TEACHING PACK TEACHING PACK TEACHING PACK Aim of the pack The purpose of this pack is to provide teachers with additional resources so that the film In Vitro can be used as part of a teaching session. The material in the pack should enhance the educational opportunities that the film provides. These resources can be used in any sequence and need not always be used in conjunction with the film. In Vitro’s portrayal of self-fertilisation using artificial gametes can be seen as an act of scientific achievement or the opening of a modern “Pandora’s Box”. The film raises some fascinating moral, scientific, and social questions. Is it right to create a child by means of an experimental technique? Does a child need a parent of each sex? Is the use of artificial gametes the same as cloning? If not, what is the difference? Should we expect Sofia to look exactly like Rachel? Subject areas for which this resource pack may be relevant: ● ● ● ● ● ● Biology Science Citizenship Media Studies Philosophy Personal Social Health and Economic Education (PSHEE) Learning outcomes ● ● ● ● ● ● ● Understand the concept of stem cells Understand why research into genetics and stem cells may be controversial Understand the role of chromosomes in gamete formation and reproduction Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in debate about ethical problems TEACHING PACK Table of Contents Aim of the pack In Vitro synopsis Utopia vs Dystopia - teachers’ notes Utopia vs Dystopia Key Terms – teachers’ notes Key Terms Timeline - teachers’ notes Timeline Odd one out – teachers’ notes Odd one out Enhancements R Us – teachers’ notes Enhancements R Us The double-edged sword – teachers’ notes The double-edged sword Artificial gametes: 8 dilemmas – teachers’ notes Artificial gametes: 8 dilemmas A world of women? – teachers’ notes A world of women? Choices and questions – teachers’ notes Choices and questions – part 1 Choices and questions part 2 Movie review – teachers’ notes Movie Review A media frenzy – teachers’ notes A media frenzy The science behind In Vitro – teachers’ notes The science behind In Vitro Debate – teachers’ notes Debate Glossary TEACHING PACK In Vitro synopsis The time is the mid-21st century. Rachel is in her 60s. When she was younger, she had a high-profile and controversial career as a scientist. She has a grown-up daughter, Sofia, who is seriously ill – we see that she is breathing through an oxygen mask, and is on a drip. While Rachel is out collecting firewood, Sofia stops breathing. Rachel returns and is distraught when she finds her daughter dead. Rachel then re-lives some of her early choices and decisions, as she attempts to explain to her grand-daughter (Lilian, 19), that Sofia, her mother, has died, and that her body has been taken away. Rachel describes her frustration as a young scientist when she felt that her work was being passed over. Her research focussed initially on differentiating stem cells to generate replacement heart, lung, liver cells, etc, for cancer patients. However, she also discovered a way to make stem cells differentiate into sperm and egg cells. Experiments in the use of such cells were heavily regulated, restricting her ability to move forward with her research. Rachel says she wanted the world to sit up and take notice. She decided circumvent the regulatory system by using her own cells in an experimental attempt to see if these ‘artificial gametes’ could result in a healthy pregnancy. She extracted some of her own bone marrow, and isolated stem cells, which she manipulated so that they could function as sperm cells. She then used these artificial sperm cells to fertilise one of her own eggs. She got pregnant and had a child. This caused a huge media storm, and generated concern about the health of her child. Sofia, Rachel’s daughter, was closely monitored throughout her life. Initially, there was a widespread ban on the use of the technique that Rachel had pioneered, but as the years went by, and no evidence of any major problems emerged, the ban was lifted. The technique that Rachel had developed then became extremely popular and was used all over the world by people who were infertile, or single, or in same sex relationships. But when she was in her 30s, Sofia developed leukaemia and now she has died, at the age of 35. Her body has already been taken away for analysis, and Rachel fears that Lilian, Sofia’s daughter, may in turn come under scrutiny as the authorities try to establish whether artificial gametes caused Sofia’s illness. TEACHING PACK Utopia vs Dystopia - teachers’ notes Learning outcomes ● ● ● ● Understand why research into genetics and stem cells may be controversial Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute In this lesson the words ‘utopia’ and ‘dystopia’ should be displayed as the students enter. Students can attempt definitions and discuss what the words mean and how people have different views about the future. If students have read books like Brave New World or 1984 they can be encouraged to refer to them. After discussing concepts of dystopia and utopia, students can watch the film. Initial discussion can then take place in an open way. A good approach would be to operate a community of enquiry based on student reactions to the film. For those well versed in the P4C technique it may well be necessary to allow more lesson time to address the issues raised. The questions provided on the students’ handouts can then be addressed. Notes have been added where it may be helpful for teachers to have additional information. 1. 2. 3. 4. 5. Why did Rachel go ahead with creating artificial sperm? Why did Sophia die? How old was she? Why did Lily and Rachel want to leave the country? Why is the film called In Vitro? [Teachers’ note: In vitro literally means ‘in glass’. The term is used in science to describe something that happens outside the body, usually in a laboratory setting. ‘In vitro’ has come to be associated with ‘in vitro fertilisation’ or IVF, where sperm and egg are fertilized outside the body. In the film, not only fertilization, but sperm formation too happens outside the body.] 6. Why is the Genetics Research Organisation called Samsara? [Teachers’ note: Samsara refers to the cycle of birth, life, death, and reincarnation that is a feature of some oriental religions and philosophies. Stem cell research and reproductive technologies might be seen to resonate with some aspects of these philosophies.] Some questions about issues raised by the film: 1. 