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Patentable
Subject Matter and Creating Organs via
Interspecies Blastocyst Complementation
Jerry I-H Hsiao*
INTRODUCTION
* Dr. Jerry I-H Hsiao is Assistant Professor of Law at the Faculty of Law, University of
Macau. Prior to his current appointment, he was Lecturer in Law at the Liverpool Law School,
University of Liverpool (UK) as well as affiliated Lecturer in Law at School of Law, University
of Reading (UK). Dr. Hsiao obtained his PhD from the University of London (UK) and LLM
from Newcastle University (UK). His research interests include: patent and copyright policy,
innovation policy, health law and policy as well as cross-strait relationships between China
and Taiwan. He has published more than 30 articles, book chapters as well as conference
proceedings relating to his fields of research.
1 Health Resources & Services Administration, Organ Donation Statistics,
https://perma.cc/7ZQC-MHEL (last visited Oct. 29, 2019).
2 Kelly Servick, CRISPR Slices Virus Genes out of Pigs, but Will It Make Organ Transplants to
101
102 New England Law Review [Vol. 53
6 Gregory R. Hagen & Sébastien A. Gittens, Patenting Part-Human Chimeras, Transgenics and
Stem Cells for Transplantation in the United States, Canada, and Europe, 14 RICH. J.L. & TECH. 1, 7
(2008), https://perma.cc/AKY7-7W93.
7 See id.
8 Lechler et al., Organ Transplantation-How Much of the Promise Has Been Realized? 11
NATURE MED. 605 (2005).
9 Joshua R. Gershlak, Engineering New Tissues and Organs: How We Can Eliminate the Massive
Organ Shortage in the United States, 14 J. HEALTH & BIOMEDICAL L. 83, 86 (2018).
10 AMITAVA DASGUPTA & AMER WAHED, CLINICAL CHEMISTRY, IMMUNOLOGY, AND
13 See Chester J. Koh & Anthony Atala, Therapeutic Cloning Applications for Organ
Transplantation, 12 TRANSPLANT IMMUNOLOGY 193, 193–94 (2004).
14 See Jerry I-H Hsiao, Patent Eligibility of 3D Bioprinted Organs in Taiwan, 28 ALB. L.J. SCI. &
TECH. 1, 2 (2018).
15 Hagen, supra note 6, at 1–2.
(2017).
18 See generally Deborah Ku, The Patentability of the CRISPR-CAS9 Genome Editing Tool, 16
CHI.-KENT J. INTELL. PROP. 408, 416-17 (2017) (defining CRISPR as a genome editing tool,
which is cheaper, simpler and more efficient than other currently available gene editing tools).
19 Waltz, supra note 17, at 1133.
104 New England Law Review [Vol. 53
Cells to Provide Human Organs from Chimaeric Pigs, 16 INT’L J. MOLECULAR SCI. 6545, 6546
(2015).
32 See Waltz supra note 17 (explaining that a chimera is composed of some cells from one
species, which contain genetic material derived entirely from that species, and some cells from
another species containing only genetic material from that species and thus, the cells in a
chimeric animal always remain segregated by species, and no cell contains genetic material
from both species).
33 See Alejandro De Los Angeles et al., Generating Human Organs via Interspecies Chimera
Formation: Advances and Barriers, 91 YALE J. BIOLOGY MED. 333, 335 (2018),
https://perma.cc/AJH5-XBGV.
34See Asuisa Marizane et al., MHC Matching Improves Engrafting of iPSC Derived Neurons in
Non-Human Primates, 8 NATURE COMMUNICATIONS 385, 385 (2017), https://perma.cc/R2DC-
MSG2.
35 De Los Angeles, supra note 33, at 335.
36 De Los Angeles, supra note 33, at 336.
106 New England Law Review [Vol. 53
The U.S. Constitution grants Congress the power “to promote the
Progress of Science and useful Arts, by securing for limited Times to
Authors and Inventors the exclusive Right to their respective Writings and
Discoveries.”39 The statutory requirements for patent eligibility are laid out
in U.S.C § 101 and are supplemented by the Manual of Patent Examining
Procedure (MPEP).40 Furthermore, § 33 of AIA states that “notwithstanding
any other provision of law, no patent may issue on a claim directed to or
encompassing a human organism.”41 Hence, one who wishes to seek patent
protection for artificial organ inventions would have to satisfy the
requirements set forth in the cases regarding nature-based products and to
avoid falling into the meaning of “human organism.”
