Organ transplantation, a medical milestone dating from the second half of the 20th century, has saved thousands of lives - and it continues in procession. Early 2024 saw the first successful transplantation of a pig kidney into a living human, an achievement driven by fundamental progress in our understanding of (and ability to precisely edit) the genome - making it possible to modify pig organs in ways that help overcome rejection by a human immune system. This promises a potential means to address the ongoing scarcity of human organs available for transplant, and may well pave the way for future breakthroughs in treating a variety of conditions.

This briefing was created as part of the World Economic Forum’s Top 10 Emerging Technologies Report for 2024, which lists new technologies poised to impact the world in the next three to five years, and was done in cooperation with Frontiers - a publisher of peer-reviewed, open access scientific journals.

Organ transplantation, a medical milestone dating from the second half of the 20th century, has saved thousands of lives—and it continues to evolve. Early 2024 saw the first successful transplantation of a pig kidney into a living human, an achievement driven by fundamental progress in our understanding of and ability to precisely edit the genome. This advancement makes it possible to modify pig organs in ways that help overcome rejection by the human immune system. This breakthrough offers a potential solution to the ongoing scarcity of human organs available for transplant and may pave the way for future advancements in treating various conditions.

This briefing was created as part of the World Economic Forum’s Top 10 Emerging Technologies Report for 2024, which lists new technologies poised to impact the world in the next three to five years. It was produced in cooperation with Frontiers, a publisher of peer-reviewed, open access scientific journals.

Naionally life-supporting. In addition, all gene-edited pigs now have the blood type “O,” making them universal donors. Yet, when they have been transfused into non-human primates, unmodified pig RBCs are lost from the bloodstream within minutes - due to damage caused by complement-induced injury and phagocytosis. Gene editing extends pig RBC survival to nearly a week, which might be clinically valuable in cases where patients have suffered life-threatening, traumatic injuries and must wait for human blood. Nevertheless, if pig RBCs were to be transfused into the same patient on multiple occasions, effective immunosuppressive therapy would also have to be administered. Approximately 120 million blood transfusions are administered globally each year; pig RBCs may yet play a major role in human health.

Functionally life-supporting, all gene-edited pigs now have the blood type "O," making them universal donors. However, when transfused into non-human primates, unmodified pig RBCs are lost from the bloodstream within minutes due to damage caused by complement-induced injury and phagocytosis. Gene editing extends pig RBC survival to nearly a week, which might be clinically valuable for patients suffering life-threatening, traumatic injuries who must wait for human blood. Nonetheless, if pig RBCs were to be transfused into the same patient on multiple occasions, effective immunosuppressive therapy would also need to be administered. With approximately 120 million blood transfusions administered globally each year, pig RBCs may play a significant role in human health.

Ageing and Longevity
Curation: Stanford Center on Longevity, Stanford University
Life expectancy in most countries has roughly doubled since 1900, marking one of the greatest accomplishments in human history. Now, scientific advances and new social roles are needed so that older people can live with purpose and dignity. Beyond simply adding years, we can improve the quality of life if we see things through the lens of longevity. The Stanford Center on Longevity’s “A New Map of Life” initiative has been examining how to change the very nature of education, recast work-life trajectories, and align our environments, lifestyles, and healthcare systems in ways that lead to more happy and productive years. Ultimately, we can get to a point where we see longer lives not as a burden, but as a benefit.

This briefing is based on the views of a wide range of experts from the World Economic Forum’s Expert Network and is curated in partnership with Martha J. Deevy, Associate Director and Senior Research Scholar, and Ken Smith, Senior Research Scholar, Stanford Center on Longevity, in addition to Stanford Center on Longevity “A New Map of Life” Fellows. The content does not necessarily reflect the views of the Forum.

Curation

Created by Stanford Center on Longevity, Stanford University, licensed for personal/academic use only, not for reproduction.

