Alsomali Nimah, Hussein Ghaiath
Research Center, Neuroscience Department, King Fahad Medical City, Riyadh, Saudi Arabia.
College of Medicine, Prince Sattam Bin Abdulaziz University, Riyadh, Saudi Arabia.
Asian Bioeth Rev. 2021 Mar 20;13(2):149-165. doi: 10.1007/s41649-021-00167-1. eCollection 2021 Jun.
The discovery of clustered regularly interspaced short palindromic repeats (CRISPR) and the CRISPR-mediated protein 9 (CRISPR-Cas9) immediately revealed numerous potential therapeutic applications. Although CRISPR-Cas9 will most likely be useful for addressing issues such as genetic diseases and related medical issues, use of this modality for germline modification generates complex ethical questions regarding the safety and efficacy, human genetic enhancement, and "designer" babies. In this article, the case of the He Jiankui affair is used as an example of the potential for unregulated use of CRISPR-Cas9 technology. In 2018, Dr He Jiankui reported that he had successfully edited human embryos. This work clearly violates all international principles of bioethics. As such, the purpose of this paper is to explore the ethical challenges inherent in the use of CRISPR-Cas9 for human germline editing from the perspectives of the goals of Islamic law (Maqasid al Shari'a) and the major jurisprudential maxims (Qawaid Fiqhiyyah). We argue that from an Islamic standpoint, the therapeutic application of CRISPR-Cas9 for germline editing may be permissible if the safety and efficacy concerns are resolved and if the principles of Maqasid al-Shari'a are fulfilled.
成簇规律间隔短回文重复序列(CRISPR)以及CRISPR介导的蛋白9(CRISPR-Cas9)的发现立刻揭示了众多潜在的治疗应用。尽管CRISPR-Cas9极有可能有助于解决诸如遗传疾病及相关医学问题等,但将这种方法用于生殖系修饰引发了有关安全性和有效性、人类基因增强以及“设计婴儿”等复杂的伦理问题。在本文中,贺建奎事件被用作CRISPR-Cas9技术可能被无节制使用的一个例子。2018年,贺建奎博士报告称他已成功编辑人类胚胎。这项工作明显违反了所有国际生物伦理原则。因此,本文的目的是从伊斯兰教法目标(Maqasid al Shari'a)和主要法学准则(Qawaid Fiqhiyyah)的角度,探讨将CRISPR-Cas9用于人类生殖系编辑所固有的伦理挑战。我们认为,从伊斯兰教的角度来看,如果安全性和有效性问题得到解决且符合Maqasid al-Shari'a的原则,那么将CRISPR-Cas9用于生殖系编辑的治疗应用可能是允许的。