Two specific issues will arise for organs generated via IBC. First,
despite the complicated process in creating the artificial organ, the organ
produced is meant for organ transplantation to the patient in need and to
replace the patient’s original organ. While the artificial organ is the
combination of two different species, it is created by using naturally
occurring raw materials. Will this be seen as trying to mimic the nature and
hence barred under the Product of Nature doctrine?42 Second, even if the
product would be different from what currently exists in nature, since the
artificial organ produced via IBC incorporates human iPSC and creates a
human/nonhuman chimera, would this be barred under AIA § 33(a) as
encompassing or being directed to human?
When a law of nature or natural phenomenon is claimed as a physical
product, the courts have often referred to the patent eligibility exception as
41 Leahy-Smith America Invents Act, Pub. L. No. 112–29, 125 Stat. 284 (2011) (codified as
exception to inventions that are otherwise patentable and was established as a limitation to
the broad language of section 101 which provides that “laws of nature, physical phenomenon,
and abstract ideas” are not patent eligible).
2019] 99% Human and 1% Animal? 107
43 See, e.g., Ass’n for Molecular Pathology v. Myriad Genetics, Inc., 133 S. Ct. 2107, 2116–17
(2013); Univ. of Utah Research Found. v. Ambry Genetics, Co., 774 F.3d 755, 758–59 (Fed. Cir.
2014).
44 Myriad Genetics, Inc., 133 S. Ct. at 2116–17.
45 See Diamond v. Chakrabarty, 447 U.S. 303 (1980).
46 Id. at 303.
47 Id. at 309–10.
48 Kevin Madigan & Adam Mossoff, Turning Gold into Lead: How Patent Eligibility Doctrine is
Undermining U.S. Leadership in Innovation, GEO. MASON L. REV. 939, 943 (2017).
49 Ex parte Allen, 2 U.S.P.Q.2d 1425, 1426 (Bd.Pat.App. & Interf. 1987), aff’d, 846 F.2d 77
form the patent eligibility test today. Mayo, Myriad, and Alice are not cases
on the patent eligibility of living organisms but rather cases featuring laws
of nature, products of nature, and abstract ideas respectively. By
incorporating Chakrabarty and Myriad’s markedly different tests, Mayo and
Alice formed a two-part test for examining patent eligibility for inventions
directed at nature-based products.
51 See Mayo Collaborative Servs. v. Prometheus Labs Inc., 566 U.S. 132 (2012).
52 Id. at 1291. (directing doctors to: (1) measure the current level of the relevant metabolite,
(2) use particular (unpatentable) laws of nature to calculate the current toxicity/inefficacy
limits, and (3) reconsider the drug dosage in light of the law).
53 Id. at 1297.
54 Molecular Pathology v. Myriad Genetics, Inc., 589 U.S. 576, 579–80 (2013).
55 Id. at 579.
56 Id. at 579–80.
57 Id. at 580.
58 Id.
2019] 99% Human and 1% Animal? 109
in nature.” Myriad failed to achieve this because it did not create or alter
either the genetic information encoded in the BRCA1 or BRCA2 genes or
the genetic structure of the DNA.59
Based largely from Mayo, in Alice Corp. Pty. v. CLS Bank International,60
the Supreme Court articulated a two-part test in deciding patent eligibility.
The first step of the Alice framework is to determine “whether the claims at
issue are directed to one of those patent-ineligible concepts.”61 If, however,
there are no markedly different characteristics, the eligibility inquiry
continues onto the second step. The second step of the Alice framework is
to determine whether the claim recites any additional elements that
transform the nature of the claim into a patent eligible application.62 There
needs to be an inventive concept sufficient to show that the claim
“amounts to significantly more” than the judicial exception itself.63 In
determining if there is an inventive concept, all the claim elements must be
considered “both individually and in combination.”64 Examples of
“significantly more” include: transformation or reduction of a particular
article to a different state or thing,65 other meaningful limitations beyond
generally linking the use of the judicial exception to a particular
technological environment,66 or adding a specific limitation other than
what is well-understood, routine, conventional activity in the field, or
adding unconventional steps.67
Products encompassing a product derived from natural sources are
59 Id. at 577.
60 Alice Corp. Pry. v. CLS Bank Int'l, 573 U.S. 208, 217–18 (2014) (stating that the claims
were directed to a computerized process to mitigate settlement risk. The claims at issue dealt
exclusively with utilizing the method, a computer system to carry out the method, and
software for performing the method. The Supreme Court asserted that certain claims
involving computer software constituted ineligible subject matter under section 101 of the
Patent Act.).
