web
counter
 

Who Owns the Rights to Your Cell Tissue?

By Rusty | Posted Under Book Reviews | Comments (16)



helacells.jpg

In 1951 a woman named Henrietta Lacks died of an extremely aggressive form of cervical cancer in the “colored” ward of Johns Hopkins. When she first received treatment for the cancer, a sample was cut from her tumor and sent to a lab responsible for trying to culture human cells for research. Henrietta’s cells began to grow, and unlike every other culture before them, they never died. The cells became integral to research on cancer, on the polio vaccine, the HPV vaccine and on many other medical innovations. They were sent into space, and shipped to labs around the world. Millions of dollars have been reaped not just from the outcomes of the research that used Henrietta’s cells, but from the sale of those cells to labs. Henrietta’s family were never informed of her “contribution,” and were not aware that her cells were being used in research until 20 years later. How her cells were being used was not fully explained to them until the early years of this decade when a researcher contacted by Rebecca Skloot, the author of this book, took the time to show Henrietta’s daughter and one of her sons around his lab and discuss the issue with them. Most of her children can not afford health insurance to pay for the drugs their mother’s cells helped develop.

Obviously there’s a lot of complications with the issue of provenance of tissues used in research, but at least at current time individuals must be notified if their tissues are going to be used for research purposes. Henrietta lived at a time when no such notification was required. Skloot does some background on other cases involving ownership of tissues, including one where the Supreme Court declared that patients could not assert ownership over tissues or fluids removed by medical professionals. This has led to the labs which collect these materials taking ownership in them, and an even more complicated legal landscape where genes for hereditary diseases are patented by the labs who develop the test for them, and those diseases can’t be tested for without paying fees to the lab for each individual tested and other labs can’t research the genes themselves to develop alternate therapies or medications. It’s difficult to see how this is less of a barrier to the progress of medical research than it would be for patients to own parts of their own bodies.

What Skloot mostly does with this book, though, is delve into the history of Henrietta herself and the lives of her family. Skloot becomes close with Henrietta’s daughter, Deborah, who is initially reluctant to talk to the author given previous attempt to extort money from the family or unflattering portrayals by others in the media. Eventually, Skloot gains the family’s trust, and includes Deborah on many of her fact finding missions and even taking the time to track down the history of Henrietta’s oldest daughter who died at the Crownsville insane asylum when she was only 15.

The Immortal Life of Henrietta Lacks is a good overview of the scientific research made possible by the HeLa cell line, and gives the reader a workable knowledge of issues facing the biomedical research community today. Where it stands out, though, is where it takes the extra time to really connect with the human element; Henrietta and her family are the main characters in this book, not the famous cell line. It’s also a book that examines the darker side of research science, a field my mother worked in for many years and which I have deep respect for. However, just as in any field, is the few who spoil it for the many and the accounts of breathtaking arrogance by researchers using human subjects helps to make clear why consent forms are necessary today.

After her time with the family, Rebecca Skloot started the Henrietta Lacks Foundation to provide scholarships and funds to cover health care costs for descendants of Henrietta Lacks. Donations can be made here. As someone who has benefited from the many advancements Ms.Lacks unique cell line made possible, I’ve already got them on my list for the next time I’ve got a spare $20 to donate

This review is part of the Cannonball Read series. For more of Rusty’s reviews, do check out her blog, Rusty’s Ventures.









Each Time You Like, Share, Tweet or Stumble a Pajiba Post, An Angel Does the Paul Rudd Dance



Your Morning Awkwardness | James Stewart Pitted in Fierce Awkward-Off | Takers 2nd Trailer | Can We Start An Official "Save Idris Elba" Campaign?









Comments

I learned about Lacks and HeLa from, of all places, Cracked.com.

It is weird to realize that even Law & Order can do an episode based on this, and yet it is still mostly obscure.

Aw crap the italics are running wild again...

Posted by: Vermillion at June 10, 2010 8:41 AM

I heard Rebecca Skloot on NPR not long ago talking about the book and Henrietta's family; fascinating stuff.

Posted by: Kristen at June 10, 2010 8:55 AM

This was a really great review of a fascinating subject, Rusty. I somehow managed to avoid all knowledge of this book, so thanks for bringing it to my attention. Off to amazon...

Posted by: dsbs at June 10, 2010 9:38 AM

Nice review. This part:
This has led to the labs which collect these materials taking ownership in them, and an even more complicated legal landscape where genes for hereditary diseases are patented by the labs who develop the test for them, and those diseases can’t be tested for without paying fees to the lab for each individual tested and other labs can’t research the genes themselves to develop alternate therapies or medications.

makes me boiling mad. I've been reading a lot about this kind of bullshit with bioengineered seed patents and the like. Just greed, greed, and more greed and damn the morality of it. Also, the Supreme Court has proved again and again that they make awful decisions from time to time. In many ways they tend to side with corporations over individuals which makes them exceedingly dangerous and untrustworthy.

