软骨组织工程种子细胞的医学伦理分析

软骨组织工程作为一项新兴技术成为治疗软骨缺损的新途径,本文通过探讨软骨组织工程学研究与临床应用的医学伦理学问题。从组织工程学研究的各种不同的种子细胞来源方面阐述其各自存在的伦理学问题及其对策。从而阐明在进行软骨组织工程种子细胞研究的同时,必须充分考虑相关的伦理学问题,遵循伦理原则,使软骨组织工程不仅在技术上可行,在伦理学上也是可行的。     

真核双基因表达载体p1RES-Rb94-E1A的构建与鉴定

以pE1A质粒为模板,扩增E1A基因,然后将E1AcDNA片段插入前期已经构建好的真核表达载体pIRES-Rb94的MCSB的SalI与NotI之间,获得真核双基因表达质粒p1RES-Rb94-E1A,转染肺腺癌A549细胞后,采用RT—PCR和Westernblot方法检测Rb94和E1A在A549细胞中的表达,为研...     

Towards a Global Human Embryonic Stem Cell Bank

An increasingly unbridgeable gap exists between the supply and demand of transplantable organs. Human embryonic stem cell technology could solve the organ shortage problem by restoring diseased or damaged tissue across a range of common conditions. However, such technology faces several largely ignored immunological challenges in delivering cell lines to large populations. We address some of these challenges and argue in favor of encouraging contribution or intentional creation of embryos from which widely immunocompatible stem cell lines could be derived. Further, we argue that current immunological constraints in tissue transplantation demand the creation of a global stem cell bank, which may hold particular promise for minority populations and other sub-groups currently marginalized from organ procurement and allocation systems. Finally, we conclude by offering a number of practical and ethically oriented recommendations for constructing a human embryonic stem cell bank that we hope will help solve the ongoing organ shortage problem.     

The utilitarian fallacy

The utilitarian fallacy, most egregiously committed by J. S. Mill but perpetuated ever since, consists of supposing that pleasure, being a noun, is, in every true statement in which it occurs, the name of afeeling, and that pleasant, in any such statement, means that whatever is so described is conducive to that feeling. In fact, pleasant is more commonly used as a positive term of appraisal, indicating that the thing so described is liked, and usually liked for its own sake, and pleasure typically has a similar use. These terms thus resemble words like awful, wonderful and so on, which typically donot mean evocative of awe, wonder and so on. What follows from this is that the feeling of pleasure, while perhaps good for its own sake, is not uniquely so. Almost anything correctly described as pleasant is apt to be such. Similar observations apply to the term happiness. Therefore utilitarianism, according to which there is only one thing good as an end, or for its own sake - namely, pleasure or happiness - is false as a philosophical theory of ethics.Don't think about it,look at it!Wittgenstein     

肿瘤干细胞与肿瘤治疗

肿瘤可看作是由功能异质性的细胞群体所组成的,具有不定增殖能力的异常器官.最近提出的肿瘤干细胞学说认为肿瘤起源于干细胞,肿瘤生长是肿瘤组织中极少量具有特殊细胞表面标志的肿瘤干细胞增殖的结果.因此治疗的关键应是针对肿瘤干细胞,通过靶向肿瘤干细胞及其异常调节的信号转导通路来治疗肿瘤.这对传统的治疗方式提出了巨大挑战,也为有效地根治肿瘤开辟了新的思路.     

干细胞技术应用于口腔医学的希望与困惑

骨髓干细胞、胚胎干细胞已开始应用于口腔医学领域,有关牙髓干细胞、牙周干细胞、牙胚干细胞等研究也取得了一系列重要的进展,为治疗口腔疾病开辟了一个新的途径,但同时也面临着需要进一步探讨的技术和伦理等方面的问题.     

Making Cells Worthwhile: Calculations of Value in a European Consortium for Induced Pluripotent Stem Cell Banking

The StemBANCC consortium was a large European consortium bringing together scientists from academic institutions and the pharmaceutical industry. The aim of the consortium was to produce 1500 induced pluripotent stem cell (iPSC) lines from participants with a variety of common, complex diseases. These cell lines were intended to help develop iPSC as tools for screening small molecule drug candidates and modelling human diseases in vitro. The scale of investment in this and other biobanks presents iPSC as a valuable commodity. However, StemBANCC was also mandated to make its making cells and data available to European researchers on a not-for-profit basis. To understand how making this quantity of stem cells and data available is configured as a valuable and worthwhile investment for the consortium partners, research materials (project documents, scientific literature and interviews with scientists working on StemBANCC) were analysed using theoretical tools from Valuation Studies. Combining STS and economic sociology, valuation studies analyse how the worth of things, ideas and phenomena result from context-specific practices of assessment and evaluation; worth incorporates moral, financial, scientific, economic. social and cultural registers of value. In this sense, practitioners evaluate the worth of the StemBANCC cells and data at a variety of sites, from participant recruitment to online databases. This provides an alternative to biovalue and similar conceptual models for theorising the generation of value in the Life Sciences.     

Synchrnoic consciousness from a neurological point of view: the philosophical foundations for neuroethics

Daniel Kolak’s theory of synchronic consciousness according to which the entire range of dissociative phenomena, from pathologies such as MPD and schizophrenia to normal dream states, are best explained in terms of consciousness becoming simultaneously identified as many selves, has revolutionary therapeutic implications for neurology and psychiatry. All these selves, according to Kolak—even the purely imaginary ones that exist as such only in our dreams—are not just conscious but also self-conscious, with beliefs, intentions, living lives informed by memories (confabulatory, in the case of the fictional ones) and personal histories. Kolak’s derivation of psychiatrically relevant aspects of his theory—a neurological rendition of a Kantian transcendental argument—can be given a straightforward neurological, and therefore open to scientific scrutiny, interpretation that would then more easily lend itself to the clinical setting in which these perplexing phenomena, along with their purveyors, must live and cope. This will be the main focus of this paper.     

成人股骨头坏死的治疗进展

股骨头坏死（ONFH）是一种进展性和致残性疾病,保存自身股骨头是临床治疗所追求的最理想目标,早中期的治疗方案主要采用非手术疗法和保髋的姑息性手术,目前为止还没有一种治疗方法能达到理想的治疗效果。近年来,骨髓间充质于细胞（MSCs）移植治疗ONFH是目前研究热点之一,有望成为一种有效的治疗方法,晚期行人工髋关节置换术是唯一的和最佳的选择。因此,早期诊断,采用综合性治疗方案保全自身髋关节是治疗本病的主要方向。