Introduction

When a human being is first being formed a series of transformations takes place. After fertilization, the initial cell begins to divide. Within five days there are about 150 cells waiting for genetic signals to specialize into bone, muscle, brain or any of the other 200 types of cells found in the body. These cells are called embryonic stem cells and they have the potential to specialize into any type of cell. Scientists hope to use these stem cells in research to develop treatments and cures for many diseases such as Parkinson's, diabetes, Alzheimer's and spinal cord injuries. In order to use the cells, however, the embryo that created them is destroyed. Because of this, embryonic stem cell research has become a very controversial issue. Many people believe that the embryo is a human being and by taking the stem cells from it, a life is ended.

For more information on embryonic stem cells and their potential scientific uses see:

  1. Stem Cells: A primer, National Institutes of Health, May 2000 http://www.nih.gov/news/stemcell/primer.htm

  2. A primer on stem cells, Edmonton Journal, A15, Friday, August 31, 2001.

  3. National Institutes of Health (June 2001) Stem Cells: Scientific Progress and Future Research Directions.
    Chapter 1: The Stem Cell - http://www.nih.gov/news/stemcell/chapter1.pdf
    Chapter 2: The Embryonic Stem Cell - http://www.nih.gov/news/stemcell/chapter2.pdf


 
Task

Although embryonic stem cell research holds great potential for the treatment of a number of serious conditions it also raises many ethical and moral concerns. The Canadian Institutes of Health Research (CIHR), which addresses emerging health and research issues, is developing a set of guidelines for the research and use of embryonic stem cells in Canada. To address the concerns of Canadians, CIHR has formed the ad hoc Working Group on Stem Cell Research. This Working Group has developed seven recommendations for the use and funding of stem cells in research.

The ad hoc Working Group on Stem Cell Research is looking for feedback from all interested parties. The feedback that is received will be considered by the Working Group in preparation of its final report to CIHR. The report will serve as a basis for CIHR in developing guidelines for funding stem cell research.

In your group, choose one of the following stem cell research perspectives. Your task will be to develop a presentation or report for the ad hoc Working Group on Stem Cell Research that provides feedback for the first four of their recommendations.

Perspectives of Embryonic Stem Cell Research

1. Scientists/Researchers studying embryonic stem cells:
This group of people depend on government or corporate funding to carry out their research. They also rely on guidelines to steer their research.

2. Members of one of the following:
Canadian Diabetes Association, Parkinson Society Canada, Canadian Paraplegic Association, Alzheimer Society of Canada
These groups rely on scientists and researchers to develop treatments and cures.

3. Pro-life group:
This group believes that embryos are humans and that destroying an embryo is killing a person. Many pro-life groups also have religious beliefs.

4. Canadian Biotechnology Company:
This group stands to make a profit off of research done with stem cells by either selling the equipment needed to do the research or by doing the research and selling the results.

5. Any other approved perspective




 

Procedure

Before beginning read the resources.

  1. Before you can create a presentation for the Working Group you will need to have background information about stem cell research. Answer the following questions to help you organize your background information (6 marks).

    1. What is a blastocyst?
    2. What are embryonic stem cells? What other types of stem cells exist?
    3. What does "pluripotent" mean?
    4. What is a stem cell "line"?
    5. How can stem cells be used to treat/cure diseases and have researchers had success doing this?
    6. Where do scientists get the embryonic stem cells that they use for research?

  2. Read the Working Group's recommendations which are summarized at http://www.cihr.ca/news/forums/stem_cell/issues_e.shtml or you can read the full report at http://www.cihr.ca/governing_council/ad_hoc_working_groups/stem_cell_e.pdf (see pages 21-30 for recommendations).
    After you have read the recommendations and available resources in your groups, discuss the issue and the beliefs that your group will have with regards to stem cell research in Canada. You must be able to also explain why your group has these beliefs. Answer the following questions to help you identify these beliefs (8 marks).

  3. 1.Why is embryonic stem cell research an ethical issue?
    2.What are some of the beliefs that people have of when human life begins (list as many as you can)? What belief does your group have?
    3. Based on your belief of when human life begins, should researchers be allowed to use embryonic stem cells in their research? Why or why not?
    4. Should researchers be allowed to use other types of stem cells in their research? Why or why not?

  4. Once you have identified the beliefs your group will have, what feedback will your group provide to the Working Group for each of their seven recommendations? Answer the following questions to help you develop your feedback (7 marks).

  5. 1. Should CIHR fund research with existing human embryonic
    stem cell lines? Why/why not?
    2. Should CIHR fund research to derive new embryonic germ cells and
    other cell lines of a pluripotent nature from fetal material? Why/why not?
    3. Should CIHR fund research to derive new embryonic stem cells and
    other cell lines of a pluripotent nature from human blastocysts? Why/why not?
    5. What conditions should be imposed on experimentation with cell lines
    of a pluripotent nature, once derived (should researchers be able to use stem cells in any kind of experiment for any purpose)?
    6. What guidelines would you recommend for funding of embryonic and other types of stem cell research (would researchers have to apply for funding by CIHR, and if so what conditions would there be)?
    7. What additional general feedback would you like to give the Working Group before they create their final report to CIHR?