Posted by: TylerDFC at June 10, 2010 10:08 AM

Ooh, I read a review of this a while back and was wondering if it was good. Thanks Genny!

Posted by: Julie at June 10, 2010 11:28 AM

I was just about to tackle this book- living in DC and shadow of Johns Hopkins, it got a lot of press. Ms. Sloot did the rounds, even Daily Show, when it came it.

Posted by: bananapanda at June 10, 2010 11:49 AM

I think I love you, Rusty. Embryology and public health is what I'm focusing my masters on, so you, in a single word, ROCK. Geekgasm!

If anyone is interested in the ethics of stem cell research, the book does a very good job of boiling down complex scientific research and legal terminology into a format that is easily digestible for a lay audience. Kind of like saltines and ginger ale, but with more flava and pizazz.

Posted by: Ulterior Motive Girl at June 10, 2010 3:08 PM

Posted by: idiosynchronic at June 10, 2010 3:50 PM

Interesting topic: I've used HeLa cells in my research lab before. It's a popular cell line used for all sorts of experiments. Most labs working with eukaryotic cell lines also have HeLa cells. They're hardy, they grow like weeds, and are essentially immortal. Although I've known the origin of those cells I never thought about the issue of compensation for the Lacks family..well, not until this controversey started making headlines.

Certainly, HeLa cells have been instrumental in advancing science and our understanding of biology. There is nothing really special about the cells though, other than the fact that they are a cancer cell line. The scientists could have isolated cancer cells from other patients. In fact, there are indeed other cancer cell lines that exist (HeLa isn't the only one) that have been isolated from patients and are now used for research purposes. I don't think the patients (or their families) are necessarily entitled to some monetary compensation but they do have the right to either allow or deny the use of their tissues for scientific research. Unfortunately, for Mrs. Lacks, she lived in a time where there was no system of consent forms . This demonstrates the importance of consent forms involving the use of biological samples for research. Having said that, the researchers who isolated cells from Mrs. Lacks didn't do anything wrong either.

Posted by: Macrophage at June 10, 2010 5:16 PM

Macrophage, at the time, no one was profiting off of cell lines, so aside from the consent issue, it wasn't a matter of money. However, her cells were the first ones to be cultured and started the whole industry. In the book it also describes how researchers were harassing her family for blood samples and the like over the years.

Posted by: sunbeam at June 10, 2010 7:00 PM

I heard about this book when Skloot was on the Colbert Report. She told the story of how Henrietta's husband was notified, how he had no concept of what a cell was and that to him, it was essentially as though they were saying his wife was still alive in lab being experimented on.

I'd nearly forgotten about this. I'll have to look for it and give it a read.

Posted by: Uda at June 11, 2010 12:55 AM

I'm almost done with this book - it is so utterly fascinating. I suggest to anyone with an even passing interest in this book to check it out - you won't be able to put it down.

Posted by: B.F.D. at June 11, 2010 1:07 PM

Sunbeam, I'm not sure her cells were the first to be cultured...but it was the first cell line to be able to keep propagating (at least that's what I remember- I could be wrong). Most cells that are isolated grow for a certain amount of time and then stop dividing, despite being constantly taken care of and fed (something called the Hayflick limit). Since HeLa cells are cancer cells, as most cancers do, grow without restraint and so they can be grown forever, which would obviously facilitate research (One doesn't need to keep extracting cells everytime they are needed). You read the book (I think) Sunbeam, so perhaps you know for sure.

Well, I plan on giving this a read - sounds interesting.

Posted by: Macrophage at June 11, 2010 4:13 PM

Looks like a fascinating book. Thanks for the review. I will go and get myself a copy.

Posted by: healthy life lover at June 15, 2010 8:22 AM

The story's most incredible because of the chance find that the researcher came across in the protagonist's cells. Her cells, it turns out, were taken from her without her consent or knowledge, and her kin only found out when the researchers needed more of them, and so consulted them about submitting to cell samplings. No one else in her family had these immortal cells that Lacks had, which went on to accomplish some of the most important research and findings in medical history (polio vaccine, important AIDS work, etc.).

Posted by: rolodexter at June 16, 2010 2:08 PM

Hello would you mind letting me know which web host you're working with? I've loaded your blog in 3 completely different internet browsers and I must say this blog loads a lot quicker then most. Can you suggest a good web hosting provider at a reasonable price? Many thanks, I appreciate it!

Posted by: Charita Bemben at March 22, 2011 8:51 PM