Lavazza Andrea, Reichlin Massimo
University of Pavia, Pavia, Italy.
Centro Universitario Internazionale, Arezzo, Italy.
Camb Q Healthc Ethics. 2023 Jun 8:1-15. doi: 10.1017/S096318012300021X.
Human brain organoids (HBOs) are three-dimensional biological entities grown in the laboratory in order to recapitulate the structure and functions of the adult human brain. They can be taken to be novel living entities for their specific features and uses. As a contribution to the ongoing discussion on the use of HBOs, the authors identify three sets of reasons for moral concern. The first set of reasons regards the potential emergence of sentience/consciousness in HBOs that would endow them with a moral status whose perimeter should be established. The second set of moral concerns has to do with an analogy with artificial womb technology. The technical realization of processes that are typically connected to the physiology of the human body can create a manipulatory and instrumental attitude that can undermine the protection of what is human. The third set concerns the new frontiers of biocomputing and the creation of chimeras. As far as the new frontier of organoid intelligence is concerned, it is the close relationship of humans with new interfaces having biological components capable of mimicking memory and cognition that raises ethical issues. As far as chimeras are concerned, it is the humanization of nonhuman animals that is worthy of close moral scrutiny. A detailed description of these ethical issues is provided to contribute to the construction of a regulative framework that can guide decisions when considering research in the field of HBOs.
人类脑类器官(HBOs)是在实验室中培育的三维生物实体,旨在重现成人大脑的结构和功能。因其独特的特征和用途,它们可被视为新型的活体。作为对正在进行的关于HBOs使用讨论的贡献,作者指出了三组引发道德关注的原因。第一组原因涉及HBOs中潜在的感知/意识出现,这将赋予它们一种道德地位,其范围需要确定。第二组道德关切与人工子宫技术的类比有关。通常与人体生理相关的过程的技术实现可能会产生一种操纵性和工具性的态度,从而破坏对人类的保护。第三组关切涉及生物计算的新前沿和嵌合体的创造。就类器官智能的新前沿而言,正是人类与具有能够模拟记忆和认知的生物成分的新界面的密切关系引发了伦理问题。就嵌合体而言,非人类动物的人化值得进行密切的道德审视。本文提供了对这些伦理问题的详细描述,以有助于构建一个监管框架,在考虑HBOs领域的研究时指导决策。