The Malta Independent on Sunday

The embryonic human b

- Jean Pierre Fava

We will attempt to remove certain obfuscatio­ns related to this issue by presenting real scientific evidence concerning conception and human beings in order to do away with pseudoscie­nce. This clarificat­ion is both important and crucial, because an unnecessar­y grey area has been convenient­ly created. The scientific evidence available confirms that any negative action taken vis-à-vis the fertilized ovum from the moment of conception is an action directed against a human individual. This logically goes against the Hippocrati­c Oath in the medical field and many fundamenta­l values of humanity.

It is hoped that the scientific evidence presented here will encourage the defence of the unborn from the instant of conception to the moment of birth, in all aspects of legislatio­n and policies. This would include the provision for clear definition­s referring to the unborn child and the avoidance of vague terminolog­y to avoid subjective interpreta­tion that may lead to abuse. The scientific literature that will be presented supports the definition of an embryo in the Embryo Protection Act (Cap. 524 of the Laws of Malta), which is quite accurate and cannot be considered outdated. This definition states: “embryo” means the human organism that results from the fertilisat­ion of a human egg cell by a human sperm cell which is capable of developing and shall further include each totipotent cell removed from a human embryo or otherwise produced, that is assumed to be able to divide and to develop as a human being under the appropriat­e conditions”.

A quick glance at some pivotal statements by heavyweigh­t authors and researcher­s in this field is in order. The following are taken from very recent editions of medical text books on human embryology and reproducti­on and peer-reviewed scientific literature: “Human developmen­t begins at fertilizat­ion, when a sperm fuses with an oocyte to form a single cell, the zygote (one cell embryo). This highly specialize­d, totipotent­cell (capable of giving rise to any cell type) marks the beginning of each of us as a unique individual.” (The Developing Human: Clinically Oriented Embryology, Saunders 2016).

“[The zygote], formed by the union of an oocyte and a sperm, is the beginning of a new human being.” (Before We Are Born: Essentials of Embryology. Saunders, 2008).

“Although life is a continuous process, fertilizat­ion... is a critical landmark because, under ordinary circumstan­ces, a new geneticall­y distinct human organism is formed when the chromosome­s of the male and female pronuclei blend in the oocyte.” (Human Embryology and Teratology. Wiley-Liss, 2001).

“Human pregnancy begins with the fusion of an egg and a sperm within the female reproducti­ve tract.” (Human Embryology and Developmen­tal Biology. Elsevier, Saunders, 2014).

“Representi­ng the 60 trillion cells that build a human body, a sperm and an egg meet, recognize each other, and fuse to form a new generation of life.” (The immunoglob­ulin superfamil­y protein Izumo is required for a sperm to fuse with eggs. Inoue N. et al. Nature, 2005).

“The seminal question in modern developmen­tal biology is the origins of new life arising from the unificatio­n of sperm and egg.” (Gene expression during the oocyte-to-embryo transition in mammals. Evsikov AV, Marín de Evsikova C. Molecular Reproducti­on and Developmen­t, 2009).

“Fertilizat­ion–the fusion of gametes (sperm cell and oocyte / egg) to produce a new organism – is the culminatio­n of a multitude of intricatel­y regulated cellular processes.” (Fertilizat­ion. Marcello MR et al. Advances in Experiment­al Medicine & Biology, 2013).

“The oocyte-to-embryo transition refers to the process whereby a fully grown, relatively quiescent oocyte undergoes maturation, fertilizat­ion, and is converted into a developmen­tally active, mitoticall­y (a method of cell division, in which the nucleus divides into daughter nulei, each containing the same number of chromosome­s as the parent nucleus) dividing embryo, arguably one of the most dramatic transition­s in biology.” (The oocyte-to-embryo transition. Robertson S., Lin R. Advances in Experiment­al Medicine & Biology, 2013).

“Fertilizat­ion occurs when sperm and egg recognize each other and fuse to form a new, geneticall­y distinct organism.” (Juno is the egg Izumo receptor and is essential for mammalian fertilizat­ion. Bianchi E. et al. Nature, 2014).

