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科学前行与辩论刹车:体细胞基因编辑作为阿尔茨海默病性别特异性医学的新工具

Science Runs and the Debate Brakes: Somatic Gene-Editing as a New Tool for Gender-Specific Medicine in Alzheimer's Disease.

作者信息

Tozzo Pamela, Zullo Silvia, Caenazzo Luciana

机构信息

Department of Molecular Medicine, Laboratory of Forensic Genetics, University of Padova, Via Falloppio 50, 35121 Padova, Italy.

Department of Legal Studies, University of Bologna, 40121 Bologna, Italy.

出版信息

Brain Sci. 2020 Jul 2;10(7):421. doi: 10.3390/brainsci10070421.

Abstract

Gender-specific medicine is a discipline that studies the influence of sex and gender on physiology, pathophysiology, and diseases. One example in light of how a genetic-based disease among other diseases, that impact on sex, can be represented by the risk of developing dementia or Alzheimer's disease. The question that comes into focus is whether gene-editing can represent a new line of investigation to be explored in the development of personalized, gender-specific medicine that guarantees gender equity in health policies. This article aims to discuss the relevance of adopting a gender-specific focus on gene-editing research, considered as a way of contributing to the advance of medicine's understanding, treatment, and prevention of dementia, particularly Alzheimer's disease. The development or improvement of cures could take advantage of the knowledge of the gender diversity in order to ascertain and develop differential interventions also at the genetic level between women and men, and this deserves special attention and deep ethical reflection.

摘要

性别特异性医学是一门研究性别对生理学、病理生理学和疾病影响的学科。鉴于包括痴呆症或阿尔茨海默病在内的其他一些影响性别的疾病,以一种基于基因的疾病为例,其可以通过患痴呆症的风险来体现。人们关注的问题是,基因编辑是否可以成为个性化、性别特异性医学发展中一条新的探索研究路线,这种医学在卫生政策中保证性别平等。本文旨在讨论在基因编辑研究中采用性别特异性视角的相关性,这被视为一种有助于推动医学对痴呆症尤其是阿尔茨海默病的理解、治疗和预防的方式。治疗方法的开发或改进可以利用性别差异的知识,以便在基因层面确定并开发针对男性和女性的不同干预措施,这值得特别关注和深入的伦理思考。

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本文引用的文献

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Ethics of Human Genome Editing.人类基因组编辑的伦理问题。
Annu Rev Med. 2019 Jan 27;70:289-305. doi: 10.1146/annurev-med-112717-094629.
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CRISPR-mediated genome editing and human diseases.CRISPR介导的基因组编辑与人类疾病。
Genes Dis. 2016 Aug 30;3(4):244-251. doi: 10.1016/j.gendis.2016.07.003. eCollection 2016 Dec.
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In Vivo Genome Editing as a Therapeutic Approach.体内基因组编辑作为一种治疗方法。
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