An Analysis of the Catholic Church’s Response to Genetic Engineering by Emma Young “With genetic engineering we could improve the human race.” Stephen Hawking, Scientist “Genetic engineering represents a fundamental threat to the human species.” David King, Theologian Introduction Genetic engineering of human beings is a contemporary issue of particular ethical and religious interest - ethical because it invites us to choose between alternatives that may be right (ethical) or wrong (unethical), and of religious significance given that the topic raises serious theological questions about the sanctity of human life. Genetic engineering (GE) is the deliberate manipulation and modification of the characteristics of an organism through the introduction of genes into the DNA (deoxyribonucleic acid) of that organism. The process involves the artificial addition, deletion or re-arrangement of DNA to achieve desired traits that are not already found in that organism. Understandably, many people believe that human GE is unethical, has sinister implications and conjures up images of macabre experiments. Some argue that scientists are wrong to “play God”. Although, others would likely respond that it is the abuse of GE that is wrong, not the process itself, and that GE knowledge, tools and power are neither ethical nor unethical; it is our actions that are good or bad. While “playing God” could be a key to a better future, images showing the genetic consequences of the bombings of Hiroshima and Nagasaki, 70 years ago this month, might give us cause to pause. See Figure 1. Figure 1: Many children of atomic bomb survivors suffered from horrendous genetic defects. 1 Purpose The purpose of this paper is to analyse, with perception, the Catholic Church’s response to the ethical issue of human genetic engineering. Scope of Analysis This report describes some GE basics, mentions some recent GE developments, identifies arguments for and against GE, comments in detail on GE from the Catholic Church’s perspective, and finishes up with some brief conclusions. Some Basics Readers are reminded that within the cell nucleus reside microscopic chromosomes that are composed of genes made of deoxyribonucleic acid (DNA). See Figure 2. DNA is the molecule that contains the genetic code for life forms. The human genome has about three billion pairs of DNA arranged as 46 chromosomes (two sets of 23). Figure 2: The cell nucleus contains most of the cell's genetic material in the form of DNA molecules arranged as chromosomes. Two genetic interventions are particularly relevant from a Catholic religious viewpoint in the ethical analysis of GE of humans – “gene therapy” and “gene enhancement” described here: Gene therapy is a technique for using genes to treat or prevent disease. By adding a corrected copy of a defective gene the process aims to help diseased tissues and organs work properly. Gene enhancement is a genetic technique to improve an organism’s normal traits, whereby for example human offspring might engineered to have better than normal health or greater than normal ability. Another important distinction is that the results of these two interventions may or may not be passed onto subsequent generations, depending on the GE technique used: 2 Germline gene modification targets reproductive cells and such changes made to the DNA will be passed on to subsequent generations. Somatic gene modification targets cells in the body, which changes are not passed onto the person’s children. Recent GE Developments Earlier this year England became the first country to introduce laws to allow for the creation of babies from three people. Such babies will have some DNA from a second woman - a permanent change that will echo through the generations to come. This announcement confirms that human GE is a now reality. A further GE “advancement” was mentioned in The Dominion Post on 12 August 2015 - Australian scientists have recently isolated the gene responsible for obesity. Soon we may be able to visit McDonald’s without guilt and without the prospect of liposuction or being ridiculed for being over-weight (Figure 3). Figure 3: Eager Big Mac consumer of the future, safe after her obesity gene knockout procedure. Closer to home, if Kiwi anxiety caused over “Corngate” (a New Zealand political scandal in 2002 about the suspected local release of genetically modified corn) is any indication, Kiwi resistance to human GE would be strongly entrenched. Yet surprisingly, our government may soon approve the development and propagation of genetically modified forestry products in the Hawkes Bay region (The Dominion Post, 10 August 2015). Given these developments, it is timely to review the pro’s and con’s of human GE, and find out the current Catholic Church perspective on the issue - what aspects of GE Catholics embrace and what should be rejected, although we shouldn’t expect a clear cut answer given the immaturity of the science. A mistake we could make is to think that eugenics died with the Nazis. Importantly, GE will not wait for Catholics to catch up. 3 While there has always been some tension between science and religion, “Christian scientist” is not an oxymoron, and much of our scientific method was pioneered by Christians including Copernicus, Galileo, Kepler, Newton and Boyle. But, first let us appraise human GM – arguments for and against this rapidly developing and contentious science. Arguments in Favour of Human Genetic Engineering Disease Prevention. Many people die of disease. With GE we could replace diseased or disease-prone genes with correctly functioning copies. Some possibilities are cloned heart cells injected into heart patients, replacement skin cells grown for burn victims, nerve cells grown for damaged brains and spiral columns, laboratory production of replacement organs such as livers, kidneys, lungs and even hearts is possible, infertile couples could