Abstract
In recent decades, significant time, money and energy have been invested in the attempt to harness the regenerative power of stem cells to ameliorate the pain and suffering in a wide range of illnesses and injuries—from autoimmune disorders, congenital diseases and degenerative neurological conditions to acquired brain and spinal cord injuries. Here stem cells are often posited as a ‘holy grail’ with magical powers just waiting to be unlocked or revealed to the world through the toil and labour of those pioneers at the cutting edge of research. It is in this heightened context of anticipation and expectation that significant investments are also made by those on the other side of the bench; the people and their loved ones seeking help for the conditions and illnesses with which they live and die. For some, this investment involves at least considering, and often travelling to receive, experimental stem cell treatments (SCTs). Drawing on qualitative interviews with patients and carers who have made these journeys, this chapter offers a complex and contextualised picture for better understanding and responding to the needs of the increasing numbers of people considering or travelling overseas or within their own country for experimental SCTs.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- HIV:
-
Human immunodeficiency virus
- ISSCR:
-
International Society for Stem Cell Research
- IV:
-
Intravenous therapy
- SCT:
-
Stem cell treatment
- US:
-
United States
References
Seear K, Petersen A, Munsie M, Skinner R (2010) Hopeful journeys: experiences of stem cell treatments offered outside Australia: Final report. Monash Clayton: School of Political and Social Inquiry. http://www.innovation.gov.au/industry/nanotechnology/PublicAwarenessandEngagement/Documents/Hopeful_Journeys_Stem_Cell_Treatment.pdf. Accessed 10 Nov 2013
Petersen A, Munsie M (2012) Project website: high hopes, high risks? A sociological study of stem cell tourism. http://artsonline.monash.edu.au/stem-cell-tourism-research-project/. Accessed 10 Nov 2013
Hayden A (2013) Stem-cell transplants may purge HIV. Nature. http://www.nature.com/news/stem-cell-transplants-may-purge-hiv-1.13297. Accessed 10 Nov 2013
Whiteman H (2013) Future blindness cure? Stem cell success in lab. Medica News Today. http://www.medicalnewstoday.com/articles/263749.php. Accessed 10 Nov 2013
Coghlan A (2013) Stem-cell treatment restores sight to blind man. New Scientist. http://www.newscientist.com/article/dn23568-stemcell-treatment-restores-sight-to-blind-man.html#.Un2DWijka-8. Accessed 10 Nov 2013
Veranasi A (2013) Stem cell therapy helps 26-yr-old man walk again. MidDay. http://www.mid-day.com/news/2013/nov/081113-stem-cell-therapy-helps-26-yr-old-man-walk-again.htm. Accessed 10 Nov 2013
Daley G (2012) The promise and perils of stem cell therapeutics. Cell Stem Cell 10:740–749. doi:10.1016/j.stem.2012.05.010
Brown N (2003) Hope against hype—accountability in biopasts, presents and futures. Sci Stud 16(2):3–21
Williams-Jones B (2004) A spoonful of trust helps nanotech go down. Health Law Rev 12(3):10–13
Williams-Jones B, Corrigan OP (2003) Rhetoric and hype: where’s the ‘ethics’ in pharmacogenomics. Am J Pharmacogenomics 3(6):375–383
Petersen A (2009) The ethics of expectations: biobanks and the promise of personalized medicine. Monash Bioeth Rev 28(1):5.1–5.12
Bubela TM, Caulfield T (2004) Do the print media “hype” genetics research? A comparison of newspaper stories and peer-reviewed research papers. Can Med Assoc J 170(9):1399–1407
Master Z, Resnik D (2013) Hype and public trust in science. Sci Eng Ethics 19:321–335. doi:10.1007/s11948-011-9327-6
Murdoch CE, Scott CT (2010) Stem cell tourism and the power of hope. Am J Bioeth 10(5):16–23. doi:10.1080/15265161003728860
Ryan KA, Sanders AM, Wang DD, Levine AD (2010) Tracking the rise of stem cell tourism. Regen Med 5(1):27–33. doi:10.2217/rme.09.70
Master Z, Resnik DB (2011) Stem-cell tourism and scientific responsibility. EMBO Rep 12(10):992–995. doi:10.1038/embor.2011.156
Kiatpongsan S, Sipp D (2009) Medicine: monitoring and regulating offshore stem cell clinics. Science 323:1564–1565. doi:10.1126/science.1168451
