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通过CRISPR-Cas9技术进行人类胚胎编辑的伦理问题:伦理观点、理由及担忧的系统综述

The Ethics of Human Embryo Editing via CRISPR-Cas9 Technology: A Systematic Review of Ethical Arguments, Reasons, and Concerns.

作者信息

Wiley Lindsay, Cheek Mattison, LaFar Emily, Ma Xiaolu, Sekowski Justin, Tanguturi Nikki, Iltis Ana

机构信息

Wake Forest University Center for Bioethics, Health and Society, Winston-Salem, USA.

Department of Communication Studies, University of Minnesota, Minneapolis, USA.

出版信息

HEC Forum. 2025 Jun;37(2):267-303. doi: 10.1007/s10730-024-09538-1. Epub 2024 Sep 20.

DOI:10.1007/s10730-024-09538-1
PMID:39302534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12014773/
Abstract

The possibility of editing the genomes of human embryos has generated significant discussion and interest as a matter of science and ethics. While it holds significant promise to prevent or treat disease, research on and potential clinical applications of human embryo editing also raise ethical, regulatory, and safety concerns. This systematic review included 223 publications to identify the ethical arguments, reasons, and concerns that have been offered for and against the editing of human embryos using CRISPR-Cas9 technology. We identified six major themes: risk/harm; potential benefit; oversight; informed consent; justice, equity, and other social considerations; and eugenics. We explore these themes and provide an overview and analysis of the critical points in the current literature.

摘要

编辑人类胚胎基因组的可能性引发了科学界和伦理学界的广泛讨论与关注。尽管它在预防或治疗疾病方面具有巨大潜力,但人类胚胎编辑的研究及其潜在的临床应用也引发了伦理、监管和安全方面的担忧。本系统综述纳入了223篇出版物,以确定支持和反对使用CRISPR-Cas9技术编辑人类胚胎的伦理观点、理由和担忧。我们确定了六个主要主题:风险/危害;潜在益处;监督;知情同意;正义、公平及其他社会考量;以及优生学。我们探讨了这些主题,并对当前文献中的关键点进行了概述和分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/12014773/b0adf6a83613/10730_2024_9538_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/12014773/1cfb672585db/10730_2024_9538_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/12014773/b0adf6a83613/10730_2024_9538_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/12014773/1cfb672585db/10730_2024_9538_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/12014773/b0adf6a83613/10730_2024_9538_Fig2_HTML.jpg

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J Med Philos. 2023 Jun 20;48(4):335-347. doi: 10.1093/jmp/jhad026.
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Democratic Justifications for Patient Public Involvement and Engagement in Health Research: An Exploration of the Theoretical Debates and Practical Challenges.民主为患者参与健康研究提供的理由:对理论争议和实践挑战的探索。
J Med Philos. 2023 Jun 20;48(4):400-412. doi: 10.1093/jmp/jhad024.
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The Promise and Reality of Public Engagement in the Governance of Human Genome Editing Research.
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Embryo Loss and Moral Status.胚胎丢失与道德地位。
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Critical considerations for public engagement in stem cell-related research.公众参与干细胞相关研究的关键考量因素。
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A deliberative public engagement study on heritable human genome editing among South Africans: Study results.南非人群中可遗传人类基因组编辑的审议性公众参与研究:研究结果。
PLoS One. 2022 Nov 28;17(11):e0275372. doi: 10.1371/journal.pone.0275372. eCollection 2022.
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Why Medicine Needs a Theology of Monstrosity.为什么医学需要对“怪物”进行神学思考
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Disability, Enhancement, and Flourishing.残障、增强和繁荣。
J Med Philos. 2022 Nov 21;47(5):597-611. doi: 10.1093/jmp/jhac018.
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Reproductive Embryo Editing: Attending to Justice.生殖胚胎编辑:关注正义。
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