Charles Arntzen was walking through Bangkok's floating market 13 years ago,
hemmed in by hundreds of farmers in traditional blue garb selling their
harvest of fruits, flowers and vegetables from wooden sampans along the Klong
canals. He happened upon a mother feeding her infant a banana. Arntzen, a
plant biologist, was researching global use of plant-based medicines. As he
watched, it occurred to him: Wouldn't it be great if that banana could shield
the child from disease?
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A seemingly simple concept--vaccines incorporated in food--followed Arntzen
home. Most vaccines are injected, but oral ones can work, like the Sabin polio
vaccine introduced 42 years ago. Taking this a step further, Arntzen
contemplated the possibility that plants could be engineered to produce
proteins that would cause the body to produce protective antibodies. That
would spare poor nations the cost of acquiring, refrigerating and transporting
vials of vaccine. It would spare kids a needle in the arm.
Arntzen, now a professor of plant biology at Arizona State and director of
the Arizona Biodesign Institute inTempe, is in the vanguard of the movement
toward edible vaccines. He has concluded three early-stage clinical trials
using potatoes bearing vaccines against hepatitis B, E. coli and the Norwalk
virus, the intestinal scourge currently plaguing cruise ships. It appears that
vaccine-laden food can trigger the production of antibodies, the body's virus
fighters, but he has yet to prove they do so at a rate comparable to that of
an injection. If all goes well, Arntzen thinks a Food & Drug
Administration-approved product will be available in five years.
"We're trying to create a new paradigm. These vaccines could save millions
of lives," says Arntzen. Unicef estimates 30 million infants go without basic
immunizations every year. Three million of those children die from preventable
diseases such as diphtheria, tetanusand measles.
Others have followed Arntzen's lead. In 1998 researchers at California's
Loma Linda University reduced the symptoms of juvenile diabetes in mice by 50%
after feeding them potatoes carrying insulin. Iowa State is developing corn
that staves off intestinal pathogens. Meristem Therapeutics, based in
France, is in clinical trials with corn geared toward cystic fibrosis. Dow
Chemical (NYSE:DOW -
News) and Monsanto (NYSE:MON
- News) have taken a slightly
different approach by looking at ways to grow antibodies in corn. San
Diego-based Epicyte Pharmaceutical will begin early-stage clinical
trials this year with a herpes monoclonal antibody grown in corn.
Injected vaccines are expensive--as much as $40 per dose. Arntzen believes
he can eventually produce doses for pennies each, and they wouldn't need to be
kept cold since they're not live vaccines. Needles, moreover, can spread other
diseases if they aren't sterile. Oral vaccines work well against intestinal
illnesses such as severe diarrhea, a frequent killer in the developing world.
Acreage is no concern. Arntzen estimates he could vaccinate all of China
against hepatitis B using 125 acres.
Despite those attributes, vaccine-bearing crops are still a hard sell. They
run up against the passionate Luddite movement opposed to genetically
engineered crops. The U.S. has strict regulations for growing transgenic crops
to prevent cross-pollination. The European Union has gone much further in its
opposition; it has halted approvals of new bioengineered foods, which would
likely include those with vaccine potential.
Arntzen's entire career has prepared him to prove critics wrong. The
61-year-old grew up on a farm in Granite Falls, Minn., where his father
embraced experimentation of hybrid swine and new strains of cattle. He
received his Ph.D. in molecular biology fromPurdue and held positions at
DuPont and the U.S. Department of Agriculture before joining Texas A&M in 1988
as its deputy chancellor of agriculture.
It was while he was there that Arntzen made his fateful trip to Bangkok.
Within weeks of his return to campus, he dug up enough supporting research to
conclude his dream was not so far-fetched. Scientists at Monsanto and
DuPont had already proven that the genetic blueprint in corn, soybeans and
potatoes could be manipulated to thwart insects or pesticides. Other studies
had shown that a portion of the hepatitis B virus could be grown in yeast. "I
was looking for a way to combine my agricultural expertise with human
medicine," says Arntzen. "If they could grow it in yeast, I knew I could grow
it in plants."
By 1993 he and some other scientists had manipulated a tobacco plant into
producing the hepatitis B antigen. They moved on to potatoes, a more edible
crop that's more amenable to genetic splicing.
Arntzen's process started by the rewriting of the published genetic
blueprint of E. coli. He stripped out the DNA sequences that make the virus
infectious to animals and replaced them with ones that made the virus more
akin to those found in plants. On one end of this new genetic strand he
chemically attached a promoter switch, an on-off DNA sequence that triggers a
desired reaction in a cell (in this case, the production of the vaccine).
After producing copies of the completed strand, he spliced them into naturally
occurring pathogens called agrobacteria that are good at boring into cell
walls of plants. The agrobacteria squirt the strands into the cell, where they
combine with the potato's own chromosomes. With help of a growth hormone, the
cell rapidly grows into cuttings large enough to plant in soil. (What was once
a four-month process now takes 60 days with the advent of specialized
gene-design shops.)
Arntzen conducted successful trials in 1995 on mice with these superspuds,
and the next year moved with colleagues to the Boyce Thompson Institute at
Cornell. But, just as his research was gaining momentum, Arntzen was
sideswiped by the global revolt against genetically modified foods and
struggled to raise money to conduct human trials. "Millions of people are
dying not because of the [genetically modified] corn, but because they have
nothing," says Kan Wang, an associate professor at Iowa State.
After seven months of waiting Arntzen finally won FDA approval for human
trials. Over the next four years he fed tennis-ball-size portions of raw
potatoes to 50 patients, with results that proved the vaccine would survive
the trip through the digestive system and provoke an immune system response.
But there was a problem: Antibody reactions among Arntzen's patients varied by
as much as 30%. He had no way of equalizing doses among patients because every
potato grows differently. He couldn't cook the spuds for fear of destroying
the vaccine.
In 1999 Arntzen solved the dosage problem by freeze-drying slivers of
potato and making an extract that could be measured. When he moved to Arizona
the next year, he switched to tomatoes, which yielded easily adaptable powder
or paste. And tomatoes grown in greenhouses solve environmentalists' concerns
about cross-pollination of modified plants with normal ones. Arntzen admits
that tomatoes may not be the answer. "Scientists will find it a fascinating
task to come up with ways to get the kids to take it,"he says.
For now, Arntzen is on the road trying to raise money. He has spent $5
million on research already but needs $20 million to get through late-stage
trials. One interested party is the Bill and Melinda Gates Foundation, a
leader in the campaign to get vaccines to poor nations. A Gates grant would
legitimize Arntzen's plant-based work. "In five years people will forget about
how we manufacture this stuff," says Arntzen.