Manipulating embryogenesis and testing for potential: two real problems for the regulation of stem cell-based embryo models.

IF 3.4 2区 哲学 Q1 ETHICS
Jonathan Lewis, Soren Holm
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引用次数: 0

Abstract

Stem cell-based human embryo models (SCBEMs), generated in vitro from stem cells, currently exist outside the scope of regulatory frameworks that govern in vitro embryo research in most jurisdictions. A widely discussed proposal suggests using a 'Turing test' framework, whereby regulatory oversight is triggered if an SCBEM is found to be 'equivalent' to a human embryo. In this paper, we argue that such a proposal faces two major complications. First, sophisticated laboratory techniques such as trophoblast replacement allow researchers to manipulate normal embryogenesis, obscuring whether a given SCBEM meets embryo-like regulatory thresholds. Second, attempts to assess SCBEMs' developmental potential-especially through non-human analogues-rest on tenuous epistemic assumptions that may not align with human-specific developmental trajectories. Given SCBEMs' potential manipulability and uncertain biological and potentiality benchmarks, we argue that reliance on equivalence-based frameworks alone is highly problematic. We conclude by urging a cautious, flexible approach that recognises both the scientific promise of SCBEMs and the normative need to prevent the circumvention of regulatory safeguards.

操纵胚胎发生和测试潜能:干细胞胚胎模型调控的两个现实问题。
基于干细胞的人类胚胎模型(SCBEMs)是由干细胞在体外产生的,目前存在于大多数司法管辖区管理体外胚胎研究的监管框架范围之外。一项被广泛讨论的提议建议使用“图灵测试”框架,如果发现一个SCBEM与人类胚胎“等同”,就会触发监管监督。在本文中,我们认为,这样的建议面临两个主要的复杂性。首先,复杂的实验室技术,如滋养细胞替代,使研究人员能够操纵正常的胚胎发生,模糊给定的SCBEM是否满足胚胎样调节阈值。其次,评估图式的发展潜力的尝试——尤其是通过非人类的类似物——建立在脆弱的认知假设上,这些假设可能与人类特定的发展轨迹不一致。鉴于方案的潜在可操作性和不确定的生物和潜在基准,我们认为仅依赖基于等效的框架是非常有问题的。最后,我们敦促采取一种谨慎、灵活的方法,既要认识到方案的科学前景,又要认识到防止规避监管保障措施的规范需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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