Faculty of Philosophy, University of Oxford, Oxford, UK
Biomedical Research Group, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
J Med Ethics. 2022 Sep;48(9):590-596. doi: 10.1136/medethics-2021-108038. Epub 2022 May 9.
There are ethical obligations to conduct research that contributes to generalisable knowledge and improves reproductive health, and this should include embryo research in jurisdictions where it is permitted. Often, the controversial nature of embryo research can alarm ethics committee members, which can unnecessarily delay important research that can potentially improve fertility for patients and society. Such delay is ethically unjustified. Moreover, countries such as the UK, Australia and Singapore have legislation which unnecessarily captures low-risk research, such as observational research, in an often cumbersome and protracted review process. Such countries should revise such legislation to better facilitate low-risk embryo research.We introduce a philosophical distinction to help decision-makers more efficiently identify higher risk embryo research from that which presents no more risks to persons than other types of tissue research. That distinction is between future person embryo research and non-future person embryo research. We apply this distinction to four examples of embryo research that might be presented to ethics committees.Embryo research is most controversial and deserving of detailed scrutiny when it potentially affects a future person. Where it does not, it should generally require less ethical scrutiny. We explore a variety of ways in which research can affect a future person, including by deriving information about that person, and manipulating eggs or sperm before an embryo is created.
有进行研究的道德义务,这些研究有助于产生普遍适用的知识并改善生殖健康,这应该包括在允许的司法管辖区进行胚胎研究。通常,胚胎研究的争议性质可能会使伦理委员会成员感到震惊,这可能会不必要地延迟可能会提高患者和社会生育能力的重要研究。这种延迟在伦理上是没有道理的。此外,英国、澳大利亚和新加坡等国家制定了不必要的立法,将低风险研究(如观察性研究)纳入繁琐且冗长的审查过程中。这些国家应修订此类立法,以更好地促进低风险胚胎研究。
我们引入了一种哲学区分,以帮助决策者更有效地从比其他类型的组织研究对人造成的风险更高的胚胎研究中识别出更高风险的胚胎研究。这种区别在于未来人的胚胎研究和非未来人的胚胎研究之间。我们将这种区别应用于可能提交给伦理委员会的四项胚胎研究示例。
当胚胎研究有可能影响未来的人时,它是最具争议性的,值得进行详细审查。如果没有,它通常需要较少的伦理审查。我们探讨了研究可以通过多种方式影响未来的人,包括通过获取有关该人的信息,以及在胚胎形成之前操纵卵子或精子。