"The age of the
laboratory-bred human being began with Louise Brown, who was
conceived in a petri
dish and born to an English couple in 1978. Since
then, the world has seen other babies born after fantastic
embryonic
adventures — in vitro
conception like Brown's, transfer from the womb
of one woman to a more receptive womb in another, frozen suspension
inside a tank of frigid
liquid nitrogen.
The survival of these embryos
in unfamiliar — and sometimes inhospitable — surroundings
suggests that hardy embryos would also survive if scientists
were to wield
their microsurgical
blades
on them, to create twins or even more copies from a single
human embryo.
"More
than other techniques for embryo manipulation
now in use, twinning raises a troublesome question: How far
should man go in determining his heredity?
Because twinning would not correct any genuine medical problem,
unlike in vitro fertilization or embryo transfer, it strikes
some scholars of bioethics
as frivolous
at best. For others, the prospect
of its widespread use raises the specter
of eugenics
— the engineering of human heredity — and the dark memory
of the Third
Reich's efforts to "improve" the race.
"The technique introduces
few new problems of legal and medical policy, since it falls
into the category of embryo manipulation, which also includes
in vitro fertilization and embryo transfer. When those techniques
entered the medical arena several years ago, there was protracted
public debate about their morality.
The debate quieted down as their use became more commonplace
and produced healthy babies, but flared
anew
in June with the revelation
that a Los Angeles couple who died in a 1983 plane crash left
behind two frozen embryos in an Australian medical center.
The embryos, frozen since 1981, may not survive thawing,
but a government ethics
committee there must now decide their fate: whether they should
be destroyed, or perhaps donated to surrogate
mothers, and what legal rights — if any — they might have
as heirs
to the couple's estate, which may be as large as $7 million.
"In the United States, decisions about using either in vitro
fertilization or embryo transfer are largely left to the doctor
and patient. No federal agency regulates them. In fact, the
law has basically encouraged such measures when married couples
have difficulty conceiving.
"Twinning does not affect the genetic make-up of the embryo.
Each half retains its full complement of chromosomes
from both parents. The problems with embryo splitting arise
from its ability to create up to four copies of a single embryo,
perhaps years apart. It is, in essence, cloning.
"At its simplest,
embryo splitting could allow people to choose to have identical
twins, triplets,
or quadruplets.
The procedure could even produce mutigenerational
twins. While whole embryos can be kept alive if they are carefully
frozen and thawed, halved
embryos rarely survive these temperature swings,
because ice crystals
can form inside their broken sacs.
But if freezing halved embryos could be perfected, one half
could be implanted several years after the first to produce
twins of different ages. If a girl were born from one half
and the other half were frozen until she reached puberty,
she could give birth to her own twin.
"The first researcher to attempt implantation of a split human
embryo would have to clear the experiment with his university
or hospital review board. These boards, required by the National
Institutes of Health, must rule on any research involving
people. Some observers suggest that embryo-splitting research
might encounter its only major hurdle here. If the
purpose of twinning were to correct or circumvent infertility,
they say, it would probably face little resistance — but that
is not its function. Boards could ask what legitimate reason there could be for producing twins. "To do
such an experiment just to see if it could be done would seem
to be wrong — a form of mischievous research," says Daniel
Callahah of the Hastings Institute, a research center in New
York that studies questions of scientific ethics.
"In a general sense," says Richard Noble, who teaches
bioethics at the University of Michigan, "the issues
brought up by twinning are already upon us. With amniocentesis
and selective abortion we're already deciding
that some children are acceptable and some are not. We're
already deciding what we want our children to be."
"How far should human
beings go in trying to determine the genetic make-up of the
species? On one side of the argument are those who endorse
a technology that enables human beings to control their environment
— in this case their genetic heritage. These people do not
admit the possibility that governments, for example, might
seed poor women with embryos from a pool of elite
parents. On the other side are those who think that it interferes
with God's plan, or it is bound to go awry,
considering man's demonstrated inability to anticipate the
unintended consequences of his acts. "People are afraid
that our moral and ethical ability to judge has been far outpaced
by our research," Noble says. "This gives us a good
reason to go slowly and cautiously."
(840 words)
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