对医学上的表观基因组编辑和基因组编辑进行比较的伦理评估:第一步和未来的方向
1Section Translational Medical Ethics, Department of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg, Heidelberg University Hospital, Medical Faculty, Heidelberg University, Heidelberg, Germany karla.alex@med.uni-heidelberg.de eva.winkler@med.uni-heidelberg.de.
Journal of medical ethics
|August 1, 2023
概括
表观基因组编辑 (EE) 可以在不改变遗传密码的情况下提供有针对性的DNA修改. 需要进行更广泛的伦理辩论,将EE风险与基因组编辑 (GE) 进行比较,以指导未来的应用.
科学领域:
- 生物伦理学生物伦理学
- 分子生物学分子生物学
- 基因工程是一种基因工程.
背景情况:
- 表观基因组编辑 (EE) 涉及修改DNA配置而不改变基基序列,与基因组编辑 (GE) 不同.
- EE技术正在快速发展,但伦理讨论远远落后于GE的伦理讨论.
- 了解EE的科学基础,潜在应用和先前的伦理考虑是至关重要的.
研究的目的:
- 将表观基因组编辑引入生物伦理话语.
- 将EE的伦理风险与GE的伦理风险进行比较.
- 为评估新型基因技术的伦理影响提供框架.
主要方法:
- 将EE的科学知识转化为伦理考虑.
- 基于干预类型 (ex vivo vs. in vivo),时间和向疾病的EE和GE风险的比较分析.
- 拒绝强烈的表观遗传决定性和生殖线EE疗效.
主要成果:
- 新基因技术的伦理风险取决于ex vivo/in vivo方法,干预时间和疾病目标.
- 生殖系EE被认为是无效的,强烈的表观遗传决定论被驳斥.
- 在风险方面,EE在道德上并非本质上优于GE.
结论:
- 对EE进行更广泛的伦理辩论是有必要的,超越了GE讨论.
- 对EE的风险评估需要仔细考虑特定的应用环境.
- 需要进一步的伦理审议,特别是在预防性EE应用方面.
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