2. 3. 4. 5. Was the film putting forward a utopian or dystopian vision of the future? What aspects of the film did you base your answer on? To what extent is the creation of artificial gametes “progress”? Is scientific progress unstoppable”? Is the film fair in its portrayal of the future? TEACHING PACK Utopia vs Dystopia What do you think ‘utopia’ and ‘dystopia’ mean? Do you think the future will be utopian or dystopian? Why? Can you think of any books, films or TV programmes that portray a utopian or dystopian image of the future? Now watch the film…. TEACHING PACK Some questions for discussion about the film: 1. Why did Rachel go ahead with creating artificial sperm? 2. Why did Sophia die? 3. How old was she? 4. Why did Lily and Rachel want to leave the country? 5. Why is the film called In Vitro? 6. Why is the Genetics Research Organisation called Samsara? 7. Was the film putting forward a utopian or dystopian vision of the future? 8. What aspects of the film make you think this? 9. To what extent is the creation of artificial gametes “progress”? 10. Is scientific “progress” unstoppable”? 11. Is the film fair in its portrayal of the future? TEACHING PACK Key Terms – teachers’ notes Learning outcomes 1. 2. 3. 4. 5. Understand the concept of stem cells Understand the processes involved in in vitro fertilisation Understand the role of gametes in reproduction Understand the role of genes in inheritance Explain the distinction between therapeutic and reproductive cloning The key terms glossary can be used for general discussion as a hand out. This could be used either before watching the film, to set the scene and establish some basics. Alternatively, it can be used after students have seen the film, as a way of gauging their understanding of the story. Another suggestion is to show students the glossary before the film, and ask them to note which terms they think they know and which they don’t. Then they can see whether the film helps them to understand terms they are not sure of. Students can also be set a more formal activity of matching up the key terms with their definitions. Their answers can then be judged in class using the correct answer sheet. Gene A section of DNA containing information that determines physical and other characteristics. Stem cell A cell that has the capacity to differentiate into one or more other types of cell Genome The entire genetic make-up of a species Clone An organism that is genetically identical to another DNA Deoxyribonucleic acid – a molecule that carries genetic information IVF In vitro fertilisation: where an egg and sperm are fused outside the body Gamete Egg or sperm: a specialised form of cell containing 23 rather than 46 chromosomes. Mutation A random alteration in an organism’s DNA that may cause damage or disease. Nucleus The centre of a cell, where the DNA is stored. Enhancement The process of ‘improving on nature’, eg by genetic engineering to increase IQ Chromosome A strand of DNA carrying a number of genes tightly coiled into a clump. Normal human cells contain 46 of these coils. Sperm and egg cells have only 23. TEACHING PACK Key Terms See if you can write the appropriate definition of each term in the box next to it Gene Stem cell Genome Clone DNA IVF Gamete Mutation Nucleus Enhancement Chromosome TEACHING PACK Timeline - teachers’ notes Learning outcomes ● ● ● ● ● ● Understand the concept of stem cells Understand the processes involved in in vitro fertilisation Understand the role of gametes in reproduction Understand the role of genes in inheritance Discuss the role of regulation in scientific research Explain the distinction between therapeutic and reproductive cloning The timeline exercise is fairly straightforward and works best as group activity. It would work well as a starter exercise. It may be unlikely that students will know the answers straight off, but they should be able to work out that some must come after others. Discussing answers could allow for some explanation of scientific techniques, terminology and developments. 1866 – Mendel’s early research into genetics of pea plants 1944 – Avery, Mcleod & McCarty suggest DNA is responsible for heredity 1953 – Double helix shape of DNA established by Crick and Watson 1956 – First successful bone marrow transplant 1960 – Discovery of stem cells in bone marrow 1978 – Louise Brown, first IVF baby, is born 1989 – Pre-implantation genetic diagnosis developed (removal of a cell from an IVF embryo + testing for genetic disease) 1990 – Human fertilisation and embryology act is passed in Britain. It allows human embryos to be created and destroyed for research, and IVF to be carried out under licence. 1996 – Dolly, the cloned sheep, is born 1998 – First human embryonic stem cells created from leftover IVF embryos 2004 – Researchers in Korea claim to have cloned human embryos and obtained stem cells from them (‘therapeutic cloning’). The claims are later found to be false. 2005 – News reports announce that scientists are progressing towards the creation of ‘artificial gametes’ 2009 – Karim Nayernia and his team at Newcastle announce the creation of artificial sperm from human stem cells 2020? 2030? 2040? 2050? 3000? TEACHING PACK Timeline In Vitro suggests the shape of the future in 2044. How realistic do you think it is? What might be the next big step in science? Here is a selection of significant events in genetics, stem cell science and reproductive technology over the past 150 years. But they are all muddled up. See if you can match the event with its date by writing the correct number in the empty column next to the appropriate year. There are some extra years at the bottom of the table – these years are yet to come. Think about what science might achieve in the future, and write your predictions next to the blank years. 1866 1. Dolly, the cloned sheep, is born 1944 2. Researchers in Korea claim to have cloned human embryos and obtained stem cells from them (‘therapeutic cloning’). The claims are later found to be false. 