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The ethics of research involving animals - Nuffield Council on ...

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T h e e t h i c s o f r e s e a r c h i n v o l v i n g a n i m a l s<br />

6.22 <str<strong>on</strong>g>The</str<strong>on</strong>g> results from these and many similar studies <strong>on</strong> the pathogenesis and transmissi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> TSE<br />

between <str<strong>on</strong>g>animals</str<strong>on</strong>g> have been used to develop policies for public health to prevent the<br />

transmissi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> BSE from cattle through the human food chain. Specifically, they led to the<br />

banning <str<strong>on</strong>g>of</str<strong>on</strong>g> bovine <str<strong>on</strong>g>of</str<strong>on</strong>g>fal for human c<strong>on</strong>sumpti<strong>on</strong>, the removal <str<strong>on</strong>g>of</str<strong>on</strong>g> brain, spinal cord and<br />

dorsal root ganglia, and the deb<strong>on</strong>ing <str<strong>on</strong>g>of</str<strong>on</strong>g> beef intended for public c<strong>on</strong>sumpti<strong>on</strong>. Based <strong>on</strong><br />

knowledge <str<strong>on</strong>g>of</str<strong>on</strong>g> the dynamics <str<strong>on</strong>g>of</str<strong>on</strong>g> the spread <str<strong>on</strong>g>of</str<strong>on</strong>g> pri<strong>on</strong>s in vivo, the pathogenesis studies also<br />

provided the evidence for the development <str<strong>on</strong>g>of</str<strong>on</strong>g> the initial Over Thirty M<strong>on</strong>th Scheme (OTMS),<br />

whereby the UK Government was able to purchase, for slaughter and ultimate destructi<strong>on</strong>,<br />

cattle which were over 30 m<strong>on</strong>ths <str<strong>on</strong>g>of</str<strong>on</strong>g> age. This implemented EU Regulati<strong>on</strong>s that ordered the<br />

preventi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the sale <str<strong>on</strong>g>of</str<strong>on</strong>g> beef from cattle over this age for human c<strong>on</strong>sumpti<strong>on</strong> in the UK.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> OTMS was a crucial element <str<strong>on</strong>g>of</str<strong>on</strong>g> legislati<strong>on</strong> for public health, and it may well have averted<br />

a larger number <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD cases than experienced so far. 21<br />

BSE pathogenesis studies in sheep – a model for vCJD<br />

6.23 Sheep are susceptible to infecti<strong>on</strong> with the BSE agent, and the dynamics <str<strong>on</strong>g>of</str<strong>on</strong>g> infecti<strong>on</strong> and spread<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> pri<strong>on</strong>s in peripheral tissues is similar to that <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD in humans. Thus sheep are comm<strong>on</strong>ly<br />

held to be a useful model for vCJD. Studies <str<strong>on</strong>g>of</str<strong>on</strong>g> scrapie in sheep were the first to show that pri<strong>on</strong>s<br />

could accumulate in the t<strong>on</strong>sils, and this was shown subsequently to be the case for vCJD. <str<strong>on</strong>g>The</str<strong>on</strong>g>re<br />

followed an analysis <str<strong>on</strong>g>of</str<strong>on</strong>g> the prevalence <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD in the human populati<strong>on</strong> through retrospective<br />

studies <strong>on</strong> t<strong>on</strong>sils, and later appendices. <str<strong>on</strong>g>The</str<strong>on</strong>g> results provided the first informati<strong>on</strong> <strong>on</strong> the<br />

number <str<strong>on</strong>g>of</str<strong>on</strong>g> people that could be incubating the disease.<br />

