and Drug Administration
(FDA) has publicly stated that it has jurisdiction over human reproductive
cloning experiments and that it will not approve them. BIO supports that view
and hopes that the next FDA commissioner - whoever that might be - will
assert FDA's current statutory authority forcefully.
There are also many ethical
concerns raised by the specter of cloning. As noted in BIO's letter to the
President, "Cloning humans challenges some of our most fundamental concepts
about ourselves as social and spiritual beings. These concepts include what it
means to be a parent, a brother, a sister and a family.
"While in our daily lives we
may know identical twins, we have never experienced identical twins different in
age or, indeed, different in generation. As parents, we watch with wonder and
awe as our children develop into unique adults. Cloning humans could create
different expectations. Children undoubtedly would be evaluated based on the
life, health, character and accomplishments of the donor who provides the
genetic materials to be duplicated. Indeed, these factors may be the very
reasons for someone wanting to clone a human being."
As you can see, Mr. Chairman,
many of these issues strike at the heart of beliefs and values that are inherent
in the human condition. What does it mean to be an individual? How should we
view our parents, brothers, sisters, and children? How does the world around us
influence our intellectual, physical and spiritual development? These are just a
few of the questions raised by human cloning. In my view, reproductive cloning
would devalue human beings by depriving them of their own uniqueness.
To allow human reproductive
cloning would be irresponsible. Worse yet, it could lead to a backlash that
would stifle the numerous beneficial applications of therapeutic cloning
technology - some of which I will describe today - that could lead to cures and
treatments for some of our most deadly and disabling diseases.
Beneficial Uses of Cloning
Technology
It is critical to distinguish use
of cloning technology to create a new human being (reproductive cloning) from
other appropriate and important use s of the technology such as cloning specific
human cells, genes and other tissues that do not and cannot lead to a cloned
human being (therapeutic cloning). These techniques are integral to the
production of breakthrough medicines, diagnostics and vaccines to treat many
diseases. They could also produce replacement skin, cartilage and bone tissue
for burn and accident victims, and result in ways to regenerate retinal and
spinal cord tissue.
Let me briefly explaining a
cloning technology - somatic cell nuclear transfer - and how it is used for
research purposes. First, the nucleus of an egg cell is removed. In its place,
we insert the nucleus of an already differentiated cell (a cell that performs a
specific function in the body). Chemicals are added to stimulate the egg to
start dividing. At about 3-5 days, a blastocyst is formed which contains an
inner cell mass comprised of undifferentiated, pluripotent cells. These cells
are removed and used for research. The research value of these cells is
enormous. These stem cells have the potential to form any cell in the body and
can replicate indefinitely. Studies in animals demonstrate that this could lead
to cures and treatments for millions of Americans who suffer from diseases and
disabilities such as diabetes, stroke, Parkinson's Disease, heart disease, and
spinal cord injury.
As exciting as that is - it's
only a part of the story. The full potential of this technology comes from its
use in regenerative medicine.
Regenerative Medicine
Many diseases result in the
disruption of cellular function or destruction of tissue. Heart attacks,
strokes, and diabetes are examples of common conditions in which critical cells
are lost to disease. Today's medicine is unable to completely restore this
loss of function. Regenerative medicine, a new therapeutic paradigm, holds the
potential to cause an individual's currently malfunctioning cells to begin to
function properly again or even to replace dead or irreparably damaged cells
with fresh healthy ones, thereby restoring organ function.
The goal of Geron's regenerative
medicine program is to produce transplantable cells that provide these
therapeutic benefits without triggering immune rejection of the transplanted
cells. This could be used to treat numerous chronic diseases such as diabetes,
heart disease, stroke, Parkinson's Disease and spinal cord injury.
At Geron, therapeutic cloning
technology is one of the techniques we use to create pure populations of
functional new cells that can replace damaged cells in the body. For example, we
are learning how to turn undifferentiated human pluripotent stem cells into
neurons, liver cells and heart muscle cells. Thus far, these human replacement
cells appear to function normally in vitro, raising the possibility for
their application in the treatment of devastating chronic diseases affecting
these tissue types. This would, for instance, allow patients with heart disease
to receive new heart muscle cells that would improve cardiac function. Cellular
cloning techniques are a critical and necessary step in the production of
sufficient quantities of vigorous replacement cells for the clinical treatment
of patients.
Somatic cell nuclear transfer
research is essential if we are to achieve our goals in regenerative medicine.
We must understand the biological properties of the egg cell (and the
transferred nucleus) that cause a differentiated cell to turn into a pluripotent
cell. This process is called "re-programming" - and we're still
not sure how it works. That's why we need to continue to perform research.
At Geron, our aim is to harness
and therapeutically apply the power of this biology. Once we fully understand
re-programming we will be able to develop specific cells for transplantation
without immune rejection. We'll do that by taking a differentiated cell from a
particular individual and re-programming it to form a pluripotent cell from
which we can produce the differentiated cells we need for transplantation back
into that individual. By using the patient's own cells as starting material,
we will avoid complications due to immune response rejection.
However, this is precisely the
research that would be banned by the Weldon bill. Because the Weldon bill does
not distinguish between reproductive cloning and use of cloning for research
purposes, it will cut off this work and prevent its therapeutic applications
from reaching patients. In contrast, the bi-partisan bill introduced by Reps.
Greenwood, Deutsch, and others bans reproductive cloning but allows the
continuation of research. BIO supports Greenwood/Deutsch because it strikes the
appropriate balance between prohibiting acts that are unsafe and unethical,
while promoting vital medical research.
It is important to emphasize that
once we understand the molecular biology of re-programming, we will no longer
need to use egg cells or create blastocysts. Therefore, this technology is
likely to be used only for a short, finite period of time. Moreover,
understanding the biology re-programming is a critical step to improve the
usefulness of adult stem cells. Ironically, therefore, the Weldon bill will also
be a setback to adult stem cell research.
Conclusion
As the current Congress pursues
legislative prohibitions on human reproductive cloning, we urge caution and a
distinction between reproductive and therapeutic cloning. We all agree that
given the current safety and social factors, human reproductive cloning is
repugnant. However, it is critical that in our enthusiasm to prevent
reproductive cloning, we not ban vital research, turning wholly legitimate
biomedical researchers into outlaws, and thus squelching the hope of relief for
millions of suffering individuals.
Our nation is on the cusp of
reaping the long dreamed of rewards from our significant investment in
biomedical research. The U.S. biotech industry is the envy of much of the world,
especially our ability to turn basic research at NIH and universities into
applied research at biotech companies and in turn, into new therapies and cures
for individual patients. Using somatic cell nuclear transfer and other cloning
technologies, biotech researchers will continue to learn about cell
differentiation, re-programming, and other areas of cell and molecular biology.
Armed with this information, they can eventually crack the codes of diseases and
conditions that have plagued us for hundreds of years, indeed, for millennia.
In conclusion, Mr. Chairman,
human reproductive cloning remains unsafe, and the ethical issues it raises have
not been reasonably resolved. It should be prohibited. However, as Congress
seeks to outlaw reproductive cloning, it must not write legislation that will
stop research using cloning technology. Unfortunately, the Weldon bill fails
that test. Simply put, enactment of the Weldon bill will stop critical
therapeutic research in its tracks. Only Greenwood/Deutsch strikes the right
balance.
Thank you for the opportunity to
testify. I'll be happy to answer any questions.