1953 3. Human fertilisation and embryology act is passed in Britain. It allows human embryos to be created and destroyed for research, and IVF to be carried out under licence 1956 4. Pre-implantation genetic diagnosis developed (removal of a cell from an IVF embryo + testing for genetic disease) 1960 5. First human embryonic stem cells created from leftover IVF embryos 1978 6. Mendel’s early research into genetics of pea plants 1989 7. Avery, Mcleord & McCarty suggest DNA is responsible for heredity 1990 8. News reports announce that scientists are progressing towards the creation of ‘artificial gametes’ 1996 9. Karim Nayernia and his team at Newcastle announce the creation of artificial sperm from human stem cells 1998 10. Discovery of stem cells in bone marrow 2004 11. First successful bone marrow transplant 2005 12. Louise Brown, first IVF baby, is born 2009 13. Double helix shape of DNA established by Crick and Watson 2020? 2030? 2040? 2050? TEACHING PACK Odd one out – teachers’ notes The Odd one Out starter activity can be used at any stage. Students are asked to silently choose the odd one out and be prepared to explain their choice. There is no correct answer as such but it is a good way to start discussion. All the examples given might be regarded as some kind of enhancement. This task could be paired with the ‘enhancements are us’ activity that follow in this pack. NB: the pictures represent plastic surgery; the ‘enhanced’ runner who has artificial lower limbs, and genetically modified pigs. TEACHING PACK Odd one out TEACHING PACK Enhancements R Us – teachers’ notes Learning outcomes: ● ● ● ● Understand why research into genetics and stem cells may be controversial Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in debate about ethical problems Genetic enhancements aren’t a direct focus of the film but are very much a part of the broader issues relating to biotechnology so it might well be appropriate to consider them here. The enhancements exercise works well as a role play. Equally students can use word processors to produce a glossy brochure if IT is available. Fertility treatments are often regarded as being fairly straightforward medical procedures if they are made available to heterosexual couples of normal reproductive age. However, it is when they allow for reproduction outside these parameters that they become controversial. Arguably, this is because they are seen as ‘enhancing’ human beings (ie by allowing postmenopausal women to have children) rather than meeting medical needs per se. However, the exact distinction between therapeutic intervention and enhancement can be tricky to articulate. It is interesting to consider the story of Oscar Pistorius here, the South African Sprinter who has no lower legs. The “blades” he uses to run have, it has been argued, allowed him to run faster than an able bodied runner of the same build because of the extended stretch he is able to achieve. There is still a debate as to his involvement in mainstream athletics. How does his situation compare with the possibility of genetic enhancements? TEACHING PACK Enhancements R Us Stage 1 Imagine that you are a company specialising in human enhancement. You originally began by developing remedies for genetic diseases but now you have developed a range of genetic enhancements. These are modifications that can do a number of things. Improving IQ might be one. You could also produce genetic alterations to increase people’s stamina and strength. A genetic treatment to reduce the amount of sleep a person needs might appeal to military personnel, as well as people who work night shifts, and perhaps also the average person who would like to find more time in the day. You understand that the “white heat” of genetic technology allows for some creative thinking about the future. Your task is to produce a brochure or presentation to advertise your services. In your brochure/presentation what enhancements would you offer? Who would you promote them to, and how? Stage 2 Your brochure/presentation has caused some consternation in the media and you have been invited onto the “One Show” to explain yourself. How would you argue that what you are proposing was acceptable? Prepare what you would say and deliver your message to the rest of the class. TEACHING PACK The double-edged sword – teachers’ notes ● ● ● ● Understand why research into genetics and stem cells may be controversial Recognise the role of regulation in scientific research Recognise areas of ethical dispute Be able to participate in a debate about ethical problems The double edged sword activity would be a suitable way of completing the topic in preparation for debate or essay preparation. The arguments used here are quite basic and without much explanation. Students could be given the opportunity to research more arguments or to develop them further. They could be given the blank sheet to fill themselves. This task might be a useful starter for one of the other activities in this pack, eg the 8 dilemmas, or the interpretation activity. TEACHING PACK The double-edged sword Good Bad TEACHING PACK These are some of the arguments that might be used in a debate about the issues in the film. They demonstrate the way in which biotechnology can be a double edged sword: it offers negatives and positives. The same might be said about nuclear power; it may produce a reliable power source but may also result in waste that is extremely hazardous. Look at the points listed below and place them either side of the double edged sword. Use the arguments to have a formal debate on the issues you have been studying. ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Infertile couples will be able to have children Couples will be able to choose the sex of their children Parents will be able to choose the physical characteristics of their children Deceased siblings can be replaced with identical copies Genetic disorder will be eradicated Jobs will be created People will live longer We will know more about our health prospects Insurance companies will adapt premiums Employers will use genetic information when recruiting Genetic information can be used and stored Some corporations will make lots of money Clones may be discriminated against A new underclass might develop Transgenic disease might be created God might punish us New genetic diseases might be created New mutations might be introduced Clones might feel that their future is determined too clearly A mistake in genetics will have consequences that go on for ever New technologies will be expensive, and the gap between rich and poor will increase New human organs could be made for people with heart, lung or kidney failure TEACHING PACK Artificial gametes: 8 dilemmas – teachers’ notes Learning outcomes: ● ● ● ● ● ● Understand the concept of stem cells Understand why research into genetics and stem cells may be controversial Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in debate about ethical problems These scenarios offer different ways of exploring the implications of artificial gametes. Students can be asked to tackle the scenarios in pairs, and then compare their results with other pairs. They can then be gradually encouraged to explore reasons why there may be different answers, and why people may have different feelings about these possibilities. It may be useful to try altering details of the suggested cases, to see if that changes people’s views. Would it make a difference if the people concerned were older or younger? What about their previous lifestyle – does this make a difference as to whether they should be allowed to use artificial gametes? Leading on from this, it should be possible to start a more in depth discussion about what kind of consideration is important, and how differences of opinion should be dealt with. In particular, does it matter when individuals’ opinions differ? What about when scientists’ views differ? What about policymakers, etc? How should the law decide whose view has most weight? Or should everyone be able to do whatever they like….? Role play This exercise can also be done as a role play: a spokesperson for each case can put their claim forward, while another student plays the part of the decision-maker. Extension work: some additional points to discuss ● What about consent? Two of the cases here involve people who can’t consent. One is a child. Does that make a difference? ● Who pays? Should people have to pay for this treatment themselves, or should it be provided by the National Health Service? ● Why artificial gametes and not donated sperm or eggs? In some of the cases described here, donated gametes could be used. Why might people prefer to use artificial ones? Should this make a difference when deciding whether it should be allowed? Some of these cases involve the use of a surrogate. Is this OK in some, all or none of the cases? Why/why not? TEACHING PACK Artificial gametes: 8 dilemmas You have been asked to decide whether these people should be able to use artificial gametes or not. Do you think any, or all of them should be allowed? What reasons will you give for your decision? Steve, 47 and Gordon, 39, have been together 3 years. They want to have a child genetically related to them both. Gordon will provide a cell that will become an egg. Steve will provide his own sperm. They will need a surrogate mother. Samantha is 62. She spent years working for charity. Her partner died when she was 38, and she’s been single ever since. She is past the menopause. But using artificial gametes, she could develop sperm and egg cells from her bone marrow to have a child. Samir is 4 years old. He is an only child. He is brain-dead after a car crash. His parents ask doctors to take bone marrow cells from Samir before the life-support machine is turned off. They hope to have the cells turned into sperm so that one day they will have a grandchild. Elise is 35. She is a member of the Opus Dei religious community. As part of her religious vows, she has sworn to remain a virgin for life. With artificial gametes, she could have a child without ever having to have sex. Peter is a scientist working on embryonic stem cells. He wants to use artificial gametes to create embryos which he will use in his research. He plans to create the artificial gametes using bone marrow cells that members of the public have donated for research. Martin is 62. He has been in and out of prison a lot, and had a drugs problem but is doing much better now. He wants to find a clinic where he can have his bone marrow extracted and used to create egg cells that he can fertilise with his own sperm. Tawanda is 26. He and his wife, Joy, 27, want to have a family, but Tawanda suffers from a congenital problem that means he cannot produce sperm. He hopes to have sperm manufactured from his bone marrow so that he and his wife can have a child who is genetically related to them both. Gillian has heard of a clinic where skin cells can be developed into artificial sperm or egg cells. Tony, her husband, always refused to have children with her. Tony recently left Gillian for another woman. Gillian plans to collect Tony’s discarded cells from his toothbrush or clothes, get them turned into sperm, and have his child. TEACHING PACK A world of women? – teachers’ notes Learning outcomes: ● ● ● ● ● Understand the concept of stem cells Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in a debate about ethical problems Much of the media attention that has centred on the prospect of artificial gametes seems to focus on the idea that men may become redundant if their sperm is no longer required for reproduction. For this task, students should try to imagine a future where the need for men in the process of human reproduction has been removed. They can then discuss their ideas in class. TEACHING PACK A world of women? In the film a woman is able to fertilise her egg with sperm created from her own bone marrow. This suggests that it might be possible to dispense with the male contribution to reproduction altogether. If we don’t need men for reproduction, do we need them at all? Might they simply become outdated, and redundant? Would they gradually die out? What implications would that have to the way in which we live our lives? What would such a world be like? In each of the boxes below indicate a way in which things might change in the featured areas. Relationships Politics Warfare Business The media Home life The