Certainly! Here's a more detailed exploration of the ethical considerations surrounding genetic modification in the context of organ transplantation and longevity, using biblical support to emphasize solidarity:

### Ethical Considerations with Biblical Support

1. **Sanctity of Life and Healing**:
- **Biblical Support**: The Bible teaches the inherent value of human life, created in the image of God (Genesis 1:27). The ministry of Jesus, marked by healing the sick and restoring the broken, underscores the importance of alleviating suffering (Matthew 4:23-24).
- **Application**: Using genetic modification to save lives and improve health can be seen as a continuation of Christ’s healing ministry. It aligns with the biblical mandate to care for one another and show compassion, reflecting God's love in tangible ways.

2. **Stewardship and Dominion**:
- **Biblical Support**: Humanity is given dominion over the earth (Genesis 1:28) and called to be stewards of God's creation (Psalm 8:6-8). This includes the responsible use of our knowledge and resources to promote the well-being of all creation.
- **Application**: Genetic modification, when done responsibly and ethically, can be viewed as a form of stewardship. It allows us to use our God-given abilities to address pressing health issues, reflecting our role as caretakers of God's creation.

3. **Justice and Equity**:
- **Biblical Support**: The Bible emphasizes justice and equity, especially for the marginalized and oppressed (Micah 6:8; Isaiah 1:17). We are called to ensure that all individuals have access to the benefits of our advancements.
- **Application**: Efforts must be made to ensure that the benefits of genetic modification, such as organ transplantation, are accessible to all, regardless of socio-economic status. This reflects the biblical principle of justice and the call to care for the least among us (Matthew 25:40).

4. **Community and Solidarity**:
- **Biblical Support**: The early Christian community exemplified solidarity and mutual support, sharing resources so that no one was in need (Acts 2:44-45). Paul’s letters emphasize the interconnectedness of the body of Christ, where each member's well-being affects the whole (1 Corinthians 12:26).
- **Application**: Promoting community cohesion and addressing disparities in healthcare can strengthen societal bonds. Genetic modification should aim not only to extend life but to improve the quality of life, fostering a sense of solidarity and mutual care within our communities.

5. **Humility and Wisdom**:
- **Biblical Support**: Scripture warns against human pride and overreach, reminding us of our limitations and the sovereignty of God (Job 38-41; Proverbs 3:5-7). We are called to seek wisdom and act with humility.
- **Application**: While pursuing genetic advancements, we must remain humble, recognizing the potential risks and unknowns. Seeking wisdom and ethical guidance ensures that our actions honor God and respect the created order.

### Promoting Solidarity Through Ethical Genetic Modification

By grounding our approach to genetic modification in biblical principles, we can foster greater solidarity and ethical integrity:

1. **Commitment to Life and Health**:
- Embrace the value of life by prioritizing medical advancements that save lives and alleviate suffering, reflecting Christ’s healing work.

2. **Responsible Stewardship**:
- Approach genetic modification as stewards of God's creation, ensuring humane treatment of animals and responsible use of technology.

3. **Equitable Access**:
- Advocate for policies and practices that ensure all individuals, regardless of socio-economic status, have access to the benefits of genetic advancements.

4. **Community Focus**:
- Design healthcare systems and community structures that support the well-being of all members, fostering solidarity and mutual care.

5. **Humility and Caution**:
- Proceed with humility, recognizing the limits of our understanding and the importance of ethical considerations, seeking wisdom and guidance in all endeavors.

In summary, integrating biblical principles into the ethical discourse on genetic modification can strengthen our commitment to solidarity, justice, and compassionate care. By viewing these advancements through the lens of our faith, we can ensure that our actions honor God, respect life, and promote the common good.