61 Id. at 217.
62 Id. at 221.
63 Id.
64 Id.
66 Classen Immunotherapies Inc. v. Biogen IDEC, 659 F.3d 1057, 1066–68 (Fed. Cir. 2011)
(describing an immunization step that integrates an abstract idea of data comparison into a
specific process of immunizing that lowers the risk that immunized patients will later develop
chronic immune-mediated diseases).
67 BASCOM Global Internet Serv. Inc. v. AT&T Mobility LLC, 827 F.3d 1341, 1350–51 (Fed.
Cir. 2016) (discussing a non-conventional and non-generic arrangement of various computer
components for filtering Internet content).
110 New England Law Review [Vol. 53
analyzed more closely under the first step.68 Nature-based products must
possess “markedly different characteristics” from any found in nature in
order to be patent eligible.69 If the nature-based product limitation has
markedly different characteristics when compared to its naturally-
occurring counterpart found in its natural state, the patent claim at issue is
patent eligible under § 101.70 Types of characteristics to consider when
determining “markedly different characteristics” include, but are not
limited to, the following: biological functions or activities, chemical and
physical properties, phenotype, and structure and form. 71
A. Genetic-Modified Animal
Despite the rising bar to patent eligibility, the United States Patent and
Trademark Office (USPTO) continues to issue patents to
xenotransplantation-related inventions. Currently, patents have been
assigned to inventions covering creating transgenic animals with knockout
genes. For example, US 8,034,330 B2 on multitransgenic pigs for diabetes
treatment provides certain animals, and in particular porcine animals;
tissue and cells derived from these, which lack any expression of functional
alpha 1.3 galactosyl transferase (CGT) and express one or more additional
transgenes which make them suitable donors for pancreatic islet. US
patent 8,034,330 B2 is on modified organs and cells for xenotransplantation.
Animals or cells are engineered or treated enzymatically in vitro to remove
the Gal epitopes and NeuGc epitopes, and to replace the NeuGc epitopes
with NeuAc, thereby protecting them from destruction by antibody
directed against the carbohydrate epitopes, and yet maintaining their
structural integrity and viability. US patent 10,278,372 on a genetically
modified pig comprising an exogenous polynucleotide encoding a human
leukocyte antigen G (HLA-G) polypeptide, and wherein the genetically
modified pig further comprises a disruption in a gene encoding a
glycoprotein galactosyltransferase alpha 1, 3 (GGTA1).
The common point of these patents is that some genes of the animal
(usually a pig) have been modified,72 creating a transgenic animal, and is
68 Deborah Ku, The Patentability of the CRISPR-CAS9 Genome Editing Tool, 16 CHI.-KENT J.
(last visited Oct. 28, 2019) (explaining that while chimeric organisms possess two genetically
distinct populations of cells, transgenic organisms consist of only one genetically distinct
population of cells that have been altered by the introduction of DNA sequences from sources
2019] 99% Human and 1% Animal? 111
History of the First Transgenic Mice Genetically Engineered to Develop Cancer, 21 GENES DEV. 2259,
2267 (2007).
74 E.g., U.S. Patent No. 6,639,122 (filed Sept. 19, 2000) (on a transgenic swine having a
transgene encoding a human HLA-DQ or HLA-DR); U.S. Patent No. 7,141,716 (filed Aug. 20,
2002) (describing a pig’s organs and cells, where a preferred embodiment of the transgene
encodes a human protein).
75 See Ass'n for Molecular Pathology v. Myriad Genetics, Inc., 569 U.S. 576, 595 (2013).
76 Waltz, supra note 17, at 1136.
77 Waltz, supra note 17, at 1136; See generally Jonathan D. Moreno, Why We Need to Be More
C. US Patent 10,335,263 B2
7 (filed Mar. 24, 1988) (final rejection letter issued on Oct. 28, 1999).
