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Regulating Heritable Human Genome Editing: Drawing the Line between Legitimate and Controversial Use. 调节可遗传的人类基因组编辑:在合法和有争议的使用之间划清界限。
IF 0.8 Q2 LAW Pub Date : 2022-04-08 DOI: 10.1163/15718093-bja10080
Noemi Conditi

In general, to modify the human germline is prohibited. However, regulating the use of HHGE might be a more efficient method than the actual ban. Indeed, when genome editing is safe for introduction in clinical practices, it is frequently proposed that the prohibition is lifted solely for therapeutic purposes, i.e., to eliminate serious genetic diseases. Definitions of the concepts of health and disease are controversial and may only be reached by adopting a value-laden approach, which may rise concerns about legal certainty and have possible discriminatory effects. Nor the threshold of the seriousness of the disease might be used to solve these issues. A different model might then be adopted for the assessment of the permissibility of HHGE, i.e., the PGD model. However, such model should not be implemented as the only criterion, but should rather be a "minimum threshold": HHGE should be allowed whenever used to correct a genetic defect for which PGD is possible.

一般来说,修改人类生殖系是被禁止的。然而,规范HHGE的使用可能是一种比实际禁令更有效的方法。事实上,当基因组编辑在临床实践中可以安全引入时,经常有人提议仅出于治疗目的取消禁令,即消除严重的遗传疾病。健康和疾病概念的定义是有争议的,只能通过采取一种充满价值的方法来达成,这可能引起对法律确定性的关注,并可能产生歧视性影响。也不能用疾病严重性的阈值来解决这些问题。然后可以采用不同的模型来评估HHGE的许可性,即PGD模型。然而,这样的模型不应该作为唯一的标准,而应该是一个“最低门槛”:只要使用HHGE来纠正可能的PGD遗传缺陷,就应该允许使用。
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引用次数: 0
The Application of EU Competition Law to the Exploitation of Human Genome Editing Technology. 欧盟竞争法在人类基因组编辑技术利用中的应用。
IF 0.8 Q2 LAW Pub Date : 2022-04-08 DOI: 10.1163/15718093-bja10077
Vladimir Bastidas Venegas

This paper explores the application of EU Competition Law to the exploitation of human genome editing technology. Holders of key patents in the sector have applied different methods for disseminating the technology, such as different forms of licensing agreement and patent pools. It is found that that the competition rules are ill-suited to assess some of the licensing arrangements applied, which give rise to legal uncertainty. Accordingly, holders of patents on human genome editing technology may be discouraged to apply efficient methods for disseminating the technology. This may delay or obstruct some of the benefits the technology is supposed to deliver to the market, maker actors and consumers.

本文探讨了欧盟竞争法在人类基因组编辑技术利用中的应用。该部门关键专利的持有者采用了不同的方法来传播技术,例如不同形式的许可协议和专利池。研究发现,竞争规则不适合评估一些适用的许可安排,这造成了法律上的不确定性。因此,可能会阻止人类基因组编辑技术的专利持有人采用有效的方法来传播该技术。这可能会延迟或阻碍这项技术本应给市场、制造商和消费者带来的一些好处。
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引用次数: 0
Somatic Genome Editing with the Use of AI: Big Promises but Doubled Legal Issues. 使用人工智能进行体细胞基因组编辑:巨大的承诺,但双重法律问题。
IF 0.8 Q2 LAW Pub Date : 2022-04-08 DOI: 10.1163/15718093-bja10079
Anastasiya Kiseleva

Both Artificial Intelligence ('AI') and genome editing are technologies that on their own promise to revolutionise healthcare. But their common application can facilitate progress in the field even more. Multiplied benefits go along with increased risks. In this article, I identify and analyse legal challenges associated with applying AI facilities in medicinal products based on somatic genome editing. These challenges are caused by several factors. First, the two technologies share the characteristics that create and facilitate common risks. Second, each of the technologies is subject to very complex regulatory frameworks. These frameworks are not substantially connected to control the safety and quality of the common product. The main argument of this paper is that the management of common risks is only possible through common procedures. I discover the gaps in the current legislation that prevent from establishing these common procedures and provide recommendations to fill them in.