Exploring the ethical considerations of genetic modification from both real-world and biblical perspectives, particularly in the context of organ transplantation and longevity, involves several key points:

### Real-World Ethical Considerations

1. **Human Welfare and Health Benefits**:
- **Pro**: Genetic modification, such as gene-editing pigs for organ transplantation, can save lives and alleviate suffering. This technology addresses the shortage of human organs available for transplant, potentially providing a significant public health benefit.
- **Con**: There are concerns about long-term consequences, unintended genetic effects, and potential health risks. The technology is still evolving, and its full impact is not yet understood.

2. **Animal Welfare**:
- **Pro**: If genetic modifications can be done humanely, minimizing pain and suffering for animals, this can be justified by the potential human health benefits.
- **Con**: There are significant concerns about the ethical treatment of animals, including the welfare of genetically modified pigs used for organ harvesting.

3. **Equity and Access**:
- **Pro**: The goal is to make life-saving technology available to all, regardless of socio-economic status.
- **Con**: There is a risk that such advanced medical treatments might only be accessible to the wealthy, exacerbating existing inequalities in healthcare.

4. **Playing God**:
- **Pro**: Some argue that using our God-given intelligence to improve health and save lives is a form of stewardship and responsible dominion over creation.
- **Con**: Others worry that altering the fundamental building blocks of life is overstepping our human limits and could lead to unforeseen negative consequences.

### Biblical Ethical Considerations

1. **Sanctity of Life**:
- The Bible emphasizes the sanctity and value of human life (Genesis 1:27; Psalm 139:13-16). Using genetic modification to save lives can be seen as upholding this value.
- However, it is important to ensure that such practices do not devalue animal life or involve unnecessary suffering (Proverbs 12:10).

2. **Stewardship and Dominion**:
- Humans are given dominion over creation (Genesis 1:28) and are called to be stewards of the earth. This includes using our knowledge for the betterment of human life.
- Stewardship also implies a responsibility to care for and respect all of God's creation, including animals.

3. **Healing and Compassion**:
- Jesus’ ministry was marked by healing and compassion (Matthew 4:23-24). In this context, using genetic modification to heal and improve human health can be seen as aligning with Christ’s example.
- The methods used must reflect compassion and justice, ensuring that all individuals have access to these advancements (Micah 6:8).

4. **Playing God**:
- While humans are called to use their abilities to care for creation, there is a caution against overstepping boundaries and assuming a role that belongs to God alone (Job 38-41).
- This perspective encourages humility and careful consideration of the ethical implications and long-term consequences of genetic modification.

### Integrating Both Perspectives

From both real-world and biblical perspectives, the ethical acceptability of genetic modification hinges on how it is done, the motivations behind it, and the impacts it has on humans and animals. Using genetic modification to alleviate suffering and save lives can be ethically justified if it is done with compassion, respect, and justice. However, it must be approached with humility, acknowledging the limits of human understanding and the potential risks involved.

In conclusion, while genetic modification can be seen as an extension of humanity’s mandate to care for creation and each other, it requires careful ethical consideration to ensure that it aligns with both our scientific and biblical values of life, stewardship, and justice.

The potential for transhumanism to corrupt the human genome is a topic of significant ethical and scientific debate. Here are some key considerations:

### Ethical and Scientific Perspectives on Transhumanism and Genome Corruption

**1. Genetic Integrity**
- **Ethical Concern**: Transhumanism, through extensive genetic modification, could potentially alter the human genome in ways that deviate from natural evolutionary processes.
- **Scientific Insight**: Genetic modifications, especially if not well understood or controlled, may introduce unintended mutations or disruptions to genetic stability.

**2. Long-Term Implications**
- **Ethical Concern**: Altering the human genome through transhumanist practices could have unpredictable long-term consequences for human health and biodiversity.
- **Scientific Insight**: Genetic modifications have the potential to affect future generations, leading to changes in genetic diversity and potentially reducing resilience to environmental changes.

**3. Societal and Moral Considerations**
- **Ethical Concern**: Transhumanism raises questions about equity, as enhancements may only be accessible to those who can afford them, exacerbating social inequalities.
- **Scientific Insight**: The impact of widespread genetic modifications on societal values, human identity, and ethical norms is still uncertain and requires careful consideration.