Knowles LP (2009). Stem cell hype and the dangers of stem cell ‘tourism.’ Ethics White Paper for the Stem Cell Network. http://www.stemcellnetwork.ca/uploads/File/whitepapers/Stem-Cell-Hype.pdf. Accessed 10 Nov 2013
Petersen A, Seear K, Munsie M (2013) Therapeutic journeys: the hopeful travails of stem cell Tourists. Sociology of Health and Illness [Epub ahead of print] doi: 10.1111/1467-9566.12092
Downey R, Geransar R (2008) Stem cell research, publics’ and stakeholder views. Health Law Rev 16(2):69–85
Biotechnology Australia (2007) Community attitudes to biotechnology: Report on overall perceptions of biotechnology and general applications. Eureka Project 4001:1–79. http://www.innovation.gov.au/Industry/Nanotechnology/PublicAwarenessandEngagement/Documents/BiotechAustoveralperceptions.pdf. Accessed 10 Nov 2013
Department of Innovation, Industry, Science and Research (2010) Public attitudes towards biotechnology in Australia. http://www.innovation.gov.au/industry/nanotechnology/PublicAwarenessandEngagement/Documents/AustBioAttitude2010.pdf. Accessed 10 Nov 2013
Zarzeczny A, Caulfield T (2010) Stem cell tourism and doctors’ duties to minors—a view from Canada. Am J Bioeth 10(5):3–15. doi:10.1080/15265161003702865
Lau D, Ogbogu U, Taylor B, Stafinski T, Menon D, Caulfield T (2008) Stem cell clinics online: the direct-to-consumer portrayal of stem cell medicine. Cell Stem Cell 3:591–594. doi:10.1016/j.stem.2008.11.001
Petersen A, Seear K (2011) Technologies of hope: techniques of the online advertising of stem cell treatments. New Genet Soc 30(4):329–346. doi:http://dx.doi.org/10.1080/14636778.2011.592003
China Stem Cell News (2010) Treatment brings new vision. Lincoln Times News. http://stemcellschina.com/en/news/septo-optic-dysplasia. Accessed 10 Nov 2013
ISSCR: International Society for Stem Cell Research (2008) Guidelines for the clinical translation of stem cells. http://www.isscr.org/docs/default-source/clin-trans-guidelines/isscrglclinicaltrans.pdf. Accessed 10 Nov 2013
Ogbogu U, Rachul C, Caulfield T (2013) Reassessing direct-to-consumer portrayals of unproven stem cell therapies: is it getting better? Regen Med 8(3):361–369. doi:10.2217/rme.13.15
Velasco RP, Chaikledkaew U, Myint CY, Khampang R, Tantivess S, Teerawattananon Y (2013) Advanced health biotechnologies in Thailand: redefining policy directions. J Transl Med 11:1. doi:10.1186/1479-5876-11-1
DeFrancesco L (2012) Adult stem cell therapies walk the line. Nat Biotechnol 30(8):739–741. doi:10.1038/nbt.2321
Pera M, Munsie M (2012) Stem Cells Australia’s submission to the NHMRC Public Consultation—stem cell treatments: a quick guide for medical practitioners and frequently asked questions: a resource for patients. http://www.stemcellsaustralia.edu.au/AboutUs/Document-Library/SCA-Documentation.aspx. Accessed 10 Nov 2013
ISSCR Statement on delivery of unproven autologous cell-based interventions to patients (2013). [11 Sept online]. http://www.isscr.org/docs/default-source/isscr-statements/isscr-acbistatement-091113-fl.pdf. Accessed 10 Nov 2013
Dobkin BH, Curt A, Guest J (2006) Cellular transplants in China: observational study from the largest human experiment in chronic spinal cord injury. Neurorehabil Neural Repair 20(1):5–13
Amariglio N, Hirshberg A, Scheithauer BW, Cohen Y, Loewenthal R, Trakhtenbrot L, Paz N, Koren-Michowitz M, Waldman D, Leider-Trejo L, Toren A, Constantini S, Rechavi G (2009) Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient. PLoS Med 6(2):221–230. doi:10.1371/journal.pmed.1000029
Thirabanjasak D, Tantiwongse K, Thorner PS (2010) Angiomyeloproliferative lesions following autologous stem cell therapy. J Am Soc Nephrol 21(7):1218–1222. doi:10.1681/ASN.2009111156
Nagy A, Quaggin SE (2010) Stem cell therapy for the kidney: a cautionary tale. J Am Soc Nephrol 21:1063–1072. doi:10.1681/ASN.2010050559
Mendick R, Hall A (2011) Europe’s largest stem cell clinic shut down after death of baby. The Telegraph. http://www.telegraph.co.uk/news/worldnews/europe/germany/8500233/Europes-largest-stem-cell-clinic-shut-down-after-death-of-baby.html. Accessed 10 Nov 2013
