Obstet Gynecol. 2006 Nov;108(5):1305-17. doi: 10.1097/00006250-200611000-00057.
Human embryonic stem cell research promises an increased understanding of the molecular process underlying cell differentiation. Transplantation of embryonic stem cells or their derivatives may, in the future, offer therapies for human diseases. In this Committee Opinion, American College of Obstetricians and Gynecologists (ACOG) Committee on Ethics presents an ethical framework for examining issues surrounding research using preimplantation embryos and proposes ethical guidelines for such research. The Committee acknowledges the diversity of opinions among ACOG members and affirms that no physician who finds embryo research morally objectionable should be required or expected to participate in such research. The Committee supports embryo research within 14 days after evidence of fertilization but limits it according to ethical guidelines. The Committee recommends that cryopreserved embryos be the preferred source for research but believes that the promise of somatic cell nuclear transfer is such that research in this area is justified. The Committee opposes reproductive cloning. Intended parents for whom embryos are created should give informed consent for the disposition for any excess embryos. The donors of gametes or somatic cells used in the creation of such tissue should give consent for donation of embryos for research. Potential research projects should be described to potential donors as much as possible. Donation of embryos for stem cell research requires specific consent. The Committee believes that compensation for egg donors for research is acceptable, consistent with American Society for Reproductive Medicine guidelines.
人类胚胎干细胞研究有望增进对细胞分化潜在分子过程的理解。未来,胚胎干细胞或其衍生物的移植可能为人类疾病提供治疗方法。在本委员会意见中,美国妇产科医师学会(ACOG)伦理委员会提出了一个伦理框架,用于审视围绕使用植入前胚胎进行研究的相关问题,并为此类研究提出伦理准则。委员会承认ACOG成员之间存在意见分歧,并申明不应要求或期望任何认为胚胎研究在道德上令人反感的医生参与此类研究。委员会支持在受精证据出现后14天内进行胚胎研究,但要根据伦理准则加以限制。委员会建议冷冻保存的胚胎应作为研究的首选来源,但认为体细胞核移植的前景使得该领域的研究具有合理性。委员会反对生殖性克隆。为其创造胚胎的准父母应为处置任何多余胚胎给予知情同意。用于创建此类组织的配子或体细胞的捐赠者应为捐赠胚胎用于研究给予同意。应尽可能向潜在捐赠者描述潜在的研究项目。捐赠胚胎用于干细胞研究需要特定同意。委员会认为,根据美国生殖医学学会的指导方针,为研究向卵子捐赠者提供补偿是可以接受的。