Midterm #2 Flashcards
____________________:
First Eight Weeks of Development, Post-Fertilization
(First Ten Weeks of Pregnancy)
Human Embryo Definition
__________________: cultured Embryos cultured for 4-6 days before implantation 4-6 days for implantation
IVF invetrofertilization
_______________: Extracted from Inner Cell Mass of Blastocyst Phase of the Embryo, First Extraction to Successful Cell Line: J. Thompson, 1998, Typical Extraction Results In Destruction of the Embryo
Human Embryonic Stem Cells:
________________: Non-Implanted Embryos Cannot Be Used In Research Beyond 14 Days- (Development of Primitive Streak and Beyond Twinning Possibility)Until Recently, Not Technologically Feasible to Survive Beyond This
The 14 Day Rule:
______________: General Properties. Capable of dividing and renewing for long periods of time. Unspecialized, but… Can give rise to specialized cell types
Stem Cells –
Human Stem Cells are Capable of dividing and renewing for long periods of time because they are _____________
unspecialized cells types
_____________: embryonic stem cells, are master cells. They’re able to make cells from all three basic body layers, so they can potentially produce any cell or tissue the body needs to repair itself.
Pluripotent:
Benefits to Pluripotent stem cells
Greater versatility
Easier to obtain
This “master” property is called _____________
pluripotency.
____________________ are undifferentiated cells found throughout the body that divide to replenish dying cells and regenerate damaged tissues. .. can be isolated from a tissue sample obtained from an adult.
Adult stem cells
_______________ are stem cells derived from the undifferentiated inner mass cells of a human embryo. are pluripotent, meaning they are able to grow (i.e. differentiate) into all derivatives of the three primary germ layers: ectoderm, endoderm and mesoderm.
Human Embryonic Stem Cells
Embryonic stem cells (ESCs)
ESCs are are pluripotent, meaning they are able to grow (i.e. differentiate) into
all derivatives of the three primary germ layers: ectoderm, endoderm and mesoderm.
______________ Capable of Generating Tissues Belonging To Body Part From Which They Are Extracted
Adult Stem Cells:
______________ Similar Properties To Adult Stem Cells
Fetal Stem Cells:
_______________ Capable of Generating Any/All Body Cell Types
Embryonic Stem Cells:
The Uses of Human Stem Cells in Medicine and Research
Research uses: physiological process investigations, drug testing and development organoids
Therapeutic/ Treatment Use:
Alzheimers, Parkinsons, spinal cord injury, heart disease, diabetes, leukemia
The Uses of Human Stem Cells in Medicine and Research
Research uses:
physiological process investigations, drug testing and development organoids
Pluripotency Means
Greater Versatility, Easier To Obtain, Greater Proliferation Capacity
Obstacles/ Research Agendas of Stem cell research
Rejection avoidance- Transplantation
The Sources of Human Pluripotent Stem Cells
Physiological Process Investigations Drug Testing and Development Fertilized Egg- IVF rements Fertilized Egg- Created Specifically for Research Parthenogenesis- Asexual reproduction somatic cell nuclear transfer (Sct) Fetal Tissue Induced Pluripotent Stem Cells Differentiation Studies Rejection Avoidance - Transplantation
Why Abortion Ethics doesnt settle the Stem Cell Questions
More Social Benefit to Stem Cell Use (Consequentialist)
No Singular Person With Overriding Claim vs. Embryo (Deontological)
The problem with stem cell research
“The Problem”
On One Side: The Principle of Beneficence
On The Other Side: Worries About Harm To The Embryo
________________: Beneficence is an ethical principle that addresses the idea that a nurse’s actions should promote good. Doing good is thought of as doing what is best for the patient.
Principle Beneficence:
The full moral status view
The embryo enjoys full moral status or personhood. Based on human organism, potentiality, or FLO accounts of moral status
Criticism of the full moral status view of embryos
For Several Extensions and Implications:, Embryo Rescue Cases, Greater Importance of Preventing Miscarriage Than Cancer, Equivalency of Doing Research On Adults
ALSO ONLY PROHIBITS STEM CELL RESEARCH WHEN COMBINED WITH DEONTOLOGICAL ETHICAL STRUCTURE
The intermediate moral status view
The Embryo has intermediate moral status, somewhere between a body cell and an adult human being. You gradually gain moral status through development
Objections to intermediate moral status view
Pro tanto wrong to harm, but can be outweighed by benefits.
Similar to animals and animal research
Where do we draw the line of status of embryo, depends on the Level of Status of Embryo, And What We Have To Gain From Research
Two principles of the The discarded-created distinction
The Nothing-Is-Lost Principle- and Means vs. Ends Considerations-
_______________ It’s OK to do something that is otherwise impermissible, if nothing will be lost, and some benefit will come about from the action. Do Discarded IVF Embryos Have a Future To Lose? (Presumes No) Do Created Embryos Have a Future To Lose? (Presumes Yes)
The Nothing-Is-Lost Principle-
________________ Do Researchers Deliberatively Create Embryos With Intentions of Using Them as a Means for Ends They Cannot Share? Is This Wrong?Does Something Different Go On In The IVF Process When Excess Embryos Are Knowingly Created?
