The University of Southampton

Engineering Replacement body parts 2024-2025

An interdisciplinary module

Nanobots and the Rise of Superhumans: The Next Chapter in Human Evolution

Growing up, I was fascinated by the stories of superheroes — beings with enhanced strength, rapid healing, or minds that could outthink any machine. As part of my school project, I stumbled upon the concept of nanobots, and realised the extraordinary powers I always admired weren’t just confined to comic books. The idea of microscopic machines navigating the body, targeting diseases with precision and sparing healthy cells, felt like a real-life superpower. Suddenly, the thought of humans enhanced by technology didn’t seem so impossible. What if we could repair injuries in seconds, regenerate damaged tissues, or even enhance our mental and physical abilities? Welcome to the world of nanotechnology, where the future isn’t merely bigger; it’s smaller, smarter, and infinitely more extraordinary.

An Overview of the Nanoscale World

Nanotechnology, the manipulation of matter on an atomic and molecular scale, has become a ground-breaking force across various fields. Nanoparticles, typically measuring between 1-100 nanometres, possess unique properties that offer transformative potential. From medicine to environmental solutions, nanotechnology has rapidly advanced, with estimates predicting a global worth of over $33.63 billion by 2030. Among its most promising applications are nanobots — microscopic robots capable of performing intricate tasks at the cellular level.

Nanobots excel in diagnostics by detecting disease biomarkers before symptoms arise. Embedded with nanosensors in the bloodstream, they provide real-time health data, enabling early warnings for conditions like cancer, Alzheimer’s, or cardiovascular disease. Could nanobots be the answer to cure incurable diseases?

The Birth of the Superhuman

Nanobots are no longer just medical marvels; they may become the gateway to the next phase of human evolution. With nanobots running through our veins, the boundaries of human capabilities could blur, turning science fiction into reality. The superhuman, once confined to comic books, might walk among us — with unparalleled strength and augmented intelligence. From curing genetic disorders to amplifying memory and endurance, nanotechnology might redefine man.

Moreover, the superhuman is not solely about individual enhancement — nanobots could make collective intelligence a reality. By linking humans into a shared neural network, nanotechnology could foster a “hive mind” where ideas, skills, and knowledge are exchanged instantaneously. Imagine a world where a surgeon’s precision, an artist’s creativity, or a scientist’s discoveries can be instantly shared and applied by anyone connected to the network. This shared intelligence would accelerate evolution and drive progress at a pace beyond anything we’ve ever imagined.

The Price of Evolution

The prospect of engineered enhancement raises profound ethical questions. Who gets access to these upgrades, and will they deepen the divide between privileged and disadvantaged? Wealthier individuals could prolong their lives, enhance cognitive abilities, or prevent diseases before they emerge. Meanwhile, marginalised communities might be left behind. Will we see the dawn of a new medical aristocracy, where longevity and vitality are privileges of the wealthy?

Merging Man and Machine

With nanobot-driven evolution, we may face dilemmas even beyond economic disparity. The line between self and machine could blur to the point where human identity itself is called into question. Are we still human if a significant portion of our bodies and minds are machine-optimised? Could the ability to alter emotions and memories undermine the very fabric of personal identity?

Furthermore, the concept of mortality may shift. With nanobots repairing cells, reversing damage, and potentially halting aging, the natural cycle of life and death could be disrupted. While the idea of a prolonged, healthier life is desirable, it might force us to reconsider our relationship with time, purpose, and the meaning of existence.

References

Haleem, A., Javaid, M., Singh, R.P., Rab, S. and Suman, R. (2023). Applications of Nanotechnology in Medical field. Global Health Journal, [online] 7(2). doi:https://doi.org/10.1016/j.glohj.2023.02.008.

Hypothetica (2024). Nanobots – The next chapter in human evolution. [online] Substack.com. Available at: https://hypothetica.substack.com/p/nanobots-the-next-chapter-in-human [Accessed 28 Mar. 2025].

Moore, S. (2021). An Overview of Nanobots and the Most Recent Developments. [online] AZoNano.com. Available at: https://www.azonano.com/article.aspx?ArticleID=5761.

Vrilya Jarac (2023). Beyond Boundaries: The Nanobot Revolution and the Future of Human Augmentation. [online] Medium. Available at: https://vrilyajarac.medium.com/beyond-boundaries-the-nanobot-revolution-and-the-future-of-human-augmentation-3975e35ed599 [Accessed 28 Mar. 2025].

Organ Factories: human-animal chimera donors

Mentioning chimeras tends to evoke images of the mythical monster, part lion, part goat, part snake. When human chimeras – someone whose cells are derived from two or more zygotes – were introduced at the beginning of the lecture series I wondered, given the difficulty we have preventing organ rejection after transplants, how do chimeras avoid it? Simply put, the immune system develops recognizing both sets of antigens as self but while looking for an answer I came across this:

fetus bodies as living factories for organ generation”

It was a jarring turn of phrase in a section talking about the potential of growing humanized organs in surrogate animals. As an idea I knew very little about it seemed like a promising concept but my own alarm at that phrasing prompted further reading. A brief outline of the process is given the diagram.

 Making human organs in interspecies chimeras using blastocyst complementation. Human cells (teal) are added 
to edited pig (purple) blastocysts. These are genetically modified to be incapable or growing a particular organ. The human pluripotent cells can integrate into the modified pig blastocyst to make the missing organ. The blastocyst is then implanted into a surrogate. When mature the organ produced in the chimeric 
animal can be transplanted into the human cell donor (patient).
Image from Brown et al A Technological and Regulatory Review on Human–Animal Chimera Research Creative Commons Attribution Non Commercial 4.0 License

Before I go further into chimeric organs and the concerns raised by them, the problem this technique aims to solve should be described. This March there was around 8000 people waiting for organ donation in the UK. Between 1 April 2021 and 31 March 2022, 429 people died while on the transplant waiting list. Medical care and safety systems are improving which may reduce the number of donors (who are usually deceased). Other methods for reducing this shortagetherefore other competitors for funding – include expanding the donor pool and increasing the utilisation of less ideal donors but this can reduce the success of transplants.

