Bursic, 2:00 L14 CONSIDERING ETHICS IN GENETIC ENGINEERING TECHNOLOGY Eileen Burke (eileenb@pitt.edu) INTRODUCTION: THE DEBATE OF GENETIC ENGINEERING One of the largest ongoing debates in the biomedical engineering field today deals with the ethical and moral aspects of genetic engineering. While the inventions of new technologies today are typically renowned and celebrated, the overall consensus on genetic engineering technologies is undecided due its controversial nature dealing with human nature directly. Some critics of genetic engineering argue that it is morally wrong to alter the human species as it can violate an individual’s free will and ultimately lead to less diversity, causing a collapse of humanity. Proponents of the technologies, myself included, believe that when used properly genetic engineering can help save the human race in the long run. I believe ultimately it is ethical to use these technologies in certain cases, such as altering cells and DNA to reduce diseases or helping to promote genetic diversity to continue the evolution of the human race. As a prospective pediatric geneticist, I support the use of genetic technologies to a certain extent, specifically to combat genetic disorders, but I also believe that ethics play an important role in knowing how far is too far with genetic engineering. HUMAN GENETIC ENGINEERING AND BIOETHICS As defined by the Association of Reproductive Health Professionals, human genetic engineering is altering the genes within a cell of a living human. The term is further defined as being divided into two categories: somatic and germline. Somatic genetic engineering “targets the genes in specific organs and tissues of the body… without affecting genes in their eggs or sperm.” [1] On the contrary, germline genetic engineering “targets the genes in the eggs, sperm, or early embryos.” [1] When considering the social context of our society today, it is not surprising that the concepts of morality and ethics are introduced in the debate over genetic engineering. Is it ethically correct as society for scientists to alter human nature by editing genetics? Is it moral for an engineer to “play God” in the eyes of some and determine which genes will be passed on to the next generation? Bioethics, a critical part of any medical field, is likewise crucial in genetic engineering, specifically germline engineering because it deals with sex cells and embryos. To consider whether genetic engineering meets bioethical standards, I believe it is necessary to weigh the positives and negative of the technology in this field. University of Pittsburgh, Swanson School of Engineering 1 October 9, 2012 REDUCING DISEASE According to Michael Sandel in his essay “The Case Against Perfection: What’s Wrong with Designer Children, Bionic Athletes, and Genetic Engineering,” genetic engineering can diverge into two separate subcategories: medical and non-medical. Medical genetic engineering deals directly with diseases and would reduce the chance of passing on genetic disorders to offspring [5]. Ethically, I believe it makes sense for us as a society to pursue research in this specific sub-area. By using science and engineering to create and implant technologies that would prevent diseases and genetic disorders, such as cancer, Down’s Syndrome, or Huntington’s Disease, engineers would be benefiting society and helping future generations. At the University of Pennsylvania, doctors and researchers genetically modified lymphocytes (T-cells) of cancer patients in order to create a “road-map” for chemotherapy to attack tumors. The research produced successful results, as the cells became ‘serial killer T-cells’ that destroyed cancerous tumors [6]. In this respect, I believe it would be morally irresponsibly to not pursue genetic engineering. Through my own experiences doing research with preeclampsia in a biomedical laboratory, I personally see much value in the experimentation and research fields of genetic engineering. Without research and experimentation, science would never advance and cures for diseases would never be discovered. If a new technology is invented that can help save thousands, then ultimately it is morally right to pursue such a technology. FREEDOM, RESPONSIBILITY, AND GENETICS While I see much benefit to genetic engineering, it is incorrect to only highlight the positive attributes while disguising the negatives. When genetic engineering is not used appropriately and responsibly, it threatens society as a whole. It is my opinion that when humans are allowed to choose traits for their offspring, genetic engineering will no longer be a respected and useful tool to help society. As stated by Jürgen Habermas, we, as humans, understand ourselves to be free and independent entities, controlling ourselves with free will. Therefore, when a parent decides to choose the traits of his child, it gives the child an unfair place in life, unable to be treated with “equal dignity” [4]. While it is argued that these “genetically engineered” babies are not ethical because they could not take part in the Eileen Burke decisions of altering their genes, I believe that it ultimately makes little difference in the outcome of the child. No human ever has control over his or her genes, regardless of genetic engineering. If genetic engineering would be implemented so parents could alter their child’s genetics, then it would be the parents’ responsibility to alter the genes appropriately. Thus, the morals and ethics of the parents must be sound in order to participate in such an act. However, it is when the parents’ believe they have the “power and responsibility to produce the perfect offspring” and turn to genetic engineering to alter traits that I believe crosses the boundaries of bioethics. As stated by Sandel, this type of engineering is “cosmetic surgery,” only to