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A28    SCIENCE
                      Friday 21 april 2017


















                Q&A: Could the Henrietta Lacks case happen today?


            MALCOLM RITTER                                                                         sity bioethicist Jeffrey Kahn.  SO WELL?
             AP Science Writer                                                                     IF A SPECIMEN LEADS TO A  Researchers  proposed  a
            NEW  YORK  (AP)  —  What                                                               PRODUCT,  DOES  THE  DO-     possible  answer  in  2013.
            happened in the 1951 case                                                              NOR  HAVE  A  RIGHT  TO  Virtually  all  cases  of  cervi-
            of  Henrietta  Lacks,  and                                                             SHARE IN THE PROFITS?        cal cancer are caused by
            could  it  happen  again  to-                                                          Generally not, because the  infection with human papil-
            day?                                                                                   consent  form  for  donation  lomavirus  ,  which  inserts  its
            The story of the om Lacks —                                                            or treatment usually waives  genetic material into a hu-
            who never gave permission                                                              any such legal right.        man  cell’s  DNA.  Scientists
            for their use.                                                                         WHAT  WAS  SO  SPECIAL  who examined the DNA of
            A look at woman who un-                                                                ABOUT LACKS’ CELLS?          HeLa  cells  suggested  that
            wittingly spurred a scientific                                                         Until  they  came  along,  happened in a place that
            bonanza made for a best-                                                               whenever    human     cells  strongly  activated  a  can-
            selling book in 2010. On Sat-                                                          were put in a lab dish, they  cer-promoting  gene.  That
            urday,  it  returns  in  an  HBO                                                       would  die  immediately  or  might  explain  both  why
            film  with  Oprah  Winfrey                                                             reproduce only a few times.  Lacks’  cancer  was  so  ag-
            portraying Lacks’ daughter   This  undated  microscope  image  made  available  by  the  Na-  Her cells, by contrast, could  gressive  and  why  the  cells
            Deborah.  Cells  taken  from   tional Center for Microscopy and Imaging Research shows just-  be grown indefinitely. They  grow  so  robustly  in  a  lab
            Henrietta Lacks have been    divided HeLa cells.                                       were   “perpetual,   ever-   dish.
            widely  used  in  biomedical                                          Associated Press  lasting,  death-defying,  or  DID  EVERYBODY  ALWAYS
            research.  They  came  from  grow  continuously  in  the  Robert  Klitzman  of  Colum-  whatever  other  word  you  KNOW  THE  ORIGIN  OF  THE
            a tumor sample taken frthe  laboratory. So the surgeon  bia University in New York.    want to use to describe im-  CELLS?
            case:                        treating  Lacks  shaved  a  WHAT ARE THE RULES NOW  mortal,” as Dr. Francis Col-       No. Lacks was named pub-
            ___                          dime-sized  piece  of  tissue  IN THE U.S.?               lins, director of the U.S. Na-  licly only in 1971, by an ar-
            HOW  DID  DOCTORS  GET  from her tumor for that proj-     Specimens  intended  spe-    tional  Institutes  of  Health,  ticle  in  a  medical  journal.
            THE CELLS?                   ect.  Nobody  had  asked  cifically  for  research  can  put  it.  So  they  provided  Her story appeared in some
            As  the  book  relates,  Lacks  Lacks if she wanted to pro-  be collected only if the do-  an  unprecedented  stock  magazines  in  the  1970s,
            was    under    anesthesia  vide cells for the research.  nor gives consent first.     of  human  cells  that  could  and  in  a  1997  documen-
            on  an  operating  table  at  She died later that year.   If cells or tissues are instead  be  shipped  worldwide  for  tary  on  BBC.  She  became
            Johns  Hopkins  Hospital  in  WAS IT ILLEGAL TO TAKE THE  removed for diagnosis and  experiments.  They  quickly  famous  in  2010  with  publi-
            Baltimore one day in 1951,  CELLS WITHOUT HER PERMIS-     treatment,  that  is  consid-  became the most popular  cation of Rebecca Skloot’s
            undergoing  treatment  for  SION?                         ered  part  of  the  patient’s  human  cells  for  research,  best-selling  book,  “The  Im-
            cervical  cancer.  A  hospi-  Not  at  that  time.  “What  general  consent  for  treat-  and  have  been  cited  in  mortal  Life  of  Henrietta
            tal  researcher  had  been  happened  to  Henrietta  ment.                             more than 74,000 scientific  Lacks.”q
            collecting  cervical  cancer  Lacks   was    commonly  But  there’s  a  twist.  Once  publications.
            cells  to  see  if  they  would  done,”  says  bioethicist  Dr.  a  specimen  is  no  longer  HOW  HAVE  RESEARCHERS
                                                                      needed  for  treating  the  USED THE CELLS?
                                                                      patient  and  would  other-  The  so-called  “HeLa”  cells
                                                                      wise  be  discarded,  scien-  became crucial for key de-
                                                                      tists can use it for research.  velopments  in  such  areas
                                                                      No further consent is need-  as  basic  biology,  under-
                                                                      ed, as along as information  standing  viruses  and  other
                                                                      identifying  the  patient  as  germs,  cancer  treatments,
                                                                      the source is removed and  in vitro fertilization and de-
                                                                      the  specimen  can’t  be  velopment of vaccines, in-
                                                                      traced back to the patient,  cluding the polio vaccine.
                                                                      says  Johns  Hopkins  Univer-  WHAT MAKES THEM GROW
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