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寿命延长研究:当代生物学理论与伦理问题分析

Life extension research: an analysis of contemporary biological theories and ethical issues.

作者信息

Marshall Jennifer

机构信息

Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC, H3A 1X1, Canada.

出版信息

Med Health Care Philos. 2006;9(1):87-96. doi: 10.1007/s11019-005-2668-7.

Abstract

Many opinions and ideas about aging exist. Biological theories have taken hold of the popular and scientific imagination as potential answers to a "cure" for aging. However, it is not clear what exactly is being cured or whether aging could be classified as a disease. Some scientists are convinced that aging will be biologically alterable and that the human lifespan will be vastly extendable. Other investigators believe that aging is an elusive target that may only be "statistically" manipulatable through a better understanding of the operational principles of systems situated within complex environments. Not only is there confusion over definitions but also as to the safety of any potential intervention. Curing cell death, for example, may lead to cell cancer. The search for a cure for aging is not a clearly beneficial endeavour. This paper will first, describe contemporary ideas about aging processes and second, describe several current life extension technologies. Third, it analyses these theories and technologies, focusing on two representative and differing scientific points of view. The paper also considers the public health dilemma that arises from life extension research and examines two issues, risk/benefit ratio and informed consent, that are key to developing ethical guidelines for life extension technologies.

摘要

关于衰老存在许多观点和看法。生物学理论引发了大众和科学界的想象,被视为解决衰老“疗法”的潜在答案。然而,目前尚不清楚究竟要治愈什么,或者衰老是否可被归类为一种疾病。一些科学家坚信衰老在生物学上是可以改变的,人类寿命将大幅延长。其他研究人员则认为,衰老如同一个难以捉摸的目标,或许只能通过更好地理解复杂环境中系统的运行原理,在“统计学”层面加以操控。不仅在定义上存在混淆,对于任何潜在干预措施的安全性也是如此。例如,治愈细胞死亡可能会引发细胞癌变。寻找衰老的治愈方法并非一项明显有益的努力。本文首先将描述关于衰老过程的当代观点,其次将介绍几种当前的寿命延长技术。第三,将分析这些理论和技术,重点关注两种具有代表性且不同的科学观点。本文还将探讨寿命延长研究引发的公共卫生困境,并审视风险/收益比和知情同意这两个对于制定寿命延长技术伦理准则至关重要的问题。

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