83 Ryan Hagglund, Patentability of Human-Animal Chimeras, 25 SANTA CLARA COMPUTER &
HIGH TECH. L.J. 51, 68 (2008).
84 Yvonne Cripps, The Global Person: Pig-Human Embryos, Personhood, and Precision Medicine,
cells inside a pig kidney further adds to the ambiguity on what constitutes
a human organism. US patent 10,335,263 B2 claimed for organs (kidney) for
transplantation. The kidney is a complex organ with multiple cell types
and a complex functional anatomy that renders it one of the most difficult
to reconstruct. In this invention, the inventors claimed that a kidney for
transplantation can be manufactured using two methods. 85 In the first
approach, the human mesenchymal stem cells86 or kidney stem cells are
transplanted to a fetus in a pregnant mammalian host. The mesenchymal
stem cells or kidney stem cells can be directly transplanted to the fetus in
vivo, thereby forming a kidney in the uterus as they are to be grown into a
kidney for transplantation.87
In the second approach, the uterus is separated from a parent body,
and the human mesenchymal stem cells are transplanted to a specific organ
location of the fetus separated from an outer layer and then cultured in a
culture bottle for the whole embryo culture in vitro. Injecting of GDNF-
transferred hMSCs into embryos followed by relay culture enables the
generation of chimeric organ. After a predetermined culture time, the
resulting product is evaluated for transplantation. The product may be
transplanted to the greater omentum of an animal.88 After transplantation,
the organ for transplantation is continuously grown in vivo, and thus the
formation of a replicated kidney exhibits a kidney function.
In both methods, the goal is to compose the organ with 90% to 99%
human cells derived from the recipient’s own bone marrow, circulating
blood, or umbilical cord blood. The host animal is also genetically modified
to induce death of animal cells to avoid mixing with human cells. The
interesting part is with 90% to 99% human cells inside the kidney and
roughly 10% to1% porcine cells used as a scaffold for the organ, provides
85 See generally Takashi Yokoo et al., Human Mesenchymal Stem Cells in Rodent Whole-Embryo
Culture are Reprogrammed to Contribute to Kidney Tissues, 102 PNAS 3296 (2005); Takashi Yokoo
et al., Xenobiotic Kidney Organogenesis form Human Mesenchymal Stem Cells Using a Growing
Rodent Embryo, 17 J. AM. SOC. NEPHROL. 1026 (2006).
86 See generally Imran Ullah, Raghavendra Barengundi Subbarao & Gyu Jin Rho, Human
Mesenchymal Stem Cells – Current Trends and Future Prospective, BIOSCIENCE REP. 35 (2015)
(“Mesenchymal stem cells (MSCs) are adult stem cells which can be isolated from human and
animal sources. Human MSCs (hMSCs) are the non-haematopoietic, multipotent stem cells
with the capacity to differentiate into mesodermal lineage such as osteocytes, adipocytes and
chondrocytes as well ectodermal (neurocytes) and endodermal lineages (hepatocytes).”).
87 Sylvia Pagán Westphal, Growing Human Organs on the Farm, NEW SCIENTIST, (Dec. 20,
2003), at 4 (explaining that chimerism in chimeras created by this method is of a lesser extent
than in those created by the fusion method, and cells derived from the injected cells are
usually restricted to certain organs and/or are present in small numbers).
88 See generally Krithika Hariharan, Andreas Kurtz & Kai M. Schmidt-Ott, Assembling
Kidney Tissues from Cells: The Long Road from Organoids to Organs, FRONTIERS IN CELL AND
DEVELOPMENTAL BIOLOGY 3 (2015) (explaining that the chimeric organ is transplanted to the
omentum to facilitate vascularization of the developing neo-organ).