have children, clone bone marrow cells could save leukaemia victims, and Alzheimer's might be cured. If a medical condition is inherited, our children and future generations might have it, but by changing the germline we not only cure a disease now, but also prevent it in future generations. Germline gene therapy means any changes made to the DNA will be passed on to the next generation. Hence the practice has divided opinion. Longer lifespan. Without certain diseases, it would be possible for more people to live longer and healthier lives. Having enjoyed life, most people want to cling on to it for as long as possible. Perhaps 100-150 years of age could become the norm with GE. While gene therapy for a fatal condition will ensure the life of the patient, genetic enhancement of healthy people would give them an even longer life. Once we fully understand the genetics of ageing we might even be to reverse cellular mechanisms that lead to our decline with age, possibly accomplished by restoring worn telomeres, which are DNA sequences that cap the end of our chromosomes. Biodiversity. GE could increase the genetic biodiversity of a population's gene pool to ensure a variety of traits among the individuals of that population. This variety then provides an improved chance through natural selection (survival of the fittest) of a species’ survival in our changing environment. Ecologists believe that diversity provides for ecological resilience – an enhanced ability to adapt to future changes. For example, given the unpredictable effects of climate change, diversity within the genetic structure of mankind could ensure that at least some of us survive and reproduce. Desirable traits. With GE we could create people to specification. Inheritable GE changes would allow couples to make their children healthier, longer-lived, more athletic, more intelligent and more attractive. Coupled with his benefit is the makeup of our offspring would be predictable and cloning would guarantee that such enhancements continue. Ecosystem survival. The human species should not be seen as isolated members of an ecosystem, but rather as genetically connected members of a 4 complex interacting community. Genetic traits of one species can influence ecological interactions. Some would argue that our entire planet is an ecosystem. Ecosystems are dynamic and the introduction of variety in species through GE could have positive implications for an ecosystem’s operation and evolution. We may also be able to eradicate environmentally damaging invasive species from an ecosystem, to the benefit of mankind. Other Advantages. GE also holds the promise of a cleaner environment. We could eliminate waste and consequently reduce pollution. Also, starvation could possibly be eliminated with GE modified food. Thanks to genetic evidence and the use of DNA in cases of rape, we can identify criminals and populations could therefore live with improved security. One might wonder what mixture of nurture and nature caused New Zealand’s Tony Robertson to recently rape and kill Blessie Gotingco. While DNA profiling may have helped convict Robertson, violent offenders have yet to avoid prosecution with a “genetic predisposition defence” or to undergo GE to prevent such anti-social behaviour. Knocking down belligerent genes could be possible. Arguments Against Genetic Engineering Why is there a case against genetic engineering given that it might cure diseases and provide for the several benefits mentioned above? The following are key arguments against GE: Anti-God. The first argument from a Christian perspective is that God, the supreme omniscient and sentient being, created this world and all its organisms. God designed the different distinct species such that no interbreeding would be possible. Genetically modifying creatures and attempting to create new life forms is challenging the authority of God and by doing so, humanity may be inviting the same fate as Lucifer. The belief that God should have ultimate power and we should not be altering nature is what some Christians believe should have us halt the progression of human GE. Safety. Safety is a big concern – perhaps the biggest concern. We just do not know the side-effects and long-term ramifications of GE. For example, if we were to stop telomeres from shortening would this have negative knock-on effects elsewhere in the genome. Also, current genetic GE practices are still very hit and miss. We have no way of controlling exactly where new genes will place themselves in the altered cells, and usually it takes many trials to produce an acceptable result. For example, when we hear of cloning successes such as Dolly the sheep, we do not hear about the large number of cloning attempts that failed. Another biological implication of cloning is that as cells divide, their chromosomes appear to get shorter. It is thought that this may occur because the DNA sequences that cap the end of a chromosome, called telomeres, reduce in length every time the DNA is copied. Thus the older a mammal is, the shorter its telomeres will be, because the cells have divided many times as a natural part of aging. Also, cloned mammals that do survive are often much bigger at birth than their natural counterparts. This "Large Offspring Syndrome” (LOS) can lead 5 to breathing and blood flow problems. Similar safety concerns could accompany human GE. The effects of gene therapy are just much too unpredictable. Predictability. Nature and life are beautiful only perhaps so long as there is an element of unpredictability and vulnerability about it. GE humans would lack the natural touch of ingenuity. Their makeup wouyld be predictable and lack uniqueness. It would be unfortunate if parents begin to support the concept of designer babies en masse. There would not be the joy of bringing up a unique individual nor would there be any room for encouraging unique traits or