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母本纺锤体转移与原核转移之间存在道德差异吗?

Are there moral differences between maternal spindle transfer and pronuclear transfer?

作者信息

Palacios-González César

机构信息

Centre of Medical Law and Ethics, The Dickson Poon School of Law, King's College London, Strand, London, WC2R 2LS, UK.

出版信息

Med Health Care Philos. 2017 Dec;20(4):503-511. doi: 10.1007/s11019-017-9772-3.

DOI:10.1007/s11019-017-9772-3
PMID:28429249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5665963/
Abstract

This paper examines whether there are moral differences between the mitochondrial replacement techniques that have been recently developed in order to help women afflicted by mitochondrial DNA diseases to have genetically related children absent such conditions: maternal spindle transfer (MST) and pronuclear transfer (PNT). Firstly, it examines whether there is a moral difference between MST and PNT in terms of the divide between somatic interventions and germline interventions. Secondly, it considers whether PNT and MST are morally distinct under a therapy/creation optic. Finally, it investigates whether there is a moral difference between MST and PNT from a human embryo destruction point of view. I conclude, contra recent arguments, that regarding the first two points there is no moral differences between PNT and MST; and that regarding the third one MST is morally preferable to PNT, but only if we hold a gradualist account of the moral value of human embryos where zygotes have slight moral value.

摘要

本文探讨了为帮助患有线粒体DNA疾病的女性在无此类疾病的情况下生育有基因关联的孩子而新近开发的线粒体替代技术(即母本纺锤体转移(MST)和原核转移(PNT))之间是否存在道德差异。首先,从体细胞干预和生殖细胞干预的区分角度,考察MST和PNT之间是否存在道德差异。其次,在治疗/创造的视角下,考虑PNT和MST在道德上是否有区别。最后,从人类胚胎破坏的角度,研究MST和PNT之间是否存在道德差异。我得出结论,与近期的观点相反,在前两点上,PNT和MST之间不存在道德差异;而在第三点上,只有当我们持有一种认为人类胚胎的道德价值是渐进的、受精卵只有轻微道德价值的观点时,MST在道德上才比PNT更可取。

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本文引用的文献

1
Resource Allocation, Treatment, Disclosure, and Mitochondrial Replacement Techniques.资源分配、治疗、信息披露与线粒体替代技术
Camb Q Healthc Ethics. 2017 Apr;26(2):278-287. doi: 10.1017/S0963180116000876.
2
The Mitochondrial Replacement 'Therapy' Myth.线粒体替代“疗法”的神话。
Bioethics. 2017 Jun;31(5):368-374. doi: 10.1111/bioe.12332. Epub 2016 Dec 30.
3
Do Mitochondrial Replacement Techniques Affect Qualitative or Numerical Identity?线粒体替代技术会影响质的同一性还是数的同一性?
Bioethics. 2017 Jan;31(1):20-26. doi: 10.1111/bioe.12308.
4
Is Mitochondrial Donation Germ-Line Gene Therapy? Classifications and Ethical Implications.线粒体捐赠是生殖系基因治疗吗?分类与伦理意义。
Bioethics. 2017 Jan;31(1):55-67. doi: 10.1111/bioe.12312.
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Ethics of Mitochondrial Replacement Techniques: A Habermasian Perspective.线粒体替代技术的伦理:哈贝马斯主义视角
Bioethics. 2017 Jan;31(1):27-36. doi: 10.1111/bioe.12307.
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Mitochondrial replacement techniques: egg donation, genealogy and eugenics.线粒体替代技术:卵子捐赠、谱系与优生学。
Monash Bioeth Rev. 2016 Mar;34(1):37-51. doi: 10.1007/s40592-016-0059-x.
7
Genetic Drift Can Compromise Mitochondrial Replacement by Nuclear Transfer in Human Oocytes.基因漂变可能会损害人类卵母细胞中通过核移植进行的线粒体替代。
Cell Stem Cell. 2016 Jun 2;18(6):749-754. doi: 10.1016/j.stem.2016.04.001. Epub 2016 May 19.
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What Is the Value of Three-Parent IVF?三亲试管婴儿的价值是什么?
Hastings Cent Rep. 2016 Jul;46(4):38-47. doi: 10.1002/hast.594. Epub 2016 May 19.
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A slippery slope to human germline modification.通向人类种系修饰的滑坡。
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