Since September 2012, there has been a consultation in the UK on whether to allow the creation of three-person embryos. This may sound like an odd debate to be having, but there is a good reason for trialling this technique: to reduce the risk of genetic mitochondrial disease.
What are mitochondria?

Often referred to as the “generators” or “batteries” of a cell, mitochondria provide the energy required for the cell to work normally. Each mitochondrion is tiny, only about 1 μM (1 thousandth of a millimetre) long, but their function is essential. Several mitochondria are found in each cell – the higher the energy requirements of the cell, the higher the number of mitochondria found there.
The curious thing about mitochondria is that they have their own little set of DNA. This DNA is responsible for the production of the building blocks that make up oxidative enzymes – proteins which are important for energy generation. Mitochondrial DNA consists of 16,569 base pairs, a tiny fraction of the 3.3 billion base pairs found in the nuclear genome.
Mitochondria have many unique features not found in any other part of the cell. Their DNA is circular – this is a feature normally found in bacterial cells (also known as “prokaryotic” cells), whereas humans and other animals store their DNA as strands in the nucleus (these are called “eukaryotic” cells). Mitochondria also have their own unique set of ribosomes, the machines which make proteins in the cell.

These distinctions have led scientists to theorise that mitochondria may have a different origin to the rest of the components in a cell. It is thought that they were once free-living organisms, something like bacteria. A long time ago, in the early days of evolution, these bacteria invaded an early incarnation of a cell. Both bacteria and the cell were able to co-exist perfectly together – the cell provided the bacteria with essential proteins and the bacteria were able to generate plenty of energy which the cell could use. It’s a bit like if your house was invaded by Pikachu – he would provide you with free electricity as long as you kept him well-fed. Both of you would benefit from the arrangement.
As this partnership worked so well, the bacteria were eventually assimilated into the cell and became a permanent feature. This is known as endosymbiosis – a mutually beneficial co-development of host and invader.
Mitochondrial Disease
Mitochondrial disease affects each sufferer differently. The affected mitochondria may only be in one tissue type or they could be in several. The most commonly affected organs include the brain, muscle and kidneys, because these require a lot of energy. There is a huge variety of symptoms, making it very hard to diagnose. Some types of mitochondrial disease have more common symptoms and so are termed under collective names –such as Alpers’ Disease and Leigh Syndrome. The onset is usually in childhood but it can also develop in adults. About 4000 children a year in the US are affected by mitochondrial disease and in severe cases it is fatal, with the child unlikely to reach adulthood. So far, there is no known cure.
Three-person embryos
Every embryo contains three separate genetic components: DNA from the father, DNA from the mother and mitochondrial DNA. These are brought together when an egg cell, containing both maternal and mitochondrial DNA, fuses with a sperm cell containing paternal DNA. In cases of mitochondrial disease, the mitochondrial DNA in the egg cell is damaged, and this damage can be passed on to the child who may then develop disease symptoms. By creating three-person embryos, scientists are hoping to prevent mitochondrial disease by replacing the faulty mitochondria with normal ones before the embryo develops.
There are two techniques to create three person embryos which are being discussed. The first is called “maternal spindle transfer”. The idea behind this is to take an egg from the mother and remove the nucleus containing all of her genetic material apart from the mitochondrial DNA. A donor egg with healthy mitochondria has its nucleus removed and replaced with the nucleus from the mother’s egg. The egg will then be fertilised by the father’s sperm, in a similar way to conventional IVF.
The maternal spindle transfer technique has been successful in animal trials. In human trials however, only about half the eggs made using this technique developed normally. The researchers involved still think the results are encouraging enough that the technique should be allowed to go the next stage: clinical trials. Currently, this is illegal in both the US and the UK. The present government debate is whether to change the law to allow these clinical trials to occur.
The second technique is called “pro-nuclear transfer” and involves fertilising both the mother’s and donor’s eggs with the father’s sperm. Before the eggs divide, the nucleus is removed from both eggs, and the nucleus from the mother’s egg is placed in the donor’s. Doug Turnbull and his team at Newcastle University in the UK have pioneered this technique and have successfully developed embryos to about 100 cells (the “blastocyst” stage).
A mother, a father and a little bit extra
Mitochondria contribute only a tiny amount of the DNA to a person’s genome. Therefore, a three-person embryo would consist mostly of the DNA from the father and mother, with only a small proportion coming from the donated mitochondria.
There is much controversy surrounding “three-person embryos”. For starters, the phrase itself sounds a bit weird and unnatural. What’s more, there are multiple ethical issues and moral arguments, such as “interfering with nature” or who will have parental rights. Some people are worried about what impact having three genetic parents would have on a child’s development. Others point out that this won’t cure existing sufferers; it would just prevent new babies from being born with the disease. Furthermore, it is not known what effect this technique could have on future generations.
However, the concept of “three parents” is not as bad as it sounds. The tiny mitochondrial genome is only responsible for certain basic processes. So, it appears unlikely that having the mitochondria from another person will have a big impact on the development of the characteristics of the embryo or the child, such as its appearance or personality.
It may be possible to reduce any “three-parent” risks by using mitochondria from a family member of the father. The mitochondrial genome is always inherited from the mother, as mitochondria are present in the egg at fertilisation. In the same way, the father’s mitochondria will have been inherited from his own mother. Donation of an egg from a maternal relative of the father (his mother, a sister or maternal aunt) would ensure the embryo would still inherit the exact mitochondrial DNA of one parent, in this case, the father rather than the mother.
The concepts and techniques behind mitochondrial donation have been subjected to ethical reviews, which concluded that the techniques are promising but that more research is needed. However, doing further research would require a change in the current law as genetic modification has never been tried to this extent in humans.
