Tuesday, 3 February 2015

The Mitochondria is the Powerhouse of the Cell.

According to several headlines the house of commons has today voted to allow three parents to collude in sharing their DNA to create an unnatural and experimental GM baby. The embryos created under the new mitochondrial donation law will indeed technically contain DNA of three parents, but the term is unhelpful and misleading in the extreme.

"The biggest problem is that this has been described as three-parent IVF. In fact it is 2.001-parent IVF," 
Dr Gillian Lockwood, reproductive ethicist


As anyone who did Biology at school knows, the mitochondria are vital bits of cell equipment that use oxygen to generate chemical energy from glucose. They are descendants of ancient bacteria-like cells that were engulfed very early on in life’s evolution. They each retain a tiny genome consisting of a handful of genes that are essential for the fundamental process of respiration.

Mitochondrial DNA
Nuclear DNA
Approx. 16,600 base pairs 
Approx. 37 genes

All from Mother
Needed to produce energy for cells to function.
Approx. 3,300,000,000 base pairs 
Approx. 25,000 genes
46 chromosomes – 23 each from Mother and Father.
Codes for all other processes.
Determines appearance and characteristics.

Mitochondrial DNA mutates more quickly than nuclear DNA as it isn't subject to the same proof-reading mechanisms. In common with nuclear DNA, small changes in the sequence can cause dysfunction and disease, such as Leigh’s disease. Babies born with Leigh’s (which causes profound physiological disruption including diarrhoea, vomiting, developmental delay, and failure of the muscles, eyes, heart and lungs) survive for only a few years. A human egg cell contains about 10,000 mitochondria, of which any number may be faulty any other children the mother of an affected baby has may well suffer with the disease too. Replacing these faulty mitochondria with working ones is a bit like replacing a faulty heart, or transfusing blood.



http://gentle-interventions.org/what_are_mitochondrial_diseases.htm


MPs have backed the mitochondrial donation regulations by 382 votes to 128 - a majority of 254.
If passed through the House of Lords, doctors will be able to apply for a license from the human fertilisation and embryology authority that allows them to implant a patient’s healthynuclear DNA into a cell that contains healthy mitochondria, thereby eliminating the transmission of disease caused by mitochondrial DNA errors, and preventing its transmission to all subsequent generations too. 
This law allows the UK to continue advancing medical science and has the potential to reduce disease burden and improve the lives of many people.



There is still quite a lot of opposition to this for some reason. Some people, including the pro-life groups, believe that human life begins at conception. A harder position to defend, or articulate, is that using this technology to eliminate mitochondrial disease is “playing God” and that this is a bad thing (and presumably using medical technology to fight cancer and infections and organ failure isn’t playing God and is fine). Still others (such as cartoon Tory Jacob Rees-Mogg) argue that we take a step onto a slippery slope that ends in parents dictating more and more details about their children until they are selecting them out of a catalogue. To be clear mitochondrial DNA doesn’t code for any characteristic of a person, and in any case the HFEA already have clear rules about only excluding embryos with clear genetic disorders (over 250 on their list) that would significantly adversely affect their lives.

As far as I can there is no significant difference in any of these arguments from those that were used to oppose “test-tube” babies born using IVF, where several embryos are created and healthy embryos are selected to be implanted into the mother. There are legitimate concerns as to whether IVF or mitochondrial donation is necessary when adoption and egg donation is available, and it remains controversial whether this type of treatment should be available on the NHS.  However, IVF technology has been shown to be very effective and quite acceptable to most people too. I see no reason why mitochondrial donation is different.