PMID- 33968213 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240401 IS - 1793-9453 (Electronic) IS - 1793-8759 (Print) IS - 1793-9453 (Linking) VI - 13 IP - 2 DP - 2021 Jun TI - Conception of Saviour Siblings: Ethical Perceptions of Selected Stakeholders in Malaysia. PG - 167-178 LID - 10.1007/s41649-021-00166-2 [doi] AB - The conception of saviour siblings using preimplantation genetic diagnosis coupled with human leukocyte antigen (HLA) typing or HLA typing alone is controversial and receives a wide divergence of legal responses among countries around the world. The resulting child conceived through this procedure is dubbed a 'saviour sibling' as the child can potentially act as a compatible donor for an elder ailing sibling who needs a haematopoietic stem cell transplantation. At present, the acceptability of this procedure in Malaysia is ambiguous as there is no specific statute governing assisted reproductive technology, and the guideline issued by the Malaysian Medical Council does not expressly address this issue. The ethical arguments relating to the conception of saviour siblings in the current literature are mainly thought to reflect a liberal viewpoint which is predominantly Western in nature. This paper seeks to explore the perception of selected key stakeholders on the acceptability of and ethical concerns related to this procedure in the Malaysian context. The findings indicate that stakeholders generally support the conception of saviour siblings and some of their concerns echo the Western viewpoint. Interestingly, many were highly anxious about its economic implication, which is rarely discussed in the current literature on saviour siblings. CI - (c) National University of Singapore and Springer Nature Singapore Pte Ltd. 2021. FAU - Kuek, Chee Ying AU - Kuek CY AUID- ORCID: 0000-0001-5545-2846 AD - Faculty of Law, Multimedia University, Melaka, Malaysia. GRID: grid.411865.f. ISNI: 0000 0000 8610 6308 FAU - Gurmukh Singh, Sharon Kaur A/P AU - Gurmukh Singh SKA AD - Faculty of Law, University of Malaya, Kuala Lumpur, Malaysia. GRID: grid.10347.31. ISNI: 0000 0001 2308 5949 FAU - Tay, Pek San AU - Tay PS AD - Advocate & Solicitor, High Court of Malaya, Selangor, Malaysia. LA - eng PT - Journal Article DEP - 20210317 PL - England TA - Asian Bioeth Rev JT - Asian bioethics review JID - 101608807 PMC - PMC8079567 OTO - NOTNLM OT - Assisted Reproduction OT - Ethical perceptions OT - HLA typing OT - Haematopoietic stem cell transplantation OT - Malaysia OT - Preimplantation genetic diagnosis OT - Saviour sibling COIS- Competing InterestsThe authors declare that they have no competing interests. EDAT- 2021/05/11 06:00 MHDA- 2021/05/11 06:01 PMCR- 2022/06/01 CRDT- 2021/05/10 06:22 PHST- 2020/12/21 00:00 [received] PHST- 2021/01/26 00:00 [revised] PHST- 2021/01/27 00:00 [accepted] PHST- 2021/05/10 06:22 [entrez] PHST- 2021/05/11 06:00 [pubmed] PHST- 2021/05/11 06:01 [medline] PHST- 2022/06/01 00:00 [pmc-release] AID - 166 [pii] AID - 10.1007/s41649-021-00166-2 [doi] PST - epublish SO - Asian Bioeth Rev. 2021 Mar 17;13(2):167-178. doi: 10.1007/s41649-021-00166-2. eCollection 2021 Jun.