Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Centre for Social Ethics and Policy, Department of Law, School of Social Sciences, University of Manchester, Manchester, United Kingdom.
PLoS Genet. 2021 Sep 9;17(9):e1009741. doi: 10.1371/journal.pgen.1009741. eCollection 2021 Sep.
Much has been written about gene modifying technologies (GMTs), with a particularly strong focus on human germline genome editing (HGGE) sparked by its unprecedented clinical research application in 2018, shocking the scientific community. This paper applies political, ethical, and social lenses to aspects of HGGE to uncover previously underexplored considerations that are important to reflect on in global discussions. By exploring 4 areas-(1) just distribution of HGGE benefits through a realist lens; (2) HGGE through a national interest lens; (3) "broad societal consensus" through a structural injustice lens; and (4) HGGE through a scientific trustworthiness lens-a broader perspective is offered, which ultimately aims to enrich further debates and inform well-considered solutions for developments in this field. The application of these lenses also brings to light the fact that all discussions about scientific developments involve a conscious or unconscious application of a lens that shapes the direction of our thinking.
关于基因修饰技术(GMTs)已经有很多的论述,尤其是在 2018 年其在人类生殖系基因组编辑(HGGE)方面的前所未有的临床研究应用引发了强烈关注,震惊了科学界。本文从政治、伦理和社会角度对 HGGE 的各个方面进行了分析,揭示了以前未充分探讨的考虑因素,这些因素在全球讨论中值得反思。通过探索 4 个方面——(1)通过现实主义视角公正分配 HGGE 的利益;(2)通过国家利益视角看 HGGE;(3)通过结构性不公正视角看“广泛的社会共识”;以及(4)通过科学可信度视角看 HGGE——提供了更广阔的视角,最终旨在丰富进一步的辩论,并为该领域的发展提供深思熟虑的解决方案。这些视角的应用也揭示了一个事实,即所有关于科学发展的讨论都涉及到对塑造我们思维方向的视角的有意识或无意识的应用。