At the invitation of the U.S. State Department, I presented
a series of lectures and briefings in the Philippines about
an exciting advance in agricultural biotechnology: "biopharming" --
the programming of plants to produce pharmaceuticals that can
be purified, or that might even be delivered by eating the
plant material itself.
The early-stage R&D I saw during my travels was astonishing.
University of the Philippines, Manila, Professor Nina Barzaga
-- "The Illustrious Nina," as she is known locally
-- has introduced into banana plants the genes that express
potential vaccine proteins for typhoid fever, rabies and
the HIV virus. She and her collaborators intend to process
the bananas sufficiently to be able to standardize the dose
-- by converting them to dried banana chips, for example
-- and then to carry out clinical testing.
As I met with scientists, regulators, agency heads and senior
politicians, I found that while much of the science is stunning,
over-regulation is a significant obstruction to progress.
The concept of biopharming is not new. Many common medicines,
such as codeine, morphine, bulk laxatives and the anti-cancer
drugs taxol and vincristine have long been purified from
plants. But biopharming's great promise lies in using gene-splicing,
or genetic modification (GM), techniques to make old plants
do radical new things. Gene-splicing has been applied to
plants for decades in order to improve their nutritional
value and agronomic traits (yield, pest- and drought-resistance
and the like). The production of high value-added substances
is a logical, straightforward extension.
Biopharming offers tremendous advantages over traditional
methods for producing pharmaceuticals. There is great potential
for reducing the costs of production: The energy for product
synthesis comes from the sun, and the primary raw materials
are water and carbon dioxide. And if it becomes necessary
to expand production, it is much easier to plant a few additional
hectares than to build a new bricks and mortar manufacturing
facility. (Think Tamiflu, the anti-influenza drug, which
is in short supply.)
Finally, vaccines produced in this way will be designed
to be heat-stable, so that no "refrigeration chain" from
manufacturer to patient will be required -- a major advance
for use in developing countries, especially in the tropics
and throughout Africa.
Approximately two dozen companies worldwide are involved
in biopharming, and about half have products in clinical
trials. The spectrum of products is broad, ranging from the
prevention of tooth decay and the common cold to treatments
for cancer and cystic fibrosis. Just last month, California-based
Ventria Bioscience reported favorable clinical results with
two human proteins biopharmed in rice and used to treat pediatric
diarrhea.
There are major, interrelated obstacles to moving these
projects through to commercialization, however. Excessive,
unscientific regulation, the bleating of anti-biotech NGOs,
and shortfalls in funding -- all conspire against the projects.
Worse still, these negative factors reinforce one another.
Over-regulation makes field trials difficult and hugely expensive
to carry out, which makes it hard to attract Big Pharma collaborators
or funders; and the NGOs endlessly wring their hands about
risks and point skeptically (and cynically) to the absence
of medical breakthroughs.
Critics of the new technology have made dire predictions
of contamination of the food supply, warning of "drugs
in your corn flakes." However, the sophistication of
modern agriculture enables us to sequester different crop
varieties when necessary and to cultivate safely the same
species of crops for food and for new pharmaceuticals. Having
said that, one must admit that human error is inevitable,
so it is reasonable to ask: What is the likelihood of consumers'
sustaining injury if a few biopharmed plants find their way
into the food supply?
In order for unwanted health effects to be realized, several
highly improbable events would have to occur. First, the
active drug substance would have to be present in the final
food product -- say, corn chips or oil, if the drug were
made in corn, for example -- at sufficient levels to exert
an adverse effect from either direct toxicity or allergy.
But there is generally a huge dilutional effect, as small
amounts of biopharmed material are pooled into a much larger
harvest; with few exceptions (e.g. peanuts), even an allergic
reaction requires the presence of more than a minuscule exposure.
Second, the active agent would need to survive milling, other
processing, and cooking. Third, it would need to be orally
active (usually, proteins are not because they are degraded
in the gut).
The probability that all of these events would occur is
extremely low.
To be sure, biopharming misused could present valid safety
concerns. It would be irresponsible, for example, to produce
the anti-wrinkle drug Botox in an edible plant, except under
very high conditions of containment, probably in a greenhouse
or screenhouse: the active ingredient in the drug is, after,
all, the highly lethal botulinum toxin (which is safe when
injected under the skin in tiny doses).
One constant around the world is the over-regulation of
agricultural biotechnology, especially biopharming. For example,
the regulations of the U.S. Department of Agriculture impose
highly prescriptive standards that fail to take into account
the actual risks of a given situation, but mindlessly dictate
one-size-fits-all, draconian requirements. These include
large buffer zones between biopharmed and other crops; the
requirement to leave land used to grow biopharmed plants
fallow for a year following harvest; and the setting aside
of planting, storage and harvesting equipment exclusively
for biopharmed crops. Moreover, USDA has imposed a zero-tolerance
for any biopharmed crop in food -- which is unscientific,
unrealistic and unnecessary. (Regulators seem to have forgotten
about the long-established tolerance levels in grains for
unwanted substances such as insect parts, rodent droppings
and harmful fungal toxins.)
Countries such as the Philippines that lack large, sophisticated
regulatory apparatuses often follow the lead of the United
States or the United Nations, whose regulations are lethal
to innovation in poorer countries. If you're running a small-scale
but high-quality R&D operation that can't test its biopharmed
plants in the field, it's hard to convince potential commercial
collaborators that you're for real.
If we can't break this vicious circle by injecting science
into public policy, biopharming's development costs will
continue to be hugely inflated, only very high-value-added
products will become development candidates, and consumers
worldwide ultimately will see few biopharmed drugs in the
pharmacy. And in the process, the impressive work of people
like The Illustrious Nina will be for naught.
*****
Henry I. Miller (miller@hoover.stanford.edu) is a fellow
at the Hoover Institution. From 1989 to 1993, he was director
of the U.S. FDA's Office of Biotechnology. His most recent
book, The Frankenfood Myth, was selected by Barron's as
one of the 25 Best Books of 2004.