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Dialogues


''The Cloning of Adults Is Impossible''

By Mario Osava *

RIO DE JANEIRO – Mayana Zatz is one of the many women who have contributed to making Brazil the most advanced Latin American nation in terms of genetic research. Zatz is the coordinator at the Center for Human Genome Studies at the University of Sao Paulo and conducts research in progressive muscular dystrophies.

She also heads a medical assistance association for ill children, and has published 160 studies in various journals. As a result of all this, she was one of the five recipients of this year’s UNESCO/L’Oreal Prize for Women Scientists.

Q: What are muscular dystrophies?

A: They are genetically transmitted diseases that cause the progressive and irreversible degeneration of the body’s musculature, and as a result cause a great deal of suffering for the ill individual and his or her family. They affect one out of every 2,000 births. There are more than 30 types, though the most serious and common is Duchenne muscular dystrophy, which is manifest only in boys, who by age 10 already need a wheelchair for mobility.

Q: Why does research involving these diseases provide so much genetic knowledge?

A: Because of their high incidence and characteristics. By studying the genes that cause the disease we come to understand how they act in their normal state and why they cause diseases if they are modified. Duchenne muscular dystrophy, for example, is hereditary in two-thirds of the cases, there is a risk of repetition with families. The sisters of affected boys do not present the disease themselves, but can pass it on to their sons. Prevention is very important. There are already tests that provide a reliable prenatal diagnosis, but Latin America lacks legislation that would allow the termination of a pregnancy if the fetus is found to have a grave genetic disease.

Q: Is genetics an area in which developing countries are in better conditions to make scientific advances, as has occurred in Brazil?

A: In Brazil we have our great biodiversity as an advantage. In human genetics, the mixing of races favors the study of different genetic groups. In addition, we have larger families, which are the source of a great deal of information. These factors are less frequent in industrialized countries.

Q: Why are you against cloning but a supporter of genetic therapy?

A: The cloning of adult humans is only a fantasy, scientists will never be able to create an exact copy. If even identical twins, coming from the same embryo and raised together are different, imagine two people separated by many years but with the same genes. Additionally, the use of adult cells, already adapted to specific functions, will always cause problems for cloning. It is different from genetic treatments using mother cells, or T-cells, which maintain their capacity to transform themselves into other tissues, such as muscles, a liver or other organs for transplant. These cells are plentiful in umbilical cords and in embryos, which are discarded by fertilization clinics.

Q: Doesn’t that create ethical problems?

A: There are people who are opposed to it because embryos might be used in reproductive cloning or bought and sold. But these are debates for the future. The ethical problem today, one society should be discussing, is the use of genetic testing, which is continually being improved. One test identifies, in people who will never be affected, the risk of having children with muscular dystrophy or other diseases, and allows the choice of avoiding it. Another involves diseases that would be manifest later in life. A test can indicate, for example, that a normal person will have genetic mutations or has a higher risk of this. I am against those tests that predict diseases that are still untreatable because they could serve the interests of insurance companies, health insurance providers and employers.

Q: Do you support the cultivation of genetically modified seeds?

A: I am in favor of it because it is not very different from the hybrids that have provided the wonderful diversity of fruits and vegetables we enjoy today. They present no risk to human health, but their environmental impact should be studied more closely.

* Mario Osava is an IPS correspondent.




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Center for Human Genome Studies at the University of Sao Paulo

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