Genesis and ethics of embryo’s conceived with help of a third parent

In August 1996, at St. Barnabas Medical Center in Livingston, N.J., a 39-year-old mechanical engineer from Pittsburgh named Maureen Ott became pregnant. Ott had been trying for almost seven years to conceive a child through in vitro fertilization. Unwilling to give up, she submitted to an experimental procedure in which doctors extracted her eggs, slid a needle through their shiny coat and injected not only her husband’s sperm but also a small amount of cytoplasm from another woman’s egg. When the embryo was implanted in Ott’s womb, she became the first woman on record to be successfully impregnated using this procedure, which some say is the root of an exciting medical advance and others say is the beginning of the end of the human species.

But now, more than a decade later, two research groups in the United States and one in Britain each believes it has nearly enough data to begin clinical trials for a new technique based on the transfer of mitochondria — only in this case, researchers want to pair the nuclear DNA of one egg with all the mitochondria of another. Their aim is not to cure infertility. Rather, they hope to prevent a variety of devastating diseases caused by mutations in mtDNA. The new technique, which they call mitochondrial-replacement therapy, is far more advanced than the cytoplasm injection — and the researchers have studied the procedure’s impact on animals and human cells up to a pivotal point: They have created what appear to be viable three-parent embryos. They have yet to implant one in a woman, though.

In Britain, national law prohibits altering the germ line, but Parliament is very likely to vote later this year on whether to allow mitochondrial replacement to move forward. Likewise, this February, the F.D.A. held a meeting to examine the possibility of allowing clinical trials. If either gives the go-ahead, it will be the first time a government body expressly approves a medical procedure that combines genetic material of three people in a heritable way.

Read the full, original story: The Brave New World of Three-Parent I.V.F.

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