6.24 BSE pathogenesis studies in sheep also showed that blood can be infectious. BSE can be<br />

transmitted between sheep by blood transfusi<strong>on</strong> and current experiments are aimed at<br />

identifying the blood fracti<strong>on</strong> that c<strong>on</strong>tains infectivity. Scientists c<strong>on</strong>ducting these<br />

experiments are also interested in exploring the implicati<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> human-to-human<br />

transmissi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD through blood and have guided UK policy for public health by limiting<br />

the potential for this type <str<strong>on</strong>g>of</str<strong>on</strong>g> spread <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD. In 2003, it was found likely that two people<br />

who died <str<strong>on</strong>g>of</str<strong>on</strong>g> vCJD were infected by blood transfusi<strong>on</strong>s. As a result, the Department <str<strong>on</strong>g>of</str<strong>on</strong>g> Health<br />

announced in 2004 that any<strong>on</strong>e who had received a blood transfusi<strong>on</strong> in the UK since 1980<br />

would no l<strong>on</strong>ger be able to d<strong>on</strong>ate blood themselves. 22<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> discovery <str<strong>on</strong>g>of</str<strong>on</strong>g> the hepatitis C virus using the chimpanzee<br />

6.25 We now c<strong>on</strong>sider a more historic example <str<strong>on</strong>g>of</str<strong>on</strong>g> animal <str<strong>on</strong>g>research</str<strong>on</strong>g> for the study <str<strong>on</strong>g>of</str<strong>on</strong>g> disease. <str<strong>on</strong>g>The</str<strong>on</strong>g><br />

existence <str<strong>on</strong>g>of</str<strong>on</strong>g> a blood-borne hepatitis virus that was neither type A nor B was described in the<br />

1970s, following the identificati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> both these types. Throughout the 1980s, assays were<br />

developed to try and identify the cause <str<strong>on</strong>g>of</str<strong>on</strong>g> what was then termed n<strong>on</strong>-A, n<strong>on</strong>-B (NANB)<br />

hepatitis. However, n<strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g> the tests were sufficiently reproducible or specific. 23 <str<strong>on</strong>g>The</str<strong>on</strong>g>refore<br />

an experimental chimpanzee model was developed, as this species was the <strong>on</strong>ly n<strong>on</strong>-human<br />

animal that could be infected with the NANB hepatitis agent, which is still not able to be<br />

propagated in vitro. <str<strong>on</strong>g>The</str<strong>on</strong>g> chimpanzee model was used to dem<strong>on</strong>strate that NANB hepatitis<br />

was indeed transmissible, and allowed the isolati<strong>on</strong> and characterisati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the virus. 24<br />

CHAPTER 6 THE USE OF ANIMALS IN THE STUDY OF HUMAN DISEASE<br />

21 In 2004–5, the UK Government is implementing a transiti<strong>on</strong> towards replacing the OTMS with testing for BSE in cattle <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

over thirty m<strong>on</strong>ths <str<strong>on</strong>g>of</str<strong>on</strong>g> age. See Department for Envir<strong>on</strong>ment, Food and Rural Affairs (2005) BSE: Public health issues – Over<br />

Thirty M<strong>on</strong>th cattle – FSA review <str<strong>on</strong>g>of</str<strong>on</strong>g> the OTM rule, available at:<br />

http://www.defra.gov.uk/animalh/bse/publichealth/otm/review/index.html. Accessed <strong>on</strong>: 26 Apr 2005.<br />

22 Nati<strong>on</strong>al Blood Service (2004) Variant CJD and blood d<strong>on</strong>ati<strong>on</strong>, available at: http://www.blood.co.uk/pdfdocs/vcjd.pdf.<br />

Accessed <strong>on</strong>: 26 Apr 2005.<br />

23 Farci P (2002) A commentary <strong>on</strong> the original Science paper (Choo QL, Kuo G, Weiner AJ et al. (1989) Isolati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> a cDNA<br />

cl<strong>on</strong>e derived from a blood-borne n<strong>on</strong>-A, n<strong>on</strong>-B viral hepatitis genome Science 244: 359–62) J Hepatol 36: 582–5.<br />

24 Farci P (2002) A commentary <strong>on</strong> the original Science paper (Choo QL, Kuo G, Weiner AJ et al. (1989) Isolati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> a cDNA<br />

cl<strong>on</strong>e derived from a blood-borne n<strong>on</strong>-A, n<strong>on</strong>-B viral hepatitis genome Science 244: 359–62) J Hepatol 36: 582–5.<br />

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