Memorandum 37
Submission from the Department of Health
EXECUTIVE SUMMARY
1. The Government has made clear its support
for legitimate medical research that promises advances in knowledge
about, and treatment of, diseases and disorders, including through
embryonic stem cell research. It has undertaken a review of the
law in response to, in particular, advances in technology and
probable changes in attitudes, and has published its proposals
to update the law in this area. The Government has proposed that
the law should deal with the emerging science regarding hybrid
and chimera embryos. In view of arguments for the usefulness of
such creations in research, the Government proposes that Parliament
will have the power via secondary legislation to make exceptions
to a prohibition on the creation of hybrid and chimera embryos
in vitro to allow hybrid and chimera embryos for research
purposes only. These proposals will be subject to democratic scrutiny
via the Parliamentary process, including pre-legislative scrutiny
in draft.
THE GOVERNMENT'S
REVIEW OF
THE HUMAN
FERTILISATION AND
EMBRYOLOGY ACT
1990
2. In January 2004 the Government announced
its intention to undertake a review of the Human Fertilisation
and Embryology Act 1990, beginning that year and to include a
public consultation exercise in 2005.
3. The Government considered that a review
was necessary in the light of, in particular, advances in technology
and possible changes in attitudes since the formulation of the
original Act. Following the review, proposals were published on
14 December 2006 for revision of the law in Review of the Human
Fertilisation and Embryology Act: Proposals for revised legislation
(including establishment of the Regulatory Authority for Tissue
and Embryos). [23]
4. The Government's principal aims in proposing
revisions to the legal and regulatory framework were:
to ensure that legitimate medical
and scientific applications of human reproductive technologies
can continue to flourish;
to promote public confidence in the
development and use of human reproductive technologies through
effective regulatory controls applicable to them; and
to secure that regulatory controls
accord with better regulation principles and encourage best regulatory
practice.
5. The Queen's Speech on 15 November 2006
announced that draft proposals will be published to reform the
regulation of human embryology. This referred to the Government's
intention to bring forward a bill in draft form, for pre-legislative
scrutiny in Parliament.
PROPOSALS FOR
THE REGULATION
OF HYBRID
AND CHIMERA
EMBRYOS
6. Paragraph 2.85 of the White Paper[24]
stated that:
"Revised legislation will clarify the extent
to which the law and regulation applies to embryos combining human
and animal material. The Government will propose that the creation
of hybrid and chimera embryos in vitro, should not be allowed.
However, the Government also proposes that the law will contain
a power enabling regulations to set out circumstances in which
the creation of hybrid and chimera embryos in vitro may
in future be allowed under licence, for research purposes only."
7. The Government's proposal, if approved
by Parliament in the form of revised legislation, will have the
effect of extending existing restrictions within the 1990 Act,
which prohibit the mixing of human and animal gametes other than
in very limited circumstances, to embryos created by processes
other than fertilisation. The proposal does not, however, close
the door to such entities in recognition of arguments for their
potential usefulness in researchsuch as in the derivation
of stem cells, and in the testing of stem cell pluripotency.
8. Detailed drafting of revising legislation
is underway at present. This will take into account the broad
spectrum of possibilities for creating embryos combining human
and animal material which may involve several different processes
and result in a diverse range of entities, some of which may involve
human embryos, or result in embryos that are human in terms of
their nuclear DNA. It will also take account of the fact of existing
regulatory controls, such as those exercised by the Home Office
under the Animal in Scientific Procedures Act.
9. One advantage of the proposed secondary
legislative power would be to enable distinctions to be drawn
between different types of entity that may fall under a general
description of "hybrid" and "chimera" embryos,
as scientific knowledge increases.
BACKGROUND TO
THE PROPOSALS
ON HYBRID
AND CHIMERA
EMBRYOS
10. In making its proposal, the Government
took account of a wide range of factors which included, inter
alia, the intent and practical effect of the existing law,
relevant legislative commitments previously made by the Government,
and responses to the Department of Health's consultation.
