大脑类器官研究的政治和伦理前景

Eric Schneider, L. Samsa, Veljko Dubljević
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引用次数: 2

摘要

人类大脑类器官(hCO)是在实验室中通过胚胎或诱导多能干细胞的定向细胞培养产生的,在微观尺度上紧密复制人类大脑的三维结构。这项技术已被用于神经系统疾病的建模,并有望在临床前治疗研究中补充或取代动物受试者。然而,研究人员和机构必须关注与hCO发展相关的各种伦理问题。通过hCO2移植产生的人-动物嵌合体显示出神经功能的整合,这让人对动物嵌合体和类器官本身的道德地位产生了质疑。对此类行为的耸人听闻的报道也可能引发公众的强烈反对,可能危及hCO研究及其承诺的好处。此外,人们还担心用于生产类器官的干细胞的过去和未来捐献者的隐私和同意。基因信息可能被认为是公共领域的特权,而被破坏的信任可能会减少自愿捐赠者的供应。尽管到目前为止,人们认为hCO缺乏意识和认知功能的能力,但随着其进一步发展或增强,必须考虑其作为道德代理人的潜在地位。到目前为止,研究人员对类器官的边界基本上是自愿和非正式的。通过法令或财政权力,政府监管机构应正式制定必要的指导方针,以确保遵守道德原则,并在未来的决策中充分代表所有受影响的利益相关者。
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Political and ethical landscape of brain organoid research
Human cerebral organoids (hCOs), produced in labs through directed cell culture of embryonic or induced pluripotent stem cells, closely replicate the 3-dimensional architecture of the human brain on a micro scale. This technology has been used to model neurological disease and shows promise to complement or supplant animal subjects in preclinical therapeutic investigation. However, attention must be paid by researchers and institutions to the various ethical concerns associated with hCO development. Human-animal chimeras produced through the grafting of hCOs have shown integration of neurological function, calling into question the moral status of both the animal chimeras and the organoid itself. Sensationalist reporting on such acts may also prompt public backlash, potentially jeopardizing hCO research and the promised benefits thereof. Moreover, concerns arise over privacy and consent for past and prospective donors of stem cells used to produce organoids. Genetic information may be considered privileged to the public domain and disrupted trust can reduce the supply of willing donors. Though hCOs are believed thus far to lack the capacity for consciousness and cognitive function, consideration must be given to their potential status as moral agents with further development or enhancement. Boundaries concerning organoids adhered to by researchers have been largely voluntary and informal to this point. By edict or by the power of the purse, governmental regulatory agencies ought to formalize necessary guidelines to ensure compliance with ethical principles and the adequate representation of all affected stakeholders in future decisions.
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