As many of you have likely heard, there was a kerfluffle in the stem cell research world in the last few months. A very high profile paper was published in a very high impact journal (Nature) purporting to show that somatic cells could be reprogrammed to stem cells using very simple stimuli, including treatment by a light acid bath. These 'STAP' cells (or stimulus triggered acquisition of pluripotency) were a very big deal - if verified in humans, it would mean that very simple methods could be used to turn any cells into pluripotent stem cells, opening up all sorts of therapeutic avenues. (Currently, acquired pluripotency to make IPS cells is a very complex process that is not likely to be easily replicated in a clinical situation.)
Immediately after publication, much of the stem cell world was skeptical. I remember that after I heard about the paper, while chatting with a friend in January, I immediately responded with disbelief and assumed there were artefactual issues with the data. I was hardly the only one; immediately all of the top stem cell labs in the world went about trying to replicate the data. No one met with success, and within weeks a growing controversy (along with some irregularities in the manuscript including image duplication and plagiarism from the author's previous work) let to some co-authors suggesting the paper should be retracted, and a full investigation was launched by the journal. The paper was given an unusual amount of benefit of the doubt, however, because the senior author on the paper was Charles Vacanti, a highly respected researcher at Harvard and Brigham and Women's Hospital who has a consistent track record of high impact, important publications.
As the months went on, however, it became clear that no one else was able to replicate the data. In June, the lead Japanese author on the project (who had started as a postdoc in Vacanti's lab, but published from RIKEN, a research instituted in Japan) agreed to retract the paper. Just a few weeks ago, another Japanese co-author (and her current supervisor) committed suicide, and RIKEN was undergoing a detailed investigation of the whole thing. Meanwhile, Vacanti's long and top-notch time as chairperson of anesthesiology at BWH was cut short, and his career is effectively ruined (though I doubt he knew anything was fishy).
So far, this seems like a tragic story but an effective validation of the scientific community. High profile results result in skepticism, which deepens upon the failure of multiple labs to replicate the results. In time, the research is discredited or proven, and science moves forward. And yet, there was a critical flaw in this whole chain of events - peer review and editorial review of the paper did not catch the flaws in the study.
But wait, you say! Peer review can't determine whether a study is replicable, just whether the data as presented appear to be complete and thorough, and the authors drew appropriate conclusions from the data. And the relatively minor issues with figure replication etc. are very challenging to detect on a simple peer review without overwhelming scrutiny of every publication ever published by the authors. So how is this a failure? I think it's a failure because of two anecdotes surrounding this: First, the aforementioned fact that I, a lowly postdoc who doesn't even work directly with IPS cells, instantly didn't believe the study. Second, my boss is the editor in chief of another high profile journal, and scuttlebutt says his journal FIRST rejected the paper on the grounds that they didn't believe the data was representative of reality, either. So if it didn't pass the sniff test for a bunch of people (the paper was rejected by a bunch of journals before finally being accepted at Nature, after much revision), why did the peer reviewers let it pass?
I think the answer is that journals like Nature are hungry to publish the newest, most highly cited papers, and that if this HAD panned out as real, it would have been yet another remarkable coup for one of the three best scientific journals in the world. Editors and reviewers all view 'unbelievable' data as a good thing because it will get a lot of readership and could quite possibly be paradigm shifting research. All too often, though, in the rush to publication journals get sloppy and allow flashy research to get published even if it maybe should be subjected to more strict review.
I think I also run into this issue when I'm carrying out peer review of publications. I always don't want to come off as a dick (even if peer review is blinded), but I try to give detailed, cogent critiques of the paper - from the motivation to choice of methods to data that should have been reported but wasn't. But sometimes I just don't believe a bit of data. It's not that I suspect dishonesty, but I think researchers can introduce artifacts or otherwise misinterpret their data, and convince themselves they've found something amazing. How should a peer reviewer approach this problem? Should they assume the data as presented are replicable and leave the policing of replicability to after publication? Or should they follow up with very detailed questions about methodologies and requests for additional studies just based on a vague suspicion that the data looks too good to be true? This is an issue I've wrestled with, and I'm curious what you guys think. What is the real role and responsibility of the peer reviewer in the scientific process?


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