So humanised organs from chimeras could bridge this gap and hold the potential to solve the problem that brought my attention to chimeras in the first place: immune rejection. Anti-body mediated rejection can cause organ transplants to fail when the recipient’s immune system detects the donor organ as a foreign body and attacks it. In chimera donors the organ is grown from induced pluripotent stem cells of the patient so should possess the same antibodies and not be rejected. Sounds good so far…

But whereas human donors (or their relatives) make an informed decision on whether to donate, chimera donors would involve creating, growing and killing animals to produce human organs. A multitude of animals are already raised and slaughtered for the food industry though this is not without contention.

Concerns raised include issues surrounding identity, transspecies infection, economic considerations and the allocation of pig vs. human organs. The latter is a fascinating conundrum whose shape will depend on comparative efficacy and cost of the two methods. Will chimera organs be the cheap second tier option or the premium and should either scenario be allowed? There is also concern that giving pigs human cells could confer enhanced cognitive abilities that allow pigs human-like thought.

The technology is not ready yet so will require further time and funding that could be allocated to, for example, preventative treatments. A heart xenotransplant has been attempted that used a pig edited with human genes -not whole human stem cells- that aimed to reduce the immune response inserted but the heart was rejected.

Chimeric organ donation has the potential to alleviate human suffering but at the cost of animal welfare, sparking debate. Emotional responses against chimeras may be rooted in the monstrous associations of the name itself and expressed as going against nature. From a consequentialist view the benefit to humans could outweigh the exploitation of animals but developing the technology will involve considerable risks to people. While researching this my opinion has swung between for and against but settled on cautious support for chimeric organs.

The Magnificent and Scary Future of Humanoid Robots

My idea of an automated home (AI-generated image)!

People have dreamed for decades about a world automated by robots so humans can just lie back and relax. Inspired by the idea of the ‘6 Million Dollar Man’, I found what I think may be the ultimate engineered replacement body part: an entire “human”. Humanoid robots mimic the human form, allowing them to carry out jobs in environments that are specifically built for humans. This is a growing market, predicted to increase to almost $38 billion by 2035, according to a Goldman Sachs report. With the rapid expansion of artificial intelligence (AI) as well, humanoid robots will likely have a glowing future.

A great example of a humanoid robot (and my favourite!) is Atlas, produced by Boston Dynamics. I’ve been a fan of Boston Dynamics’ robotics work for many years, so I had to give them a mention! Atlas was originally a hydraulic model designed for search and rescue operations in 2013, funded by the US Defense Advanced Research Projects Agency, but this model has since been retired and replaced by a fully electric, commercialised robot to be used in boring or more-importantly, dangerous work environments. Atlas is not yet available for purchase, but it shows great promise. This video from earlier this month showcases some of the new model’s dynamic abilities:

Combining humanoid robots with AI seems to be a pressing matter for this industry. AI models allow these robots to essentially train themselves, which helps them to develop and adapt to new situations more quickly. After starting my research into this blend, I watched the CEO of Nvidia, Jensen Huang, give a keynote speech in which he unveiled the world’s first open-source foundation model for the widespread use of humanoid robots, named “Isaac GR00T N1“, or ‘Groot N1’. This ‘generalist’ AI model is trained on both real and synthetic data, which makes humanoid robots more capable in a wider range of environments even with less training. With Groot N1 available to the public, along with blueprints and frameworks for synthetic training data, I believe this model will massively accelerate the production of capable humanoid robots.

Jensen Huang talks about the future of humanoid robots in March 2025 keynote speech.

I’ve always thought of humanoid robots as a force for good, but my research led me down a rabbit hole of ethics and fears surrounding their future. Here are just a few of the internet’s many concerns for you to think about:

  • Could humanoid robots act autonomously in ways that don’t align with human values?
  • If robots are capable of acting on their own accord, who is responsible for their actions?
  • Humanoid robots, like Atlas, rely on sensors and cameras in order to perceive their environments. Could this be an invasion of privacy?
  • Finally, if these robots develop to the extent of becoming ‘superintelligent’, could this lead to a future where the planet is controlled by machines?

In short, humanoid robots show great promise for creating my dream of an automated life by seamlessly fitting into environments created for humans. This is thanks in particular to the current efforts of Boston Dynamics with Atlas and Nvidia with Groot N1. However, I now realise that there are a whole host of important ethical and legal issues that should be discussed before the market for humanoid robots grows too large, to ensure our safety and privacy.


References:

Boston Dynamics. (2025). Atlas | Boston Dynamics. Available at: https://bostondynamics.com/atlas/ [Accessed 23 Mar. 2025].

Callari, T.C., Segate, R.V., Hubbard, E.-M., Daly, A. and Lohse, N. (2024). An ethical framework for human-robot collaboration for the future people-centric manufacturing: A collaborative endeavour with European subject-matter experts in ethics. Technology in Society, 78, p.102680. https://doi.org/10.1016/j.techsoc.2024.102680.

Du, J., Isayama, Y., Costa, D., Delaney, M., Zheng, N., Xu, O., Zhao, T., Li, Z., Chen, H. and Ye, Z. (2024). Humanoid Robot: The AI accelerant. Available at: https://www.goldmansachs.com/pdfs/insights/pages/gs-research/global-automation-humanoid-robot-the-ai-accelerant/report.pdf.

Huang, J. (2025). GTC March 2025 Keynote with NVIDIA CEO Jensen Huang. 18 March, SAP Center, California.

