鉴于人体作为一个“超级有机体”,包含多个相互交织的共生关系的政策和法规

Dillan Bono-Lunn, Chantal Villeneuve, Nour J Abdulhay, M. Harker, W. Parker
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引用次数: 11

摘要

人体现在被理解为一个包含丰富生命的生态系统,称为人类生物群系。为了理解和治疗疾病,人类“超级有机体”的生物群可以分为三个部分:人类、微生物和更复杂的有机体,如蠕虫和原生生物。本文探讨了生物群落修复实践的医学进展,包括粪便微生物群移植和蠕虫治疗,这些方法在某些情况下比基于药物的方法更有效,更经济地治疗多种疾病。审查了部分造成这些恢复性做法使用有限的监管和政策障碍。更重要的是,鼓励新的方法,这可能会扭转医学和生物医学研究界对这些恢复性做法普遍缺乏兴趣的局面。这些方法包括将良性蠕虫作为膳食补充剂加以管理,以及建立一个侧重于生物群落相关问题的卫生研究所。此外,公共政策应鼓励成立人道主义组织,生产和分发用于恢复生物群落的产品,以反映红十字会和红新月会收集和分发血液和血液制品的情况。
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Policy and regulations in light of the human body as a ‘superorganism’ containing multiple, intertwined symbiotic relationships
Abstract The human body is now understood to exist as an ecosystem that includes an abundance of life, called the human biome. For purposes of understanding and treating disease, the biome of the human ‘superorganism’ can be divided into three parts: human, microbial, and more complex organisms such as worms and protists. This paper examines medical progress with biome restorative practices, including fecal microbiota transplants and helminthic therapy, which have proven in some cases more effective and more economical at treating a wide range of diseases than pharmaceutical-based approaches. The regulatory and policy hurdles responsible in part for this limited use of these restorative practices are examined. More importantly, new approaches are encouraged which might reverse the general lack of interest for these restorative practices seen in the medical and biomedical research communities. Such approaches include the regulation of benign helminths as dietary supplements and the establishment of an Institute of Health focused on biome-related issues. Further, the formation of humanitarian organizations to produce and distribute products for biome restoration should be encouraged by public policy, mirroring the collection and distribution of blood and blood products by the Red Cross and Red Crescent Societies.
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