### Biblical and Ethical Frameworks

From a biblical perspective, narratives such as the Fall of Man and the Flood underscore the consequences of human corruption and the importance of respecting divine order. The ethical evaluation of transhumanism involves assessing whether it aligns with principles of stewardship, justice, and respect for the sanctity of life as understood in religious teachings.

### Conclusion

While transhumanism holds potential benefits for human health and capabilities, the ethical debate centers around the risks of altering the human genome in ways that could compromise genetic integrity and societal values. Future advancements in genetic technologies should proceed cautiously, with robust ethical oversight and consideration of their long-term impacts on individuals, societies, and the natural world.

The ethical implications of transhumanism through genetic modification, particularly in the context of biblical narratives such as Noah and the Watchers, are contentious and complex. Here’s a focused analysis:

### Transhumanism and Genetic Modification: Ethical Considerations

**1. Genetic Modification and Transhumanism**
- **Ethical Concern**: Transhumanism involves using technology, including genetic modification, to enhance human capabilities beyond natural evolution.
- **Biblical Context**: The Book of Enoch describes fallen angels (Watchers) who imparted forbidden knowledge to humanity, leading to corruption and disruption of the natural order.
- **Ethical Analysis**: Genetic modification for transhumanist goals raises concerns about altering human nature in ways that may defy natural limits and ethical boundaries.

**2. End Result of Transhumanism**
- **Potential Outcome**: Through genetic modification, humans could potentially achieve enhanced physical, cognitive, or longevity-related traits.
- **Ethical Implications**: This could lead to societal divisions between enhanced and non-enhanced individuals, raising questions of equity and justice.
- **Biblical Reference**: The Flood narrative in Noah’s story emphasizes the consequences of human corruption and the need for moral accountability.

### Biblical Historical Records and Genetic Splicing

**1. Watchers and Forbidden Knowledge**
- **Context**: The Watchers in Enochian literature introduced forbidden knowledge, including arts and sciences, leading to moral corruption and divine punishment (1 Enoch).
- **Ethical Parallel**: Genetic splicing and modification can be seen as analogous to the forbidden knowledge imparted by the Watchers, altering the natural order and potentially leading to unintended consequences.

**2. Ethical Evaluation**
- **Human Hubris**: The story of Noah’s Ark warns against human arrogance and the consequences of overstepping natural boundaries (Genesis 6-9).
- **Stewardship and Responsibility**: Humans are called to be stewards of creation, respecting its integrity and diversity (Genesis 1:28).

### Conclusion

Ethical evaluations of transhumanism through genetic modification are deeply influenced by theological perspectives, including biblical narratives like those of Noah and the Watchers. The ethical acceptability of transhumanism depends on whether it respects the sanctity of life, promotes justice and equity, and aligns with principles of responsible stewardship over creation. While genetic modification has the potential to alleviate suffering and enhance human health, its ethical boundaries should be carefully considered to avoid unintended consequences and uphold moral integrity in accordance with biblical teachings.

The question of whether genetic modification is playing God, focusing solely on risks such as alteration of the genome and potential consequences related to transhumanism, is a complex ethical and theological issue. Here's a concise exploration:

### Genetic Modification and Playing God

**1. Alteration of Genome**
- **Risk**: Genetic modification involves altering the fundamental building blocks of life, which can lead to unintended changes in genetic sequences.
- **Ethical Concern**: Some argue that manipulating the genome may overstep human limits and assume a role traditionally attributed to God.
- **Example**: Altering genetic sequences in ways that may have unforeseen consequences on human health or biodiversity.