NVIDIA Developer. (2025). NVIDIA Isaac GR00T. Available at: https://developer.nvidia.com/isaac/gr00t [Accessed 23 Mar. 2025].

Obrenovic, B., Gu, X., Wang, G., Godinic, D. and Jakhongirov, I. (2024). Generative AI and human–robot interaction: implications and future agenda for business, society and ethics. AI & Society. https://doi.org/10.1007/s00146-024-01889-0.

Tong, Y., Liu, H. and Zhang, Z. (2024). Advancements in Humanoid Robots: A Comprehensive Review and Future Prospects. IEEE/CAA Journal of Automatica Sinica, 11(2), pp.301–328. https://doi.org/10.1109/jas.2023.124140.

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Are We Growing Human Organs in Animals Now? The Wild Ethics of Tissue Engineering and Chimeras

This may sound like something out of a sci-fi movie, but it’s very real and happening NOW: scientists are trying to grow human organs in animals such as pigs and sheep. But why? To solve one of the biggest problems in modern medicine – the lack of organ donors and therefore organs!

This method is part of an exciting field called tissue engineering, where researchers combine stem cells and bioengineering to repair or regrow tissues, and even whole organs1. Sounds amazing, right? But here’s where things get ethically… awkward.

The Science…

Researchers have started experimenting with what are called interspecies chimeras. These are animals, like pigs, that are genetically modified to grow human organs inside them. The process usually works as follows:

  1. Scientists disable the pig embryo’s ability to grow a certain organ such as the pancreas.
  2. Then, they inject human pluripotent stem cells into the embryo2.
  3. As the pig grows, the human stem cells are meant to develop into the missing organ, creating a fully functional human pancreas in a pig.

This research is still early-stage, but the potential is enormous. If successful, it could create a reliable, personalised supply of organs for people who need them.

So… where’s the catch?

1. Are we playing God?

Mixing human and animal DNA, even if it’s just stem cells, makes some uneasy. There’s a worry that we’re crossing natural boundaries, doing things we maybe shouldn’t be doing just because we can3.

2. What if the animal becomes ‘too human’?

This is one of the weirdest ,and most interesting, ethical debates. What happens if the human cells don’t just grow an organ, but spread into the animal’s brain? Could we accidentally make an animal more “human” in consciousness or intelligence? Some ethicists argue that this kind of scenario, while unlikely, needs strong regulation before we go any further4.

3. Is it fair to the animals?

These animals are only grown as hosts, as incubators for organs. Even if it’s for a good cause, is it fair to use living beings this way? Animal welfare groups have raised concerns about suffering, consent (obviously impossible), and whether the ends justify the means5.

4. Who will this really help?

Another issue is access. These kinds of treatments are likely to be super expensive at first. So, is this just going to be a futuristic healthcare solution for rich people and elite athletes? If so, how do we justify the ethics of animal experimentation when only a tiny portion of people might benefit?

Where are we now?

There have already been some successful experiments. For example:

  • Scientists have grown human cells in pig embryos, though only for a short time2.
  • In China, researchers transplanted a gene-edited pig liver into a brain-dead human, and it functioned normally for 10 days6.
  • Some teams have even tried growing human organs in monkeys, which raises even more ethical flags7.

Regulatory bodies like the NIH have considered lifting bans on chimera research, but only under strict oversight8. This area is fascinating and scary. Tissue engineering could save thousands of lives. On the other hand, if we’re growing parts of ourselves in animals, we need to think very carefully about where we draw the line.

This research forces us to ask some huge questions:

  • What makes something “human”?
  • Should we limit science to what we’re morally comfortable with?
  • Can something be both a medical breakthrough and ethically questionable?

There’s no simple answer, but that’s exactly why we need to keep having these conversations. If you want a really clear visual breakdown of the science and ethical debate, check out this short video9:

References

  1. Mason, C., & Dunnill, P. (2008). A brief definition of tissue engineering. Regenerative Medicine, 3(1), 1–5.
  2. Wu, J., et al. (2017). Interspecies chimerism with mammalian pluripotent stem cells. Cell, 168(3), 473–486.e15.
  3. Hyun, I. (2016). Rebuilding ethics: Stem cells, chimeras, and moral status. The Hastings Center Report, 46(S1), S25–S31.
  4. Greely, H. T., et al. (2007). Thinking about the human–nonhuman chimeras. The American Journal of Bioethics, 7(5), 27–40.
  5. Savulescu, J. (2016). The ethics of creating human–nonhuman chimeras. Journal of Medical Ethics, 42(1), 3–5.
  6. Li, X., Zhang, M., & Huang, Y. (2024). Liver xenotransplantation in a brain-dead human recipient: A case study. Transplantation Journal, 108(2), 134–140.
  7. Izpisua Belmonte, J. C., et al. (2021). Human-monkey chimeric embryos: Ethical concerns and scientific insights. Cell, 184(7), 1–4.
  8. Greely, H. T., et al. (2016). Report of the NIH Workshop on Human–Animal Chimera Research. National Institutes of Health.
  9. PBS Terra. (2022, October 5). Should we grow human organs in animals? [Video]. YouTube. https://www.youtube.com/watch?v=nUwmKwsPfls

Patients vs. Patents: Is DNA a Corporate Asset or Human Right

Imagine having the ability to “pick and mix” genetic traits – eye color, disease resistance, height maybe even intelligence. CRISPR gene editing means this isn’t just science fiction;  it’s becoming science reality! Acting like a molecular toolkit to produce ‘designer babies’ offering the potential to select or modify traits before birth. If we can customize human life, who gets access?

What Got Me Interested in CRISPR

I became interested in CRISPR after reading about legal battles between major research institutions and ethical tensions between innovation and accessibility. Critically, this topic shows the intersection of cutting-edge technology and human rights. During research I was struck by the rapid progression from laboratory research to clinical trials and how tightly the therapeutic potential is limited through patents. It raised difficult ethical questions and concerns: should these technologies be monopolized or are they a global good?

