在临床应用中编辑人类基因组:日本的普通人和专家态度
Tsutomu Sawai1,2, Taichi Hatta3, Kyoko Akatsuka4
1Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima, Japan.
Frontiers in genetics
|September 4, 2023
概括
关于基因编辑的公众意见显示,有条件地接受遗传基因组编辑 (HGE) 和体质基因组编辑 (SGE). 大多数非专业人士和研究人员认为HGE可用于治疗疾病,但不能用于增强.
科学领域:
- 生物伦理学生物伦理学
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 基因编辑婴儿的出现引发了全球关于生殖基因组编辑的伦理担忧.
- 国际机构和国家呼吁公开讨论遗传基因组编辑 (HGE).
- 了解利益相关者对HGE可接受性的看法对于建立知情共识至关重要.
研究的目的:
- 评估公众和研究人员对体基因组编辑 (SGE) 和HGE的接受度.
- 确定HGE被认为是可接受或不可接受的特定条件和目的.
- 为围绕人类基因组编辑应用程序进行的伦理辩论提供信息.
主要方法:
- 2019年5月进行了一项调查,涉及普通人和研究人员.
- 参与者评价了他们对SGE和HGE的接受.
- 发现HGE"根据目的可以接受"的受访者进一步调查了特定的临床应用.
主要成果:
- 近一半的普通人 (49.3%) 和超过一半的研究人员 (56.1%) 发现HGE"根据目的可以接受".
- 非专业人士接受HGE用于不孕症 (54.5%) 和疾病治疗 (52.2%),但没有改善 (例如,身体10.7%).
- 研究人员在治疗危及生命 (94.5%) 和衰弱疾病 (92.7%) 中对HGE的接受度很高,对不孕不育的接受率较低 (69.1%),对改善的看法与非专业人士相似.
结论:
- 社会辩论现在必须包括遗传基因组编辑 (HGE) 和体质基因组编辑 (SGE).
- 人类基因组编辑的可接受性因目的而异,对治疗用途有强烈的支持.
- 需要进一步的伦理讨论,以制定临床基因组编辑应用的指南.
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