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捐赠卵子用于线粒体替代技术是否会产生父母责任?

Does egg donation for mitochondrial replacement techniques generate parental responsibilities?

出版信息

J Med Ethics. 2018 Dec;44(12):817-822. doi: 10.1136/medethics-2017-104400. Epub 2017 Oct 25.

DOI:10.1136/medethics-2017-104400
PMID:29070706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6288698/
Abstract

Children created through mitochondrial replacement techniques (MRTs) are commonly presented as possessing 50% of their mother's nuclear DNA, 50% of their father's nuclear DNA and the mitochondrial DNA of an egg donor. This lab-engineered genetic composition has prompted two questions: Do children who are the product of an MRT procedure have three parents? And, do MRT egg donors have parental responsibilities for the children created? In this paper, I address the second question and in doing so I also address the first one. First, I present a brief account of mitochondrial diseases and MRTs. Second, I examine how MRTs affect the numerical identity of eggs and zygotes. Third, I investigate two genetic accounts of parenthood and MRT egg donation. Fourth, I explore three causal accounts of parenthood and MRT egg donation. My conclusion is that, under the appropriate circumstances, MRT egg donors are parentally responsible for the children created under genetic accounts of parenthood and under causal accounts of parenthood.

摘要

通过线粒体替代技术(MRT)创造的儿童通常被认为拥有其母亲的核 DNA 的 50%、父亲的核 DNA 的 50%和卵子供体的线粒体 DNA。这种实验室设计的遗传组成引发了两个问题:通过 MRT 程序产生的孩子是否有三个父母?并且,MRT 卵子供体是否对所创造的孩子负有父母责任?在本文中,我将解决第二个问题,同时也解决第一个问题。首先,我简要介绍了线粒体疾病和 MRT。其次,我研究了 MRT 如何影响卵子和受精卵的数量身份。第三,我调查了父母身份的两种遗传解释和 MRT 卵子捐赠。第四,我探讨了父母身份的三个因果解释和 MRT 卵子捐赠。我的结论是,在适当的情况下,根据父母身份的遗传解释和因果解释,MRT 卵子供体对所创造的孩子负有父母责任。

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本文引用的文献

1
Should Mitochondrial Donation Be Anonymous?线粒体捐赠应该匿名吗?
J Med Philos. 2018 Mar 13;43(2):261-280. doi: 10.1093/jmp/jhx022.
2
Are there moral differences between maternal spindle transfer and pronuclear transfer?母本纺锤体转移与原核转移之间存在道德差异吗?
Med Health Care Philos. 2017 Dec;20(4):503-511. doi: 10.1007/s11019-017-9772-3.
3
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.
4
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.
5
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.
6
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.
7
When the Milk of Human Kindness Becomes a Luxury (and Untested) Good.当“善良之乳”成为一种奢侈品(且未经检验)时。
Camb Q Healthc Ethics. 2017 Jan;26(1):159-165. doi: 10.1017/S0963180116000724.
8
Mitochondrial donation and 'the right to know'.线粒体捐赠与“知情权”。
J Med Ethics. 2016 Oct;42(10):678-84. doi: 10.1136/medethics-2016-103587. Epub 2016 Aug 19.
9
Towards clinical application of pronuclear transfer to prevent mitochondrial DNA disease.走向原核移植技术预防线粒体DNA疾病的临床应用。
Nature. 2016 Jun 16;534(7607):383-6. doi: 10.1038/nature18303. Epub 2016 Jun 8.
10
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.