Figure 1. Image showing the mechanism of the CRISPR-cas9 enzyme (BioRad, 2021)

What is CRISPR-Cas9?

CRISPR-Cas9 is a genome editing system derived from the bacterial immune response. It functions as a precise, RNA guided tool for editing genes in living organisms (Doudna & Charpentier, 2014). Cas9 facilitates highly specific and precise genomic modifications by creating double-stranded breaks at targeted DNA sequences, directed by a strand of guide RNA. These breaks are repaired through homology-directed repair (HDR) or non-homologous end joining (NHEJ), these introduce small mutations (Barrangou & Doudna, 2016).

Who owns CRISPR?

One of the most intriguing controversies surrounding CRISPR isn’t scientific—it’s legal! Both the University of California and the Broad Institute contested ownership of the technology. Ultimately, the Broad Institute was awarded key patents. Critical examination shows a troubling dynamic; these exclusive patents restrict access and increase costs, limiting freedom of research (Correa & Hilty, 2022).

Figure 2, Timeline of the CRISPR CAS-9 patent dispute (Aquino-Jarquin, 2022)

Continued research led me to question whether patents hinder CRISPRs medical potential. Patents are widely regarded as incentives for innovation; however, they often prevent widespread accessibility to lifesaving treatments (Mir et al., 2022). Consequently, medical technology ownership through patents prioritizes profit over patient access. I considered open innovation and open-source models as ways to reduce patent exclusivity (Mali, 2020). This led me to pose the question: Should medical treatment be owned by a few or shared for the common good?

Figure 3. Shows the complex network of CRISPR-Cas9 intellectual property ownership, applications and licensing (RodrĂ­guez FernĂĄndez, 2018).

Is it Ethical?

Gene editing offers remarkable possibilities but also raises challenging and uncomfortable questions. Core issues consent, accessibility and the potential societal impact. Genetic editing poses a risk for off-target mutations which are likely irreversible and raise significant concerns about human health and ecological stability in the long term (Evans, 2021).

Personally, researching these risks altered my perspective. Despite the exciting potential, I became concerned about unintended consequences. Irreversible changes impact entire ecosystems or human health across generations. I also confronted issues such as autonomy and distributive justice.

The National Academies in the US have approved germline editing for serious diseases in situations where it is safe and informed by parental consent. However, this may push technology closer towards practices such as eugenic enhancement. Germline editing brings forwards the issue of consent. Prompting me to question whether it is ethically justifiable to make permanent genetic decisions for individuals who are unable to give their consent (Waters, 2000).

The future of CRISPR

Researching this topic altered me to the balance between innovation and ethical responsibility. I concluded that achieving the full potential medical benefit of requires global collaboration and transparent regulatory frameworks. CRISPR could easily become a privilege reserved only for the affluent. Initiatives like patent pools can promote broader and affordable access, important for low and middle income countries. Flexible licensing models such as non-exclusive and humanitarian use licenses. Ultimately, I do not believe that CRISPRs success will be solely scientific but in the ethical, responsible and equitable deployment of this technology.

Bibliography

Aquino-Jarquin, Guillermo. ‘Early “Reduction to Practice” of the CRISPR–Cas9 Invention in Eukaryotic Cells’. Frontiers in Genetics 13 (4 October 2022). https://doi.org/10.3389/fgene.2022.1009688.

Barrangou, Rodolphe, and Jennifer A. Doudna. ‘Applications of CRISPR Technologies in Research and Beyond’. Nature Biotechnology 34, no. 9 (September 2016): 933–41. https://doi.org/10.1038/nbt.3659Bio-Rad. ‘How CRISPR Revolutionized Science’. Accessed 25 March 2025. https://www.bio-rad-antibodies.com/blog/how-crispr-revolutionized-science.html.


Correa, Carlos M., and Reto M. Hilty, eds. Access to Medicines and Vaccines: Implementing Flexibilities Under Intellectual Property Law. Cham: Springer International Publishing, 2022. https://doi.org/10.1007/978-3-030-83114-1.

Doudna, J. A., & CharpThe new frontier of genome engineering with CRISPR-Cas9. Science, 346(6213), 1258096. Centier, E. (2014).Evans, John H. ‘Setting Ethical Limits on Human Gene Editing after the Fall of the Somatic/Germline Barrier’. Proceedings of the National Academy of Sciences 118, no. 22 (June 2021): e2004837117. https://doi.org/10.1073/pnas.2004837117.


Mali, Franc. ‘Is the Patent System the Way Forward with the CRISPR-Cas 9 Technology?’ Science & Technology Studies 33, no. 4 (15 December 2020): 2–23. https://doi.org/10.23987/sts.70114.

Mir, Tahir Ul Gani, Atif Khurshid Wani, Nahid Akhtar, and Saurabh Shukla. ‘CRISPR/Cas9: Regulations and Challenges for Law Enforcement to Combat Its Dual-Use’. Forensic Science International 334 (May 2022): 111274. https://doi.org/10.1016/j.forsciint.2022.111274.

Bio-Rad. ‘How CRISPR Revolutionized Science’. Accessed 25 March 2025. https://www.bio-rad-antibodies.com/blog/how-crispr-revolutionized-science.html.

From healing to enhancing: the ethical dilemma of bionic replacements

The idea of replacing or enhancing parts of the human body has become a recent fascination. The fusion of science, engineering and medicine in prosthetics and implants is both inspiring and unsettling. On one hand, restoring mobility to an amputee or alleviating chronic pain through hip replacement is an incredible medical achievement. But on the other, I find myself questioning at what point does medical restoration become human enhancement? Are we simply fixing what is broken, or are we redefining what it means to be human?