Means vs. Ends Considerations-
___________________ Does The Fact That Wrong Has Already Been Done Make Use OK? Does Subsequent Use Encourage Further Wrongdoing?
Benefiting From Others’ Wrongdoing-
Distinguishing Between Embryos and Embryonic Stem Cells, Assumes Embryos Are Potential Persons/Human Organisms/Have FLO,
But Embryonic Stem Cells Are Not (Because No Trophoblast)Therefore, Embryos (but not hESCs) Have Moral Status/Can’t Be Harmed, Tetraploid Complementation (Mice): Does This Complicate Assumptions?
Four Questions
Does the Method of Embryo(id)-Production Matter?- [IVF vs. Artificial Generation]
Do the Physiological Features (and Potential Features)of an Embryoid Matter? If So, Which Ones, and Why?- [Primitive Streak and Neurological Sensation – 14 Day Rule]
Does the Potential Viability of an Embryoid Matter? [All Parts of Body – Plus Trophoblast – Plus Host Environment]
Does the Potential for Abuse Matter?
Distinguishing between embryos and embryonic stem cells
Assumes embryos are potential persons and human organisms have flu but embryonic stem cells are not
Therefore, embryos have moral status
Tetraploid complementations
Benefiting from another harm
_________________ asexual reproduction
Parthenogenesis:
_________________ You can use stem cell lines that are already available, but you can not create your own stem cell lines
Use derivation distinction:
At this point, stem cell research in some form is _____________________
mostly uncontroversial in the scientific community , but the public sector still debates over the permissibility especially about fetal tissue
More on Non-Invasive Prenatal Testing
Performed on cell free fetal DNA
Non invasive requires only blood draw from mom (8-9 week)
Indicative but not as reliable as established screens covered by obamacare and becoming routine for age 35+
_________________ use the extra embryos from IVF so they do not go to waste
Created-Discarded Distinction:
Screens for trisomy conditions (including DS) and can screen for more can indicate
sex of fetus- reasons psychological preparration, fetal intervention,
The increased number abortions because of diseases such as down syndrome has ersduced resources for people with those diseases becasue their are less individuals with that disease.
abortion, rates of abortion of DS indicated fetus 98%-Denmark, 67%-US
The Relationship of Screening/ Selection to Abortion Ethics
Is it okay that we make such a decision based on a genetic feature.
Is selective abortion okay?
Is selecting genetic traits okay?
The Range of Screenable/ Selectable Traits
Tay-Sachs disease Huntington's disease Down syndrome Deafness and blindness Depression Asthma and food allergy Sex Hair and eye color
What are the two opposing views of selective abortion by genetic testing?
The reproductive Rights/ Freedom Movement
The Disability Rights Movement and The social construction model of disability
Purdy’s Thesis
My primary concern here is to argue that conception can sometimes be morally wrong on grounds of genetic risk
The scope of Purdy’s approach- relation to abortion ethics
She chooses the example of Huntington’s disease because it has serious repercussions on quality of life
Three Arguments
The Duty to provide a minimally satisfying life
The inability to harm merely potential persons
The limited weight of parental desires
_________________________
Violation of this duty harms actual persons
What exactly is a minimally satisfying life
Purdy’s limited scope: basic health concerns
The Duty to provide a minimally satisfying life
_________________________:
This applies to Purdy’s approach/scope but might be harder to apply to IVF emrbyos selection/ selective abortion, depending on your view of the moral status of the embryo or fetus
The inability to harm merely potential persons
_______________________
Not every desire ought to be fulfilled.
Other means available to satisfy desires.
Value of satisfying parental desire is outweighed by harm to children
The limited weight of parental desires
Considering Non Genetic extensions of Purdy’s Argument
Do external circumstances that increase the risk of leading a less than minimally satisfying life also create moral obligations to refrain from having children
Additional Questions of Purdy
How far do obligations to actual children extend?
Civil War, climate change
Do parental obligations extend to consideration of third party harms? Is the cost/ harm to society relevant for procreative decisions?
What exactly is required of someone’s health in order to say that they have a minimally satisfying life? Do deafness and blindness count as less than minimally satisfying?
Why is minimally satisfying the cutoff? Why not say that there is an obligation to give children a good or the best possible start to life
Do parental obligations extend to consideration of third party harms? Is the cost/ harm to society relevant for procreative decisions?
What exactly is required of someone’s health in order to say that they have a minimally satisfying life? Do deafness and blindness count as less than minimally satisfying?
Why is minimally satisfying the cutoff? Why not say that there is an obligation to give children a good or the best possible start to life
The disability Rights Critique of Selective Abortion
Parents and asch’s thesis
Prenatal genetic testing followed by selective abortion is morally problematic and is driven by misfortune
Parents and asch’s thesis
Prenatal genetic testing followed by selective abortion is morally problematic and is driven by misfortune
Selective abortion expresses discriminatory attitudes to
people living with that disability
It undermines attempts to secure
inclusion and equal access for the living and reinforced the practice of discrimination