workplace The welfare state TEACHING PACK Choices and questions – teachers’ notes Learning outcomes: ● ● ● ● ● Understand why research into genetics and stem cells may be controversial Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in a debate about ethical problems The quotes provided here may offer good stimulus for discussion. Students can then consider some of the questions on the following sheet. This could be used as a starter or plenary activity. The additional questions and material can be used independently of the quotes or in conjunction with them. TEACHING PACK Choices and questions – part 1 “We do not have to accept any of these future worlds under the false banner of liberty, be it that of unlimited reproductive rights or of unfettered scientific enquiry. We do not have to regard ourselves as slaves to inevitable technological progress when that progress does not serve human ends. True freedom means the freedom of political communities to protect the values they hold most dear, and it is that freedom that we need to exercise with regard to the biotechnology revolution today.” An edited extract from Our Posthuman Future by Francis Fukuyama. “The fuss about cloning is rather silly, I can’t see any essential distinction between cloning and producing brothers and sisters in the time honoured way.” Stephen Hawking “Stem cell research holds the promise of hope for 100 million people living with incurable diseases from diabetes to heart conditions to Alzheimer's to Parkinson's, ALS, MS, and spinal cord injury.” Christopher Reeve (the actor who played Superman before an accident that left him paralysed from the neck down.) “What we must repeat with force is the equal dignity of every human being, for the sole fact of having been brought to life. One's biological, psychological and cultural development and health can never become an element for discrimination." Pope Benedict XVI “It’s a law of the universe...you can’t undo what you have done...if you are going to mess with the fundamentals, you had better make sure you’re on solid ground” Rachel, In Vitro TEACHING PACK Choices and questions part 2 ● ● ● How would you feel if you were created from artificial gametes? How might it affect your relationship with your mother/father? How similar would your future be to theirs? In the film the Samsara organisation seems to have legal rights that extend into the life of Sophia, even beyond the grave. ● ● ● If private firms had a part to play in our genetic construction, what rights over us should they have? Should they have any rights over our own genetic make-up? Can any organisation own the rights to DNA? The UN declaration of human rights states clearly that humans share basic rights: “All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood.” ● ● ● ● ● ● Can you envisage a time when there might be a distinction made between people based on how they were conceived? Would it be fair that some people might be born with genetic advantages that had been paid for? Is it right that people like Lily’s mother suffer as part of the scientific process of genetic experimentation? Is having a child a fundamental right? How do religious believers respond to these questions? Will the law offer society suitable guidance? TEACHING PACK Movie review – teachers’ notes Learning outcomes: ● ● ● ● Understand the concept of stem cells Understand why research into genetics and stem cells may be controversial Understand the role of chromosomes in gamete formation and reproduction Recognise the role of regulation in scientific research As well as giving students a chance to consider the issues raised by the film, writing a review offers a way of assessing students’ ability to summarise and present the scientific concepts presented in the film. The In Vitro review could be written in the lesson or set as homework. The suggested films also offer opportunities to explore an array of related issues such as cloning, designer babies and artificial intelligence. TEACHING PACK Movie Review There a number of films that have been seen in the nation’s cinemas that cover aspects relating to the issues raise in In Vitro. You might have a copy of one of them at home. Your task is to write a film review for one of them. If you can watch it, do so. Your review must include commentary on the main issues and questions raised in the film. Here are some good examples. Notice that In Vitro is first on the list. In Vitro The Island The Boys From Brazil AI Robots Bicentannial Man Gattaca A movie review should briefly summarise the plot, but without giving too much away about how it ends. The review should tell the reader what genre of film is being discussed. It should enable the reader to know what was good about the film, and what was not so good. The review should highlight the questions that a particular film explores. (Not all films necessarily explore questions in this way, but all those listed above certainly do!) A review may also compare films within genres. All these elements help readers to decide whether it sounds like their kind of film. TEACHING PACK A media frenzy – teachers’ notes This material can be used as part of an initial briefing or it can be used as material for debate and discussion later in the programme. It relates specifically to the production of artificial gametes in 2009 and the surrounding controversy. TEACHING PACK A media frenzy The making of In Vitro coincided with a controversial 2009 report in the Scientific Journal “Stem Cells and Development”. The report was an account of how Professor Nayernia of Newcastle University had created human sperm from the stem cells taken from an embryo (artificial gametes). The stated aim of such research was the ability to allow infertile men to still produce their own genetic offspring. Since the publication there has been discussion as to the nature of the artificial gamete and the extent to which it can be classified fully as human sperm. The picture below was published in the national press at the time and is a magnified image of the creation. A media storm surrounded this publication. If you go on-line you will find plenty of articles about the research and resulting controversy. In this pack, we have included two articles