Bobbert Monika
Department of Medical Ethics at the Institute for the History of Medicine, Medical Faculty of the University of Heidelberg, Heidelberg, Germany.
Biotechnol J. 2006 Dec;1(12):1352-69. doi: 10.1002/biot.200600179.
Research using human embryos and embryonic stem cells is viewed as important for various reasons. Apart from questions concerning legal regulations, numerous ethical objections are raised pertaining to the use of surplus embryos from reproductive medicine as well as the creation of embryos and stem cells through cloning. In the hopes of avoiding ethical problems, alternatives have been proposed including the extraction of egg cells from "dead" embryos derived from in vitro fertilization procedures, the extraction of pluripotent stem cells from blastocysts, technologies such as "altered nuclear transfer" (ANT) and "oocyte-assisted reprogramming" (ANT-OAR) as well as parthenogenesis. Initial ethical assessments show that certain questions pertaining to such strategies have remained unanswered. Furthermore, with the help of new or more differentiated biotechnological procedures, it is possible to create chimeras and hybrids in which human and non-human cells are combined. Human-animal chimeras, in which gametes or embryonic tissue have been mixed with embryonic or adult stem cells, demonstrate a different "quality" and "degree of penetration" from those produced in previous experiments. Not only does this have consequences regarding questions of patentability, this situation also raises fundamental questions concerning the human being's self image, the concept of person, identity and species and the moral rights and duties that are connected with such concepts. There is a need for legal regulation, on the national as well as the international level.
出于各种原因,使用人类胚胎和胚胎干细胞的研究被视为很重要。除了涉及法律法规的问题外,对于将生殖医学中剩余的胚胎用于研究以及通过克隆创造胚胎和干细胞,还提出了许多伦理上的反对意见。为了避免伦理问题,人们提出了一些替代方案,包括从体外受精程序产生的“死亡”胚胎中提取卵细胞、从囊胚中提取多能干细胞、“改变核移植”(ANT)和“卵母细胞辅助重编程”(ANT - OAR)等技术以及孤雌生殖。初步的伦理评估表明,与这些策略相关的某些问题仍未得到解答。此外,借助新的或更具差异化的生物技术程序,有可能创造出人类和非人类细胞相结合的嵌合体和杂交体。人类 - 动物嵌合体,即配子或胚胎组织与胚胎或成体干细胞混合而成的嵌合体,与之前实验产生的嵌合体相比,呈现出不同的“性质”和“渗透程度”。这不仅对可专利性问题有影响,这种情况还引发了关于人类自我形象、人格概念、身份和物种以及与此类概念相关的道德权利和义务的根本性问题。在国家和国际层面都需要进行法律规范。