Queering the genome: ethical challenges of epigenome editing in same-sex reproduction.

IF 3.4 2区 哲学 Q1 ETHICS Journal of Medical Ethics Pub Date : 2025-03-26 DOI:10.1136/jme-2023-109609
Adrian Villalba
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Abstract

In this article, I explore the ethical dimensions of same-sex reproduction achieved through epigenome editing-an innovative and transformative technique. For the first time, I analyse the potential normativity of this disruptive approach for reproductive purposes, focusing on its implications for lesbian couples seeking genetically related offspring. Epigenome editing offers a compelling solution to the complex ethical challenges posed by traditional gene editing, as it sidesteps genome modifications and potential long-term genetic consequences. The focus of this article is to systematically analyse the bioethical issues related to the use of epigenome editing for same-sex reproduction. I critically assess the ethical acceptability of epigenome editing with reproductive purposes from multiple angles, considering harm perspectives, the comparison of ethical issues related to gene and epigenome editing, and feminist theories. This analysis reveals that epigenome editing emerges as an ethically acceptable means for lesbian couples to have genetically related children. Moreover, the experiments of a reproductive use of epigenome editing discussed in this article transcend bioethics, shedding light on the broader societal implications of same-sex reproduction. It challenges established notions of biological reproduction and prompts a reevaluation of how we define the human embryo, while poses some issues in the context of gender self-identification and family structures. In a world that increasingly values inclusivity and diversity, this article aims to reveal a progressive pathway for reproductive medicine and bioethics, as well as underscores the need for further philosophical research in this emerging and fertile domain.

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基因组的同性恋:同性繁殖中表观基因组编辑的伦理挑战。
在这篇文章中,我探讨了通过表观基因组编辑技术--一种创新的变革性技术--实现同性生殖的伦理层面。我首次分析了这种以生殖为目的的破坏性方法的潜在规范性,重点探讨了它对寻求遗传相关后代的女同性恋夫妇的影响。表观基因组编辑为传统基因编辑所带来的复杂伦理挑战提供了令人信服的解决方案,因为它避免了基因组修改和潜在的长期遗传后果。本文的重点是系统分析与表观基因组编辑用于同性繁殖相关的生物伦理问题。我从多个角度批判性地评估了以生殖为目的的表观基因组编辑的伦理可接受性,考虑了危害视角、基因和表观基因组编辑相关伦理问题的比较以及女性主义理论。分析表明,表观基因组编辑是女同性恋夫妇生育基因相关子女的一种伦理上可接受的手段。此外,本文讨论的表观基因组编辑的生殖用途实验超越了生物伦理学,揭示了同性生殖的更广泛的社会影响。它挑战了生物繁衍的既定观念,促使我们重新评估如何定义人类胚胎,同时在性别自我认同和家庭结构方面提出了一些问题。在一个日益重视包容性和多样性的世界里,本文旨在为生殖医学和生命伦理学揭示一条进步的道路,并强调有必要在这一新兴而富饶的领域开展进一步的哲学研究。
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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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