Journal of Personalized Medicine (Jan 2024)

Stem Cells and Infertility: A Review of Clinical Applications and Legal Frameworks

  • Gaspare Cucinella,
  • Giuseppe Gullo,
  • Erika Catania,
  • Antonio Perino,
  • Valentina Billone,
  • Susanna Marinelli,
  • Gabriele Napoletano,
  • Simona Zaami

DOI
https://doi.org/10.3390/jpm14020135
Journal volume & issue
Vol. 14, no. 2
p. 135

Abstract

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Infertility is a condition defined by the failure to establish a clinical pregnancy after 12 months of regular, unprotected sexual intercourse or due to an impairment of a person’s capacity to reproduce either as an individual or with their partner. The authors have set out to succinctly investigate, explore, and assess infertility treatments, harnessing the potential of stem cells to effectively and safely treat infertility; in addition, this paper will present the legal and regulatory complexities at the heart of stem cell research, with an overview of the legislative state of affairs in six major European countries. For couples who cannot benefit from assisted reproductive technologies (ART) to treat their infertility, stem-cells-based approaches have been shown to be a highly promising approach. Nonetheless, lingering ethical and immunological uncertainties require more conclusive findings and data before such treatment avenues can become mainstream and be applied on a large scale. The isolation of human embryonic stem cells (ESCs) is ethically controversial, since their collection involves the destruction of human embryonic tissue. Overall, stem cell research has resulted in important new breakthroughs in the treatment of infertility. The effort to untangle the complex web of ethical and legal issues associated with such therapeutic approaches will have to rely on evidence-based, broadly shared standards, guidelines, and best practices to make sure that the procreative rights of patients can be effectively reconciled with the core values at the heart of medical ethics.

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