Macintosh Kerry Lynn
Santa Clara University School of Law, 500 El Camino Real, Santa Clara, CA 95053, USA.
J Law Biosci. 2022 Feb 7;9(1):lsac002. doi: 10.1093/jlb/lsac002. eCollection 2022 Jan-Jun.
Heritable genome editing (HGE) may one day safely correct mutations that cause serious monogenic diseases. Nevertheless, some scientists and bioethicists argue that HGE should be subject to a moratorium. In their view, no nation should proceed with clinical use absent broad societal consensus in favor of moving forward with HGE and a specific use. This article critiques this plan in light of two cognitive biases. First, human beings favor the status quo. We are primed to favor human reproduction and the human genome in their current forms and resist HGE. Second, human beings also dwell on negative information. Dr He Jiankui's unethical and premature experiment encourages us to judge HGE and its offspring harshly. By reinforcing these biases, the proposed moratorium would make it difficult to achieve broad societal consensus in support of using HGE even to correct dangerous mutations. As an alternative, this article recommends HGE be regulated for safety and efficacy. This approach will keep scientists from using HGE prematurely, while giving society time to discuss this new technology and enact further legislation if necessary.
可遗传基因组编辑(HGE)也许有一天能安全地纠正导致严重单基因疾病的突变。然而,一些科学家和生物伦理学家认为HGE应该暂停使用。在他们看来,在没有广泛的社会共识支持推进HGE及其特定用途的情况下,任何国家都不应进行临床应用。本文根据两种认知偏差对这一计划进行了批判。首先,人类偏爱现状。我们倾向于支持以当前形式进行人类生殖和人类基因组,抵制HGE。其次,人类也会纠结于负面信息。贺建奎博士不道德且过早的实验促使我们对HGE及其产物进行严厉评判。通过强化这些偏差,提议的暂停使用将难以达成广泛的社会共识来支持使用HGE,即使是为了纠正危险的突变。作为替代方案,本文建议对HGE进行安全性和有效性监管。这种方法将防止科学家过早使用HGE,同时给社会时间来讨论这项新技术,并在必要时制定进一步的立法。