Podcast
Questions and Answers
What is the ethical dilemma associated with using embryonic stem cells (ESCs) for research and therapy?
What is the ethical dilemma associated with using embryonic stem cells (ESCs) for research and therapy?
The ethical dilemma associated with using ESCs is the destruction of the embryo, which poses moral and religious concerns for some individuals. This raises questions about when life begins and the rights of the embryo.
Explain the principle of respect for autonomy in the context of stem cell research.
Explain the principle of respect for autonomy in the context of stem cell research.
Respect for autonomy in stem cell research means that individuals have the right to make informed decisions regarding the use of their own or their child's embryos, tissues, or genetic material. This includes providing comprehensive information about the risks and benefits of stem cell research and ensuring that participation is voluntary.
How can CRISPR technology be used to enhance the precision of stem cell-based therapies?
How can CRISPR technology be used to enhance the precision of stem cell-based therapies?
CRISPR technology can be used to precisely edit the genome of stem cells, potentially correcting genetic mutations that cause diseases. By targeting and correcting specific genetic defects, CRISPR allows for the development of more effective and personalized stem cell therapies.
What is the significance of brain organoids in stem cell research?
What is the significance of brain organoids in stem cell research?
How can stem cells be used in drug development?
How can stem cells be used in drug development?
What is the potential of stem cell therapies for treating spinal cord injuries?
What is the potential of stem cell therapies for treating spinal cord injuries?
Explain how induced pluripotent stem cells (iPSCs) address ethical concerns associated with ESCs.
Explain how induced pluripotent stem cells (iPSCs) address ethical concerns associated with ESCs.
Describe the key controversy surrounding stem cell research from a social perspective.
Describe the key controversy surrounding stem cell research from a social perspective.
Explain how the principle of beneficence is applied in the context of stem cell research, particularly when considering the potential risks and benefits of experimental therapies.
Explain how the principle of beneficence is applied in the context of stem cell research, particularly when considering the potential risks and benefits of experimental therapies.
What are the primary ethical concerns surrounding the use of human embryonic stem cells (ESCs) in research, and why are these concerns particularly significant?
What are the primary ethical concerns surrounding the use of human embryonic stem cells (ESCs) in research, and why are these concerns particularly significant?
Describe the ethical challenges posed by the creation of human-animal chimeras, focusing on the potential for human characteristics in animals.
Describe the ethical challenges posed by the creation of human-animal chimeras, focusing on the potential for human characteristics in animals.
Explain how the principle of justice applies to the development and distribution of stem cell therapies, highlighting the potential for inequitable access and exploitation.
Explain how the principle of justice applies to the development and distribution of stem cell therapies, highlighting the potential for inequitable access and exploitation.
Analyze the ethical controversy surrounding CRISPR-edited babies, focusing on the potential implications for future generations.
Analyze the ethical controversy surrounding CRISPR-edited babies, focusing on the potential implications for future generations.
Compare and contrast the ethical landscapes surrounding the use of human embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) in research.
Compare and contrast the ethical landscapes surrounding the use of human embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) in research.
Discuss the key ethical considerations surrounding the commercialization of stem cell therapies, including the risk of unregulated clinics and challenges in ensuring equitable access.
Discuss the key ethical considerations surrounding the commercialization of stem cell therapies, including the risk of unregulated clinics and challenges in ensuring equitable access.
Explain how the ethical principles of non-maleficence and beneficence are intertwined in the context of clinical trials for stem cell therapies.
Explain how the ethical principles of non-maleficence and beneficence are intertwined in the context of clinical trials for stem cell therapies.
Flashcards
Non-Maleficence
Non-Maleficence
The principle of ensuring safety and minimizing harm in treatments and research.
Beneficence
Beneficence
The ethical principle of maximizing benefits and advancing medical knowledge.
Justice in Research
Justice in Research
Fair distribution of research benefits and avoiding exploitation of vulnerable populations.