114 New England Law Review [Vol. 53
Currently, the few patent applications on IBC are all filed by pioneers
in the field. For example, US2014/0338008 A1 claimed a method of organ
regeneration utilizing human iPSC and blastocyst complementation. This
application claims a method for producing a target organ, using human
iPSC in a living body of a non-human mammal having an abnormality
associated with a lack of development of the target organ in a
development, the target organ produced being derived from a different
individual mammal that is an individual different from the non-human
mammal. The other application US2017 / 0283777 A1, claims both the
chimeric mammals and organs derived from chimeric mammals cultured
91 See, e.g., Joseph Caputo, Scientists Use Stem Cells to Create Human/pig Chimera Embryos,
some argued that human iPSCs should not be introduced into early-stage
non-human primate embryos because at those very early stages, it is not
clear where the cells will go and it is possible that the cells will find their
way to animal brains.95 This fear is founded on the belief that the process of
injecting human cells into an animal blastocyst has the potential to produce
a chimera with a human-like nerve system that is capable of producing
human consciousness.96 Third, unlike chimeras, transgenic animals and
cells do not display a significant amount of human characteristics, but a
chimera containing a sufficient percentage of human cells might resemble a
human.97
Although federal laws do not restrict the creation of part-human
chimeras, the National Institutes of Health has issued a moratorium on
federal funding for human-animal chimera research as it considers ethical
issues associated with the introduction of human stem cells to animal
embryos. The National Academy of Sciences has recommended subjecting
part-human chimera research to specialized review in cases where there is
a significant possibility that human pluripotent stem cells will contribute to
neural or gamete cells and tissues,98 while bills introduced (but not passed)
in the Senate in 200599 and in the House in 2016100 would have prohibited
Pluripotent Stem Cell Lead Us to Rethink Differential Property Interests in Excised Human Cells, 16
STAN. TECH. L. REV. 51, 52 (2012).
95 Waltz, supra note 17, at 1137.
96 Benjamin Capps, Do Chimeras Have Minds? The Ethics of Clinical Research on a Human–
Animal Brain Model, 26 CAMBRIDGE Q. HEALTHCARE ETHICS 577 (2017).
97 Hagglund, supra note 83, at 82–83.
98 National Research Council and Institute of Medicine. 2010. Final Report of the National
Academies’ Human Embryonic Stem Cell Research Advisory Committee and 2010 Amendments to the
National Academies’ Guidelines for Human Embryonic Stem Cell Research. Washington, DC: The
National Academies Press.
99 Human Chimera Prohibition Act, S.1373, 109th Cong. (2005).
100 Human-Animal Chimera Prohibition Act of 2016, H.R. 6131, 114th Cong. § 1131 (2016)
C. Markedly Different
106 Waltz, supra note 17, at 1137 (explaining that otherwise an organ developed in an
animal host would contain xenogeneic blood vessels, which in turn would be targeted by the
host immune system).
107 Ex parte Allen, 2 U.S.P.Q.2d 1425, 1426 (Bd.Pat.App. & Interf. 1987) (determining that
whether a living thing was patentable “is simply whether that subject matter was made by
man.”).
108 Hagglund, supra note 83, at 57.
109 Yaniv Heled, On Patenting Organisms or How the Abortion Wars Feed into the Ownership
Fallacy, 36 CARDOZO L. REV. 241, 260-61 (2014).
110 Ava Caffarini, Directed to or Encompassing a Human Organism: How Section 33 of the
America Invents Act May Threaten the Future of Biotechnology, 12 J. MARSHALL REV. INTELL. PROP.
L. 769, 781 (2013).
111 Hagglund, supra note 83, at 83.
2019] 99% Human and 1% Animal? 119
HARV. J. L. & TECH. 123, 132–33 (2007) (categorizing cognitive level of human/non-human
chimera into three categories: (1) Basic human-nonhuman chimeras do not have cognitive
capacities higher than those of a dog or a pig; (2) Enhanced human-nonhuman chimeras have
cognitive capacities roughly equivalent to those of a chimpanzee; and (3) dramatically
enhanced human-nonhuman chimeras have cognitive capacities- including intelligence,
linguistic capacity, self-awareness, emotions, and the ability to form and maintain social
relationships that approximate the capacities of a human being).
113 Andrew Moore, The UK’s Guidelines on Animals Containing Human Material: Another
Trailblazing Performance in Science PR: It’s an Admirable Start, but the Problem Will Lie in the Grey
Area, 33 BIOESSAYS 649 (2011).
114 Bourret, supra note 22, at 90.
115 Bourret, supra note 22.
116 Wu, supra note 4.
Under the current 35 U.S.C. section 101 and AIA section 33(a), organs
generated via IBC seem to comply with the patent eligibility requirements.
