Research Fraud:
Transplant Roadblock*
S.Q. Lapius was padding
about the room in his stockinged feet perusing the just arrived evening
paper. “At last, at last,” he said.
“At last what?” I asked.
“At last an explanation
or rebuttal or whatever from Summerlin.”
It took me about three
seconds to be reminded who Summerlin was, but it came back in a flash. He
was the doctor who was kicked out of the Memorial Sloan-Kettering Cancer Center
for having falsified and misrepresenting his research. One of the major
roadblocks in medicine today is the immune system, which prevents the kidney of
one person to be transplanted to another without the use of terrifying drugs
that are often as lethal as the original medical problem. In other words,
immune system of the recipient recognizes that the transplanted tissues are
foreign, and sends out an array of proteins to destroy it. It is
certainly true that if it weren’t for the immune response we would be racked
fatally by the hordes of bacteria amongst which we live and that live amongst
us. But the same immune system prevents the successful transplant of
human organs from one individual to another. Summerlin thought he had
found a way to overcome this problem. He believed that incubating donor
tissues in a tissue culture for a period of time would overcome the resistance,
and purportedly show experimentally that incubated tissues would lose their
antigenicity – that is, lose their power to stimulate an antibody response by
the host to the transplant. If this were true it would pave the way for
successful transplantation of tissues without the use of immunosuppressive
drugs. However, his work, although printed in scientific journals and
reported at meetings, could not be
duplicated in other laboratories. As a result, he and his work
became suspect.
“Isn’t he the fellow
that was given a one year leave of absence with pay provided he would see a
psychiatrist?” I asked Lapius.
“The very same,” Lapius
confirmed. “They really had some damning evidence. As a matter of
fact, he painted some white rats with black shoe polish to demonstrate what he
considered to be a successful experiment in cross transplantation.”
“Pretty hard to get out
of that sort of bind,” I said. “He admitted the charge. How could
he expiate himself?”
“Quite simply,” said
Lapius, continuing to read. “He blamed the whole matter on his chief at
Sloan-Kettering, Robert A. Good.”
“How could he do
that? Good wasn’t involved in his experiments.”
“No, but Good supported
him. According to Summerlin, Good was putting a lot of pressure on him to
produce. He said, ‘You’ve been here six months and you’ve really not made
any new observations.’ (NY Times, May 29, 1974)
“Coming from the chief
of an institute I would say that that statement constitutes pressure,” I told
Lapius.
“Fortunately for all
science, not all researchers have been given that sort of implied
ultimatum. What, after all, is six months. Consider that Jenner
worked for twenty years until he confirmed for himself the usefulness of the
vaccination against small-pox.”
“Sure,” I said, “he took
his own sweet time and meanwhile about 20 million people probably died of small
pox.”
“Certainly,” countered
Lapius, “but what if he had been pushed by some royal patron, and had come out
with some spurious stuff prematurely? The concept would have fallen into
disrepute and we would still be dying of small pox.”
“Do you blame Good?”
“I think Good will
suffer from the exposure. After all, he seemed to have been orienting his
career towards winning the Nobel Prize. I think he has authored about 12
hundred papers, many which are basic importance. But then again that many
scientific articles is too many for one man to have done alone, except an
exceptional genius, with a large number of exceptional graduate students at his
command. However, that may be, according to Summerlin, Good as the new
chief at Sloan-Kettering was simply too anxious to get results. It is
unfortunate.”
“Well, it certainly
deals a black-eye to the research establishment.”
‘Not at all,” Lapius
said, surprisingly. “Not at all, Harry. Research is
self-correcting, as long as there are independent research centers that are in
competition as it were, in a given field of research. If a research
result can’t be duplicated something is wrong. There is no need for long
hearings or judicial procedures to unfrock the fraud. All that is needed
is for reputable scientists to come to the fore and show that their own
experiments failed to reproduce the stated results. I feel sorry for Summerlin.
He probably succumbed to the pressure and went a little dotty. He claims
that he became depressed after a sleepless night on his cot in his laboratory,
and a surprise breakfast of crepes and champagne brought to him by his
secretary, he darkened the skin of his laboratory animals on his way to Dr.
Good’s office.”
“Some secretary.
What was she doing there with crepes and champagne at 5 a.m.?”
“The article didn’t
say.”
“What kind of
shoe-polish did he use?”
“The article doesn’t
mention that either,” Lapius said, scrutinizing the print.
“Pretty poor reporting
to my way of thinking. Those sound like the most interesting parts of the
story.”
“But the project of the
young Summerlin does bring up an interesting point,” Lapius said, ignoring my
pertinent comments. “Why doesn’t the female reject the male sperm during
an insemination?”
“There’s not enough
time.”
“But the new fetus is in
a sense half a transplant – perhaps if Summerlin had incubated the donor and
recipient tissues together for a while -.”
*Between 1975 and 2006 reports of research fraud increased significantly.