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获取用于胚胎干细胞系的人类胚胎:问题与展望。

Sourcing human embryos for embryonic stem cell lines: problems & perspectives.

作者信息

Mehta Rajvi H

机构信息

Trivector Embryology Support Academy, Mumbai, India.

出版信息

Indian J Med Res. 2014 Nov;140 Suppl(Suppl 1):S106-11.

Abstract

The ability to successfully derive human embryonic stem cells (hESC) lines from human embryos following in vitro fertilization (IVF) opened up a plethora of potential applications of this technique. These cell lines could have been successfully used to increase our understanding of human developmental biology, transplantation medicine and the emerging science of regenerative medicine. The main source for human embryos has been 'discarded' or 'spare' fresh or frozen human embryos following IVF. It is a common practice to stimulate the ovaries of women undergoing any of the assisted reproductive technologies (ART) and retrieve multiple oocytes which subsequently lead to multiple embryos. Of these, only two or maximum of three embryos are transferred while the rest are cryopreserved as per the decision of the couple. in case a couple does not desire to 'cryopreserve' their embryos then all the embryos remaining following embryo transfer can be considered 'spare' or if a couple is no longer in need of the 'cryopreserved' embryos then these also can be considered as 'spare'. But, the question raised by the ethicists is, "what about 'slightly' over-stimulating a woman to get a few extra eggs and embryos? The decision becomes more difficult when it comes to 'discarded' embryos. As of today, the quality of the embryos is primarily assessed based on morphology and the rate of development mainly judged by single point assessment. Despite many criteria described in the literature, the quality assessment is purely subjective. The question that arises is on the decision of 'discarding' embryos. What would be the criteria for discarding embryos and the potential 'use' of ESC derived from the 'abnormal appearing' embryos? This paper discusses some of the newer methods to procure embryos for the derivation of embryonic stem cell lines which will respect the ethical concerns but still provide the source material.

摘要

体外受精(IVF)后成功从人类胚胎中获得人胚胎干细胞(hESC)系的能力开启了这项技术的大量潜在应用。这些细胞系本可成功用于增进我们对人类发育生物学、移植医学和新兴的再生医学的理解。人类胚胎的主要来源一直是IVF后“丢弃”或“多余”的新鲜或冷冻人类胚胎。对接受任何辅助生殖技术(ART)的女性刺激卵巢并获取多个卵母细胞,随后产生多个胚胎是常见做法。其中,根据夫妻的决定,仅移植两个或最多三个胚胎,其余的则冷冻保存。如果一对夫妻不希望“冷冻保存”他们的胚胎,那么胚胎移植后剩余的所有胚胎都可被视为“多余”的;或者如果一对夫妻不再需要“冷冻保存”的胚胎,那么这些胚胎也可被视为“多余”的。但是,伦理学家提出的问题是,“稍微过度刺激女性以获得几个额外的卵子和胚胎又如何呢?”当涉及到“丢弃”胚胎时,这个决定变得更加困难。截至目前,胚胎质量主要基于形态学进行评估,发育速率主要通过单点评估来判断。尽管文献中描述了许多标准,但质量评估纯粹是主观的。出现的问题是关于“丢弃”胚胎的决定。丢弃胚胎的标准是什么,以及从“外观异常”的胚胎中获得的胚胎干细胞的潜在“用途”是什么?本文讨论了一些获取胚胎以用于胚胎干细胞系衍生的新方法,这些方法将尊重伦理问题,但仍能提供源材料。

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本文引用的文献

3
Derivation of human parthenogenetic stem cell lines.
Methods Mol Biol. 2011;767:37-54. doi: 10.1007/978-1-61779-201-4_4.
5
Gene expression analysis of a new source of human oocytes and embryos for research and human embryonic stem cell derivation.
Fertil Steril. 2011 Mar 15;95(4):1410-5. doi: 10.1016/j.fertnstert.2010.08.050. Epub 2010 Oct 6.
7
Derivation and characterisation of hESC lines from supernumerary embryos, experience from Odense, Denmark.
In Vitro Cell Dev Biol Anim. 2010 Apr;46(3-4):259-68. doi: 10.1007/s11626-010-9281-7. Epub 2010 Mar 3.
8
Analysis of long-term culture properties and pluripotent character of two sibling human embryonic stem cell lines derived from discarded embryos.
In Vitro Cell Dev Biol Anim. 2010 Apr;46(3-4):200-5. doi: 10.1007/s11626-010-9277-3. Epub 2010 Feb 23.
9
Derivation of new human embryonic stem cell lines from preimplantation genetic screening and diagnosis-analyzed embryos.
In Vitro Cell Dev Biol Anim. 2010 Apr;46(3-4):395-402. doi: 10.1007/s11626-010-9293-3. Epub 2010 Feb 23.
10
The bioethics of stem cell research and therapy.
J Clin Invest. 2010 Jan;120(1):71-5. doi: 10.1172/JCI40435.

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