POSSIBILITIES AND LIMITS OF RESEARCH

Authors
Citation
M. Auroux, POSSIBILITIES AND LIMITS OF RESEARCH, Bulletin de l'Academie nationale de medecine, 179(8), 1995, pp. 1729-1741
Citations number
55
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00014079
Volume
179
Issue
8
Year of publication
1995
Pages
1729 - 1741
Database
ISI
SICI code
0001-4079(1995)179:8<1729:PALOR>2.0.ZU;2-9
Abstract
Assisted human reproduction (AHR) currently solves numerous difficulti es caused by sterility in couples. However, it poses some problems who se solutions involve three main directions in research. Fundamental re search explores spontaneously occuring phenomena. It shows that over a nd above common general points of sexual reproduction, mechanisms can differ from one to another. Technical research perfects artificial emp irical methods which lead to fertilization, implantation and pregnancy . It shows that success varies from one species to another. Concerning some technologies such as intracytoplasmic sperm injection, successfu l results began with humans where they seem to be easier to obtain. Re search of risks cheks, in animals, the absence of adverse effects of t he above techniques for conceptus. It has confirmed the harmfulness of some environmental factors for gametes and zygotes. Moreover, it show s that these negative effects vary between species and within them for strains and sex. For instance, the cryopreservation of mouse embryos leads to changes in the offspring concerning morphophysiological and b ehavioral features, some of them appearing in elderly subjects. Indeed , these changes vary as a function of strain and sex. These results as a whole show that experimentation on animals can indicate research ar eas and also give rise to the need for caution. However, if we want to act on human reproduction, they also show, because of the variations in reactivity from one species to another, that the animal model is in sufficient and that research in man is essential. From this point of v iew, a long term follow up of AHR children seems necessary, as well as the need for reflexion concerning the possibility and conditions of r esearch on human embryos.