Speciality Chemicals Magazine SEP / OCT 2023 | Page 5

The end of the beginning ?

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August saw a landmark in a US legal case that has raised many social and ethical issues , when Thermo Fisher Scientific settled a lawsuit brought by the estate of Henrietta Lacks over the use of cells take from her body in biomedical research . It will not be the end of the story , however .
Lacks , a poor black woman was admitted to the Johns Hopkins Hospital in Baltimore in 1951 , suffering from cervical cancer . Clinical evaluation showed that tumour cells from her tissues that were taken for a biopsy doubled in culture every 20 – 24 hours . They were the first cell lines that were able to survive and reproduce indefinitely in Petri dishes under laboratory conditions .
Before Lacks died later that year , the hospital propagated the cells and later commercialised them under the name HeLa . The cells have been an immense boon to medical research and thus to humanity . They have been used to test the polio vaccine , research the effects of radiation on human cells and develop a treatment for sickle-cell anaemia , among many other things . Research involving HeLa cells has been described in over 110,000 publications .
Using cells without the patient ’ s consent was common practice in the 1950s . Discarded material or material obtained during surgery , diagnosis or therapy was the property of the doctor or the medical institution , though in this case neither profited from it . Lacks herself never knew anything about it and her family only found out when a research group that had found other cell cultures being invaded by suspected HeLa cells contacted them to request DNA samples . Naturally they were distressed and angry .
There had been little knowledge of the case before Rebecca Skloot ’ s best-selling book , The Immortal Life of Henrietta Lacks , was published in 2010 . It was turned into a feature film in 2017 . In 2021 , her descendants sued Thermo Fisher , which sells various HeLa-related product lines , such as peptide and RNA standards , saying they had “ not seen a dime ” of the money the company and its predecessors had made from HeLa cells . Indeed , many of them were living without health insurance .
This is certainly not going to be the end of the matter . The family family ’ s civil rights attorney Ben Crump had already told Thermo Fisher that they “ shouldn ’ t feel too alone because they ’ re going to have a lot of company soon ”. The family has since filed suit against Ultragenyx Pharmaceutical , a specialist in rare and ultra-rare genetic diseases , over the use HeLa cells to manufacture adeno-associated virus vectors for gene therapies . More will follow .
The case has also cut deep into the racial divide in the US . Inevitably , taking cell tissue without consent was much commoner where poor patients , many of them black , were treated for free and were not regarded with any great respect . Crump described Ultragenyx ’ s use of HeLa cells “ as a choice to embrace a legacy of racial injustice embedded in the US research and medical systems ”.
Just as importantly , the publicity may have cemented the suspicions black Americans have about medical research . In 2022 , a Pew Research Centre survey showed 55 % of them saw misconduct by medical research scientists as a moderate or very big problem . Black Americans are also more suspicious in general than others of the COVID vaccines – some of which were , of course , developed using HeLa cells .
Some of the lessons of this – such as the need for transparency and consent – have largely been learned already . Some may need to be learned again .
Dr Andrew Warmington
EDITOR – SPECIALITY CHEMICALS MAGAZINE
SPECCHEMONLINE
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