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Ethical issues in consumer genome sequencing: Use of consumers samples and data

机译:消费者基因组测序中的伦理问题:消费者样品和数据的使用

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摘要

High throughput approaches such as whole genome sequencing (WGS) and whole exome sequencing (WES) create an unprecedented amount of data providing powerful resources for clinical care and research. Recently, WGS and WES services have been made available by commercial direct-to-consumer (DTC) companies. The DTC offer of genetic testing (GT) has already brought attention to potentially problematic issues such as the adequacy of consumers' informed consent and transparency of companies' research activities. In this study, we analysed the websites of four DTC GT companies offering WGS and/or WES with regard to their policies governing storage and future use of consumers' data and samples. The results are discussed in relation to recommendations and guiding principles such as the “Statement of the European Society of Human Genetics on DTC GT for health-related purposes” (2010) and the “Framework for responsible sharing of genomic and health-related data” (Global Alliance for Genomics and Health, 2014). The analysis reveals that some companies may store and use consumers' samples or sequencing data for unspecified research and share the data with third parties. Moreover, the companies do not provide sufficient or clear information to consumers about this, which can undermine the validity of the consent process. Furthermore, while all companies state that they provide privacy safeguards for data and mention the limitations of these, information about the possibility of re-identification is lacking. Finally, although the companies that may conduct research do include information regarding proprietary claims and commercialisation of the results, it is not clear whether consumers are aware of the consequences of these policies. These results indicate that DTC GT companies still need to improve the transparency regarding handling of consumers' samples and data, including having an explicit and clear consent process for research activities.
机译:诸如全基因组测序(WGS)和全外显子组测序(WES)之类的高通量方法产生了前所未有的数据量,为临床护理和研究提供了强大的资源。最近,商业直接面向消费者(DTC)的公司已经提供了WGS和WES服务。 DTC提供的基因测试(GT)已经引起了人们对潜在问题的关注,例如消费者知情同意的充分性以及公司研究活动的透明度。在这项研究中,我们分析了四个提供WGS和/或WES的DTC GT公司的网站,这些网站管理着存储和将来使用消费者数据和样本的政策。根据建议和指导原则对结果进行了讨论,例如“欧洲人类遗传学会关于健康相关目的的DTC GT声明”(2010年)和“负责任地共享基因组和健康相关数据的框架” (全球基因组与健康联盟,2014年)。分析表明,一些公司可能会存储和使用消费者的样本或测序数据进行未指定的研究,并与第三方共享数据。而且,公司没有向消费者提供足够或清晰的信息,这可能会破坏同意过程的有效性。此外,尽管所有公司都声明他们为数据提供了隐私保护措施并提到了这些限制,但仍缺乏有关重新识别的可能性的信息。最后,尽管可能进行研究的公司确实提供了有关专有权利要求和结果商业化的信息,但尚不清楚消费者是否意识到这些政策的后果。这些结果表明,DTC GT公司仍然需要提高处理消费者样品和数据的透明度,包括对研究活动有明确明确的同意程序。

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