maverick talents in one's kids. There could be a world full of demanding parents who want their kids to have all the advantages of life through GE. This way, they are both shirking their responsibility to develop the character of their offspring as well as denying the child the right to their own, unique life. And what is beauty if everyone is beautiful? Lack of self-determination. GE limits children’s autonomy to shape their own destinies. Individuals produced through germline gene therapy cannot give their consent for GE. If parents are able to determine a child’s genetic makeup, they are in a sense writing the genetic instructions that shape the child’s entire life. If our parents give us blue eyes instead of brown eyes, if they make us tall instead of medium height, if they choose a passive over an aggressive personality, such choices will have a lifelong effect. Genetic enhancement is immoral because it could artificially mold people’s lives, pointing their destinies, and the destinies of their children, in directions that the children themselves would not freely choose or enhancements that are incompatible with our future environment. Therefore, GM could represents a fundamental violation of their rights as human beings. Also, GE could be used to select particular physical characteristics without regard for the health of the child. Happiest imperiled. With GE there is risk that connections between parents and children is disrupted if genetics are substantially altered. Children would no longer be descendants of ancestors but products of boffins. If we create such beings, they might well be smarter, but not necessarily happier. GE could lead to treating children and all people like objects. Germline technologies might contribute to parental expectations of "pre-selecting" their children's traits, and to the cultural construction of human beings as biologically perfectible products. This would dramatically change the nature of the parent-child relationship, and would likely have other profound and destabilising socio-cultural results. Affordability and class distinction. If super humans were created through GE what happens to the people unable to afford genetic engineering? There may be no racism or sexism, but there would be a crueler form of discrimination, geneticism. The poorer citizens of the world might never get access to GE and there will then be widening inequalities and greater stratification within society, neither of which consequence is desirable. We might have a society where the rich enjoy genetic enhancements - perfect eyesight, improved height, higher intelligence - that the poor cannot afford. This idea is expressed in the 1997 film “Gattaca”. The main character Vincent, a man from a poor background who aspires to be an astronaut, finds it difficult to achieve his goal because he is 6 short-sighted and has a weak heart. These biological discrepancies are exacerbated by the fact that his brother, who is the product of GE, enjoys perfect health and is better able to achieve his dreams. To many, Gattaca is a dystopia where gaps between the haves and have-nots will become intolerable, due to genetic inequalities. Overcrowding. Arguably, there are enough humans on Earth already. Disease and events, including Acts of God, help prevent overpopulation. If we cure all diseased people and if we all manage to cheat death for 150 years, we are going to grossly overpopulate our world. Stephen Hawking's theory is that we have just 200 years to reduce steady population growth or populate outer space before we go extinct. Also, with GE countless animals could loose their habitats through human expansion. Human survival. If we were all to undergo genetic modification this might limit our genetic diversity. Could there be a danger that our gene pool diminishes and that as a population we then become more susceptible to being wiped out by a hitherto unknown disease threat? Catholic Church’s Perspective Catholics would generally agree that GE of plants and animals is permissible and even to be encouraged if it is done in a responsible manner and done for postive reasons such as to provide a more abundant and nourishing food supply, but cloning humans is particularly controversial and widely condemned. Because genetic engineering was unknown when the Bible was first written, it is difficult to find definitive biblical references to GE . And also, much of the information available about the Catholic view on GE is ambiguous. However, there is a general concern that GE will take on a role over and above that which God has given to us as stewards of creation. The Bible tells us that all things were created by God and for Him (Colossians 1:16) and God designed all living things to reproduce after certain “kinds” (Genesis 1:11-25). Too much manipulation of the genetics would be tampering with things reserved for God’s manipulation, our supreme designer. Reasearch of available material shows that some more hardline Catholics are totally opposed to GE in any form and maintain that it is the genetic makeup of a person that gives them their special and God-given identity. To interfere with this makeup is to interfer with God’s plan, which would be a violation of God’s natural order. And that GE is exceeding the authority given man by God, even if GE was to improve people’s lives. Some argue that suffereing is both necessary and useful, is simply part of life, and that GM is satanically inspired. However, more moderate Catholics accept the potential benefits of GE, although typically reject research on human embryos, even when this might be used to create replacement cells to help people with diseases. An important question Catholics must ask is whether or not GE of humans is moral. In the Church’s document the Dignitas Personae it states that every 7 human is sacred from their conception and any experimenting or modification of the human