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Havana. June 26,  2003

Cuba to repair organs and tissue
using gene injections
• A group of scientists are working on a growth factor
capable of developing blood vessels

BY LILLIAM RIERA Granma International staff writer—

THE development and level reached by Cuban biotechnology has allowed the island’s scientists to work on projects that could be considered among the most advanced in the world. These include so-called gene therapy, consisting of injecting high-quality human genes into the body to stimulate the rapid repair of different injuries, thus contributing to the body’s optimum performance.

Professor Noel González is considered the godfather of Cuban heart surgery — he carried out the island’s first heart transplant in 1985. He informed Granma International that “a group of specialists from Havana’s Hermanos Ameijeiras Hospital plus scientists from the Genetic Engineering and Biotechnology Center (CIGB) are working to produce a growth factor capable of developing blood vessels to strengthen those damaged by arteriosclerosis, thus aiding recovery from cardiac injury.”

He revealed that it may just “be a question of months before we begin injecting the growth factor using vascular endothelium (the superficial tissue found in the inside of blood vessels) — isolated by the CIGB team and already tested on animals — in patients who have damage to that area.” 

Gene therapy “can be extremely useful for treating other diseases such as Alzheimer’s and diabetes,” explained Dr. González, who is also president of the island’s Bioethical Medicine Commission. There are 22 genetic diseases that can be helped in this way.

In reply to a question on human cloning, he unhesitatingly responded:

“We have no problem if it’s developed for therapeutic ends because if we didn’t do so then it would be like returning to the Middle Ages, but I don’t agree with using it for reproduction, although I wouldn’t want to encourage a ban on anything.”

CLONED ORGANS FOR IMPLANTS ARE A NECESSITY

Therapeutic cloning allows embryos to be used in what are known as mother cells that are capable of growing and converting into others, thus replacing any type of tissue.

For this to be achieved, González has no qualms about its usefulness for laboratory-produced organs than can be implanted in patients suffering from certain diseases, bearing in mind that there are insufficient organ donations in the world.

He explained that the United States, for example, has 300 million inhabitants, “around 20,000 of whom are awaiting heart transplants, but the number of donors is between 2,000-2,500.” Cuba however has more than 11 million inhabitants, with a waiting list of “perhaps 150-200 patients.”

The experienced specialist regards “organ donations as a partial solution.” The use of gene therapy is on the increase and, in the long term, cloning for therapeutic ends is “a necessity.” Cuban health care is run on the premise that “we should have access to everything, even if it might seem very ambitious,” he pointed out.

During our conversation, González recalled his early heart surgery experiences in 1955-56 “when the public health budget was absurdly low, fraud and losses were rampant, and private institutions had no resources for research without an immediate future.”

However in 1967, almost seven years after the Revolution triumphed and the world’s first heart transplant took place, “we were already working on it here, although it was still at the theoretical stage,” he stated proudly.

He tells us that after 1968, the team he led “entered the experimental phase,” culminating “in the country’s first successful heart transplant” in 1985.

Today, with nearly 25 years dedicated to this human task, Dr. González is more convinced than ever that in the future — that many envisage will arrive in 10 years’ time — “science will be in a position to produce a heart using biological methods.”

As an epilogue to a brief but interesting conversation, González couldn’t refrain from commenting on the fact that “we may be a Third World country, but we have First World diseases ”such as cancer and heart problems. But, the most interesting aspect “is that we are fighting them using First World theoretical resources and Cuban health system practices.”
 

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