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January-February 2010

 

Dear Readers,

We would like to take this opportunity to wish you a Happy New Year filled with peace, health and prosperity.

In this first GenInfo of the year, we would like to draw your attention to the publication of the revised draft 2nd edition of the Canadian Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. This new version is available for consultation and comments until March 1st, 2010.

Happy reading!

Thu Minh Nguyen and Ma'n H. Abdul-Rahman (Co-Editors-in-Chief)

 

A Risk Governance Model for Nanotechnology: A Review of International Guidelines and Policy Statements
Bucci L, Stanton-Jean M and Knoppers BM

Abstract: Nanotechnology is acknowledged by the research and development community as the technology of the 21st century. Whether used for combating cancer or improving telecommunication, the scientific breakthroughs emerging from nanotechnology are significant, but it is also understood that they are not without risk. In the midst of understanding the implications of nanotechnology, it has become clear that we should not be misled about nanotechnology’s impact on society. While there are many uncertainties, there is also much promise in that nanotechnology can impact many disadvantaged communities around the world. As is the case with other emerging technologies, a balance has to be found between the risks and the benefits. In this editorial, we examine the relevant international policy statements on nanotechnology and highlight how they provide guidance towards the management of the risks posed, in particular, those affecting human health.

(2009) 7:2 GenEdit, 1-6



INTERNATIONAL / REGIONAL

Bionet: Ethical governance of international biological and biomedical research collaborations
London - September 4, 2009
Link: URL
Key Words: Benefit Sharing - Biobank - Conflict of Interest - Consent - Dignity - Discrimination - Donor - Embryo - Ethical Review - Ethics Review Board - Gamete - Gene Therapy - Genetic Testing - Governance - Patient/Participant/Individual - Pre-implantation - Privacy - Professional - Reproductive Cloning - Research - Researcher - Stem Cell - Storage - Surplus Embryos - Umbilical Cord Blood - Woman/Maternity
NATIONAL

Aetna: Clinical Policy Bulletin: BRCA Testing, Prophylactic Mastectomy and Prophylactic Oophorectomy
Hartford, CT - November 18, 2009
Link: URL
Key Words: Adult - Cancer - Carrier Status - Genetic Screening - Genetic Testing - Insurer/Insurance - Patient/Participant/Individual - Professional - Standard of Care - Woman/Maternity
Australia - Government of Western Australia - Department of Health: Draft Guidelines for Human Biobanks, Genetic Research Databases and Associated Data
East Perth - September 4, 2009
Link: URL
Key Words: Access Info/Material - Biobank - Data - Databases - DNA - Ethical Review - Governance - Intellectual Property - Ownership - Recruitment - Research - Storage
Australia / Government of Victoria - Department of Health: Genetics Services Strategy for Victoria
Melbourne - July 8, 2009
Link: URL
Key Words: Genetic Screening - Genetic Testing
Australia/Government New South Wales - Department of Health: Congenital Conditions Register - Reporting Requirements
North Sydney - October 26, 2009
Link: URL
Key Words: Access Info/Material - Data - Genetic Testing - Minor/Child - Prenatal - Woman/Maternity
Belgian Advisory Committee on Bioethics: Avis no.49 du Comité consultatif de Bioéthique relatif à l'utilisation du diagnostic génétique préimplantatoire (DPI)pour détecter les porteurs sains d´une mutation causant une affection héréditaire grave qui peut entraîner un risque élevé pour les descendants
Brussels - August 28, 2009
Link: URL
Key Words: Disability - Embryo - Eugenics - Genetic Screening - Genetic Testing - Man/Paternity - Minor/Child - Pre-implantation - Prenatal - Respect for Human Life - Tissue - Woman/Maternity
Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH): The Scientific Foundation for Personal Genomics: Recommendations from a National Institutes of Health - Centers for Disease Control and Prevention Multidisciplinary Workshop
Atlanta - August 1, 2009
(2009) 11:8 Genetics in Medicine, 559-67
Link: URL
Key Words: Community/Population - Consumer - Education - Genetic Testing - Professional - Public Health - Research
EuroGentest Network of Excellence: Definitions of Genetic Testing in European and Other Legislation - Final Version
Leuven - June 16, 2009
Link: URL
Key Words: Genetic Screening - Genetic Testing - Research
Human Genetics Commission (HGC): Nothing to hide, nothing to fear? Balancing individual rights and the public interest in the governance and use of the National DNA Database
London - November 24, 2009
Link: URL
Key Words: Access Info/Material - Confidentiality - Data - Databases - Discrimination - DNA - Ethical Review - Ethics Review Board - Governance - Recruitment
Interagency Advisory Panel on Research Ethics (PRE): Revised Draft 2nd Edition - Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans
Ottawa - December 18, 2009
Link: URL
Key Words: Access Info/Material - Adult - Assent/Dissent - Autonomy - Beneficence - Biobank - Communication of Results - Compensation for Participation - Confidentiality - Conflict of Interest - Consent - Consultation/Collaboration - Counseling (general) - Data - Databases - Deceased - Dignity - Discrimination - DNA - Duty to recontact - Duty to Warn - Equity - Ethical Review - Ethics Review Board - Follow-up - Governance - Incompetent Adult - Integrity - Justice - Minor/Child - Patient/Participant/Individual - Privacy - Recruitment - Research - Researcher - Right not to Know - Right of Withdrawal - Storage - Tissue - Waiver of Consent
Society of Obstetricians and Gynaecologists of Canada (SOGC): Preimplantation Genetic Testing
Ottawa - August 1, 2009
(2009) 31:8 JOGC 761
Link: URL
Key Words: Counseling (general) - Counseling (Pre-test) - Disability - Education - Genetic Screening - Genetic Testing - Man/Paternity - Minor/Child - Pre-implantation - Woman/Maternity
United States - Department of Health and Human Services (DHHS), United States - Department of Labor, United States - Department of the Treasury: Interim Final Rules Prohibiting Discrimination Based on Genetic Information in Health Insurance Coverage and Group Health Plans
Washington DC - October 7, 2009
Federal Register, Vol. 74, No. 193 / October 7, 2009 p. 51664
Key Words: Confidentiality - Discrimination - DNA - Employer/Employment - Genetic Testing - Insurer/Insurance - Privacy - Socio-Economic Aspects
United States - Department of Health and Human Services (DHHS) - Food and Drug Administration (FDA): Draft Guidance for Industry: Somatic Cell Therapy for Cardiac Disease
Rockville - March 1, 2009
Link: URL
Key Words: Consent - DNA - Embryo - Genetic Testing - Patient/Participant/Individual - Research - Researcher - Somatic Therapy - Storage - Tissue