**2. Irreversible Consequences of Transhumanism**
- **Risk**: Genetic modification can contribute to a future where humans are fundamentally altered beyond natural evolutionary processes (transhumanism).
- **Ethical Concern**: This raises questions about the ethical implications of permanently changing human nature and identity.
- **Example**: Introducing genetic modifications that could enhance physical or cognitive abilities beyond what is considered natural or ethical.

### Ethical and Theological Considerations

- **Playing God Argument**: Some argue that manipulating the genome and potentially altering human nature through genetic modification assumes a creative role traditionally attributed to God alone.
- **Hubris and Responsibility**: Critics caution against human arrogance in assuming control over genetic destiny without fully understanding the long-term consequences.
- **Stewardship Perspective**: Others argue that responsible use of genetic technology can be seen as part of humanity's stewardship over creation, using knowledge to alleviate suffering and improve lives.

### Conclusion

The question of whether genetic modification is playing God by altering the genome and potentially leading to irreversible consequences like transhumanism is highly debated. It involves balancing ethical concerns about human hubris and responsibility with the potential benefits of advancing medical treatments and improving human health. Ultimately, perspectives on this issue may vary based on theological beliefs, ethical frameworks, and societal values regarding the limits of human intervention in genetic processes.

### Symposium on Risk Factors in Genetic Modification

#### Introduction

Welcome to the Symposium on Risk Factors in Genetic Modification. This event aims to explore and discuss the various risks associated with genetic modification technologies, highlighting ethical, scientific, and societal considerations.

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### Session 1: Ethical and Moral Risks

**1. Playing God Ethic**
- **Concern**: Some argue that genetic modification involves humans assuming a role traditionally attributed to a higher power, raising ethical questions.
- **Example**: Altering the genetic code in ways that fundamentally change organisms beyond natural evolution.

**2. Ethical Use of Technology**
- **Concern**: Ensuring that genetic modification is used responsibly and ethically, with consideration for potential consequences.
- **Example**: Ethical guidelines for gene editing in humans to prevent unintended harms and uphold moral integrity.

---

### Session 2: Scientific Risks and Challenges

**1. Off-Target Effects**
- **Concern**: Genetic modification techniques may inadvertently affect parts of the genome outside the intended target, leading to unintended consequences.
- **Example**: Off-target mutations in gene editing experiments that could impact normal cellular functions.

**2. Long-Term Effects**
- **Concern**: The potential for genetic modifications to have unforeseen long-term effects on organisms and ecosystems.
- **Example**: Environmental impact assessments of genetically modified organisms to understand ecological consequences.

---

### Session 3: Socio-Economic and Regulatory Risks

**1. Socio-Economic Disparities**
- **Concern**: Access to genetic modification technologies and their benefits may exacerbate socio-economic inequalities.
- **Example**: Differential access to gene therapies based on affordability and healthcare disparities.

**2. Regulatory Oversight**
- **Concern**: Ensuring robust regulatory frameworks to oversee genetic modification research and applications.
- **Example**: Ethical review boards and governmental agencies overseeing gene editing experiments to protect public health and safety.

---

### Session 4: Public Perception and Communication

**1. Public Trust**
- **Concern**: Building and maintaining public trust in genetic modification technologies and their ethical use.
- **Example**: Engaging with communities to address concerns and ensure transparency in research and applications.

**2. Ethical Communication**
- **Concern**: Communicating the risks and benefits of genetic modification accurately and ethically.
- **Example**: Ethical guidelines for media and scientific communication to prevent misinformation and promote informed public discourse.

---

### Conclusion

This symposium highlights the multifaceted risks associated with genetic modification technologies, emphasizing the importance of ethical considerations, scientific rigor, regulatory oversight, and effective communication. By addressing these risks thoughtfully and collaboratively, we can navigate the complexities of genetic modification responsibly while maximizing its potential benefits for humanity and the environment.

2024 World Economic Forum.

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Nature is grace itself’. I strive to show us how to throw off our ‘Mind Forg’d Monacles’: both the bondage of social conditioning and de historical dictatorship