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LAST MONTH, Donna Rawlinson MacLean took out an unusual patent with the British
Patent Office. She created an invention she called "Myself." MacLean, a poet
and casino waitress from Bristol, England, explained her reasoning to the
Guardian. "It has taken thirty years of hard labor for me to discover and
invent myself, and now I wish to protect my invention from unauthorized
exploitation, genetic or otherwise." A few weeks later, San Francisco artist
Marilyn Donahue copyrighted her DNA, documenting authorship by licking a stamp
and sticking it on a self-addressed envelope.

These are intended to be acts of protest, meaningful for their symbolic value,
not their legal viability. But in the increasingly surreal realm of
intellectual property, where the difference between organism and invention is
anyone's guess, the claims of Donahue and MacLean are anything but absurd. Life
as commodity is not a new idea: Slavery is a prime example. But never before
now have humans possessed the tools to create life, and manipulate it at its
most basic -- genetic -- level. Last Thursday, the human race finally
deciphered the three billion digits of its own code, our DNA -- or what science
writer Peter Gorner aptly describes as the "book of life." As the much-vaunted
race to map the human genome comes to a close (the complete map should be
finished this year), the race to make the map pay off begins.

The implications fall just this side of comprehension: If we can learn to read
the code that programs life, we can surely learn to write that code; if we can
program life, we can create life. Because anything we can make we can sell, and
nearly always do, we'll need to get a patent on that sucker before someone else
tries to sell it first. Welcome to the gene-patenting debate.

The future is now, and that scares a lot of people. With all the foresight and
humanity Europe exercised when carving up Africa, biotech companies are
rapaciously carving up your body in a sort of posthuman colonialism, racing
each other and the government to gain exclusive rights over your genes. In the
coming decades, our God-given traits may become as interchangeable -- and
marketable -- as an Ikea modular home-entertainment system. We'll choose green
eyes, or blue, eradicate baldness and back hair, and, with the latest brand of
IntelliGene, never be stumped by the Sunday Times crossword again. It sounds
beautiful -- and boring -- and, assuming one still believes in such things,
quite possibly blasphemous.

Yet this knowledge also presents opportunities that tax the imagination: an end
to AIDS, cancer, schizophrenia, aging, and, it has been suggested, death
itself. "This is a time of fantastic hope and fantastic progress," says Chuck
Ludlam, vice president for government relations at the trade group
Biotechnology Industry Organization, and a tireless apologist of the biotech
industry. Indeed, the prospects are dizzying: Eden regained, our mortality a
consumer choice. Eternal life on a very long installment plan.

Of course, we're not there yet, and the road to Eden is paved with stock
certificates. Last month, talks broke down between Celera, Inc., the private
lab that will win the race to map the genome, and the federally funded,
multinational Human Genome Project, which won't. The Human Genome Project, the
ostensible good guys, organized and started the contest in 1990, under an
altruistic mandate to not only map the genome by 2003, but to make that map
available to the public. As such, it now deposits the information it gleans
from its gene sequencing into the public domain via a Web site every twenty-
four hours, thus immunizing it from patent hounds. Celera, which wants to get
really, really rich, will market the fruit of its research on a subscriber-only
database. Using what it calls "the world's largest civilian supercomputer,"
Celera finished the sequencing of the genome April 6. Celera plans to patent up
to five hundred genes.

The potential market is enormous, and the boom years have provided the biotech
industry with eager investors. But if humanity is the ultimate beneficiary of
genetic technologies, it is also, to a disturbing degree, the raw material as
well as the manufactured product. And because corporate equity is only as good
as its patents, the market has demanded, and received, the assurance that life
itself can indeed be patented. "Investors," Ludlam points out, "have wallets.
They don't have hearts."

HOW CAN LIFE be patented? The Supreme Court opened the floodgates in 1980,
allowing the first patent on a living thing, a bacterium that had been
genetically altered to consume pollutants. Perceiving the unquestionable social
good such a creature could provide, the Supreme Court ruled that while nature
itself could not be patented, one might patent "anything under the sun that is
made by man." Eight years later, Harvard won a patent on its special brand of
mouse, the "Onco-Mouse" ("Onco" for oncology; the mouse is especially talented
at developing malignant tumors).

These precedents set the stage for current gene-patent policy. If you can
isolate a gene in a petri dish, the patent office considers the gene to have
been modified by the "hand of man," and thus eligible for a patent. Researchers
must also show "utility," which now means being able to explain in the loosest
of terms what function the gene might perform in the human body, and what
desirable things we might be able to make it do instead. For example, Human
Genome Services currently has the patent on a growth gene VEGF-2 that, when
injected into the human body, can stimulate the creation of blood vessels.
Hopefully it will someday make bypasss surgery obsolete. With VEGF-2, the gene
and the medicine are one and the same. In other words, a gene in a very real
sense can be an invention, and inventing is what the patent system was set up
to encourage.