Throughout the module, I have explored both scientific advancements and ethical dilemmas of biomedical engineering. I often reflect on the implications of these technologies. Would I, for instance, replace a healthy joint to improve athletic ability if given the chance? If prosthetics surpass natural limbs in function, how would that redefine ability and disability? these questions challenge my understanding of medicine, fairness and human identity, making me reconsider the fine line between restoration and augmentation.

The power of prosthetics and replacements

Modern prosthetics are not just about replacing missing limbs or functions – they incorporate bionic technology, neural integration and even sensory feedback. I recently read about individuals who can control prosthetic hands with signals from their brains, an innovation that would have been considered science fiction just decades ago. Similarly, joint replacement technology has evolved beyond traditional metal implants – biocompatible materials, smart implants and 3D-printed custom joints are transforming the field. After speaking with friends who have undergone joint replacements, I have seen firsthand how these advancements restore independence and mobility. However, their experience also highlighted the divides in healthcare – long waiting lists and financial barriers leave many suffering while others access cutting-edge treatments with ease.

‘Mind controlled’ bionic arm (Yanko design, modern industrial news) [1]
Evolution of prosthetics (NIH MedlinePlus Magazine) [2]

Neural implants: restoring memory or redefining humanity?

Beyond physical mobility, biomedical engineering is now venturing into cognitive function. Neural implants in the hippocampus – designed to restore memory to people with brain injuries or neurodegenerative diseases – are becoming a reality. [3] These implants mimic the brain’s natural process, helping those with memory loss regain the ability to form and retrieve memories. With this technology holds enormous potential for conditions like Alzheimer’s disease, but I cant help but wonder about its broader implications. If memory can be artificially restored, can it also be enhanced? Could we eventually ‘upload’ knowledge directly into the brain, blurring the line between natural intelligence and artificial augmentation.

Hippocampus neural prosthetic (Oxford scholarship online) [4]

The ethics and inequality of enhancements

While I admire these breakthroughs, I cannot ignore their ethical implications. One of my greatest concerns is accessibility – should life-changing medical innovations be available only to those who can afford them? Advanced prosthetics are often prohibitively expensive, meaning that some people must settle for outdated or limited options. To me, healthcare should prioritise functionality and accessibility over innovation purely for enhancement.

Beyond affordability, there is the question of fairness. If prosthetic limbs or implants become superior to natural human abilities, will those who can afford them gain an unfair advantage? Consider the case of Olympic sprinter Oscar Pistorius, whose use of caron-fibre prosthetic legs sparked debate over whether he had an advantage over able-bodied athletes. If enhancements continue advancing, could they lead to a society where ‘baseline’ humans are at a disadvantage? Would we accept an era where the wealthy could extend their lifespans or outperform others simply because they had access to superior biomedical technology.

References

[1] McNulty-Kowal, S. (2022) This prosthetic limb integrates smart technology into its build to Intuit and track each user’s movements – yanko design, Yanko Design – Modern Industrial Design News. Available at: https://www.yankodesign.com/2022/03/27/this-prosthetic-limb-integrates-smart-technology-into-its-build-to-intuit-and-track-each-users-movements/ (Accessed: 28 March 2025).

[2] Prosthetics through the ages | NIH MedlinePlus Magazine (2023) MedlinePlus. Available at: https://magazine.medlineplus.gov/article/prosthetics-through-the-ages (Accessed: 28 March 2025).

[3] Erden, Y.J. and Brey, P. (2023) ‘Neurotechnology and ethics guidelines for human enhancement: The case of the hippocampal cognitive prosthesis’, Artificial Organs, 47(8), pp. 1235–1241. doi:10.1111/aor.14615.

[4] Song, D. and Berger, T.W. (2018) ‘Hippocampal memory prosthesis’, Oxford Scholarship Online [Preprint]. doi:10.1093/oso/9780199674923.003.0055.



The Memory Cure? How Stem Cells Could Fight Dementia

My first real understanding of dementia came from an unexpected source – the movie The Notebook. As a teen, I was struck by how Alzheimer’s slowly erased Allie’s memories of Noah and their life together. It wasn’t just the romance that affected me, but the terrifying idea of losing one’s sense of self. That curiosity stayed with me, evolving from an emotional reaction into a scientific interest during my biomedical studies. What I once saw as an inevitable part of aging, I now recognise as a complex medical challenge – and one where emerging stem cell research might offer real solutions.

Understanding Dementia: A Global Challenge

How cholinesterase inhibitors can help treat dementia. 1

Dementia is an umbrella term for conditions that cause cognitive decline, the most common being Alzheimer’s disease. It affects over 55 million people worldwide, according to the World Health Organization. The disease is characterised by the progressive destruction of neurons, leading to memory loss, impaired judgement, and personality changes. Despite extensive research, current treatments only manage symptoms rather than stopping or reversing the disease. Medications like cholinesterase inhibitors can temporarily slow progression, but no cure exists. This makes the search for innovative treatments, such as stem cell therapy, even more critical.

What Are Stem Cells?

Stem cells are unique cells with the remarkable ability to develop into different types of specialised cells in the body. They serve as the body’s natural repair system, capable of dividing and renewing themselves to replace damaged or lost cells. There are different types of stem cells, including embryonic stem cells, which can become any cell type, and adult stem cells, which have more limited differentiation potential. In recent years, induced pluripotent stem cells (iPSCs), adult cells that have been genetically reprogrammed to act like embryonic stem cells, have gained attention for their potential in regenerative medicine. Scientists hope to harness these cells to restore lost neurons and repair brain tissue in dementia patients.