人工智能(AI)和基因组编辑技术本身都有望彻底改变医疗保健。但它们的共同应用可以促进该领域的进步。收益成倍增加,风险也随之增加。在本文中,我确定并分析了与基于体细胞基因组编辑的医疗产品中应用人工智能设施相关的法律挑战。这些挑战是由几个因素造成的。首先,这两种技术具有共同的特点,即产生和促进共同的风险。其次,每一种技术都受制于非常复杂的监管框架。这些框架与控制普通产品的安全和质量没有实质性的联系。本文的主要论点是,只有通过共同的程序才能管理共同的风险。我发现了现行立法中阻碍建立这些共同程序的漏洞,并提出了填补这些漏洞的建议。
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引用次数: 0
Genome Editing: Learning from Its Past and Envisioning Its Future. 基因组编辑:从过去学习,展望未来。
IF 0.8 Q2 LAW Pub Date : 2022-04-08 DOI: 10.1163/15718093-bja10081
Judit Sandor

With the technical possibility of genome editing, we have reached a new phase of transforming human beings and even altering our genetic legacy. Genome editing constitutes new responsibilities in many fields. Science and society have never been as dependent on each other as they are today. We must also learn from the past episodes of eugenics and we need to investigate fraudulent practices and cases of failure in scientific research that have often occurred due to merciless scientific competition, profit-seeking commercial interests, or individual pride. Genome editing raises numerous legal questions, such as: Would it be possible to make a legal difference between specific versions of gene editing? Who decides on what is considered a disease or an anomaly, a condition, or a variation? Which diseases are worth being corrected or treated and which ones are not? What kinds of social implications will gene editing bring about when it becomes widely available? Some normative distinctions have already been made in the case of gene therapy: separating somatic from germline interventions. But this distinction has not yet been analyzed in the light of the most recent editing practices. Genome editing also realigns the structure of ethical debates. It makes us rethink the concept of discrimination and scrutinize its cases in the field of assisted reproductive procedures. It revolutionizes the concept of medical treatment. It may increase or reduce inequalities based on health conditions. It may lead to numerous new rights in the field of genetics. Good genome editing practice can only be achieved through the close cooperation between the natural and social sciences. The present paper will endeavor to examine this new form of dialogue.

随着基因组编辑技术的可能性,我们已经进入了一个改造人类甚至改变我们遗传遗产的新阶段。基因组编辑在许多领域构成了新的责任。科学和社会从来没有像今天这样相互依赖。我们还必须从过去的优生学事件中吸取教训,我们需要调查由于无情的科学竞争、逐利的商业利益或个人自尊而经常发生的欺诈行为和科学研究失败的案例。基因组编辑提出了许多法律问题,例如:是否有可能对特定版本的基因编辑进行法律区分?谁来决定什么是疾病,什么是异常,什么是状况,什么是变异?哪些疾病值得纠正或治疗,哪些不值得?当基因编辑被广泛使用时,它会带来什么样的社会影响?在基因治疗的案例中,已经有了一些规范的区别:将体细胞干预与种系干预分开。但是,这种区别还没有根据最近的编辑实践进行分析。基因组编辑还重新调整了伦理辩论的结构。它使我们重新思考歧视的概念,并仔细审查其在辅助生殖程序领域的案例。它彻底改变了医疗的概念。它可能增加或减少基于健康状况的不平等。它可能会在遗传学领域带来许多新的权利。良好的基因组编辑实践只能通过自然科学和社会科学的密切合作来实现。本文将努力研究这种新的对话形式。
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引用次数: 1
Transformation of Medical Care through Gene Therapy and Human Rights to Life and Health - Balancing Risks and Benefits. 通过基因治疗实现医疗保健的转变以及生命和健康的人权——平衡风险和收益。
IF 0.8 Q2 LAW Pub Date : 2022-04-05 DOI: 10.1163/15718093-bja10084
Anne Kjersti Befring

This article is about how somatic gene therapy can be legally regulated and risk assessed as medical treatment when taking the following international human rights conventions into consideration: the right to life in Article 2 of the ECHR and the right to health in Article 12 of ICESCR. The right to life can involve both protection against risky genetic methods and access to necessary health care. In this context, human rights can be a basis for identifying interests that must be considered in a rapid technological development. Focusing mainly on human rights to life and to health, it is argued (1) against a total ban or general moratoriums on gene editing; (2) that regulations should be based on international cooperation and consensus; and that (3) rights to health may involve obligations to provide access to genetic methods.