Of the 140,000 genes in the 23 chromosomes that make up the genome, some 1,000
are already patented. Thousands more await approval. Eventually, critics say,
the entire genome will be lorded over by large biotech firms. Even now,
corporations, universities, and others are generating millions of dollars for
their discovery of life. Why shouldn't Donna Rawlinson MacLean get in on the
act?

IT SHOULD BE noted that the vast majority of patents will require years of
expensive, labor-intensive research before they emerge as a marketable product.
The current controversy over gene patenting revolves around where we are going,
not where we are now. Unfortunately, prognostication is difficult in light of
the fact that the present has proven so cryptic.

On March 14, Bill Clinton and British Prime Minister Tony Blair issued a
vaguely worded joint statement outlining their commitment to "make the raw data
from DNA sequencing available to scientists everywhere." Characteristically
Clintonian, the statement was intended to mollify both opponents and proponents
of gene patenting. Addressing a national television audience, Clinton
acknowledged the need for patent protection in order to create an environment
that encouraged the vast financial investment necessary to advance the science.

But in another portion, he noted that "We must ensure that the profits of human
genome research are measured not in dollars, but in the betterment of human
life." Historically, the stock market only employs instruments used to measure
the former.

The statement triggered an instantaneous selling spree in biotech stocks. At
the close of trading, the American Stock Exchange biotech index had dropped 13
percent. The media fueled the fire, playing the statement as big news in front-
page reports. Both sides in the raging war over gene patenting interpreted the
bilateral missive as a move toward a ban on gene patents, despite the fact the
"agreement" was nothing more than a sentimentalized reiteration of the
administration's four-year-old official policy concerning gene patenting. The
public, including those with money in biotech, seemed to have no idea what
these companies do.

No matter. A Toronto Star op-ed trumpeted the statement as "long overdue," and
the San Francisco Chronicle gave the story front-page coverage, under the
headline "Call for Access to Genomic Data." It was days before cooler talking
heads appeared on the financial talk shows to point out that placing raw
genetic data in the public domain, which is what Clinton advocates, actually
benefits most biotech firms. The frenzied pace of the sell-off slackened, but
at its nadir the index had been drained of $30 billion. The specter of a ban on
gene patents had spurred on the stampede.

When the dust finally settled, one lesson emerged. Because the perceived equity
of a biotech company is its ability to hold exclusive rights over a use of a
gene, gene patents equal investment: no patents, no investment. And for this
science to move forward, the biotech field will require unprecedented levels of
investment. Whether or not we find gene patents offensive, on grounds moral or
legal, our discomfort will be the toll we pay to enter the age of "fantastic
hope and fantastic progress."

ACCORDING TO BIO'S LUDLAM, that's a nominal toll to pay. In fact, Ludlam
insists that gene patents aren't patents on genes at all. "Absolutely not," he
says. This is, strictly speaking, a load of hooey. Gene patents are in fact
exactly what they sound like, patents on genes. Ludlam tends to speak in
absolutes, as one might expect the premier spinmeister for a multibillion-
dollar industry to do. And if he isn't absolutely correct in asserting that
gene patents are a chimeric straw man conjured by gene patenting's critics,
neither is he absolutely wrong. You can't patent just a gene; you also have to
understand how it functions in the body, or, in the language of the patent
office, show its "utility." United States patent law currently considers DNA a
chemical, and chemicals are patentable. As with the pollutant-hungry bacterium,
as with Harvard's Onco-mouse, if it's been touched by the hand of man, you can
patent it. Because of his bluster, it's easy to lose sight of the fact that
Ludlam happens to be right that the United States patent system is absolutely
the best way of advancing the genetic revolution. "Nobody's going to spend the
tens of millions of dollars it takes to do this very, very difficult research
if they don't have protection against theft from their commercial competitors,"
he says. Patents encourage companies to bring products to market with due
haste. "First you have a race to invent, then you have a race to make something
that will help people, because if it doesn't help people you're never going to
get something you can sell. And this is what benefits patients. Patients want
these companies racing."