Stem cell classification based on differentiation potential, from totipotent (any cell type) to unipotent (single cell type). 2

How Stem Cells Could Offer a Solution

How adult cells are reprogrammed into induced pluripotent stem cells (iPSCs), which can then differentiate into various cell types for therapeutic use. 3

Stem cells offer an exciting avenue for dementia treatment because of their ability to develop into different types of cells, including neurons. A groundbreaking 2021 study in Nature Neuroscience demonstrated that transplanting iPSC-derived neurons into Alzheimer’s model mice not only restored memory but also reduced toxic amyloid plaques – hinting at a future where stem cells could both repair and protect the brain. Amyloid-beta plaques are sticky protein clumps that accumulate in the brains of Alzheimer’s patients, disrupting neuron function and triggering memory loss which makes them a key target for treatments. Researchers are also investigating mesenchymal stem cells (MSCs) for their anti-inflammatory and neuroprotective properties, which could slow disease progression. Early-stage clinical trials are assessing the safety and efficacy of these therapies in humans, with some patients showing improved cognitive function and brain regeneration. While still in experimental stages, this research suggests a future where we might be able to restore lost memories rather than just slow their decline.

A Hopeful Yet Cautious Outlook

Yet I remain cautiously optimistic. While stem cells offer groundbreaking potential to combat dementia, significant challenges remain – from ethical dilemmas to safety risks and the immense complexity of repairing the brain. We are far from a cure, but every medical breakthrough once seemed impossible. This research represents something The Notebook’s Allie never had: real hope.

The Notebook’s ending haunted me. Here’s why I watch it differently now.

Because in the end, this research isn’t just about preserving memories – it’s about preserving the love stories they hold. And that’s a battle Noah would understand.


Charities like Dementia UK and Alzheimer’s Research UK are racing to turn this science into cures, but they need help. If this blog touched you, please give today:

Sources

  1. Dementia treatment l Acetylcholinesterase inhibitors | Donepezil, Galantamine, Rivastigmine https://www.youtube.com/watch?v=yD4W-iAHfUo&ab_channel=Dr.PaulienMoyaert (accessed 24/03/25)
  2. Classification of stem cells https://www.researchgate.net/publication/333053144/figure/fig1/AS:11431281213162280@1702959742961/Classification-of-stem-cells-Stem-cells-can-be-classified-according-to-their-plasticity.tif (accessed 24/03/25)
  3. Creating induced pluripotent cells https://stemcellthailand.org/wp-content/uploads/2014/05/ips-pluripotent-cells.jpg (accessed 24/03/25)

Chinese Darwin or Frankenstein? He Jiankui and the Boundaries of the Genome

Imagine curing genetic diseases before birth. What if we could eliminate hereditary conditions, eradicate cancer or even design the perfect baby? CRISPR-Cas9, a revolutionary gene-editing tool, promises to alter DNA, with unprecedented precision. However, its immense potential raises complex ethical dilemmas.

What is CRISPR-Cas9?

CRISPR-Cas9 is the most precise and efficient gene-editing technology available. Originally part of microbial immune systems, it has been adapted for genetic manipulation. The DNA is cut at specific locations, allowing genes to be added or replaced. Unlike previous techniques, CRISPR is faster, cheaper and more accurate with applications in disease treatment, immunity enhancement and even human enhancement. However, clinical applications remain in early stages, focused on animal models and isolated human cells.

As some with a family history of genetic conditions, I find hope in CRISPR’s early success in treating diseases like Sickle Cell Anaemia. Somatic gene editing, which treats disease in individuals, holds great promise. However, germline editing remains illegal due to ethical concerns, making the dream of eradicating genetic diseases from family lines a distant vision [1].

The self-proclaimed Chinese Darwin

A medical breakthrough or reckless misuse of science? The scientist behind the first gene-edited babies presents his case.

In 2018, Chinese scientist He Jiankui made headlines using CRISPR-Cas9 to genetically modify twin embryos, Lulu and Nana, claiming to make them HIV-resistant. His experiment targeted the CCR5 gene, which also plays a role in immunity against West Nile virus and severe flu. Reports suggest the gene editing was incomplete in one twin, raising concerns of long-term health risks.

He’s work was neither curative nor medically necessary – IVF procedures had already prevented the risk of HIV transmission. Some scientists speculated disabling CCR5 could enhance cognitive intelligence, shifting the experiment from therapeutic to human enhancement. Lacking transparency and ethical approval, in 2019, He was sentenced to 3 years in prison [2].

Since his release, he has resumed research, calling himself the ‘Chinese Darwin‘; whilst critics label him ‘Frankenstein’. Unapologetic, he continues advocating for gene editing in Alzheimer’s and cancer research. His presence on social media fuels debate: is he a visionary or an unchecked egotist?

He Jiankui continues to advocate for gene editing despite global controversy. Here is what he has to say

The ethical debate

Scientific progress comes with risk. Critics warn of unknown long-term effects, unintended consequences and regulatory challenges. Most diseases are multigenic, but CRISPR-Cas9 targets single genes, limiting its effectiveness. Ethical concerns revolve around the potential of human enhancement, inequality and whether parents can truly consent to risks. Even He Jiankui admitted designer babies would be difficult to control.

Despite concerns, I support scientific progress. Why allow suffering if we have technology to prevent it? Eliminating genetic diseases would ease demand on healthcare and benefit society. Regulation, not rejection, is the key – gene editing is here and we must adapt to its evolving role in medicine. Balancing innovation with ethics will determine its future.

Looking ahead

Somatic gene editing is legal in many countries and holds promise for treating disease. However, germline editing remains controversial. As some nations ease restrictions, we may see a global divide in human genetics.

While I believe gene editing has a guaranteed future and remarkable benefits, I worry that without proper regulation, we will face a societal divide. One group will be enhanced, tailored for specific roles with predetermined superhuman qualities, from intelligence to athletic prowess. The other group will be us, free to make our own choices but facing a constant struggle to survive, and subject to natural selection.

