A federal judge's ruling has thrust the issue of embryonic stem cell
research back into the news. Following are five questions and answers
about the decision.
-- Did the judge's ruling block all stem cell research?
No. Judge Royce C. Lamberth issued a temporary injunction blocking only
federal funding for embryonic stem cell research. Federal funding for
the other two types of stem cell research -- adult stem cell and
induced pluripotent stem cell (iPSC) research -- is still allowed, as
is private funding for embryonic stem cell research. The judge said a
1996 law known as the Dickey-Wicker Amendment -- which is attached to a
yearly spending bill and must be renewed annually -- prohibits federal
funding of embryonic stem cell research. The amendment bars research
"in which a human embryo or embryos are destroyed, discarded, or
knowingly subjected to risk of injury or death." Lamberth's injunction
could remain in place until he considers the case itself, in which he
said the pro-life coalition that filed the suit has a "strong
likelihood" of winning. Among the pro-life groups involved in the case
are the Alliance Defense Fund, Advocates International and the law firm
Gibson, Dunn & Crutcher.
-- What are the differences between the three types of stem cells?
1) Adult stem cells are found in various parts of the body and even in
umbilical cord blood; 2) embryonic stem cells are found only in
embryos; 3) induced pluripotent stem cells (iPSC) are skin cells that
are reprogrammed to behave like embryonic stem cells. As the body's
master cells, all stem cells have the potential to develop into other
types of body tissue and cure diseases and other ailments. Adult stem
cells are "multipotent," meaning they can develop into some, but not
all, of the cell types in the body. Embryonic stem cells and iPSC cells
are "pluripotent," meaning they can potentially develop into all of the
cell types in the body. Embryonic stem cell research is controversial
because it requires the destruction of human embryos. Adult stem cell
research and iPSC research do not involve embryos and are not
controversial.
-- How does the Obama administration interpret the Dickey-Wicker
Amendment?
The Justice Department says the Dickey-Wicker Amendment allows research
on embryonic stem cells as long as the embryos themselves were
destroyed using private money. Lamberth, though, said the two parts of
the research "cannot be separated" and that the language of the
Dickey-Wicker Amendment is "unambiguous." Congress' intent, he said,
was to "enact a broad prohibition of funding research in which a human
embryo is destroyed." Lamberth was nominated by President Reagan.
-- Has stem cell research led to any cures?
Embryonic stem cell research has not, and any cures could be years
away, at best. In 2006 a California institute, set up to oversee $3
billion in state embryonic stem cell funding, acknowledged that at the
end of a 10-year period, it simply hoped to have "preliminary evidence"
from at least one embryonic stem cell trial. The research has been
slowed because embryonic stem cells have a tendency to produce cancer
in animal trials. The first FDA-approved embryonic stem cell trial in
the U.S. got under way this year. By contrast, advances in adult stem
cell research and iPSC research are moving rapidly. Adult stem cell
treatment has led to treatments for 73 diseases and ailments, according
to the Coalition of Americans for Research Ethics. IPSC research may be
the most promising field. Dr. Oz, of "Oprah" fame, said in 2009 he
believed researchers were "single-digit years" away from finding
treatments using induced pluripotent stem cells. "The stem cell debate
is dead," he said, noting the problems with embryonic stem cells. In
2009, Al Gore announced his partnership in a $20 million venture to
fund iPSC research.
-- What's the next step in the legal case?
The Obama administration is appealing the ruling and wants the judge to
stay the ruling -- meaning to prevent the ruling from going into effect
-- until the appeal is exhausted. Some Democrats in Congress say they
will move to pass legislation reversing the Dickey-Wicker Amendment,
although it is unclear whether Congress will have the time or political
desire to pass such a controversial bill before the November election.
It is possible it could be taken up during a lame duck session after
November.