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2017 ; 8
(ä): 40
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Disease Resistance and the Definition of Genetic Enhancement
#MMPMID28443132
So D
; Kleiderman E
; Touré SB
; Joly Y
Front Genet
2017[]; 8
(ä): 40
PMID28443132
show ga
Recent gene editing experiments carried out in human embryos have raised the
question of whether interventions like the introduction of a CCR5-?32 deletion,
which could provide heritable resistance to HIV infection, ought to be considered
enhancements. Many authors have used the term "enhancement" in different ways,
some based on patients' biomedical outcomes and others on their social context.
These classifications are often considered overly imprecise. Nevertheless, the
concept of "enhancement" could affect the ways in which these applications are
regulated in different jurisdictions, the availability of coverage by insurers or
public health care, and the force of public opinion in shaping future policy on
gene editing. In order to ethically situate resistance to communicable disease
with reference to other techniques, this article provides an overview of its
similarities and differences with disease gene therapy in embryos, gene therapy
in consenting adults, and vaccination. In discussing key ethical features of
CCR5-?32 deletion (including its frequency in various populations, biological
mechanism, benefits for individuals, and use in previous clinical trials) we
offer some potential guideposts for the continuing discussion on how to classify
"enhancements" in the age of CRISPR gene editing.