对神经系统疾病的基因和细胞疗法开发的伦理
1Studies of Translation, Ethics and Medicine, Department of Equity, Ethics and Policy, McGill University, Montreal, QC, Canada.
Handbook of clinical neurology
|September 28, 2024
概括
开发用于神经疾病的基因和细胞疗法提出了九个关键的伦理和政策挑战. 早期试验的合理性必须优先考虑社会和科学价值,而不是立即的治疗效益.
科学领域:
- 神经学 神经学
- 生物技术是生物技术.
- 生物伦理学生物伦理学
背景情况:
- 基因和细胞疗法为神经系统疾病提供了新的治疗途径.
- 它们的发展需要仔细考虑道德和政策影响.
研究的目的:
- 概述神经疾病的基因和细胞疗法开发中经常出现的政策和伦理挑战.
- 提出一个框架,以证明早期试验中的风险合理,并解决后期阶段的访问问题.
主要方法:
- 审查和综合九个反复出现的政策和道德挑战.
- 基于早期发育中的社会和科学价值的风险理由分析.
- 考虑医疗保健预算和证明疗法的报销伦理.
主要成果:
- 早期的基因和细胞疗法试验应优先考虑社会/科学价值,而不是对参与者的治疗益处.
- 试验设计,报告和患者选择必须尽量减少负担和机会成本.
- 晚期发展需要解决医疗保健预算压力和退款道德问题.
结论:
- 伦理和政策框架对于负责任的基因和细胞疗法开发至关重要.
- 将创新与患者安全,获取和社会影响相平衡至关重要.
- 政策制定者必须为成功治疗的经济和道德影响做好准备.
相关概念视频
Gene Therapy
25.3K
Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
25.3K
What is Genetic Engineering?
73.9K
Overview
73.9K
iPS Cell Differentiation
2.6K
The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
2.6K
Embryonic Stem Cells
3.4K
Embryonic stem (ES) cells were first discovered in mice in 1981 by Martin Evans. In 1998, James Thomson identified a method to isolate embryonic stem cells from humans. Human embryonic stem cells (hESCs) are obtained from 3-5 day old embryos that remain unused after an in vitro fertilization procedure.
ES cells are grown in a culture medium where they can divide indefinitely, creating ES cell lines. Under certain conditions, ES cells can differentiate, either spontaneously into a variety of...
ES cells are grown in a culture medium where they can divide indefinitely, creating ES cell lines. Under certain conditions, ES cells can differentiate, either spontaneously into a variety of...
3.4K
Induced Pluripotent Stem Cells
4.0K
Stem cells are undifferentiated cells that divide and produce different cell types. Ordinarily, cells that have differentiated into a specific cell type are terminally differentiated; however, scientists have found a way to reprogram these mature cells so that they dedifferentiate and return to an unspecialized, proliferative state. These cells are pluripotent like embryonic stem cells—able to produce all cell types—and are called induced pluripotent stem cells (iPSCs).
Somatic...
Somatic...
4.0K


