Abstract:Many who object to human embryonic stem cell (hESC) research because they believe it involves complicity in embryo destruction have welcomed induced pluripotent stem cell (iPSC) research as an ethical alternative. This opinion article aims to show that complicity arguments against hESC research are prima facie inconsistent with accepting iPSC research as it is currently done. Those who oppose hESC research on grounds of complicity should either (i) oppose iPSC research as well, (ii) advocate a radical change i… Show more
“…Yet iPSCs are not wholly free from the encumbrances of prior ethical debates regarding hESCs [89 -92]. Global objections to iPSC research related to its complicity with embryonic stem cell research (arising from the necessary symbiosis between the two research programs), its ability to alter our conceptions of human life, and its implications for human-animal chimeras have been raised [66,[93][94][95][96][97][98][99][100][101][102]. Although these questions continue to be debated, both publicly and privately funded research with iPSCs is proceeding with broad scientific, political, and public support and without the heavy regulation that has characterized research with hESCs [103, 104].…”
Section: Regulatory and Ethical Frameworkmentioning
Induced pluripotent stem cells (iPSCs) have elicited excitement in both the scientific and ethics communities for their potential to advance basic and translational research. They have been hailed as an alternative to derivation from embryos that provides a virtually unlimited source of pluripotent stem cells for research and therapeutic applications. However, research with iPSCs is ethically complex, uniquely encompassing the concerns associated with genomics, immortalized cell lines, transplantation, human reproduction, and biobanking. Prospective donation of tissue specimens for iPSC research thus requires an approach to informed consent that is constructed for this context. Even in the nascent stages of this field, approaches to informed consent have been variable in ways that threaten the simultaneous goals of protecting donors and safeguarding future research and translation, and investigators are seeking guidance. We address this need by providing concrete recommendations for informed consent that balance the perspectives of a variety of stakeholders. Our work combines analysis of consent form language collected from investigators worldwide with a conceptual balancing of normative ethical concerns, policy precedents, and scientific realities. Our framework asks people to consent prospectively to a broad umbrella of foreseeable research, including future therapeutic applications, with recontact possible in limited circumstances. We argue that the long-term goals of regenerative medicine, interest in sharing iPSC lines, and uncertain landscape of future research all would be served by a framework of ongoing communication with donors. Our approach balances the goals of iPSC and regenerative medicine researchers with the interests of individual research participants.
“…Yet iPSCs are not wholly free from the encumbrances of prior ethical debates regarding hESCs [89 -92]. Global objections to iPSC research related to its complicity with embryonic stem cell research (arising from the necessary symbiosis between the two research programs), its ability to alter our conceptions of human life, and its implications for human-animal chimeras have been raised [66,[93][94][95][96][97][98][99][100][101][102]. Although these questions continue to be debated, both publicly and privately funded research with iPSCs is proceeding with broad scientific, political, and public support and without the heavy regulation that has characterized research with hESCs [103, 104].…”
Section: Regulatory and Ethical Frameworkmentioning
Induced pluripotent stem cells (iPSCs) have elicited excitement in both the scientific and ethics communities for their potential to advance basic and translational research. They have been hailed as an alternative to derivation from embryos that provides a virtually unlimited source of pluripotent stem cells for research and therapeutic applications. However, research with iPSCs is ethically complex, uniquely encompassing the concerns associated with genomics, immortalized cell lines, transplantation, human reproduction, and biobanking. Prospective donation of tissue specimens for iPSC research thus requires an approach to informed consent that is constructed for this context. Even in the nascent stages of this field, approaches to informed consent have been variable in ways that threaten the simultaneous goals of protecting donors and safeguarding future research and translation, and investigators are seeking guidance. We address this need by providing concrete recommendations for informed consent that balance the perspectives of a variety of stakeholders. Our work combines analysis of consent form language collected from investigators worldwide with a conceptual balancing of normative ethical concerns, policy precedents, and scientific realities. Our framework asks people to consent prospectively to a broad umbrella of foreseeable research, including future therapeutic applications, with recontact possible in limited circumstances. We argue that the long-term goals of regenerative medicine, interest in sharing iPSC lines, and uncertain landscape of future research all would be served by a framework of ongoing communication with donors. Our approach balances the goals of iPSC and regenerative medicine researchers with the interests of individual research participants.
“…36,37 These studies demonstrate the possibility of reprogramming adult somatic cells into pluripotent stem cells that mirror embryonic stem cells, using the forced expression of genes shown to be essential in maintaining the main characteristics of embryonic stem cells. 38 IPSCs can then be differentiated into all cell types of interest although it should be noted that embryonic stem cells are still viewed as a 'golden standard' for pluripotency studies, 39 and there may be important epigenetic and genomic instability differences in IPSC relative to this standard that may be relevant for future clinical applications. [40][41][42][43][44] Nevertheless, it is fair to say that current translation-oriented pluripotent stem cell research focuses mostly on IPSC and that embryo-based research is more focused on the study of the embryo itself.…”
Section: Pluripotent Stem Cell Research: Embryo Destruction Versus Nomentioning
“…In 2008, Science announced hiPSC as the breakthrough of the year, and in 2009 Shinya Yamanaka, who is widely credited with the discovery of hiPSCs, received the prestigious Lasker Award for Basic Medical Research. Recently, though, the idea that hiPSCs are medical or ethical panaceas has been subject to skepticism (Devolder, ; Kim et al, 2010; Lo et al, ; Pera, ; Zhao et al, ).…”
Section: Background: Policy Controversy and Discoverymentioning
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.