Embryonic Stem Cell Controversy
Embryonic Stem Cell Controversy
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Human-Animal Chimeras
Human-Animal Chimeras
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CRISPR-edited Babies
CRISPR-edited Babies
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Unregulated Stem Cell Clinics
Unregulated Stem Cell Clinics
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International Society for Stem Cell Research (ISSCR)
International Society for Stem Cell Research (ISSCR)
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Stem Cells
Stem Cells
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Embryonic Stem Cells (ESCs)
Embryonic Stem Cells (ESCs)
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Induced Pluripotent Stem Cells (iPSCs)
Induced Pluripotent Stem Cells (iPSCs)
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Organoids
Organoids
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CRISPR
CRISPR
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Regenerative Medicine
Regenerative Medicine
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Respect for Autonomy
Respect for Autonomy
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Clinical Trials
Clinical Trials
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Study Notes
Ethics in Stem Cell Research & Therapy
- The presentation covers the ethical considerations surrounding stem cell research and therapy, including the exploration of various perspectives, real-world cases, ethical principles, and global regulations.
- The objectives of the lecture are to understand advancements in stem cell research, explore bioethical principles, discuss controversies, and analyze real-world ethical cases.
- Key types of stem cells include embryonic stem cells (ESCs), adult stem cells, and induced pluripotent stem cells (iPSCs).
- Applications of stem cell research include regenerative medicine to repair damaged tissues, drug development, and disease modeling.
- Current developments include organoids for studying organ function and disease, CRISPR-Cas9 for gene editing, stem cell therapies for diabetes and Parkinson's disease, and clinical trials for spinal cord injuries.
Bioethical Principles
- Respect for Autonomy: Requires informed consent from donors of embryos, tissues, or genetic material. This includes addressing consent issues for unused embryos from IVF procedures.
- Non-Maleficence: Ensuring safety of treatments and minimizing harm, addressing risks such as tumorigenicity during stem cell therapies.
- Beneficence: Maximizing therapeutic benefits and advancing medical knowledge while balancing research goals with societal benefits.
- Justice: Fair distribution of research benefits and therapies, avoiding exploitation of vulnerable populations.
Polemics in Stem Cell Research
- Embryonic Stem Cell Controversy: Ethical concerns about destroying embryos for research, views on the moral status of embryos, and religious/cultural objections.
- Human-Animal Chimeras: Ethical debates on creating chimeric organisms for organ transplantation and concerns about human characteristics in animals.
- Commercialization: Ethical risks of unregulated stem cell clinics, ensuring equitable access to expensive therapies.
- Genetic Engineering: Controversy about modifying germline cells and potential implications for future generations, ethical debates about designer babies and social inequalities.
Relevant Ethical Cases
- Geron Corporation (2010): First clinical trial using human embryonic stem cells (ESCs) for spinal cord injury repair, raising ethical concerns about embryo use and unproven treatment risks.
- CRISPR-edited Babies (2018): Chinese scientist He Jiankui using CRISPR to modify embryos for HIV resistance, leading to global condemnation for bypassing ethical and regulatory frameworks.
- Unregulated Stem Cell Clinics: Clinics offering unproven "cures" and facing legal actions for causing harm to patients due to ethical concerns about exploitation.
Global Regulations and Guidelines
- International Society for Stem Cell Research (ISSCR): Provides guidelines for ethical research practices and clinical applications.
- USA (NIH): Funding is restricted for embryonic stem cell research; more support for induced pluripotent stem cells (iPSCs).
- EU: Varied regulations; stricter in some countries versus others.
- Malaysia: National Stem Cell Research Ethics Guidelines outlining donor consent and therapeutic use.
- Cultural and Religious Perspectives: Influence on policy and variability in public acceptance based on norms.
Discussion Questions
- Should embryos be used in research if they have the potential to save lives?
- How do we address ethical dilemmas posed by genetic engineering in stem cells?
- What mechanisms should regulate unproven stem cell therapies?
- How can public awareness and education influence ethical decision-making in stem cell research?
Conclusion
- Stem cell research is rapidly evolving, holding transformative potential.
- Ethical considerations are complex, requiring balancing innovation with respect for human dignity and societal values.
- Collaboration among scientists, ethicists, policymakers, and the public is essential for progress.
- Future advancements must prioritize safety, equity, and ethical principles.
Additional Notes (from page 13 and 14)
- Ethical Issues in HESC Research: Arguments supporting stem cell research often emphasize potential to help patients vs. arguments against those that harm embryos/religious objection.
- Alternatives to Embryonic Stem Cells: Adult stem cells and induced pluripotent stem cells are potential alternatives and are currently being researched.
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