  6. Create a professional presentation or report that outlines your feedback to the Working Group's recommendations. Your presentation will be shared with the other groups and it will be handed in. All references must be cited properly. You may use visual aides in your presentation, such as:

HyperStudio/PowerPoint presentation
Brochure
Hand out
Display
Overheads

The presentation should be approximately 10 minutes in length and each person in the group must present a portion of it. At the end of the presentation there will be a few minutes for the other groups to ask questions. The visual aides should be used as a supplement to the presentation, they should not be the entire presentation. Use the marking rubrics as a guide to develop your presentation (27 marks).


 
Resources

Religious Perspectives:

1. Lopez, Kathryn Jean (February 26, 2001). "The Truth About Stem Cells An interview with Dr. David Prentice." National Review. http://catholiceducation.org/articles/medical_ethics/me0021.html

2. Mattingly, Stacy (April 2001)."Brave New Genetic World." Crisis 19, no. 1. http://catholiceducation.org/articles/medical_ethics/me0023.html

3. Lutherans for Life (Sept. 2001). "Special Report - Stem Cell Research" Life News. http://www.lutheransforlife.org/life_news/2001/09.htm

3. Dennis, Geoffrey (July 28, 2001). "Potential healing powers make stem-cell use a life affirmation". The Dallas Morning News. http://www.dallasnews.com/religion/429257_guest28_28rel..html

4. LA Times (July 23, 2001). "Religions split as White House seeks policy on stem cell issue". http://www.wcfcourier.com/Politics2000/010723religions.html

5. Shanner, Laura (March 31, 2001). "Embryonic Stem Cell Research : Canadian Policy and Ethical Consideration, A Report for Health Canada, Policy Division" pp. 11-12. http://www.msu.edu/~hlnelson/fab/Shanner_Stem_Cell_Policy.pdf

Pro-life Perspectives:

1. Do No Harm: The Coalition of Americans for Research Ethics (July/August 2001). Stem Cell Report: Advances in Alternatives to Embryonic Stem Cell Research. http://www.stemcellresearch.org/stemcellreport/scr-jul2001.htm

2. LifeSite. Frozen Embryos and Stem Cell Research Discussion. http://www.lifesite.net/features/stemcellembryo/discussionpaper.html

Benefits of Embryonic Stem Cell Research:

1. National Institutes of Health (June 2001) Stem Cells: Scientific Progress and Future Research Directions.
Chapter 7: Stem Cells and Diabetes - http://www.nih.gov/news/stemcell/chapter7.pdf
Chapter 8: Rebuiliding the Nervous System with Stem Cells - http://www.nih.gov/news/stemcell/chapter8.pdf
Chapter 9: Can Stem Cells Repair a Damaged Heart? - http://www.nih.gov/news/stemcell/chapter9.pdf


General Perspectives and Debates:

1. Canadian Institutes of Health Research.

Human Stem Cell Research: Opportunities for Health and Ethical Perspectives. Full Document - http://www.cihr.ca/governing_council/ad_hoc_working_groups/stem_cell_e.pdf
Introduction - http://www.cihr.ca/news/forums/stem_cell/issues_e.shtml

2. CNN (September 14, 2000). Subcommittee hears testimony on stem cell research. http://www.cnn.com/2000/HEALTH/09/14/stemcell.hearing.02/

3. Wildmoon, K. C. (July 25, 2001). Scientists, senators testify on stem cell research. CNN. http://www.cnn.com/2001/HEALTH/07/18/stem.cell.senate/index.html

4. Philipkoski, Kristen (April 27, 2000). Stem Cells: Killer or Savior? Wired News.
http://www.wired.com/news/print/0%2C1294%2C35947%2C00.html

5. Reaves, Jessica (July 11, 2001). The Great Debate Over Stem Cell Research. Time. http://www.time.com/time/health/article/0,8599,167245,00.html

6. Shanner, Laura (March 31, 2001). "Embryonic Stem Cell Research : Canadian Policy and Ethical Consideration, A Report for Health Canada, Policy Division" http://www.msu.edu/~hlnelson/fab/Shanner_Stem_Cell_Policy.pdf


 
 

Assessment

Your group will be required to hand in the answers to all of the questions asked in the Procedure (21 marks).

Your presentation will be marked using two rubrics (27 marks). One for the overall presentation and one for the individual portion of the presentation. 15 marks will be given for the overall presentation, each member in the group will receive the same mark in this area. Another 12 marks will be given for each person's presentation, each member of the group will be marked separately for this portion.


 
 

Conclusion

The issue of embryonic stem cell research is a complex one and every perspective must be considered. While some argue that the destruction of the embryo to obtain stem cells is the same as killing a person, others argue that the embryos would be destroyed anyway, and that by using the embryos in research many lives could be saved or enhanced in the form of treatments and cures for various diseases.

In this assignment you looked at the issue of using stem cells in research from a specific perspective. After you have seen all of the presentations from the various perspectives, write a one page reflection that outlines your personal beliefs about stem cell research in Canada that could be submitted to the Working Group. Use the following questions to guide your reflection:

1. What is your belief of when human life begins?
2. Based on your belief of when human life begins, should researchers be allowed to use embryonic stem cells in their research? Why or why not?
3. Should researchers be allowed to use other types of stem cells in their research? Why or why not?
4. Should CIHR fund research with existing or new stem cell lines (embryonic or other types)?
5. What changes would you like to see to the Working Group's recommendations or to the wording of their recommendations?