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线粒体替代疗法:伊斯兰教视角。

Mitochondrial Replacement Therapy: An Islamic Perspective.

作者信息

Ibrahim Abdul Halim, Rahman Noor Naemah Abdul, Saifuddeen Shaikh Mohd

机构信息

Programme of Applied Science with Islamic Studies, Academy of Islamic Studies, University of Malaya, 50603, Kuala Lumpur, Malaysia.

Department of Fiqh and Usul, Academy of Islamic Studies, University of Malaya, 50603, Kuala Lumpur, Malaysia.

出版信息

J Bioeth Inq. 2023 Sep;20(3):485-495. doi: 10.1007/s11673-023-10279-y. Epub 2023 Jul 13.

Abstract

Mitochondrial replacement technology (MRT) is an emerging and complex bioethical issue. This treatment aims to eliminate maternal inherited mitochondrial DNA (mtDNA) disorders. For Muslims, its introduction affects every aspect of human life, especially the five essential interests of human beings-namely, religion, life, lineage, intellect, and property. Thus, this technology must be assessed using a comprehensive and holistic approach addressing these human essential interests. Consequently, this article analyses and assesses tri-parent baby technology from the perspective of Maqasidic bioethics-that is, Islamic bioethics based on the framework of Maqasid al-Shariah. Using this analysis, this article suggests that tri-parent baby technology should not be permitted for Muslims due to the existence of third-party cell gametes which lead to lineage mixing and due to the uncertain safety of the therapy itself and because the major aim of the technology is to fulfil the affected couples interest to conceive their own genetically healthy child, not to treat and cure mtDNA disorders sufferers.

摘要

线粒体替代技术(MRT)是一个新兴的复杂的生物伦理问题。这种治疗方法旨在消除母系遗传的线粒体 DNA(mtDNA)疾病。对穆斯林来说,它的引入影响到人类生活的方方面面,特别是人类的五个基本利益——即宗教、生命、血统、理智和财产。因此,必须采用一种全面和整体的方法来评估这项技术,以解决这些人类基本利益。因此,本文从马卡西迪生物伦理学的角度——即基于马卡西德沙里亚框架的伊斯兰生物伦理学——分析和评估三亲婴儿技术。通过这种分析,本文认为,由于存在第三方细胞配子,导致血统混合,以及由于该疗法本身的安全性不确定,而且该技术的主要目的是满足受影响夫妇的利益,让他们怀上自己基因健康的孩子,而不是治疗和治愈 mtDNA 疾病患者,因此穆斯林不应该允许使用三亲婴儿技术。

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