Gene editing could revolutionise medicine, but how we choose to use it will determine whether it leads to progress or division.

References

[1] Ran FA, Hsu PD, Wright J, Agarwala V, Scott DA, Zhang F. Genome engineering using the CRISPR-Cas9 system. Nat Protoc [online]. 2013;8:2281-2308. doi: https://doi.org/10.1038/nprot.2013.143

[2] Raposo VL. The First Chinese Edited Babies: A Leap of Faith in Science. JBRA Assist Reprod [online]. 2019;23(3):197-199. doi: 10.5935/1518-0557.20190042

The Price of Progress: Who Pays for Medical Miracles?

I remember the morning I rolled out of bed, barely in time to drag myself to my 9am lecture. ‘I’ll put on a podcast,’ I thought to myself. Something to engage the brain, as opposed to a listening to a jumble of lyrics meaning a whole load of nothing. As I wearily scrolled through the ‘Podcast Charts’ on Spotify, something caught my attention: ‘The Human Subject,’ by Dr Adam Rutherford and Dr Julia Shaw.

I expected an insightful discussion on medical advancements on humans, but what I didn’t anticipate was how deeply unsettling it would be. Instead, I heard about how real people (often marginalised groups) were being exploited for the sake of medicine. Being treated as disposable in the name of science felt like something from a dystopian novel.

What disturbed me most was that these experiments weren’t history. They were recent. How much has actually improved over time? I was forced into an painful truth: progress has a price, but not everyone pays it equally.

 

Unethical Experiments: Lessons from the Past?

Nazi’s and Nuremburg: The Illusion of Progress

One of the most notorious examples of unethical medical research, which I learnt about in both GCSE History and this module, was the Nazi experiments during World War II. Prisoners, constrained in concentration camps, were subject to horrific hardships one could even struggle to imagine: disease injections, surgery without anaesthesia and freezing experiments1, to name but a few. The justification? ‘It was in the name of science.’ 2


Place of Persecution: Auschwitz
Dates: April 1943 to May 1945
“The experiment was done to me in Auschwitz, Block 10. The experiment was done on my uterus. I was given shots in my uterus and as a result of that I was fainting from severe pain for a year and a half. [Years later,] Professor Hirsh from the hospital in Tzrifin examined me and said that my uterus became as a uterus of a 4-year-old child and that my ovaries shrank.”

Ms. A, Age 83

These brutalities lead to the ‘Nuremburg Code’ (1947), a set of 10 principles establishing informed consent; a fundamental rule in current medical ethics.3 This should have changed everything. But it didn’t.

The Tuskegee Syphilis Study: Exploiting Racial Disparity

The Tuskegee Syphilis Study (1932–1972) emphasised that medical research exploitation wasn’t just confined to Nazi Germany. In this U.S governmental project, which took place in Alabama (a wildly racist area at the time, where lynchings and Ku Klux Klan activity was rife,) hundreds of Black men with syphilis were purposefully left untreated with the disease, even after penicillin became widely available.

Fig 1. A stark reminder of medical injustice: Black men unknowingly subjected to the Tuskegee Syphilis Study. (History TV, 2018)

And you know what was astounding? They were lied to. With the illusion of receiving free healthcare, and under the guise of treating them for ‘bad blood’; (a colloquial term encompassing anaemia, fatigue and other conditions) they were actually being used as experimental subjects, mimicking the vulnerable populations throughout history. As the syphilis progressed, patients were brutally subjected to bone deterioration and tumours. 4

The Willowbrook Hepatitis Experiments: Abusing Disabled Children

Tuskegee wasn’t horrendous enough, it seemed. Lets take things even further. At Willowbrook State School, a facility for children with intellectual disabilities, researchers deliberately infected children with hepatitis, just to observe disease progression (1950-70).

Fig 2. Rows of beds, but no comfort in sight: Willowbrook State School, 1971. A place meant for care disguised as a site of unethical medical experiments on vulnerable children. (Elliott, 2024)

This contributed to the already obvious stigmatisation of the children, many of whom were eventually reintegrated back into public schools. 5

The justification for this one? Given the unsanitary conditions, ‘they would’ve got it anyway.’ 6

An eerie phrase I couldn’t get out of my head. Is this not an easy justification for pharmaceutical companies, in the modern day, to test experimental drugs on vulnerable individuals?

Modern Clinical Trials: Endured Exploitation?

Today, drug companies conduct clinical trials globally, often in developing countries where healthcare is scarce. A win-win, no? Researchers get test subjects, and patients get access to treatment they couldn’t otherwise afford.

But here’s the uncomfortable truth: many people enroll in these trials not with scientific intent, but through obligation.

Personal Privilege

I’m in the library, sitting behind my laptop, writing a blog. You’re also behind a screen right now. For us, it’s easy to debate what’s right and wrong in medical research. We can analyse historical cases, question consent, and critique clinical trials as much as we want. But simply having this discussion is a privilege.

I asked my friends, all university students, “What factor would make you feel most comfortable participating in a clinical trial?”

Fig 3. Responses to the question: “What factor would make you feel most comfortable participating in a clinical trial?” 7 University of Southampton students were asked, and responses were collated in a pie chart.

Not a single person chose financial compensation as their top reason. People prioritise ethical transparency over monetary incentives when making medical decisions.

But that raises an important question: Would the results have been different if I asked people who couldn’t afford healthcare?

I have relatives in India, many of whom live in poverty. Posed with a life threatening illness, I don’t think they’d think twice about ethical implications of a clinical trial. For them, it’s not about contributing to scientific progress. It’s about survival.

Another thought struck me. Informed consent means nothing, if the only other option is death.

