Time to start intervening in the human germline? A utilitarian perspective

被引:7
作者
Smith, Kevin [1 ]
机构
[1] Abertay Univ, Sch Hlth Sci, Baxter Bldg, Dundee DD1 1HG, Tayside, Scotland
关键词
CRISPR; genetic engineering; genetic modification; germline modification; utilitarianism; GENOME; MECHANISMS; STRATEGIES; CONCEPTION; DEFENSE; DISEASE; REPAIR; CRISPR; ART;
D O I
10.1111/bioe.12691
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Focusing on present-day possibilities raised by existing technology, I consider the normative aspects of genetically modifying the human germline from a utilitarian standpoint. With reference to a hypothetical case, I examine the probable consequences of permitting a well-conceived attempt to correct a disease-associated gene in the human germline using current CRISPR gene-editing technology. I consider inter alia the likely effects on utility of creating healthy new lives, of discouraging adoption, and of kickstarting a revolution in human germline genetic modification (HGGM). I reject various objections to HGGM, including claims that the risks of genetic harm outweigh the likely benefits. From this utilitarian analysis, I conclude that strong grounds exist to support intervening in the human germline using current technology. Delay in commencing such work will impose a utility cost, because the longer we wait until commencing the HGGM revolution and moving towards a world of increased utility, the greater will be the quantity of suffering accrued meantime through genetically influenced disease. Nevertheless, considering residual safety concerns and the negative publicity engendered by an ethically problematic recent (2018) first attempt at HGGM, it seems prudent-and ultimately generative of the greatest amount of utility-to delay implementing HGGM for a modest period of time, in the order of 1-2 years.
引用
收藏
页码:90 / 104
页数:15
相关论文
共 91 条
[1]   Use of two gRNAs for CRISPR/Cas9 improves bi-allelic homologous recombination efficiency in mouse embryonic stem cells [J].
Acosta, Sandra ;
Fiore, Luciano ;
Carota, Isabel Anna ;
Oliver, Guillermo .
GENESIS, 2018, 56 (05)
[2]  
[Anonymous], 2009, Principles of biomedical ethics
[3]  
Arcuri Alessandra., 2007, ETHICS INT AFF, V21, P359, DOI [10.1111/j.1747-7093.2007.00104.x, DOI 10.1111/J.1747-7093.2007.00104.X]
[4]   The art of medicine Unnatural reactions [J].
Ball, Philip .
LANCET, 2014, 383 (9933) :1964-1965
[5]   Curative approaches for sickle cell disease: A review of allogeneic and autologous strategies [J].
Bauer, Daniel E. ;
Brendel, Christian ;
Fitzhugh, Courtney D. .
BLOOD CELLS MOLECULES AND DISEASES, 2017, 67 :155-168
[6]  
Benatar David., 2008, Better Never to Have Been: The Harm of Coming into Existence
[7]  
Brackley P., 2018, WELLCOME SANGER I SC
[8]   Genome editing in nonhuman primates: approach to generating human disease models [J].
Chen, Y. ;
Niu, Y. ;
Ji, W. .
JOURNAL OF INTERNAL MEDICINE, 2016, 280 (03) :246-251
[9]  
Cohen G, 2010, MINN LAW REV, V95, P485
[10]   International outcry over genome-edited baby claim [J].
Cyranoski, David ;
Ledford, Heidi .
NATURE, 2018, 563 (7733) :607-608