Friday, July 21, 2006

Stem Cell Lies

Michael Fumento, the National Review's go-to guy for science stuff, has a particularly nauseating essay in this week's issue dealing with embryonic stem cell (ESC) research in the wake of the President's veto. It deals with a letter written to Science by three prominent ESC researchers taking to task a list that's been floating around claiming that adult stem cells (ASC) can treat upwards of 70 some-odd diseases, whereas ESCs haven't cured anything. Science has a nice article this week on the reality of some of those "cures", most of which are in foreign countries with undocumented, anecdotal results. These scientists are correct to take issue with Congress touting out "patient testimony" as evidence of ASCs curative powers.

Fumento gets riled up, however, by the supposed dishonesty of these scientists by downplaying the curative potential of ASCs, claiming that they are apparently "at odds" with the whole medical community. Why? Because they claim “adult stem cell transplants from bone marrow or umbilical cord blood can provide some benefit to sickle cell patients” and “hold the potential to treat sickle cell anemia” [emphasis Fumento's]. He claims that, no, ASCs have full curative power:

An article from the May 2006 issue of Current Opinion in Hematology notes that “there is presently no curative therapy” for sickle-cell anemia other than allogeneic hematopoietic stem cell transplantation. “Hematopoietic means from marrow or blood; “allogeneic” means the cells are from another person. Seminars in Hematology (2004) states, “. . . curative allogeneic stem cell transplantation therapy” has “been developed for sickle cell anemia.” Meanwhile, “. . . curative allogeneic stem cell transplantation therapy [has] been developed for” sickle-cell anemia according to Current Opinions in Molecular Therapy (2003), while “hematopoietic stem cells for allogeneic transplantation” are “currently the only curative approach for sickle cell anemia” observes the journal Blood (2002).



What does everybody seem to know that the Science writers and editors don’t?


Hmmm. I'll tell you Mr. Fumento. They know you need to read more than one sentence into an abstract. Take the Curr Opin Hematol article. Fumento needed to only read the next sentence: "This therapeutic option, however, is not available to most patients due to the lack of an HLA-matched bone marrow donor." Wow. One curative therapy exists and it remains unavailable to most patients. I'd say that, on the whole, allogenic stem cell transplantation therapy holds potential and provides some benefit to patients as a group, which is how we generally think of the benefits of a therapy. And since immunocompatibility is a major problem for organ donations (which stem cell transplantation essentially is), that's why the all the papers he cited go on to talk about gene therapy to overcome that problem. I'd hardly say the powers of ASCs were falsely underplayed:

Sometimes it prints easily falsifiable studies, such as this, attacking the usefulness of ASCs.


Yes, it is easily falsifiable, as in, one can attempt to falsify it by

reading the literature. However, as is obvious from reading, oh say,
the entire article, one realizes that ASCs aren't nearly as useful as
you'd like to believe.

Will ESCs help us in our pursuit of the holy histocompatibility grail? Maybe, maybe not. Point is, ASCs probably won't because they are a lot harder to manipulate. Studying ESCs is basic science research and may provide some clues towards this manipulation by helping us understand early differentiation, for example. And that research needs to be funded by the federal government.

Fumento ends, of course, by implying that the recent South Korean stem cell debacle shows that Science is a "propaganda sheet:"

Other times it falsely promotes ESCs. That culminated in January when the journal was forced to retract two groundbreaking ESC studies that proved frauds.

Yes, but it didn't falsely promote ESCs. The journal itself was defrauded by the authors. And it immediately retracted them. It was not intentional and not only was the journal defrauded but the peer-reviewers and several co-authors as well. Not everyone involved with the publication of data is expected to independently verify every detail of the work submitted.

Whatever one's opinion on ESC research is, I simply abhor when irresponsible "journalists" misrepresent science. Abhor. Like I abhor Richard Gere. Oh yes, that much.