satisfy parents by giving their child optimal traits (in their opinion), such as being of a certain height, having a certain athletic or musical talent, or even increasing their intelligence [5]. I openly believe this type of engineering is selfish and harmful to humanity because it promotes one single member of society, not society as a whole. Where as reducing diseases via genetic engineering helps the future of the human race, having “designer children” or “bionic athletes” will ultimately lead to two subspecies of humans: a super-race of humans who were altered by their parents, and a race of natural humans [5]. This “super-race” would have an advantage athletically, mentally, musically, and most likely financially, as they would be successful and thus have the financial ability to continue to genetically alter their offspring [4]. The gene pool would be divided, possibly hurting the survival of humans, as they would be unable to adapt and survive due to lack of genetic variability. to alter the genetics of their child to give him an upper hand athletically, intellectually, etc. Ethically, it is not a scientist’s position to alter the gene pool, unless it would be to eliminate a disease or genetic disorder. I agree with Glover, who states that it is immoral for parents “not to safeguard their children against debilitating disease” when there is the technology to do so [5]. However, a debilitating disease must not be openly defined as what it is- a lifealtering or life-threatening condition. It is our duty, as a society, to limit the boundaries for genetic engineering in order to maintain its purpose: to prevent the passing on of diseases and disorders. ENGINEERING ETHICS WITH RESPECT TO GENETIC ENGINEERING Bioethics is vitally important to the field of genetic engineering, as the topic is of a controversial nature. Every engineer must follow the Code of Ethics for Engineers, as stated by the National Society of Professional Engineers. The code binds engineers to the agreement to “hold paramount the safety, health, and welfare of the public” with their work, while only performing professional services in their specialty field [3]. Thus, I believe genetic engineers must only invent, construct, and use genetic engineering technology if it is for the best of society. Additionally, genetic engineers must conduct themselves “honorably, responsibly, ethically, and lawfully” [3]. Therefore, in my opinion, the work genetic engineers pursue cannot promote a super-race of humans or “designer children” as the repercussions would not be responsible or honorable when considering society. A responsible engineer, working under both the codes of ethics by the National Society of Professional Engineers and the Biomedical Engineering Society, must be able to determine at what point genetic engineering technology will no longer benefit society. If an engineer goes past such a point and continues to use genetic engineering technology, he will violate the codes of ethics. This includes not accepting any financial compensation by outside influences to use genetic engineering technology when unnecessary; for example, using this technology to create “designer children” for those who can afford to chose the genes for their offspring. If an engineer were to assist a couple in creating a child with the ultimately characteristics, it would give the child an unfair advantage over every other member of society. Thus, the engineer would be violating the codes of ethics he agreed to follow when becoming a bioengineer. However, I believe it is cohesive with the guidelines established by these codes of ethics for genetic engineers for engineers to pursue projects that could help eliminate diseases. As the codes of ethics stress the importance of “considering the broader consequences of [the engineer’s] work” [2], I agree that engineers must use genetic engineering technology to look beyond any small, short-term consequences and build upon the genetically WILL GENETIC ENGINEERING INFLUENCE GENETIC VARIATION? Genetic variation allows the human race to adapt and survive when catastrophe arises. Due to our widespread gene pool, each person contains various differences in genetics that allows the human race, collectively, to survive through Charles Darwin’s “survival of the fittest” model of evolution. If genetic engineering were to become prominent in society, I believe that it is ethical and moral to limit genetic engineering in order to save the genetic variation we have in our gene pool. With genetic engineering, humans will become a “monoculture,” which is essentially “putting all of [our] eggs in one genetic basket” [8]. According to Powell, the gene pool will be altered with genetic variation, unless it was a situation where every person cloned himself, which is quite unlikely. However, he argues that, since most of our DNA is not expressed openly, that genetic engineering would hardly impact our phenotypes passed down in the gene pool [8]. While I agree that our phenotypes most likely may not be impacted by certain genetic engineering, I think that most types of engineering done to our DNA would be to the genes expressed outwardly, especially if we are to consider those who want 2 Eileen Burke possibilities of creating “perfect” offspring. We are still in the experimental stage of gene therapy: somatic gene therapy is relatively new and the market is small, while germline gene therapy has not yet been intentionally used [4]. While some see genetic engineering as “an over controlling aspect of society,” I believe that limiting genetic engineering to somatic and occasional germline engineering is ethical. It is my opinion that somatic genetic engineering is ethical because the research and experimentation can help cure cancer or even other conditions like emphysema, where tissue must be replaced. Germline