embryo is unacceptable. Latterly the Church has distinquished between different categories of GE. The four categories of GE are somatic cell gene therapy, somatic cell genetic enhancement, germline gene therapy, and germline genetic enhancement, the last mentioned being the most contentious. Figure 4 summarises what appears to be the most prevalent Catholic views about the acceptability of these four categories of GE interventions. Although, no doubt some would suggest that such categorisation is ripe to create more confusion than it might solve. Type of Intervention No Therapeutic Enhancement Entirely Acceptable Unacceptable Sometimes Acceptable Entirely Unacceptable Inheritable? Yes Figure 4: Catholic perspective on acceptability of GE interventions. Essentially, the Church supports “gene therapy”, but not “genetic enhancement” (sometimes referred to as negative and positive GE respectively). The Church maintains that gene enhancement is morally wrong, the difference being that gene theraphy aims to cure genetic diseases, whereas genetic enhancement genetically modifies a heathy person to be even more than human, not just in strength, but also in intelligence, beauty or any other trait - all beyond what God intended. Both are technically GE, but they have rather different objectives and outcomes. This distinction inevitably leaves one with examples in which it is difficult to decide whether a given intervention qualifies as a treatment or as an enhancement. Thus, gene therapy seeks to return a patient to normal human functioning, but genetic enhancement assumes a person’s normal state is flawed and lacking, that their natural biology needs “enhancing.” Genetic enhancement would intentionally and essentially alter a person in ways not possible by nature, which is in ways that God never intended. One seeks to return normal functioning, whereas the other seeks to take normal functioning and alter it to be abnormal. And from a Catholic perspective, an enhancement that is inherited is 8 entirely unacceptable. This is germline modification - a modification to a person’s genetic material in such a way that the modification is inheritable by future generations. Germline modification, the Church maintains, is genetic engineering at its worst. Not only would the child have no choice about being genetically modified, but also the modification would extend to his or her eggs or sperm. The changes would be "permanent." A genetically modified human would have no choice but to pass the modification on to their offspring. However, gene therapy would only genetically modify the diseased tissue and therefore would not be an inheritable change. Thus, the argument is that Catholics must make a distinction between gene therapy and genetic enhancement and thus we can reap the rewards of GE while rejecting any fundamental change to humanity. The Catholic Church maintains that the goal of GE must always be to support the natural development of man, respecting the person’s inherent dignity and worth. Enhancement destroys that inherent dignity by rejecting mankind’s natural biology. So GE to cure or treat disease or disability is good. GE to change the fundamental nature of mankind, to take an otherwise healthy person and engineer them to be more than human is bad. And with the risks inherent in GE, it should never be attempted on an otherwise healthy person. There are alternatives to cloning. Stem cells show promise in curing disease, without the need for cloning. A stem cell is an undifferentiated cell from which other kinds of cell arise. Given their unique regenerative abilities, stem cells offer exciting possibilities for treating problems such as diabetes and heart disease. However, to destroy an embryo for its stem cells, no matter how well intentioned the action, is currently unethical from a Catholic Church viewpoint. Thus, the Catholic Church is against embryonic stem-cell research because it involves the destruction of human embryos. Pope John Paul II said embryonic stem-cell research is much like abortion, euthanasia and other attacks on innocent life. The Catholic Church teaches that a cloned human embryo is as much a human as the person who is cloned. Both therapeutic and reproductive cloning are unethical since they create humans asexually, not sexually as God intended. The Church teaches that we must never do evil, even if good may eventually come of it, and there is no way to obtain embryonic stem cells without destroying innocent human life, although perhaps the Catholic Church attitude to ethical stem cell research will softening, given the “greater good principle” whereby we may permit an evil for the sake of some greater good. The “Charter for Health Care Workers” by the Pontifical Council for Pastoral Assistance sets out the position very clearly: “The goal of medical intervention must be the natural development of a human being, respecting their inherent dignity and worth. Enhancement destroys that inherent dignity by rejecting mankind’s natural biology. 9 A curative intervention, is desirable in principle, provided its purpose is real promotion of personal well-being of an individual, without damaging their integrity or worsening their condition of life. On the other hand, interventions that are not directly curative, the purpose of which is the production of human beings selected according to sex or other predetermined qualities, which change the genotype of the individual and of the human species, are contrary to the personal dignity of the human being, to their integrity and to their identity. Therefore, they can be in no way justified on the pretext that they will produce some beneficial results for humanity in the future. No social or scientific usefulness and no ideological purpose could ever justify an intervention on the human genome unless it be therapeutic; that is, its finality must be the natural development of the human