PCRM Position Paper on Animal Research
Adopted by the PCRM Board of Directors on June 4, 2004
The primary purpose of medical research is to promote human health,
and the most direct research methods focus on the study of human
populations, individuals, and tissues. Animal research has been
used as an alternative method when the study of humans is deemed
impractical or unethical, or when animal biology is of primary interest,
and animals are frequently used in biological and medical research,
in the testing of drugs and commercial products, and in educational
exercises in the sciences. While the number of animals used in the
United States is not known, estimates range into several tens of
millions annually.
Ethical concerns are raised by the use of animals in experimental
studies, particularly when they are subjected to painful procedures
or toxic exposures. These concerns are accentuated by recent studies
showing marked stress responses in animals undergoing routine laboratory
procedures. For example, routine handling, venipuncture, and gavage
(the administration of test compounds through an oral tube) elicit
striking elevations in pulse, blood pressure, and steroid hormone
release that can persist for an hour or more after the event. Similarly,
routine features of the laboratory environment—isolation,
confinement, social disruption, noise, and restrictions on physical
movement—have been shown to be noxious for animals. Together,
these bodies of evidence indicate that even routine experiments
that appear to be minimally invasive can be highly stressful for
the animal subjects, and this finding applies to commonly used rodent
species as well as larger and less frequently used animals. Stress
effects are relevant to humane concerns as well as to the interpretation
of scientific findings. Research on immune function, endocrine and
cardiovascular disorders, neoplasms, developmental defects, and
psychological phenomena are particularly vulnerable to stress effects.
Promoting Nonanimal Methods
Ethical concerns have propelled the exploration of methods that
replace animal use. However, such methods may also have scientific
advantages related to cost or applicability to human disease. For
example, toxicologists seeking more accurate or reliable methods
have turned to cellular screening tests for many applications and
have realized substantial savings in the process. Trauma training,
once conducted almost universally using animals, is now commonly
taught with simulators that are cheaper and are designed to more
closely mimic critical aspects of patient care.
It is incumbent on scientists and institutions using animals for
research, testing, or educational purposes to actively investigate
and implement alternatives. The federal Animal Welfare Act regulations
require that research personnel be trained in methods of searching
for alternatives to animal use, and the NIH Guide for the Care and
Use of Laboratory Animals encourages efforts to develop and use
scientifically valid alternatives to animal research. There are
three broad scenarios for doing so:
1. In some cases, alternatives are readily available. For example,
nonanimal methods in medical education have already been implemented
for a wide variety of applications at many medical schools, but
are not yet in use at all institutions.
2. In other cases, nonanimal methods may not be apparent. In such
cases, development of suitable alternative means should be a high
priority. For example, many laboratories produce monoclonal antibodies
for research or diagnostic purposes by placing antibody-producing
cells in the abdomen of animals, often causing significant pain
and distress as the cells produce large amounts of fluid (ascites).
While antibodies can also be produced by cellular techniques, there
are major technical challenges in so doing for some cell lines.
Pharmaceutical testing presents challenges for the replacement
of animal tests. At the present time, the Food and Drug Administration
does not allow the marketing of new pharmaceutical products without
animal testing. While animal tests leave much to be desired as means
of identifying drug-related risks, no alternative test methods are
yet acceptable to the FDA for many toxicology endpoints.
In these cases, the most appropriate course of action is neither
to assume that nonanimal methods will be easily produced nor to
be resigned to the continued use of animals. Rather, it is incumbent
on investigators and research-supporting institutions to make the
replacement of animals a priority.
3. For many applications, the replacement of animal use occurs
most appropriately, not through a specific alternative method, but
by a substantially different approach to the clinical problem at
hand. For example, some research centers are assessing the toxic
effects of recreational psychoactive drugs by testing them on animals.
Another strategy relies on assessing their effects through noninvasive
neurological and psychometric testing on humans who have been using
such compounds voluntarily.
The Role of Divergent Viewpoints, Discussion,
and Debate
To address the ethical and practical issues raised by animal research,
scientists and research-sponsoring institutions benefit from information
sharing, discussion, and debate representing a wide variety of opinions.