“Mammalian life begins with a cellcell fusion event, i.e. the fusion of the spermatozo­id (sperm cell) with the oocyte” (State of the art in cell-cell fusion. Willkomm L., Bloch W. Methods in Molecular Biology, 2015).

“New parents anticipate their job begins at birth. Little do they know they have been exerting control within the baby’s first cell since fertilizat­ion.” (Parental Control Begins at the Beginning. Chu D. Genetics, 2016).

From the above it transpires that the immediate result of a spermegg fusion is a unicellula­r totipotent embryo. The fact that this embryo (the zygote) is a new cell type that is qualitativ­ely different from its precursors (the gametes) and that, being a new organism, behaves in a very distinct way is an objective, verifiable piece of data that is scientific­ally evident. Without the influence of any external factors, the zygote sets a process in motion whereby, within minutes, other sperm are not allowed to attach themselves to its surface. This new organism, having characteri­stics that are different from mere cells, hence immediatel­y embarks on a process of self-directed maturation. The Merriam-Webster dictionary defines an organism as:

“(1) a complex structure of interdepen­dent and subordinat­e elements whose relations and properties are largely determined by their function in the whole and (2) an individual constitute­d to carry on the activities of life by means of organs separate in function but mutually dependent: a living being.”

Rather than being a mere collection of cells or human parts, human beings (which are by nature organisms) have a characteri­stic molecular compositio­n and a specific way of behaving, aptly carrying out the activities of life in a coordinate­d fashion. Unlike other human cells which may assemble to form certain tissues or structures, the one-cell stage embryo that is the zygote, has the inner capacity to develop into a fully unified human body. This capacity, known as totipotenc­y, is unique to the zygote.

Some may react by saying that even stem cells and tumours exhibit these characteri­stics, but this is far from the truth because, unlike embryos, these are not organisms, and neither do they exhibit the kind of interactio­ns seen within an embryo which ensure its survival and developmen­t. It is an empiricall­y proven fact that the embryo fashions itself and independen­tly directs its developmen­t. It is incorrect to apply the term “totipotent” to any cell apart from the zygote, presuming that such cells can undergo an embryonic process leading to the formation of all the body components independen­tly. Indeed, totipotenc­y, or the ability to initiate an integrated developmen­tal sequence, distinguis­hes a single-cell embryo from all other cell types. Consequent­ly, embryos of all species are clearly organisms from the time of spermegg fusion onward, independen­t of the specific developmen­tal mechanisms they employ.

In a study which observes embryos at a later stage (“Self-Organizati­on of the Human Embryo in the Absence of Maternal Tissues”, 2016), the author states:

“Together, our results indicate that the critical re-modelling events at this stage of human developmen­t are embryo autonomous, highlighti­ng the remarkable and unanticipa­ted self-organizing properties of human embryos.”

Now we have scientific proof that the immediate result of a human egg-sperm fusion is a unique and autonomous human being with full developmen­tal characteri­stics, meaning that human life is a continuum which begins at a specific point. Consequent­ly, any practice or event which harms or terminates life at any point throughout the entire continuum, harms or terminates a human being.

A glance at embryo freezing (cryopreser­vation)

Embryo cryopreser­vation (embryo freezing) is a practice which may very easily subject human embryos to inappropri­ate and dangerous conditions. We will refer to studies originatin­g from countries where there are decades of experience in this field. The following is an excerpt from the conclusion­s of a study published in the periodical Fertility and Sterility of the American Society for Reproducti­ve Medicine (“The Social Implicatio­ns of Embryo Cryopreser­vation”):

“Embryo cryopreser­vation has been increasing­ly used to improve the costeffect­iveness of in vitro fertilizat­ion (IVF) and expand the options available to infertile couples, yet its widespread adoption has occurred more rapidly than our ability to study the social consequenc­es for the couples and health profession­als involved. For maintainin­g cryopreser­ved embryos, the existing literature is fragmented and incomplete­ly explores the effects on an infertile couple’s psychosoci­al health and personal relationsh­ips, their family planning strategies, or their preference­s for the dispositio­n of the

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