Pepper J (2012) Croydon man died in long haul op, inquest hears. The Croydon Guardian [Online 26 Jan] http://www.yourlocalguardian.co.uk/news/local/topstories/9491936.Man_died_in_long_haul_op/. Accessed 10 Nov 2013
Jabr F (2012) In the flesh: the embedded dangers of untested stem cell cosmetics. Scientific American. [Online 17 Dec]. http://www.scientificamerican.com/article.cfm?id=stem-cell-cosmetics. Accessed 10 Nov 2013
Kishk NA, Gabr H, Hamdy S, Afifi L, Abokresha N, Mahmoud H, Wafaie A, Bilal D (2010) Case control series of intrathecal autologous bone marrow mesenchymal stem cell therapy for chronic spinal cord injury. Neurorehabil Neural Repair 24(8):702–708. doi:10.1177/1545968310369801
Snyder EY (2011) The risk of putting something where it does not belong: mesenchymal stem cells produce masses in the brain. Exp Neurol 230(1):75–77. doi:10.1016/j.expneurol.2011.03.012
Bianco P, Cao X, Frenette PS, Mao JJ, Robey PG, Simmons PJ, Wang CY (2013) The meaning, the sense and the significance: translating the science of mesenchymal stem cells into medicine. Nat Med 19(1):35–42. doi:10.1038/nm.3028
DelVecchio Good MJ, Good BJ, Schaffer C, Lind SE (1990) American oncology and the discourse on hope. Cult Med Psychiatry 14(1):59–79. doi:10.1007/BF00046704
DelVecchio Good MJ (1991) The practice of biomedicine and the discourse on hope. Anthropol Med 7(91):121–135. doi:10.1007/978-3-322-87859-5_10
Lakdawalla DN, Romley JA, Sanchez YJ, Maclean R, Penrod JR, Philipson T (2012) How cancer patients value hope and the implications for cost-effectiveness assessments of high-cost cancer therapies. Health Aff 31(4):676–682. doi:10.1377/hlthaff.2011.1300
Jaslow R (2012) Stem cells improve vision for two legally blind patients, study shows. [23 Jan CBC NEWS online]. http://www.cbsnews.com/news/stem-cells-improve-vision-for-two-legally-blind-patients-study-shows/. Accessed 10 Nov 2013
Ramsden CM, Powner MB, Carr AJ, Smart MJ, da Cruz L, Coffey PJ (2013) Stem cells in retinal regeneration: past, present and future. Development 140(12):2576–2585. doi:10.1242/dev.092270
Blenkinsop TA, Corneo B, Temple S, Stern JH (2012) Ophthalmologic stem cell transplantation therapies. Regen Med 7(6 Suppl):32–39. doi:10.2217/rme.12.77
Reimer J, Borgelt E, Illes J (2010) In pursuit of “informed hope” in the stem cell discourse. Am J Bioeth 10(5):31–32. doi:10.1080/15265161003754072
Hyun I (2013) Therapeutic hope, spiritual distress, and the problem of stem cell tourism. Cell Stem Cell 12:505–507. doi:10.1016/j.stem.2013.04.010
Acknowledgments
We would like to acknowledge our colleagues Prof. Alan Petersen and Dr. Kate Seear for their valuable contribution to the research that informed this chapter. We are also very grateful for the support of the patient/carer support networks who helped us recruit participants for our studies. Finally, and most importantly, this work would not be without the people who shared, with generosity and candour, their personal journeys to find a better quality of life. To each of the participants, thank you.
This research was funded by the Australian Research Council under the Discovery Projects scheme (DP120100921), and the Australian Government’s Department of Innovation, Industry, Science and Research under the National Enabling Technologies Strategy (NETS). Ethics clearance was obtained from the Monash University Human Research Ethics Committee (CF12/1532–2012000832; CF08/3073–2008001514; CF09/3234–2009001762). Pseudonyms were assigned to protect participants’ anonymity. Stem Cells Australia is a Special Research Initiative in Stem Cell Science funded by the Australian Research Council.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Tanner, C., Munsie, M. (2014). Seeing the Full Picture: The Hidden Cost of the Stem Cell and Regenerative Medicine Revolution. In: Pébay, A. (eds) Regenerative Biology of the Eye. Stem Cell Biology and Regenerative Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0787-8_15
Download citation
DOI: https://doi.org/10.1007/978-1-4939-0787-8_15
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-0786-1
Online ISBN: 978-1-4939-0787-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)