Hurst Daniel J, Ali Mansur, Brown Samuel M, Gielen Joris, Kashyap Komal, Laws Terri, Loike John, Pegoraro Renzo, Rubin Jonah, Stebbins Martha, Walker Andrew T, Zaidi Syed Shabih Haider, Pierson Richard N, Cozzi Emanuele
Department of Medical Education and Scholarship, Rowan-Virtua School of Osteopathic Medicine, Stratford, New Jersey, USA.
Centre for the Study of Islam in the UK, School of History, Archaeology and Religion, Cardiff University, Cardiff, UK.
Xenotransplantation. 2025 Mar-Apr;32(2):e70036. doi: 10.1111/xen.70036.
As xenotransplantation advances toward clinical trials, viewpoints from various segments of society are continually needed to engage the public and to inform the prospective clinical trials. As the majority of the world's population identifies with a religious tradition, religious perspectives regarding the ethical issues associated with clinical xenotransplantation are an important element to take into account.
At the 2024 Congress of The Transplantation Society in Istanbul, Türkiye, a group of religious scholars from Catholicism, The Church of Jesus Christ of Latter-day Saints, Hinduism, Shia Islam, Judaism, Protestant Christianity, and the African American religious traditions met together to discuss viewpoints toward xenotransplantation from their respective religious tradition. Additional contributions were received from representatives from the American Anglican Episcopal Church and Sunni Islam faith traditions.
Each speaker presented viewpoints on the ethical issues associated with clinical xenotransplantation from their own religious perspective. Common issues that were raised include the treatment and stewardship of animals, xenozoonotic infection and other risks, while religious dictums of particular relevance for each faith tradition were noted.
Overall, none of the participants considered xenotransplantation to be impermissible within their religious tradition. Yet, it is important to note that persons of religious faith may come to different conclusions from their coreligionists about the permissibility of xenotransplantation as a personal choice or as spokespersons for others of their faith. Additional empirical viewpoint data from each religious tradition will be helpful to further inform normative views and measure the impact of public education. As xenotransplantation continues to advance to the clinic, continued exploration of religious perspectives is needed to best support individual decision-making and optimize patient-centered care.
随着异种移植向临床试验推进,社会各阶层的观点对于吸引公众参与并为未来的临床试验提供信息而言持续不可或缺。由于世界上大多数人口认同某种宗教传统,因此关于临床异种移植相关伦理问题的宗教观点是需要考虑的重要因素。
在2024年于土耳其伊斯坦布尔举行的移植学会大会上,来自天主教、耶稣基督后期圣徒教会、印度教、什叶派伊斯兰教、犹太教、新教基督教以及非裔美国宗教传统的一群宗教学者齐聚一堂,讨论各自宗教传统对异种移植的观点。来自美国圣公会和逊尼派伊斯兰教信仰传统的代表也提供了更多观点。
每位发言者都从自身宗教视角就临床异种移植相关伦理问题发表了观点。提出的共同问题包括动物的待遇与管理、异种人畜共患感染及其他风险,同时还指出了与各宗教传统特别相关的宗教教义。
总体而言,没有一位参与者认为异种移植在其宗教传统中是不被允许的。然而,需要注意的是,有宗教信仰的人作为个人选择或作为其宗教中其他人的代言人,对于异种移植的可允许性可能会与其同宗教的人得出不同结论。来自各宗教传统的更多实证观点数据将有助于进一步丰富规范性观点并衡量公众教育的影响。随着异种移植继续向临床推进,需要持续探索宗教观点,以最好地支持个人决策并优化以患者为中心的护理。