that cover the topic of artificial gametes. Read the Daily Mail article that follows, and: ● ● ● ● ● ● ● ● ● Summarise the main points made in the article. Make a list of the facts that the author uses. Make a list of assumptions that are made? What opinion does the article offer? In your judgement, are the arguments good? Write a page replying to this article is if you were one of the following characters: ○ Professor Nayernia ○ Rachel ○ Lilly ○ The Managing Director of Samsara ○ The director of In Vitro Compare the Daily Mail article with the one from The Independent. Which do you think is better, and why? Are they both trying to do the same thing? TEACHING PACK Are we on the brink of a society without any need for men? Michael Hanlon. Daily Mail. 8th July 2009 Despite all the twists and turns taken in the new world of reproductive medicine, the news that a scientific team is trying to make the male human redundant is still profoundly shocking. For the first time, the possibility of 'parthenogenesis' - or 'virgin reproduction' - has come within scientific reach. Put at its crudest, we now face the possibility of a world where women do not need men to make babies - with all of the immense moral, ethical and philosophical questions that raises. Certainly, from a scientific point of view, the very fact that Newcastle University scientist Karim Nayernia has apparently succeeded in producing artificially-grown human sperm from stem cells is groundbreaking. His stated aim is to one day use this technique to help infertile men to have children. But the fear must be that this opens the door to a whole new era of 'assisted reproduction' that is of an entirely different scientific order from anything we have seen before. Professor Nayernia has so far already used his technique to create baby mice, using sperm created in the laboratory from mouse stem cells. He has also used the same technique to create human sperm. Though this sperm has not been used to fertilise a human egg, the nightmare is simply that we now stand on the brink of a new era where the whole business of bearing children has nothing to do with a biological mother and father at all. For example, the cells of a gay woman could be used to create sperm with which to fertilise her partner's egg. In an even more extreme scenario, a woman could, in theory, one day be both mother and father to her own child. The possibilities are mind-boggling. But first, the caveats. Professor Nayernia is not (so far) able to use stem cells from female embryos to produce sperm (though he has certainly tried to do so). His technique only worked using stem cells taken from male embryos. That alone would appear to rule out, for the time being, the science-fiction scenario of a world where men become reproductively redundant and women would be the supreme biological beings. Secondly, no one (so far) is testing the new technique to make human offspring at all, only human sperm. After all, to do so would not only be foolish and immoral, but illegal in Europe, America and most civilised nations. Moreover, the health risks are enormous. Although live baby mice were produced using the artificially created 'sperm', the unfortunate offspring were far from healthy, suffering from various growth and respiratory problems. But these caveats notwithstanding, there is no denying that the genie is now well and truly out of the bottle and we must now ask ourselves where this technology could one day take us. Combined with the inevitable advances in (related) cloning techniques which are sure to emerge from shady and unregulated labs, a bizarre future beckons, a future in which the wealthy and unscrupulous will be able to create offspring using any number of artificial means. It is important to stress that such techniques are of a wholly different order to the assisted reproduction methods routinely used in IVF laboratories around the world today. IVF, in reality, amounts to no more than giving nature a helping-hand. You still need sperm, made by adult men, and eggs, made by adult women. The sperm and/or the eggs can be donated, as can the wombs used to grow the foetus, but the fundamentals of sexual reproduction remain unchanged. But if - and it is still a big if - scientists could one day use cells from female embryos to produce sperm, or perhaps even DNA extracted from an adult's skin or cheek-lining cells, then we truly would be living in a terrifying new era. TEACHING PACK The prospect of all-female conception By Steve Connor, Science Editor. The Independent. Friday, 13 April 2007 http://www.independent.co.uk/news/science/the-prospect-of-allfemale-conception-444464.html Women might soon be able to produce sperm in a development that could allow lesbian couples to have their own biological daughters, according to a pioneering study published today. Scientists are seeking ethical permission to produce synthetic sperm cells from a woman's bone marrow tissue after showing that it possible to produce rudimentary sperm cells from male bone-marrow tissue. The researchers said they had already produced early sperm cells from bone-marrow tissue taken from men. They believe the findings show that it may be possible to restore fertility to men who cannot naturally produce their own sperm. But the results also raise the prospect of being able to take bone-marrow tissue from women and coaxing the stem cells within the female tissue to develop into sperm cells, said Professor Karim Nayernia of the University of Newcastle upon Tyne. Creating sperm from women would mean they would only be able to produce daughters because the Y chromosome of male sperm would still be needed to produce sons. The latest research brings the prospect of female-only conception a step closer. “Theoretically is it possible,” Professor Nayernia said. “The problem is whether the sperm cells are functional or not. I don't think there is an ethical barrier, so long as it's safe. We are in the process of applying for ethical approval. We are preparing now to apply to use the existing bone marrow stem cell bank here in Newcastle. We need permission from the patient who supplied the bone marrow, the ethics committee and the hospital itself.” If sperm cells can be developed from female