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      Are there moral differences between maternal spindle transfer and pronuclear transfer?

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          Abstract

          This paper examines whether there are moral differences between the mitochondrial replacement techniques that have been recently developed in order to help women afflicted by mitochondrial DNA diseases to have genetically related children absent such conditions: maternal spindle transfer (MST) and pronuclear transfer (PNT). Firstly, it examines whether there is a moral difference between MST and PNT in terms of the divide between somatic interventions and germline interventions. Secondly, it considers whether PNT and MST are morally distinct under a therapy/creation optic. Finally, it investigates whether there is a moral difference between MST and PNT from a human embryo destruction point of view. I conclude, contra recent arguments, that regarding the first two points there is no moral differences between PNT and MST; and that regarding the third one MST is morally preferable to PNT, but only if we hold a gradualist account of the moral value of human embryos where zygotes have slight moral value.

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          Paternal inheritance of mitochondrial DNA.

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            Genetic Drift Can Compromise Mitochondrial Replacement by Nuclear Transfer in Human Oocytes.

            Replacement of mitochondria through nuclear transfer between oocytes of two different women has emerged recently as a strategy for preventing inheritance of mtDNA diseases. Although experiments in human oocytes have shown effective replacement, the consequences of small amounts of mtDNA carryover have not been studied sufficiently. Using human mitochondrial replacement stem cell lines, we show that, even though the low levels of heteroplasmy introduced into human oocytes by mitochondrial carryover during nuclear transfer often vanish, they can sometimes instead result in mtDNA genotypic drift and reversion to the original genotype. Comparison of cells with identical oocyte-derived nuclear DNA but different mtDNA shows that either mtDNA genotype is compatible with the nucleus and that drift is independent of mitochondrial function. Thus, although functional replacement of the mitochondrial genome is possible, even low levels of heteroplasmy can affect the stability of the mtDNA genotype and compromise the efficacy of mitochondrial replacement.
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              Reasons and Persons

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                Author and article information

                Contributors
                07905290159 , cesar.pg@kcl.ac.uk
                Journal
                Med Health Care Philos
                Med Health Care Philos
                Medicine, Health Care, and Philosophy
                Springer Netherlands (Dordrecht )
                1386-7423
                1572-8633
                20 April 2017
                20 April 2017
                2017
                : 20
                : 4
                : 503-511
                Affiliations
                ISNI 0000 0001 2322 6764, GRID grid.13097.3c, Centre of Medical Law and Ethics, The Dickson Poon School of Law, , King’s College London, ; Strand, London, WC2R 2LS UK
                Article
                9772
                10.1007/s11019-017-9772-3
                5665963
                28429249
                f3f7f49b-1357-4b31-92d9-ba1ad02d423e
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100004440, Wellcome Trust;
                Award ID: 097897/Z/11/Z
                Categories
                Scientifc Contribution
                Custom metadata
                © Springer Science+Business Media B.V. 2017

                Medicine
                mitochondrial replacement techniques,mitochondrial replacement therapy,mitochondrial donation,maternal spindle transfer,pronuclear transfer,tri-parenthood,three parent babies,three parent ivf

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