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胚胎实验:是否有理由超越“14 天规则”。

Embryo experimentation: is there a case for moving beyond the '14-day rule'.

机构信息

Department of Philosophy, Macquarie University, Sydney, NSW, Australia.

出版信息

Monash Bioeth Rev. 2020 Dec;38(2):181-196. doi: 10.1007/s40592-020-00117-x.

Abstract

Recent scientific advances have indicated that it may be technically feasible to sustain human embryos in vitro beyond 14 days. Research beyond this stage is currently restricted by a guideline known as the 14-day rule. Since the advances in embryo culturing there have been calls to extend the current limit. Much of the current debate concerning an extension has regarded the 14-day rule as a political compromise and has, therefore, focused on policy concerns rather than assessing the philosophical foundations of the limit. While there are relevant political considerations, I maintain that the success of extension arguments will ultimately depend on the strength of the justifications supporting the current 14-day limit. I argue that the strongest and most prevalent justifications for the 14-day rule-an appeal to individuation and neural development-do not provide adequate support for the limit of 14 days. I instead suggest that an alternative justification based on sentience would constitute a more defensible basis for embryo protection and that a consideration of such grounds appears to support an amendment to the current limit, rather than the retention of it. While these conclusions do not establish conclusively that the current limit should be extended; they do suggest that an extension may be warranted and permissible. As such, this paper offers grounds on which a reassessment of the 14-day rule may be justified.

摘要

最近的科学进步表明,在体外维持人类胚胎超过 14 天在技术上可能是可行的。在这一阶段之后的研究目前受到所谓的 14 天规则的限制。自从胚胎培养取得进展以来,人们一直呼吁延长目前的限制。目前关于延长限制的大部分争论都将 14 天规则视为政治妥协,因此关注的是政策问题,而不是评估限制的哲学基础。虽然存在相关的政治考虑因素,但我认为,延长限制的论点能否成功最终取决于支持当前 14 天限制的理由的强度。我认为,14 天规则最强和最普遍的理由——对个体化和神经发育的诉求——并没有为 14 天的限制提供充分的支持。相反,我建议基于意识的替代理由将构成对胚胎保护更具说服力的基础,并且对这些理由的考虑似乎支持对现行限制进行修正,而不是保留它。虽然这些结论并没有确凿地证明目前的限制应该延长;但它们确实表明,延长限制可能是合理和允许的。因此,本文为重新评估 14 天规则提供了依据。

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