being.” Also, the 2009 Catholic document on bioethical issues, Dignitas Personae, makes the following statement on germline theraphy: “Whatever genetic modifications are effected on the germ cells of a person will be transmitted to all offspring. Because the risks connected to any genetic manipulation are considerable and as yet not fully controllable, in the present state of research, it is not morally permissible to act in a way that may cause possible harm to the resulting progeny.” However, some of Catholic faith do not agree with this position and say it is against the will of God to meddle with the genetic make-up of plants and animals in any manner whatsoever. And some observers have concluded that because Pope John Paul II praised gene therapy, the Church must favour genetic enhancement as well, which is not true, but the confusion is understandable. The Catholic Church sees genetic enhancement as problematic because its pursuit demonstrates a failure to accept our place in nature. It shows our discontent with what humans have been given – whether through divine providence or through natural selection – and such dissatisfaction is unacceptable. The Church’s argument is that we are better to accept our limitations and to be content with what we have rather than to try to change ourselves through GE. Yet, there are some Catholics who say that even enhancement interventions are not necessarily against God's plans or "playing God.” Some of Catholic faith argue, God created us with free will, and the Bible says that he made everyone of us with a plan for our lives before we were even born. Thus, God must have planned for us to develop GE. As Christians we should follow in Jesus' footsteps. Jesus healed people, so perhaps this means that we should do as much as we can to heal people, which may involve GE. The argument goes that since God gave us the intelligence to play with genetics, God has also given us the intelligence and common sense not to do so – to make choices. In the story of Noah's Ark, God said that he would no longer meddle with the affairs of humans and would let us develop as we wish. Perhaps we are “co-creators with God.” 10 Conclusions Like much scientific exploration, breakthroughs in genetics present us all with promises and predicaments, which after my analysis tells me that potentially human GE could make a significant contribution to the prevention and cure of human diseases, but human GE in its various forms has many potential disadvantages and raises important questions, such as: Is GE interfering with God’s work? Are GE positives outweighed by the negatives? Which is better – longer life or over-crowding? How can “good” and “bad” uses of GE be clearly differentiated? Who decides which human traits are normal? How might we distinquish between a disability and a disorder? Will the high costs of GE make it only available to the wealthy? Should we use GE to enhance human traits or only for repair purposes? Generally, science is descriptive and religion is prescriptive, and since it is impossible to identify and quantify all relevant GE pro’s and con’s we cannot reach an objective and definitive decision about the appropriateness of GE, other than accept that some is good and some is not, and much much more study is needed. Although Catholic opinion is divided on several GE issues, most agree that GE to treat or cure a disease is to be encouraged. This is called gene therapy. However, if GE aims to make a normal healthy person better than human, then the Catholic answer is at present an emphatic "No." While germline gene treatment might spare future generations from genetic disorders, it might also affect the development of the human fetus in unexpected ways. It may also have long-term side-effects that are not yet known. Indeed they are “unknownunknowns” – they have yet to be identified and are of unknown consequence or impact and of unknown likelihood or probability. And if GE requires the cloning or destruction of a human embryo then this too is officially unethical to Catholics. For some Catholics, their stand on GE is steadfast. For them "only God is the master of human life and of its integrity" and we must therefore be "wary of the potential for genetic engineering to fundamentally altering God's sacred creation." However, a rather different view held by some Catholics is that for us to neglect GE is irresponsible. They argue that God created all sciences when he made the universe and everything in it and thus he invented genetics. God has therefore left it to mankind to research and decide on the appropriateness and use of GE. Human GE is very controversial, demonstrated by the variety of often strongly held scientific and religious views worldwide and within the Catholic community. Like all major scientific advances, human GE raises many questions that must be addressed before any implementation is seriously contemplated. Meanwhile, Catholics can influence the public consciousness by clearly drawing 11 the line between genetic therapy and enhancement, least our society confuses the two. Finally, in recent years our society seems to have shifted from a biblical and moral model more towards a scientific model in order to explain sinful behaviours. Important social issues have been given a purely biological dimension, where for example drunkenness is now termed alcoholism, gluttony is labelled compulsive overeating, and promiscuity is called sexual addiction. Is immoral behaviour wrong if it is genetically determined? The idea that it is all in our genes raises questions for Catholics who believe in morality and free will. Surely we must resist attempts to convert antisocial behaviours into genetic diseases that remove personal responsibility and accountability. References: Ertelt, S. (2007). “Pope Benedict condemns genetic engineering”. (Online). 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