Hughes Claude L, Hughes Gavin C
Department of Obstetrics and Gynecology, Duke University Medical Center and Therapeutic Science and Strategy Unit, IQVIA, Durham, NC, United States.
Departments of Philosophy and Biology, UNC Neuroscience Center and the BRAIN Initiative Viral Vector Core, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Front Reprod Health. 2023 Mar 20;5:1112935. doi: 10.3389/frph.2023.1112935. eCollection 2023.
Discrete events and processes influence development of individual humans. Attribution of personhood to any individual human being cannot be disconnected from the underlying biological events and processes of early human development. Nonetheless, the philosophical, sociological and legal components that are integral to the meaning of the term as commonly used cannot be deduced from biology alone. The challenge for biomedical scientists to inform discussion in this arena then rests on profiling the key biological events and processes that must be assessed when considering how one might objectively reason about the task of superimposing the concept of personhood onto the developing biological entity of a potential human being. Endogenous genetic and epigenetic events and exogenous developmental processes diversify developmental trajectories of potential individual humans prior to livebirth. First, fertilization and epigenetic resetting of each individual's organismic clock to time zero ( = 0) at the gastrulation/primitive streak stage (day 15 of embryogenesis), are two discrete unseen biological events that impact a potential individual human's attributes. Second, those two discrete unseen biological events are immersed in the continuous developmental process spanning pre-fertilization and gestation, further driving individualization of diverse attributes of each future human before the third discrete and blatant biological event of parturition and livebirth. Exposures of the gravida to multiple diverse exogenous exposures means that morphogenesis and physiogenesis of every embryo/fetus has individualized attributes for its future human lifespan. Our proposed framework based on the biological discrete events and processes spanning pre-fertilization and prenatal development, implies that personhood should be incrementally attributed, and societal protections should be graduated and applied progressively across the pre-birth timespan.
离散事件和过程影响着个体人类的发育。将人格赋予任何个体人类都不能脱离早期人类发育的潜在生物学事件和过程。然而,该术语在常用意义中不可或缺的哲学、社会学和法律成分不能仅从生物学中推导出来。因此,生物医学科学家在这个领域为讨论提供信息的挑战在于描绘关键的生物学事件和过程,在考虑如何客观地思考将人格概念叠加到潜在人类的发育生物实体上的任务时,必须对这些事件和过程进行评估。内源性遗传和表观遗传事件以及外源性发育过程在出生前使潜在个体人类的发育轨迹多样化。首先,受精以及在原肠胚形成/原条阶段(胚胎发育第15天)将每个个体的机体时钟表观遗传重置为时间零(=0),是两个离散的、不可见的生物学事件,它们会影响潜在个体人类的属性。其次,这两个离散的、不可见的生物学事件融入了跨越受精前和妊娠期的连续发育过程中,在第三个离散且明显的生物学事件即分娩和出生之前,进一步推动每个未来人类各种属性的个体化。孕妇接触多种不同的外源性因素意味着每个胚胎/胎儿的形态发生和生理发生都具有其未来人类寿命的个体化属性。我们基于跨越受精前和产前发育的生物学离散事件和过程提出的框架意味着,人格应逐步赋予,并且社会保护应逐步分级并在出生前的时间段内逐步适用。