Its easy to see how pharmaceutical companies justify testing in uneducated, poorer countries. They can claim it’s ‘voluntary,’ all they want, but power imbalance is evident: the wealthy make the rules, and the desperate follow them. And this raises a plethora of questions:

  • Do participants actually understand the risks? (If they can’t read consent forms, no.)
  • What happens when the trial ends? (Many participants don’t get continued access to the drug that saved their lives.)
  • Would these experiments be allowed in wealthier countries? (If not, why should they be acceptable elsewhere?)

Final Thoughts

I used to think laws were enough to prevent unethical research. Starting from the Human Subject, to my own research, I have learnt many things.

  • Science doesn’t exist in a vacuum. It’s moulded by economics, power, and privilege.
  • Ethical dilemmas aren’t black and white. People may enroll in trials because it’s their only option.
  • We must question who benefits from medical progress. And who gets left behind.

As someone fortunate enough to discuss these ethics, I feel a responsibility to ask uncomfortable questions. Because if history has taught us anything, it’s that the cost of scientific progress is always paid by someone.

[A Beautiful Mind (2001). John Nash, a talented mathematician and schizophrenic, leaves his baby in a running bathtub. Deluded, he can't grasp the danger of his actions, putting his child’s life at risk. This moment is a raw depiction of Nash’s vulnerability, brilliance overshadowed by a mind that betrays him through invasive, unethical treatments he is subjected to.

His story mirrors a painful truth. The marginalized pay the price for medical progress. For those at the top, the breakthroughs come at the expense of those at the bottom, left to face the consequences of a system that claims to help, but often exploits, their fragility.
]

References

1 Berger, R.L. (1990). Nazi Science — The Dachau Hypothermia Experiments. New England Journal of Medicine, [online] 322(20), pp.1435–1440. doi:https://doi.org/10.1056/nejm199005173222006.

2 Weigmann, K. (2001). In the name of science. EMBO reports, 2(10), pp.871–875. doi:https://doi.org/10.1093/embo-reports/kve217.

3 United States Holocaust Memorial Museum (2019). The Nuremberg Code. [online] Ushmm.org. Available at: https://encyclopedia.ushmm.org/content/en/article/the-nuremberg-code.

4 http://Ammuyutan, L. (2024). The Tuskegee Syphilis Study. [online] Sgul.ac.uk. Available at: https://www.sgul.ac.uk/about/our-education-centres/centre-for-innovation-and-development-in-education/inclusive-education/inclusive-education-blog/The-Tuskegee-Syphilis-Study. ‌

5 Rosenbaum, L. (2020). The hideous truths of testing vaccines on humans. [online] Forbes. Available at: https://www.forbes.com/sites/leahrosenbaum/2020/06/12/willowbrook-scandal-hepatitis-experiments-hideous-truths-of-testing-vaccines-on-humans/.

6 Elliott, C. (2024). The Horrors of Hepatitis Research | Carl Elliott. [online] The New York Review of Books. Available at: https://www.nybooks.com/articles/2024/11/21/the-horrors-of-hepatitis-research-dangerous-medicine-sydney-halpern/.

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STUMPED OVER THE STUMP – the human-prosthesis interface challenge

During our lecture on external prosthetics, I learned 30% of amputees fail to achieve ambulation (walk without assistance), which left me unsettled and shocked. Especially as over summer, I watched many amazing events at the Paris Paralympics. Whilst it may be fair to say I don’t expect every person to become an athlete, being able to walk again was not something I anticipated almost a staggering 1/3 of patients are unable to achieve after amputation.

Images of me at the Paris Paralympics 2024

But WHY?

Upon further research, I discovered one of the biggest causes is the uncomfortable, long recovery needed (see video) – pushing through discomfort, pain, fatigue – rooted mostly at the stump-socket (or human-prosthesis) interface. This is the ‘unseen’ side, behind the gold medals I saw growing up on television.

Music credits: Always, Rook1e. Brief video on some of the symptoms suffered by amputees. Made on InShot.

The stump-socket interface has left scientists truly stumped and is one of the biggest challenges in field of prosthetics today.

Image made on Canva.

I interviewed a former colleague, an amputee, who shared how they don’t use prosthetics for this very reason, as they feel the pain and damage, additional to initial recovery, is not worth it. This was a valuable alternative perspective and showed me the importance of considering not just the hard work that needed from those creating and fitting the prosthetics, but the patients too.

Transcript of interview with an Upper Limb Amputee, who would like to remain anonymous in this post.

Current efforts to tackle this challenge

However, this is an area being worked on continuously by a wide range of people. Researching into the sheer variety of upcoming, innovative ‘solutions’, has given me a sense of hope that the lives of amputees can be improved and ambulation figures can be drastically increased.

An example I feel is outstanding of someone working in this field – Mark Schutlz, a selfless gold medalist who designed a prosthetic for him and other athletes competing against him.

I discovered the 2 key elements to tackling this – the stump and socket – with methods targeting one or both. Below is a mind map of the techniques I feel are most significant currently, why and how I think they could be made better to encourage amputees to give prosthetics a go, and improve their experience.

Made on Canva.

‘The challenge to the prosthetist lays in designing a socket that balances suspension, support, stability, and corresponding contact pressures, all while accommodating the individual’s unique anatomy and locations on the limb to which interfacial pressures are being distributed’

Advances in the measurement of prosthetic socket interface mechanics.
Young PR et al.

My concluding thoughts…

Through considering different view and elements of this challenge, I find myself constantly coming back to the fact 1/3 fail to achieve ambulation, despite new innovating techniques and developing aids. I have also found this problem is much more sinister, with some studies linking a failure of ambulation to morality. Medical conditions and other factors can also limit an amputees return to walking. However I feel improving prosthetics, by coming up with a range of solutions for different patients (as clearly one size doesn’t fit all) – more amputees could be given a fair chance at taking steps back to normality.

And yours…

Now I’ve shared my opinion, it’s time to share yours!

References: