伦理来源的“剩余”人体可能彻底改变医学。
Ethically sourced "spare" human bodies could revolutionize medicine

原始链接: https://www.technologyreview.com/2025/03/25/1113611/ethically-sourced-spare-human-bodies-could-revolutionize-medicine/

人造身体,即实验室培育的人体,在医学伦理进步方面具有巨大潜力,它可以替代动物实验,并提供用于研究的人体器官而不会造成痛苦。然而,人造身体的创造也引发了复杂的伦理问题,尤其是在知情同意以及潜在贬低缺乏意识的活人的价值方面。 虽然人造身体在法律上被认为是非生命的人体材料,类似于用于研究的尸体,但它们的存在挑战了我们对人类地位的既有理解。关于人造身体应受到何种程度的尊重的问题随之产生,以及它们是否因为与人类相似或拥有人类DNA而应与活人一样受到重视。 尽管存在伦理问题,作者认为,创造人造身体的可能性需要进一步探索其技术可行性和伦理影响。他们呼吁仔细考虑这些问题,强调需要制定关于人造身体的使用和处理的明确指导方针。

Hacker News用户正在讨论一篇关于医学用途道德来源的“备用”人体的文章。评论提出了关于这些人体在被赋予权利之前需要具备的智力水平的伦理担忧,在“海蛞蝓”水平和“老鼠”水平的智力之间划了一条线。一些用户认为,如果备用人体使用成为现实,那么来源不明的尸体可能会主导市场,而另一些用户则指出了维持健康、不活动的人体的实际挑战。另一位用户指出,这项技术甚至在老鼠身上都没有得到证实,建议首先关注动物应用。几位评论员担心这项技术会加剧现有的不平等,使其只对富人可用,并以不公平的方式延长他们的寿命。一位用户认为,一项技术的开发始于一小部分人。

原文

Even if it all works, it may not be practical or economical to “grow” bodyoids, possibly for many years, until they can be mature enough to be useful for our ends. Each of these questions will require substantial research and time. But we believe this idea is now plausible enough to justify discussing both the technical feasibility and the ethical implications. 

Ethical considerations and societal implications

Bodyoids could address many ethical problems in modern medicine, offering ways to avoid unnecessary pain and suffering. For example, they could offer an ethical alternative to the way we currently use nonhuman animals for research and food, providing meat or other products with no animal suffering or awareness. 

But when we come to human bodyoids, the issues become harder. Many will find the concept grotesque or appalling. And for good reason. We have an innate respect for human life in all its forms. We do not allow broad research on people who no longer have consciousness or, in some cases, never had it. 

At the same time, we know much can be gained from studying the human body. We learn much from the bodies of the dead, which these days are used for teaching and research only with consent. In laboratories, we study cells and tissues that were taken, with consent, from the bodies of the dead and the living.

Recently we have even begun using for experiments the “animated cadavers” of people who have been declared legally dead, who have lost all brain function but whose other organs continue to function with mechanical assistance. Genetically modified pig kidneys have been connected to, or transplanted into, these legally dead but physiologically active cadavers to help researchers determine whether they would work in living people

In all these cases, nothing was, legally, a living human being at the time it was used for research. Human bodyoids would also fall into that category. But there are still a number of issues worth considering. The first is consent: The cells used to make bodyoids would have to come from someone, and we’d have to make sure that this someone consented to this particular, likely controversial, use. But perhaps the deepest issue is that bodyoids might diminish the human status of real people who lack consciousness or sentience.

Thus far, we have held to a standard that requires us to treat all humans born alive as people, entitled to life and respect. Would bodyoids—created without pregnancy, parental hopes, or indeed parents—blur that line? Or would we consider a bodyoid a human being, entitled to the same respect? If so, why—just because it looks like us? A sufficiently detailed mannequin can meet that test. Because it looks like us and is alive? Because it is alive and has our DNA? These are questions that will require careful thought. 

A call to action

Until recently, the idea of making something like a bodyoid would have been relegated to the realms of science fiction and philosophical speculation. But now it is at least plausible—and possibly revolutionary. It is time for it to be explored. 

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