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艾滋病治愈研究的伦理探析

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cART是目前国际上治疗艾滋病最有效的方法,但其仅能抑制病毒复制而无法清除病毒."柏林患者"治愈成功后,艾滋病治愈成为艾滋病研究热点和治疗新目标.然而艾滋病治愈研究大多仍处于研究初步阶段,给人们带来了更多疾病治愈希望的同时,也出现了诸多的伦理问题,特别是cART中断(又称试验性停药,ATI)带来受试者风险和知情同意有效性的问题.本文通过分析艾滋病治愈研究中的技术和社会风险、受试者招募和知情同意、研究非直接参与者的风险以及治愈研究中的战争话语隐喻等几个焦点问题,进而提出艾滋病治愈研究的伦理治理建议,以期在伦理的规范和引导下,促进艾滋病治愈研究的健康发展.
Ethical issues in HIV/AIDS cure research
Combination antiretroviral therapy(cART)is currently recognized internationally as the most effective treatment for HIV/AIDS.However,it only inhibits viral replication without eradicating the virus.The curative success in the case of the"Berlin Patient"has propelled HIV/AIDS cure into a research hotspot and a novel therapeutic objective.Nonetheless,the majority of HIV/AIDS cure research is still in its early,and while it has brought increased hope for disease eradication,and also raised a host of ethical concerns.These concerns are particularly pronounced in the context of cART interruption(also known as analytic treatment interruption,ATI),which raises questions about participant risk and the validity of informed consent.This article examines several key issues in HIV/AIDS cure research,including the technical and societal risks,participant recruitment and informed consent,the hazards to non-direct research participants,and the use of martial metaphors in cure research discourse.Subsequently,the article proposes recommendations for the ethical governance of HIV/AIDS cure research.The aim is to promote the sound conduct of such studies under the guidance and regulation of ethical standards,thereby contributing to the advancement of curative endeavors in the field of HIV/AIDS.

HIV/AIDSHIV/AIDS cure researchantiretroviral therapy interruption(ATI)ethicsrisk

邹琳、白晶、翟晓梅、马永慧

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厦门大学医学院生命伦理研究中心,福建厦门 361101

中国疾病预防控制中心营养与健康所,北京 100050

北京协和医学院群医学及公共卫生学院,北京 100732

艾滋病 艾滋病治愈研究 抗反转录病毒治疗中断 伦理 风险

&&厦门大学校长基金

FJ2022B14620720230067

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(5)
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