本文是关于在考虑到以下国际人权公约的情况下,如何对体细胞基因治疗进行法律监管和风险评估:《欧洲人权公约》第2条的生命权和《经济、社会、文化权利国际公约》第12条的健康权。生命权既可以涉及对危险遗传方法的保护,也可以涉及获得必要的保健。在这方面,人权可以作为确定在快速技术发展中必须考虑的利益的基础。主要关注生命和健康的人权,有人辩称(1)反对全面禁止或全面暂停基因编辑;(2)规章制度应当建立在国际合作和共识的基础上;(3)健康权可能涉及提供获得遗传方法的义务。
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引用次数: 0
European Court of Justice. 欧洲法院。
IF 0.8 Q2 LAW Pub Date : 2022-03-18 DOI: 10.1163/15718093-12423547
H. Nys
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引用次数: 0
Rabbit Endothelial Progenitor Cells Derived From Peripheral Blood and Bone Marrow: An Ultrastructural Comparative Study. 从外周血和骨髓中提取的兔内皮祖细胞:超微结构比较研究
IF 2.8 Q2 LAW Pub Date : 2022-03-17 DOI: 10.1017/S143192762200037X
Hana Duranova, Veronika Valkova, Lucia Olexikova, Barbora Radochova, Andrej Balazi, Peter Chrenek, Jaromir Vasicek

The present study was designed to compare the ultrastructure of early endothelial progenitor cells (EPCs) derived from rabbit peripheral blood (PB-EPCs) and bone marrow (BM-EPCs). After the cells had been isolated and cultivated up to passage 3, microphotographs obtained from transmission electron microscope were evaluated from qualitative and quantitative (unbiased stereological approaches) points of view. Our results revealed that both cell populations displayed almost identical ultrastructural characteristics represented by abundant cellular organelles dispersed in the cytoplasm. Moreover, the presence of very occasionally occurring mature endothelial-specific Weibel–Palade bodies (WPBs) confirmed their endothelial lineage origin. The more advanced stage of their differentiation was also demonstrated by the relatively low nucleus/cytoplasm (N/C) ratios (0.41 ± 0.19 in PB-EPCs; 0.37 ± 0.25 in BM-EPCs). Between PB-EPCs and BM-EPCs, no differences in proportions of cells occupied by nucleus (28.13 ± 8.97 versus 25.10 ± 11.48%), mitochondria (3.71 ± 1.33 versus 4.23 ± 1.00%), and lipid droplets (0.65 ± 1.01 versus 0.36 ± 0.40%), as well as in estimations of the organelles surface densities were found. The data provide the first quantitative evaluation of the organelles of interest in PB-EPCs and BM-EPCs, and they can serve as a research framework for understanding cellular function.

