Chapman Audrey R
Division of Public Health Law and Bioethics, University of Connecticut, Farmington, CT, USA.
Am J Law Med. 2022 Jul;48(2-3):256-265. doi: 10.1017/amj.2022.23.
The ability of pluripotent stem to develop into any of the cell types in the human body has meant that it was only a matter of time before scientists would try to transform them into human gametes. Up to now though it has not been possible to do so. Nevertheless a 2016 book written by Henry Greely speculated that in twenty to forty years most people in developed countries will cease reproduction through sex, using sex exclusively for pleasure, and instead will rely on reproduction through pluripotent stem cell-derived gametes. This paper will offer a different perspective. After describing the process through which human pluripotent stem cells might eventually be coaxed into gametes, it will show why the use of pluripotent stem cell-derived gametes for reproductive purposes would present significant safety, ethical, and regulatory challenges.
多能干细胞能够发育成人体中的任何一种细胞类型,这意味着科学家试图将它们转化为人类配子只是时间问题。不过到目前为止,这仍是不可能做到的。然而,亨利·格里利在2016年写的一本书中推测,在20到40年内,发达国家的大多数人将停止通过性行为进行生殖,仅将性行为用于获得愉悦,转而依靠多能干细胞衍生的配子进行生殖。本文将提出一种不同的观点。在描述人类多能干细胞最终可能被诱导形成配子的过程之后,本文将说明为何将多能干细胞衍生的配子用于生殖目的会带来重大的安全、伦理和监管挑战。