engineering, in my perspective, is a much more divisive topic; to consider if it is ethical, I believe an engineer must consult the codes of ethics relating to his work and apply such to the situation. As I hope to study genetic disorders and plan on working in the field of genetic engineering, I believe that germline engineering is only morally sound and complies with the codes of ethics when dealing with disorders and diseases caused genetically. Any other excuse to modify an embryo’s or fetus’s genetic make-up is immoral, selfish, and inhumane. However, the debate of genetic engineering still goes on, whether it is ethical or unethical, and until more research is completed there will be no final say on where the bioethics line is drawn for this field. In order to make such a conclusion, however, it is necessary for the public to be more educated on the topic of genetic engineering; with the increased promotion of genetic engineering technology, society can ultimately see for itself that when used appropriately and ethically, genetic engineering technology can benefit society as a whole. modified lymphocytes created at the University of Pennsylvania. By doing so, I believe that the field of genetic engineering could rapidly grow to the benefit of society as a whole, while abiding by the codes of ethics applicable. EDUCATIONAL VALUE OF GENETIC ENGINEERING Because genetic engineering has become a political issue to a certain extent, it is necessary for engineers and scientists, along with the rest of society, to take a stance on the topic. Therefore, educating the public of genetic engineering and its repercussions is critical to the development of the field and the role the field can play in our everyday life. Due to the “distinct divide” between Americans and members of other countries [7], I believe that it is necessary to promote the education of genetic engineering technology. By establishing the good attributes of the field, like cells engineered to prevent diseases such as cancer, as well as the bad attributes, like a super-human race, the population of America can come to its own conclusion about how necessary genetic engineering is. As a prospective bioengineer with a strong interest in genetics, I believe that with a greater emphasis placed upon the education of the public on the topic of genetic engineering technology, more people will be open to the idea of using this field to advance the biomedical, ultimately creating a healthier, stronger human race. However, I believe that it is up to universities to use their engineering departments to stress the importance of engineering leadership to promote genetic engineering technology. If universities are to take the initiative to introduce students to genetic engineering technology and the positive outcomes of the world, then I think that the rest of America will follow and the field will increase exponentially. In my opinion, the first step in taking such a leadership role is to have first year engineering students complete a paper as I did, investigating a topic and drawing conclusions on the best way to handle the specific engineering problem that they have researched. For example, if another student were to research genetic engineering technology during his first year at a different university, then he would draw conclusions on the ethical values of genetic engineering. If students across the United States acted similarly, then our country would be filled with educated engineers ready to lead and tackle the discussion of ethics in genetic engineering, thus making the conclusion on the topic easier to draw. REFERENCES [1] Association of Reproductive Health Professionals. (2012) “Human Cloning and Genetic Modification.” Association of Reproductive Health Professionals. (Online brochure). http://www.arhp.org/publications-andresources/patient-resources/printed-materials/cloning [2] “Biomedical Engineering Society Code of Ethics.” Biomedical Engineering Society. (Online PDF) http://www.bmes.org/aws/BMES/asset_manager/get_file/39 579/bmes_code_of_ethics.pdf?ver=1541 [3] “Code of Ethics of Engineers.” National Society of Professional Engineers. (Online PDF) http://www.nspe.org/Ethics/CodeofEthics/index.html [4] M. Häyry. (2012). “Protecting Humanity.” Cambridge Quarterly of Healthcare Ethics. (Online article). DOI: 10.1017/S0963180111000715 LIMITING THE BOUNDARIES OF GENETIC ENGINEERING [5] M. Sandel. (2012) “The Case Against Perfection: What’s Wrong with Designer Children, Bionic Athletes, and Genetic Engineering.” Bioethics. (Essay). p426-440 Scientists, engineers, and doctors must come together to limit the boundaries of genetic engineering due to the ethical violations some may make when considering the 3 Eileen Burke [4] Penn Medicine (2011). “Genetically Modified ‘Serial Killer’ T Cells Obliterate Tumors in Patients with Chronic Lymphocytic Leukemia, Penn Researchers Report.” Penn Medicine News. (Online article) http://www.uphs.upenn.edu/news/News_Releases/2011/08/t -cells/ [7] R. Graham. (2009). “Engineering Leadership Education: A Snapshot Review of International Good Practice.” MIT Engineering Leadership Program. (Online article) http://web.mit.edu/gordonelp/elewhitepaper.pdf [8] R. Powell. (2010) “The Evolutionary Biological Implications of Human Genetic Engineering.” The Journal of Medicine and Philosophy. (Online article). DOI: 10.1093.jmp/jhq004 ACKNOWLEDGMENTS I would like to thank Judy Brink, the librarian at the Swanson School of Engineering, for assisting me with research for this article. Additionally, I would like to thank Dr. Robin Gandley at the Magee-Women’s Research Institute of UPMC for giving the opportunity to participate in scientific research, allowing me to gain experience in the biomedical field while proving how critical these types of research are to the further advancement of our society. 4