本研究旨在比较来自兔外周血(PB-EPCs)和骨髓(BM-EPCs)的早期内皮祖细胞(EPCs)的超微结构。在细胞分离并培养至第3周期后,从定性和定量(无偏见的立体学方法)角度对透射电子显微镜获得的显微照片进行了评估。我们的结果表明,这两种细胞群的超微结构特征几乎完全相同,都有丰富的细胞器散布在细胞质中。此外,偶尔出现的成熟内皮特异性 Weibel-Palade 体(WPBs)证实了它们的内皮系起源。细胞核/细胞质(N/C)比值相对较低(PB-EPCs 为 0.41 ± 0.19;BM-EPCs 为 0.37 ± 0.25),这也证明它们的分化阶段更晚。在 PB-EPCs 和 BM-EPCs 之间,细胞核(28.13 ± 8.97% 对 25.10 ± 11.48%)、线粒体(3.71 ± 1.33% 对 4.23 ± 1.00%)和脂滴(0.65 ± 1.01% 对 0.36 ± 0.40%)所占细胞比例以及细胞器表面密度的估算均无差异。这些数据首次对 PB-EPCs 和 BM-EPCs 中的相关细胞器进行了定量评估,可作为了解细胞功能的研究框架。
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引用次数: 0
The Multilevel Dimension of Rules-Based Disease Surveillance beyond the State. 超越国家的基于规则的疾病监测的多层次维度。
IF 0.8 Q2 LAW Pub Date : 2022-03-09 DOI: 10.1163/15718093-bja10070
Pedro A. Villarreal
The timely availability of accurate information on disease outbreaks with a potential for cross-border spread is a global public good, allowing for a more effective preparedness and response. An ensuing question for national public health authorities is how such information is attained when it is gathered in territories beyond their jurisdiction. International and regional law norms emerge as an option for providing such a global public good. Therefore, the current article examines existing legal frameworks for ad hoc disease surveillance beyond the state at the international and regional levels, namely: the World Health Organization's International Health Regulations of 2005; Regulation (EC) No. 851/2004 and Decision No. 1082/2013/EU in the European Union; the Statute of the Africa Centres for Disease Control and Prevention within the African Union; and the Protocol from the Economic Community of West African States, which created the West African Health Organisation. The comparison offers broader insights on the role of rules as a vehicle for securing prompt and reliable information of new and re-emerging communicable diseases, such as Covid-19.
及时获得关于可能跨界传播的疾病暴发的准确信息是一项全球公益事业,有助于更有效地做好准备和作出反应。国家公共卫生当局随后面临的一个问题是,在其管辖范围以外的领土上收集这些信息时,如何获得这些信息。国际和区域法律规范成为提供这种全球公益的一种选择。因此,本文审查了在国际和区域一级进行国家以外的特别疾病监测的现有法律框架,即:世界卫生组织的《2005年国际卫生条例》;欧盟第851/2004号法规和第1082/2013/EU号决定;非洲联盟内非洲疾病控制和预防中心规约;以及西非国家经济共同体的议定书,该议定书创建了西非卫生组织。通过比较,可以更广泛地了解规则作为确保新发和再发传染病(如Covid-19)及时和可靠信息的工具的作用。
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引用次数: 0
German State Aid for Covid-19 Medicinal Products: A Risk for Solidarity in the European Union. 德国对新冠肺炎医药产品的国家援助:欧盟团结的风险。
IF 0.8 Q2 LAW Pub Date : 2022-03-09 DOI: 10.1163/15718093-bja10061
Kristine Plank
To respond to the need for a vaccine against and a treatment for Covid-19, the German Federal Government (German government) used various economic incentives to promote pharmaceutical and biotechnological (biotech) research and development (R&D) as well as manufacturing. More specifically, it decided to subsidise several German companies working in this field. Such domestic measures might, however, present a challenge to European state aid law. It is against this backdrop that this article discusses the compatibility of the payments made with the new 'crisis-born' European legal framework for state aid. Furthermore, the article offers some critical comments on the aid's effects on solidarity and cohesion in the European Union (EU) and the proposals put forward for expanding the EU's health policy competencies.
为了应对新冠肺炎疫苗和治疗的需求,德国联邦政府(德国政府)利用各种经济激励措施促进制药和生物技术(生物技术)研发(研发)以及制造业。更具体地说,它决定补贴在这一领域工作的几家德国公司。然而,这种国内措施可能会对欧洲国家援助法构成挑战。正是在这种背景下,本文讨论了支付款项与新的“危机产生”的欧洲国家援助法律框架的兼容性。此外,文章还对援助对欧盟(EU)团结和凝聚力的影响以及为扩大欧盟卫生政策能力提出的建议提出了一些批评意见。
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引用次数: 2
The Fragmented Nature of Pandemic Decision-making: A Comparative and Multilevel Legal Analysis. 流行病决策的碎片性:比较和多层面的法律分析。
IF 0.8 Q2 LAW Pub Date : 2022-03-04 DOI: 10.1163/15718093-bja10072
Irene Domenici, Pedro A. Villarreal
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引用次数: 0
期刊
EUROPEAN JOURNAL OF HEALTH LAW
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