Governmental bodies in the U.S. (e.g., the Environmental Protection
Agency) and abroad dealing with animal testing issues have implemented
policies that ensure that animal welfare advocates and scientists
advocating for alternatives to animal tests are represented on scientific
and regulatory panels.
In recent years, it has become clear that viewpoints vary greatly
on this issue and are highly mutable as new information comes forward.
It is helpful to recognize that, generally speaking, implementing
nonanimal methods is neither a simple matter nor a theoretical impossibility.
In 1990, the AMA registered its objection to what it saw as PCRM’s
stance on animal research. In the years since that action, the scientific
climate has changed substantially and PCRM has implemented many
progressive programs addressing the need for alternatives to animal
use. In cooperation with physicians at Harvard University and the
Massachusetts General Hospital, PCRM has developed educational materials
demonstrating clinical alternatives to animal use in medical instruction,
and progress in implementing alternatives has been documented in
surveys published by PCRM physicians in the Journal of Medical Education
and Academic Medicine. PCRM toxicologists serve on scientific panels
for the Environmental Protection Agency and on the Board of Directors
of the Toxicology Excellence for Risk Assessment. PCRM physicians
have published invited papers on animal research issues in Scientific
American and Lancet Oncology. Working with outside scientists, PCRM
is developing a new laboratory technique for assaying insulin that
provides alternatives to the ascites method for producing monoclonal
antibodies and to the use of fetal calf serum for in-vitro cellular
growth. PCRM is now a grantee institution of the National Institutes
of Health, through the National Institute of Diabetes and Digestive
and Kidney Disorders, for its research on nutrition and diabetes
conducted in cooperation with the George Washington University and
the University of Toronto.
We believe it would be helpful to address the AMA’s concerns
with the goal of promoting a better dialogue and tolerance of varying
viewpoints. The AMA’s objection had three parts:
First, the AMA felt that PCRM was in some way “implying that
physicians who support the use of animals in biomedical research
are irresponsible….” By this policy statement, we clarify
that, in any area in which ethics and values are involved, particularly
a controversial area, such as the use of animals in research, a
wide variety of opinions is to be expected and, indeed, welcomed.
PCRM does not deem any particular viewpoint “irresponsible.”
On the contrary, PCRM actively works with individuals and organizations
involved in research, testing, and education who hold widely divergent
views with the aim of advancing common goals.
Second, the AMA faulted PCRM for “misrepresenting the critical
role animals play in research and teaching….” By this
policy statement, we clarify that, while animal welfare considerations
mandate the replacement of animals, we recognize that there are
areas for which alternatives have not yet been developed or have
not yet gained acceptance by regulatory bodies. The impediments
to their development and acceptance relate to both technical difficulties
and attitudinal issues. In the course of scientific inquiry, many
investigators have credited the use of animals with the elucidation
of key points, and it remains a matter of conjecture as to whether
the same discoveries could have been accomplished by other means.
In contrast, the use of animals in education has undergone dramatic
changes in the past decade. Most medical schools have eliminated
the use of animals from their curricula, and instructional methods
at other educational levels have also evolved in the face of changing
technologies. A reasonable viewpoint, we believe, is for investigators
and institutions using animals to explore and implement nonanimal
methods with all due haste and without limit, recognizing that in
some cases the practical challenges inherent in doing so are considerable.
Third, the AMA held that PCRM erred in “obscuring the overwhelming
support for such research which exists among practicing physicians
in the United States.” While we are unaware of any past actions
by PCRM that had the effect of obscuring physicians’ opinions,
we find that physicians’ support for animal use varies depending
on the application involved. Research focused on the treatment of
disease has considerable support, while product testing, animal
use in medical education, surgical training for nonphysicians, psychological
experiments, and many other areas of animal use are highly controversial,
both among physicians and the lay public.
Conclusions
The process of replacing animals in research, testing, and education
is supported by studies showing that routine laboratory procedures
and typical laboratory environments are more stressful for animals
than is commonly appreciated. Nonetheless, the challenges of replacing
animals are often considerable, raising major scientific, economic,
and regulatory issues.
The exploration and implementation of nonanimal methods should
be a priority for investigators and research institutions and should
take advantage of a wide variety of viewpoints to ensure progress
toward scientific, human health, and animal protection goals.
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