The 1990 Act
11. The 1990 Act prohibits the mixing of
human and animal gametes other than for the purpose of testing
the fertility or normality of human sperm (by the so-called "hamster
test"), with the proviso that the product must be destroyed
no later than the two cell stage. This position was based on consultations
undertaken prior to the 1990 Act based upon the recommendations
of the Warnock Committee of Inquiry. [25]
12. A White Paper that preceded the 1990
Act (Human Fertilisation and Embryology: A Framework for Legislation)
[26]had
set out a range of activities that it proposed should be prohibited,
subject to a power for Parliament to make exceptions by affirmative
resolution if new developments made that appropriate. These activities
included "creation of hybrids". Paragraph 39 of the
document stated:
"[t]he Bill will also contain provisions
prohibiting the transfer of a human embryo to the uterus (or any
other part) of another species and vice versa: and prohibiting
any procedures involving the fusion of cells of a human embryo
with cells of the embryo of another species to produce a chimera."
13. Paragraph 42 clarified the proposed
position with regard to the mixing of human and non-human gametes:
"[a]s there is universal agreement about
the need to prevent the creation of hybrids using human gametes
(if this were ever to be attempted), the Bill will specify that
no licence may permit the fertilisation of a human egg with the
sperm of another species. [.. ] It would also be an offence to
fertilise the egg of another species with human sperm except under
licence from the [statutory licensing authority]. Licences may
be given for use of this technique only in connection with the
assessment or diagnosis of sub-fertility before the completion
of the fertilisation process. This will be deemed to be completed
when the two-cell stage is reached."
Report of the Chief Medical Officer's Expert Advisory
Group
14. In June 1999 the Government asked the
Chief Medical Officer to establish an expert advisory groupcomprised
of leading experts in science, medicine and ethicsto advise
on whether new areas of research using human embryos should be
permitted that could lead to broader understanding of, and eventually
new treatments for, disease. This was in response to a joint HFEA/Human
Genetics Advisory Commission Report "Cloning issues in
Reproduction Science and Medicine", published in December
1998, which had considered novel methods for creating embryos,
and had recommended extension of the purposes for which human
embryos could be used in research.
15. The subsequent report of the Expert
Advisory Group ("Stem Cell Research: Medical Progress
with Responsibility"), published in July 2000, made nine
recommendations, principally to extend the purposes of research
permissible under the 1990 Act to include increasing understanding
about human diseases and disorders and their cell based treatments.
Another recommendation was to ensure that human reproductive cloning
remained a criminal offence.
16. Of most relevance to the present inquiry,
the Expert Advisory Group "concluded that the use of eggs
from a non-human species to carry a human cell nucleus was not
a realistic or desirable solution to the possible lack of human
eggs for research or subsequent treatment".[27]
Recommendation 6, recognising the apparent limitations of the
1990 Act's controls on mixing human cells and animal eggs, stated
that "[t]he mixing of human adult (somatic) cells with the
eggs of any animal species should not be permitted", and
called on bodies funding research to make a declaration that they
would not fund or support research involving the creation of such
hybrids.
Implementation of the Expert Advisory Group's
recommendations
17. The recommendations of the Expert Advisory
Group were accepted in full by the Government, [28]with
the principal recommendations being implemented via the Human
Fertilisation (Research Purposes) Regulations in January 2001.
These extended the purposes of permissible research via affirmative
regulations to include:
(a) increasing knowledge about the development
of embryos;
(b) increasing knowledge about serious disease,
or
(c) enabling any such knowledge to be applied
in developing treatments for serious disease.
18. A legal ban on reproductive cloning
followed in December 2001. The Human Reproductive Cloning Act
2001 fulfilled the Government's commitment to bring in legislation
to put a ban on human reproductive cloning on a statutory footing.
It was brought forward following the judgment of the High Court
on 15 November 2001 which held that embryos created by cell nuclear
replacement were not governed by the 1990 Act. The House of Lords'
judgement in the case of R (Quintavalle) v Secretary of State
for Health[29]
subsequently ruled that human embryos created by cell nuclear
replacement are governed by the 1990 Act.
19. The Government undertook to implement
recommendation 6to prohibit the mixing of human somatic
cells with the eggs of animal speciesvia primary legislation
when the Parliamentary timetable allowed. This was the Government's
expressed position prior to the review of the law announced in
2004.
Reports by the House of Lords Stem Cell Research
Committee and the House of Commons Science and Technology Committee
20. The Government published its response
to the Science and Technology Committee's report "Human
Reproductive Technologies and the Law"[30]
together with its consultation document on the review of the 1990
Act. As the Committee will be aware, these included recommendations
on human-animal hybrids and chimeras. Paragraph 66 of the report
had stated that "[w]hile a chimera is unlikely to be able
to develop very far, it may have value as a research tool ...",
and, "[s]imilarly, hybrids formed by cell nuclear replacement
might have value in deriving embryonic stem cells for research
purposes", whilst noting also that there is "revulsion
in some quarters" to such creations. The Government undertook
to consult on the majority of the report's recommendations, including
the proposal that the creation of hybrid and chimera embryos should
be allowed for research.
21. Human Reproductive Technologies
and the Law also referred to an earlier report by the House
of Lords Stem Cell Research Committee, published in February 2002,
which had briefly discussed the issue of replacement of a nucleus
of an animal egg with a human somatic cell nucleus. The Lords
report noted that "if placing a human nucleus in an animal
egg provided a way of creating human embryonic stem cells for
research, some might argue that it was more acceptable to use
such an entity for research, the creation of which involves no
human gametes, than an embryo created by cell nuclear replacement",
but made no specific recommendation on this point. [31]
The Department of Health's consultation on the
review of the Human Fertilisation and Embryology Act
22. Notwithstanding its earlier commitment
to an outright ban as recommended by the Expert Advisory Group,
the Government's consultation paper invited views on whether the
law should permit the creation of human-animal hybrids or chimeras
for research (subject to a maximum limit of 14 days development
in vitro). The consultation paper stated that the Government
was aware of arguments that there may be benefits from the creation
of such entities for research, including as a means to circumvent
the shortage of good quality human eggs available for research.
23. Whereas the overall tenor of responses
to the consultation was opposed to the creation of hybrids and
chimeras, the Government's policy proposals announced in December
2006 do not close the door to such creations. This reflects the
Government's recognition of powerful arguments for the creation
and use of these entities, or some forms of such entities, in
some circumstances. However, we have not seen so far a firm consensus
within the scientific communityjudging by views expressed
in a variety of foraabout precisely which human-animal
creations should be allowed, any immediate imperative for doing
so, or the availability and interpretation of supporting evidence.
The Government also recognises that there may be different argumentsboth
scientific and ethicalapplying to, say, creation of hybrids
by cell nuclear transfer which in terms of their nuclear DNA are
ostensibly human, and to embryos containing both human and non-human
nuclear DNA.
24. These will be matters for Parliament
to consider in its scrutiny of the necessary legislation, and
it is proposed that Parliament will first scrutinise the proposals
in draft form. The Government will obviously consider carefully
any conclusions and recommendations arising from pre-legislative
scrutiny ahead of formal introduction of legislation.
CONCLUSION
25. The Government has proposed that the
law should be clarified with regard to human-animal embryos, initially
by not allowing their creation. This would make such embryos created
by non-fertilisation methodssuch as those created by replacing
the nucleus of an animal egg with a human somatic cell nucleussubject
to the same prohibition as already applies to mixing human and
animal gametes.
26. However, the Government also proposes
that the law will contain a power whereby Parliament can permitvia
secondary legislation in the form of regulationsthe creation
of human-animal embryos for research under licence. The Government
has not taken a view on whether or when such regulations may be
made, but nonetheless wishes to provide the flexibility to make
regulationssubject to the agreement of Parliament. The
Government will be very interested to see any recommendations
produced during pre-legislative scrutiny on this matter, as well
as any recommendations arising from the present inquiry.
January 2007
23 Cm 6989 referred to hereafter as "the White
Paper". Back
24
A full extract of the relevant section is at Annex A to this
memorandum. Back
25
Discussed at paragraph 12.2 of the Warnock Report (Cmnd. 9314),
under the heading "trans-species fertilisation". Back
26
Cm 259, published November 1987. Back
27
Paragraph 2.62. Back
28
Government response published in August 2000 as Cm 4833. Back
29
2003, UKHL 13. Back
30
Report published as HC 7-1, and special report by 5 dissenting
members HC 491. Back
31
HL Paper 83(i), paragraph 8.18. Back
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