Current status and legal/ethical problems in the research use of the tissues of aborted human fetuses in Japan.

BACKGROUND To date there is no law regulating the research use of human aborted fetuses in Japan. OBJECTIVE The aim was to review the current status with historical background and legal/ethical problems limiting the research use of the tissues of aborted human fetuses. METHOD We reviewed literature via PubMed, Web of Science, Scopus, Japana Centra Revuo Medicina and CiNii, reports from various committees and research groups from Ministry of Health, Labour and Welfare (MHLW), and domestic books. RESULTS Aborted human fetal tissues used for research purposes were first documented in the 1920s. The first guideline, the Peel Code was released in 1972. Since then, in Western countries, the research use of aborted fetuses has been less restricted compared with that of embryos, due to the following guidelines outlined by expert groups. Currently, aborted fetal tissues are commercially available for research purposes in the US. In Japan, only four indications are presented in "a public statement permitting research use of deceased fetuses' and 'neonates' organs etc." (1987). In the 2000s, expert committees of the MHLW concluded that research use of human aborted fetuses should be discontinued, and that comprehensive rules and independent regulations should be implemented. This issue has not been discussed in the Japanese legislature since 2003. DISCUSSION Establishment of laws and guidelines for this issue is insufficient not only in Japan but also in other countries. It is important to secure transparency for making laws and guidelines and in obtaining public understanding. This article is protected by copyright. All rights reserved.