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Fertility hope for chemo patients as doctors grow eggs outside the bodyThe dream of growing eggs from
precursor cells in a test tube has come a step closer. This could help women and
girls facing chemotherapy to have children later on, and even help
conservationists breed at-risk species.
Most mammals produce only a few eggs at a time. If immature
precursor cells could be matured outside the body, far more eggs could be
obtained. Now Izuho Hatada’s team at Gunma University in Japan has managed
to grow mouse eggs from their very earliest stages and produce healthy offspring
from them.
If Hatada’s technique works with human eggs, it would
provide a new way to preserve the fertility of female patients facing treatments
such as radiotherapy or chemotherapy that damage their eggs. Eggs could be grown
from slices of frozen ovaries. “This is specially significant for
childhood cancer patients, because they don’t have any mature eggs,”
he says. But this is still years away.
And there’s a catch. Hatada’s team managed to
get some mouse eggs to start to mature by taking whole ovaries from fetuses and
growing them for 28 days. But the eggs stalled at the final stage of
development. To get them to complete their development, the researchers had to
transfer their genetic material to mature eggs taken from adult mice – the
same nuclear transfer technique used in cloning. That means any human treatments
based on the technique would still have to rely on donor eggs, which are in
short supply.
New Scientist, 3 August
2002
Alarm as US woos nurses from NHSThe Government’s plan to
improve the national health service by appointing 35 000 extra nurses is
threatened by an international recruitment war that may cause an exodus of staff
from British hospitals, nurses’ leaders warned last week.
The general secretary of the Royal College of Nursing,
Beverly Malone, said that United States authorities were preparing a massive
campaign to recruit 1 million nurses by 2010.
American hospitals, paying higher salaries, would be
recruiting from countries such as the Philippines, South Africa and Australia,
which have been sending thousands of nurses every year to boost staff in the
NHS.
“We know the US is a competitive country. Its
independent sector... will make every effort to recruit those nurses,”
said Dr Malone.
Guardian Weekly,
25–31 July 2002
Opponents of stem-cell patent win restrictionsIn a ruling issued on 24 July, the
EPO’s [European Patent Office] oppositions division narrowed the patent
held by the University of Edinburgh’s Centre for Genome Research,
invalidating all claims involving animal and human embryonic stem
cells.
The patent, which details techniques for isolating and
propagating genetically engineered adult or embryonic stem cells, generated
widespread complaints when it was granted in December 1999.
Starting in March 2000, 14 parties, including Greenpeace and
the German, Italian and Dutch governments, filed objections. Most opposed the
patent because it involved techniques for working with human embryonic cells.
The DFG, Germany’s main research funding agency, objected on technical
grounds, claiming that the University of Edinburgh had not revealed enough
technical information about the methods involved.
Shortly after the objections were filed, the university
withdrew parts of the patent that covered technologies that could be used to
alter the composition of the human germ line. But the EPO’s ruling on the
formal objections has gone further, leaving only claims covering adult stem
cells intact.
The patent office says that its decision was partly based on
ethical grounds – uses of human embryos are excluded from patentability
according to EPO rules – and partly due to the patent’s failure to
disclose sufficient information for the techniques to be repeated by stem-cell
experts.
Nature
2002;418:470
Doctors face hepatitis C testsThe Department of Health plans to
restrict doctors and other healthcare workers known to be infected with
hepatitis C from carrying out invasive medical procedures. Healthcare workers
who are about to start professional careers or training involving procedures
that expose patients to risk of infection may also be tested for the
infection.
BMJ 2002;325:406
Relation of childhood gastrointestinal disorders to autismAutism is a spectrum of
developmental disorders characterised by impaired social interaction and
communication. Several studies have shown that the prevalence and incidence of
autism have risen steeply over the past decade.
Wakefield and colleagues suggested an association between
chronic inflammatory intestinal disease and autism in 1998. They described 12
children with autism and gastrointestinal symptoms, including diarrhoea, pain,
and food intolerance. Colonoscopy and biopsy showed ileal-lymphoid-nodular
hyperplasia and non-specific colitis. The authors hypothesised that chronic
intestinal disease and malabsorption may be causal factors in the development of
autism. This has raised concerns about gastrointestinal disease as a risk factor
for autism. Using a nested case-control design we assessed the frequency of
chronic inflammation of the gastrointestinal tract, coeliac disease, food
intolerance, and recurrent gastrointestinal symptoms among children with a
diagnosis of autism compared with children without autism. We used anonymised
data from the UK General Practice Research Database.
No evidence was found that children with autism were more
likely than children without autism to have had defined gastrointestinal
disorders at any time before their diagnosis of autism.
BMJ 2002;325:419
WHO chief announces surprise move to stand downWHO Director-General Gro Harlem
Brundtland dropped a bombshell on Aug 23 by announcing that she will not stand
for re-election when her 5-years term expires next July. The former Norwegian
prime minister said she has informed the chairman of the Executive Board –
Burma’s deputy health minister Kyaw Myint – that she would
“not be a candidate for nomination” when the board makes its choice
in January.
“My decision to complete my work as Director-General
at the end of my current term reflects the fact that I have had leading
positions in political and public office for nearly 30 years, and would be 69 at
the end of a second term”, she stated.
Brundtland associates said she wanted to spend more time
with her three children and nine grandchildren in Norway, and has become weary
with the travel.
Lancet
2002;360:695
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