Evidence map›Paper›PMID 28494856›Full record

ArticleeLife2017

Addressing the ethical issues raised by synthetic human entities with embryo-like features.

John Aach, Jeantine Lunshof, Eswar Iyer, George M Church

Erratum issuedAbstract read
In one paragraph

Article in eLife, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Organoids: a systematic review of ethical issues.Stem cell research & therapy · 2022
    Pooled it
  3. Article
  4. Review
  5. Review
  6. Reply: Lung organoids: a new frontier in neonatology and paediatric respiratory medicine.European respiratory review : an official journal of the European Respiratory Society · 2026
    Article
  7. Human Stem Cell-Based Embryo Model Research: Ethics and Regulations.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. The hope, hype and obstacles surrounding cell therapy.Journal of cellular and molecular medicine · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Merits and challenges of iPSC-derived organoids for clinical applications.Frontiers in cell and developmental biology · 2023
    Review
  16. Gene-repaired iPS cells as novel approach for patient withFrontiers in bioengineering and biotechnology · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

John AachDepartment of Genetics, Harvard Medical School, Boston, United States.ORCID http://orcid.org/0000-0001-7111-9541
Jeantine LunshofDepartment of Genetics, Harvard Medical School, Boston, United States.ORCID http://orcid.org/0000-0002-5630-7947
Eswar IyerDepartment of Genetics, Harvard Medical School, Boston, United States.
George M ChurchDepartment of Genetics, Harvard Medical School, Boston, United States.

Funding

Causal Transcriptional Consequences of Human Genetic VariationP50HG005550 · NHGRI · HARVARD MEDICAL SCHOOL · PI CHURCH, GEORGE M · 2010 to 2014
$19.0M
Center for Genomically Engineered OrgansRM1HG008525 · NHGRI · HARVARD MEDICAL SCHOOL · PI CHURCH, GEORGE M · 2015 to 2019
$10.2M
NHGRI NIH HHS P50 HG005550NHGRI NIH HHS RM1 HG008525
6 · The paper itself

Abstract

The "14-day rule" for embryo research stipulates that experiments with intact human embryos must not allow them to develop beyond 14 days or the appearance of the primitive streak. However, recent experiments showing that suitably cultured human pluripotent stem cells can self-organize and recapitulate embryonic features have highlighted difficulties with the 14-day rule and led to calls for its reassessment. Here we argue that these and related experiments raise more foundational issues that cannot be fixed by adjusting the 14-day rule, because the framework underlying the rule cannot adequately describe the ways by which synthetic human entities with embryo-like features (SHEEFs) might develop morally concerning features through altered forms of development. We propose that limits on research with SHEEFs be based as directly as possible on the generation of such features, and recommend that the research and bioethics communities lead a wide-ranging inquiry aimed at mapping out solutions to the ethical problems raised by them.

Indexed as

Embryonic DevelopmentBiomedical ResearchCytological TechniquesHumansTime Factors14 day ruledevelopmental biologyEmbryo and stem cell ethicsstem cellstissue engineering

Identifiers

PMID28494856
PMCPMC5360441

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.