bone-marrow tissue they will be matured in the laboratory and tested for their ability to penetrate the outer “shell” of a hamster's egg - a standard fertility test for sperm. “We want to test the functionality of any male and female sperm that is made by this way,” Professor Nayernia said. But he said there was no intention at this stage to produce female sperm that would be used to fertilise a human egg, a move that would require the approval of the Human Fertilisation and Embryology Authority. The immediate aim is to see if female bone marrow can be lured into developing into the stem cells that can make sperm cells. The ultimate aim is to discover if these secondary stem cells can then be made into other useful tissues of the body, he said. The latest findings, published in the journal Reproduction: Gamete Biology, show that male bone marrow can be used to make the early "spermatagonial" stem cells that normally mature into fully developed sperm cells. “Our next goal is to see if we can get the spermatagonial stem cells to progress to mature sperm in the laboratory and this should take around three to five years of experiments,” Professor Nayernia said. Last year, Professor Nayernia led scientists at the University of Gottingen in Germany who became the first to produce viable artificial sperm from mouse embryonic stem cells, which were used to produce seven live offspring. His latest work on stem cells derived from human bone marrow suggests that it could be possible to develop the techniques to help men who cannot produce their own sperm naturally. “We're very excited about this discovery, particularly as our earlier work in mice suggests that we could develop this work even further,” Professor Nayernia said. Whether the scientists will ever be able to develop the techniques to help real patients - male or female - will depend on future legislation that the Government is preparing as a replacement to the existing Human Fertilisation and Embryology Act. A White Paper on genetics suggested that artificial gametes produced from the ordinary "somatic" tissue of the body may be banned from being used to fertilise human eggs by in vitro fertilisation. TEACHING PACK The science behind In Vitro – teachers’ notes Learning outcomes ● ● Understand the concept of stem cells Understand the role of chromosomes in gamete formation and reproduction Students can be asked to answer these questions on the basis of what they have seen in the film, or they can be asked to research the answers. Answers are included here so that non-science teachers can also make use of this activity. 1. What are stem cells? How are they different from other cells? 2. 3. 4. 5. 6. Many cells in the body are specialised to perform particular tasks, eg muscle cells, or blood cells. Stem cells are not yet specialised and they have the potential to differentiate into other cell types. Why might stem cells be helpful in fighting cancer? If stem cells could be ‘reprogrammed’ to become lung cells it might be possible to replace damaged cells with newly-developed cells that are free of the disease. Why might it be possible to create sperm or egg cells from stem cells? If stem cells can be used to develop into all other cell types, then they could develop into gametes (sperm or egg cells) How are gametes different from other cells in the body? Sperm and egg cells have only 23 chromosomes. All other cells in the body have 46. This means that when a sperm and egg fuse, the resulting fertilised egg now has the requisite 46 genes, 23 from each parent. What aspects of Rachel’s technique might be risky, and why? Sperm created from stem cells doesn’t go through the same processes of gamete formation as normal sperm cells. We don’t know whether this might be risky. Rachel used her own stem cells, so the sperm comes from ‘female’ cells. It is possible that this could result in ‘imprinting’ errors. IE, usually not every gene contained in a chromosome is ‘expressed’. Whether a gene is expressed or not depends partly on whether it’s inherited from the father or the mother. Rachel fertilised her own egg. In reproduction between close family members, there is a higher risk of duplications of recessive conditions. Rachel’s technique is analogous to reproducing with a twin sibling. How is Rachel’s technique different from cloning? In cloning, the entire nucleus from an adult cell is injected into an empty egg cell. There is no ‘fertilisation’ per se. Rachel’s technique involved an artificially-created sperm and a natural egg. Both the sperm and the egg had 23 chromosomes, so fertilisation was much more like what it would be in normal reproduction. In cloning, the offspring would be genetically identical to the parent. But the creation of gametes involves a ‘reshuffling’ of genetic information. This is why for example, children of the same parents are not identical to each other. Each egg and each sperm is genetically unique. So although Rachel only used her own genetic material to create gametes, they are still ‘reshuffled’ and her child is therefore not an exact replica of her. TEACHING PACK The science behind In Vitro 1. What are stem cells? How are they different from other cells? 2. Why might stem cells be helpful in fighting cancer? 3. Why might it be possible to create sperm or egg cells from stem cells? 4. How are gametes different from other cells in the body? 5. What aspects of Rachel’s technique might be risky, and why? 6. How is Rachel’s technique different from cloning? TEACHING PACK Debate – teachers’ notes Learning outcomes ● ● ● ● ● Understand why research into genetics and stem cells may be controversial Recognise the role of regulation in scientific research Discuss the controversial aspects of research into reproductive technology Recognise areas of ethical dispute Be able to participate in debate about ethical problems Two questions are suggested for a debate here. Students can be divided into two groups – one to argue each side of the question. Each group must draw up an argument to support its case. One student from each group should present the argument at the end. The class can then vote on which argument they found most convincing. We have included some suggestions for issues to consider. Teachers may find it helpful to draw on these if students are getting stuck. 