True enough, it is this race, more than anything else, that is responsible for
the current blistering pace of discovery in the field. To wit:

Biotech companies are responsible for 300 drugs that are currently in clinical
trials. At least some of these will receive FDA approval. Celera, Inc. entered
the race to map the human genome a full eight years behind the National Health
Institute-sponsored Human Genome Project. Yet Celera crossed the finish line
some three years ahead of the schedule originally set by the HGP. In February,
another leader in the biotech field, Human Genome Sciences, received its 112th
gene patent, on a gene that could lead to an AIDS vaccine.

Millennium Pharmaceuticals, Inc. won a patent last month on a gene that could
be used to determine if a patient is at risk for melanoma, the most common of
all cancers.

This landscape, of biopharmaceutical companies battling each other and the
government in a riot to divvy up the spoils of our genetic code, is an ugly
sight, but then, the free market usually does resemble the scene of an
accident. Yet, unlike other industries -- tobacco, say, or petroleum -- at
least with biotechnology the interests of humanity dovetail a bit with the
interests of capital. As Ludlam puts it, "If you're going to wait for the
government to bring these lifesaving products to market, you're going to have a
very long wait."

But there's a big difference between placing highly conditional trust in a
highly imperfect system and blind faith in the invisible hand of the market.
Even the most ardent of biotech champions would not suggest that the field go
unregulated. The ethical, social, theological, and even logistical questions
posed by genetic science are vast, and pressing. Though we may still be several
decades away from reaping the fruits of the current genetic discoveries, there
have already been what many view as egregious abuses either in the collection,
the development, or the patenting of genetic material.

In the 1970s, John Moore underwent treatment for cancer at the UCLA hospital.
His doctor discovered that Moore's spleen tissue produced a protein usable to
fight cancer. Without informing the patient, UCLA created a cell line from his
tissue, obtained a patent from their invention, and sold it. Moore's cell line
is now estimated to be worth $3 billion. Moore learned of the UCLA "discovery"
years after the fact, and understandably slapped them with a suit. In 1990, the
California Supreme Court decided against Moore, ruling that once the cell had
left his body, he was no longer entitled to any property rights over it.
Critics label this bio-piracy, and it goes on all the time. Many of the
valuable advances in genetic knowledge have been gained through organisms
gathered in underdeveloped countries, and these have led to patents now
generating billions of dollars in revenue. The "donor" country, needless to
say, sees none of it, though this situation may be changing.

"I think people in the industry, not to mention lawmakers and the judiciary,
are becoming much more sympathetic toward the victims of bio-piracy," says Lori
Andrews, the former chair of the federal commission on the legal, ethical, and
social implications of the Human Genome Project. She is a professor
specializing in genetics law at Chicago-Kent College of Law, and the author of
The Clone Age: Adventures in the New World of Reproductive Technology. Andrews
also serves as a de facto watchdog over the genetics industry. She says that
Moore is hardly an isolated case. For example, a cell mutation known to cause
breast cancer was collected from several Ashkenazi Jewish women without their
knowledge.

"The irony is that this same genetic information could be used to discriminate
against them," Andrews says. Because many of the current applications for
genomic science lie in diagnostics (DNA screening) as opposed to therapeutics
(treatment) which is still in a rudimentary stage of development, a gap has
formed between "diagnosis and treatment," she says. "In that gap, insurers,
employers, and schools are already discriminating against people who may not
even be sick, but just show a propensity for a genetic disease."

No one questions the seriousness of the confidentiality issue. Group insurance
programs are currently prohibited from discriminating based on genetic
information about patients, but as even Ludlam admits, Congress needs to adopt
more sweeping measures to protect patients who wish, or need, to undergo DNA
screening. Both Ludlam and Andrews advocate legislation that would provide a
double layer of protection for patients. The first would be laws protecting
patient confidentiality. The second would ban all forms of genetic
discrimination.

ABOVE AND BEYOND any specific legislation, or the fine-tuning of the patent
process, however, Dr. Audrey Chapman feels that what's most needed at this
juncture is simply informed public debate, and, moreover, a public institution
saddled with the mandate to facilitate such education and conversation. "Often
people who are interested in hypothesizing about the science, or about the
policy, have no idea if this is scientific fiction or scientific reality. It's
really important if we're debating any of these issues that we understand the
science and understand the social implications of the science."

This is always the pipe dream, of course: An informed, thoughtful electorate
willing to do the homework and consider the consequences of the direction they
take as a society. And despite troubling precedents such as a nation's
collective indifference regarding universal health care, the current spate of
public fascination with the human genome gives grounds for optimism. An
informed society, after all, and the consensus they could produce, is our best
insurance that this science that promises so much might fulfill its potential
without compromising our human dignity in the process.

Jeff Howe is a frequent contributor to The Village Voice and Time Out New York.


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