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Ethics of Human Genome Editing.
1Allen and Frances Adler Laboratory of Blood and Vascular Biology, Rockefeller University, New York, NY 10065, USA;
Annual Review of Medicine
|January 30, 2019
Summary
Human genome editing, including CRISPR/Cas9, raises ethical questions. A committee recommends applying gene therapy standards to somatic editing and permitting experimental germline editing under strict conditions to prevent serious diseases.
Area of Science:
- Bioethics
- Genetics
- Molecular Biology
Background:
- Advances in human genome editing technologies, such as CRISPR/Cas9, have intensified ethical debates.
- Concerns center on the implications of altering the human genome, particularly heritable changes.
Purpose of the Study:
- To review the ethical and regulatory landscape of human genome editing.
- To present recommendations from a multidisciplinary international committee on somatic and germline genome editing.
Main Methods:
- A multidisciplinary, international committee was convened by the US National Academies of Sciences and Medicine.
- The committee reviewed the current status of human genome editing and formulated recommendations.
Main Results:
- Recommended applying existing ethical and regulatory standards for gene therapy to somatic (nonheritable) human genome editing.
- Recommended allowing experimental germline (heritable) genome editing for serious disease prevention under stringent ethical and regulatory oversight.
Conclusions:
- Somatic genome editing should adhere to current gene therapy guidelines.
- Experimental germline genome editing may proceed cautiously for specific disease prevention, with rigorous ethical and regulatory controls.
- Significant bioethical issues, including potential impacts on individuals with disabilities, require careful consideration.
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