1. Was Rachel wrong to create Sofia from sperm made from her own bone marrow? Motivations and intentions: Rachel was arrogant. She wanted people to pay attention. She wanted to make a name for herself. We might think this argues against what she did. But we should also ask whether scientists should have the willingness to take risks and probe at boundaries. Perhaps developments in science are dependent on scientists having some arrogance and ambitious motivations. If so, then to manage these characteristics, we might think that we need to have systems in place to limit what scientists can do. Outcomes: Can we say that the outcomes have been bad? We know that Sofia is dead, but we do not know for sure whether Sofia’s leukaemia was caused by what Rachel did. Sofia might have been glad to have been alive even if she did die early. Who decides whether a life is worthwhile? We also need to remember that Lilian has been born as a result of Sofia’s birth. If Rachel had not conceived Sofia, Lilian would not have come into existence. Does this count as a positive outcome or not? In the film, we are told that many other people have used this technique. Rachel says that single women, same-sex couples, etc. have all used artificial gametes. The film implies that – as yet – there have been no adverse effects to anyone else. 2. Should there be regulations to stop people from experimenting with artificial gametes today? Some people might argue that tampering with natural processes is inherently wrong. But does this mean that nearly all of modern society and medicine is wrong as well…? If not, how can we show which things are wrong and which aren’t? Some people think that children need two parents, one of each sex, and that it’s wrong to create children knowing that they won’t have this. But is it worse to be born with only one parent, or with two same sex parents than not to be born at all? Does this comparison even make sense? Do we know for a fact that children really need both a father and a mother? TEACHING PACK Debate Below are two questions that relate to the film In Vitro. See if you can draw up a convincing argument for your side. Some tips have been given to help you identify aspects of each question that need to be addressed. 1. Was Rachel was wrong to create Sofia from sperm made from her own bone marrow? ○ Think about motivations and intentions ○ Think about the outcomes of Rachel’s act. Can we say that the outcomes have been bad? 2. Should there be regulations to stop people from experimenting with artificial gametes today? ○ Think about the role of regulation in scientific research. What is it for? Are there some things you think scientists definitely shouldn’t be allowed to do. ○ Is there a difference between avoiding risk and preventing unethical behaviour? ■If artificial gametes were shown to be safe, should they be illegal on other grounds? ■What other factors might be thought to make it immoral to use artificial gametes? TEACHING PACK Glossary BIOTECHNOLOGY: the use of microorganisms such as bacteria or biological substances such as enzymes, to perform industrial or manufacturing processes BIOETHICS: the moral debates surrounding developments in biological science CHROMOSOME: A DNA-containing body, located in the cells of most living things, that holds most of the organism's genes. CLONE: a group of identical cells that share a common ancestry, meaning are derived from the same mother cell. CLONING: Therapeutic: Creating clones for the development of gene based medical treatment Reproductive: Creating clones for reproduction only CONGENITAL DISORDER: An abnormality of structure or function or a disease that is present at birth. Congenital disorders also are called birth defects. DNA: Deoxyribonucleic acid, a molecule in all cells, and many viruses, that contains genetic codes for inheritance. DOMINANT: In genetics, a term for a trait that can manifest in the offspring when inherited from only one parent. EUGENICS: the study of methods of improving genetic qualities by selective breeding (especially as applied to human mating) GAMETE: A mature male or female germ cell that possesses a haploid set of chromosomes and is prepared to form a new diploid by undergoing fusion with a haploid gamete of the opposite sex. An ARTIFICIAL GAMETE is a gamete created or developed through scientific processes. GENE: A unit of information about a particular heritable trait. Usually stored on chromosomes, genes contain specifications for the structure of a particular polypeptide or protein. GENE THERAPY: Genetic engineering used to treat genetic disorders. GENETIC ENGINEERING: The alteration of genetic material by direct intervention in genetic processes. GENETIC FINGERPRINT: A sample of a person's DNA that is detailed enough to distinguish it from all other people's DNA. GENETICS: The area of biological study concerned with heredity, with hereditary traits passed down from one generation to the next through the genes, and with the variations between organisms that result from heredity. GENOME: All of the genetic material in the chromosomes of a particular organism. HEREDITY: The transmission of genetic characteristics from ancestor to descendant through the genes. HFEA: The Human fertilization and Embryology Authority, the organization that formulates the rules for all issues relating to fertilization and the use of embryos. IVF: In Vitro Fertilisation - the process whereby the egg is fertilized outside the womb (in vitro literally means ‘in glass’) MUTATION: Alteration in the physical structure of an organism's DNA, resulting in a genetic change that can be inherited. NATURAL SELECTION: The process whereby some organisms thrive and others perish, depending on their degree of adaptation to a particular environment. NUCLEUS: The control center of a cell, where DNA is stored. RECESSIVE: In genetics, a term for a trait that can manifest in the offspring only if it is inherited from both parents. The opposite of dominant. STEM CELL: a blank cell that has the potential to develop into any type of human cell SYNTHESIZE: To manufacture chemically. ZYGOTE: A diploid cell formed by the fusion of two gametes.