The future of mitochondrial donation
The Human Fertilisation and Embryology Authority (HFEA) have been consulting public opinion of three-parent embryos. They published their results in March 2013, finding that 44% of the 1000 people surveyed approved of the technique, with 29% against it. However, an open online questionnaire found that 455 people were in favour with 502 against. So, public opinion is clearly divided on the issue.
I think the term “three-person embryos” or “three-parent babies” should be dropped because it has alarming connotations, making the technique sound strange and unnatural – a bit like the “Frankenfood” label given to GM crops. Describing it as “mitochondrial donation” may encourage people to understand its potential benefits and may help dispel controversy. The very existence of mitochondria in our own cells proves that something that seems unnatural can be benign or even beneficial – if those proto-bacteria hadn’t invaded the host cells all those millions of years ago, life as we know it would never have developed in the first place.
The UK has always been at the forefront of scientific innovation, especially with fertility. This was highlighted by the recent passing of Sir Robert Edwards, one of the scientists who pioneered the IVF technique (unfortunately his death in April 2013 was somewhat overshadowed). His legacy was to bring desperately wanted children into the world, and now we have a chance to improve on that by adapting his technique to reduce suffering. I sincerely hope the government gives the green light to further investigate this concept. Of course, lots of work still needs to be done before the technique can actually be used, if it can be used at all. However, I think the researchers should be given the opportunity to develop this potentially life-saving technique.
Post by: Louise Walker
Comments: The future of secondary school science
Exam time is fast approaching and once again this year pupils will not only be fretting
about their potential grades, but also over the following inevitable barrage of claims concerning falling exam standards. Yes, however hard you may have worked for that A* to C grade, according to the tabloids, your efforts were futile. Particularly since modern GCSEs are now little more than the academic equivalent of an award for ‘taking part’ – spell your name correctly and walk home with a qualification. But we all know that this is not really the case, that the real situation is significantly more complex.
The truth is, contrary to what we hear from politicians, comparison of exam standards is not an exact science. A seminar held in 2010 by the examinations group Cambridge Assessment concluded that “it is not possible to compare standards, definitively, over long periods of time and perhaps attempting to do so is simply confounding the problem.” Professor Gordon Stobart, from the Institute of Education compared the debate over exam standards with climbing Mount Everest noting that: “In 1953 two people got to the top of Everest, an extraordinary achievement at the time. Yet on a single day in 1996, 39 people stood on the summit.” Does this mean that the mountain is getting easier to climb? Not necessarily, it may simply reflect the fact that more people are attempting the climb and that those who do so are now better equipped.
There are many explanations for these and similar results. It is possible that exams are getting easier. However, it’s equally possible that changes to the syllabus and style of question mean that modern students show different strengths than those required to answer O-level style questions.
Wherever the problems lie, I believe that it is unfair to blame the students for these failings. Constantly reminding them that the exams they agonised over for the last few years were ‘easy’ won’t solve anything and at worst could be damaging. I also doubt teachers are at fault; they are instead victims of a culture that craves an end result without caring how it is achieved. Instead, we need to take a long hard look at the current system itself and decide whether or not it is still fit for purpose. Luckily this is exactly what education secretary Michael Gove is doing right now. In a recent letter to Ofqual he argues that that “there is an urgent need for reform, to ensure that young people have access to qualifications that set expectations that match and exceed those in the highest performing jurisdictions.”
He is embarking on a mammoth task, which I certainly don’t envy. Not least when it
comes to science education. With public debate ranging from GM crops to vaccinations, scientific understanding is a must in today’s society. Especially since it has been argued that individuals without a working appreciation of science are more likely to be swayed by pseudo-science and unfounded propaganda. Therefore, providing our children with a strong working understanding of basic science is a must.
Unfortunately I worry that Mr Gove’s reforms run the risk of ‘missing the mark’ when it comes to science. They appear to concentrate heavily on standardising the format of secondary school teaching, removing emphasis on coursework and ensuring qualifications are “linear, with all assessments taken at the end of the course.” This may indeed provide “qualifications that set expectations that match and exceed those in the highest performing jurisdictions.” However, I worry it will fail to tackle the true failings in our current science curriculum.
The Science and Technology Committee Report of Science Education – 2002 states that: “the current curriculum aims to engage all students with science as a preparation for life. At the same time it aims to inspire and prepare some pupils to continue with science post-16. In practice it does neither of these well.” Even more damning is the report’s observations on course structure. It states that “practical work, including fieldwork, is a vital part of science education. It helps students to develop their understanding of science, appreciate that science is based on evidence and acquire hands-on skills that are essential if students are to progress in science.” However, it recognises that due to pressures and time constraints placed on teachers, coursework now has “little
educational value and has turned practical work into a tedious and dull activity for both students and teachers.” From this they conclude that “many students lose any feelings of enthusiasm that they once had for science… neither enjoy or engage with the subject… they develop a negative image of science which may last for life.” And I can’t see this situation improving if reform means more emphasis on achievement in a final exam and less emphasis on continuous coursework assessments.
The proposed system may place more pressure on teachers to maintain standards through exam achievement alone, running the risk of exacerbating our ‘teach to the test’ culture and marginalising the significance of practical skills development. I hope that if these changes are thoughtfully implemented such problems may be avoided. However, the outcome of this still remains to be seen.
I wonder if there is scope for the scientific community to become further involved in secondary school science education. Successful projects such as I’m a Scientist Get me Out of Here are already gaining in popularity. But, there is still much more we can do. For example: developing online e-learning resources covering the basic curriculum whilst also enabling active scientists, working in related fields, to communicate with students through blogs and forums – placing the curriculum on the context of real-world research. I know scientists are concerned about how their subjects are taught, so perhaps it’s a good time to start building better links with schools and really getting involved?
Post by: Sarah Fox