However, counterarguments could still be made on whether those organs
are truly product of man rather than product of nature. With the advances
in technology, researchers are capable of using various ways in creating
artificial organs to address the need of organ shortage. As stated earlier, the
goal is to not to create an exact replica of the organ, but to create organs
that are functionable and compatible with the patient once transplanted
which will not trigger immune rejection.
The Supreme Court in Mayo stated that “all inventions at some level
embody, reflect, rest upon, or apply laws of nature, natural phenomena, or
abstract ideas.”123 As stated in Ariosa Diagnostics, Inc. v. Sequenom, Inc.,124
only an innovative or inventive use of a natural phenomenon may be
patentable. It is therefore essential to delineate what is the actual invention
and what is the work of nature within an invention. Unlike an organ
generated via IBC, however complicated, human intervention is akin to the
preparation process, while the development of the organ is still within the
realm of nature, that is, within the body of the host animal following the
119 Toshihiro Kobayashi et al., Targeted Organ Generation Using Mix1-Inducible Mouse
Pluripotent Stem Cells in Blastocyst Complementation, 24 STEM CELLS AND DEV. 182, 182 (2015).
120 Wu, supra note 38, at 90–91.
121 Jian Cao et al., An Easy and Efficient Inducible CRISPR/Cas9 Platform with Improved
Specificity for Multiple Gene Targeting, 44 NUCLEIC ACIDS RES. 1, 9 (2016).
122 Bourret, supra note 22, at 4.
123 Mayo Collaborative Servs. v. Prometheus Labs., Inc., 132 S. Ct 1289, 1293 (2012).
124 Ariosa Diagnostics, Inc. v. Sequenom, Inc., 19 F.Supp. 3d 938, 950 (N.D. Cal. 2013)
blue print nature has designed through evolution. The preparation process
might be complicated, but as stated in Myriad, the detail of the extensive
process of discovery is not sufficient to satisfy section 101,125 especially
when the claim is directed to the chimeric human/nonhuman animal or the
isolated organ. Hence, even if patent eligible, it should be directed to the
method instead of the product.
Furthermore, these artificial organs serve the same function as their
natural counterpart, to work holistically with other organ systems and to
sustain the life of the patient. Similarity in function is one of the reasons
why Dolly the sheep is patent ineligible because the inventors “‘did not
create or alter any of the genetic information’ of its claimed clones.”126 In Re
BRCA1, BRCA2, the Federal Circuit states the “naturally occurring
sequences at issue here do not perform a significantly new function.”127 “A
DNA structure with a function similar to that found in nature can only be
patent eligible as a composition of matter if it has a unique structure,
different from anything found in nature.”128 Even when one argues that
organs generated via IBC are markedly different from the natural organ. A
patentee could turn to nearly any characteristics to prove the existence of
“markedly different,” even if the marked difference is not important to the
purpose of the invention.129 The question for markedly difference is to the
type and degree needed. As Learned Hand eloquently stated in 1911, there
is a “line between different substances and degrees of the same
substance.”130
131 See ROBERT MERGES & JOHN DUFFY, PATENT LAW AND POLICY 98 (7th ed. 2017).
132 Madigan & Mossof, supra note 48, at 943.
133 See generally Joydeep Basu & John W. Ludlow, Platform Technologies for Tubular Organ
with Large Animal Chimeras, 15 CELL STEM CELL 406, 409 (2014).
135 Waltz, supra note 17, at 1137.
2019] 99% Human and 1% Animal? 123
example of kidney, as one tenth of the size will be adequate to achieve its
purpose, thereby preventing the full development of the
human/nonhuman chimera. IBC is not the first case in which the law fails
to keep up with technology advances, but it is important that patent law
continues to act as an incentive like it did in Chakrabarty; as Jefferson once
famously stated, “innovation should receive a liberal encouragement.”136
CONCLUSION
136 Diamond v. Chakrabarty, 447 US 303, 308 (1980) (quoting Thomas Jefferson,
Correspondence, in 5 Writings Of Thomas Jefferson 75, 76 (H. A. Washington ed., 1871) vol. 5,
75–76.) (“The Act embodied Jefferson’s philosophy that ‘ingenuity should receive a liberal
encouragement.’”).
137 See id. at 316 (detailing a “parade of horribles” from Nobel Laureates and other
scientists about the dangers of biotech research, who argued that it should not be patentable).