Quebec/ Government- Science and Technology Ethics Commission (CEST): Éthique et procréation assistée: des orientations pour le don de gamètes et d'embryons, la gestation pour autrui et le diagnostic préimplantatoire
Québec - October 30, 2009
Link: URL
Key Words: Biobank - Consent - Counseling (general) - Databases - Discrimination - Donor - Embryo - Ethical Review - Eugenics - Gamete - Genetic Testing - Governance - Man/Paternity - Minor/Child - Ownership - Pre-implantation - Prenatal - Professional - Public Health - Researcher - Socio-Economic Aspects - Stem Cell - Surplus Embryos - Tissue - Umbilical Cord Blood - Woman/Maternity

The Biology of Genomes
Organized by: Cold Spring Harbor Laboratory
Date: May 11-15, 2010
Location: Cold Spring Harbor (NY), United States
Information: http://meetings.cshl.edu/meetings/genome10.shtml

Consortium Meeting
Organized by: ENGAGE
Date: May 31-June 1, 2010
Location: Helsinki, Finland
Information: http://www.euengage.org/events.html

Summer Institute - Genetics, Ethics and Clinical Translation
Organized by: ENGAGE and P3G
Date: June 22-25, 2010
Location: Egmond aan Zee, Netherland
Information: http://www.euengage.org/Summer_Institute_2010.html


Bordet S., Knoppers B.M., "L'humain, l'humanité et les biotechnologies", L'humain, l'humanité et le progrès scientifique (eds. Hervé C, Jean MS, Molinari PA, Grimaud M-A , Laforêt E) (France: Dalloz, 2009)
Abstract: [Not available]

Bordet S., Nguyen T.M., Knoppers B.M., Isasi R., "Use of Umbilical Cord Blood for Stem Cell Research", (2010) 32:1 JOGC, 58
Abstract: Umbilical cord blood (UCB), long treated as waste material, is today considered a valuable source of hematopoietic stem cells. UCB is used, mostly in children, for the treatment of blood malignancies and inherited blood and metabolic disorders. In addition to blood precursor cells, UCB also contains stem cells that can differentiate into other types, such as cartilage, fat, hepatic, cardiac, and neural cells, fuelling speculation about the use of cord blood stem cells for regenerative medicine. Further research is therefore needed to investigate the expanded potential of UCB and its therapeutic use in cell and tissue therapies. According to a recent survey, practices for the procurement of UCB for research vary widely across Canada, so this area may not yet be ready for uniform regulation. However, some harmonization of practices to increase the availability of UCB for research would be useful for Canadian investigators. In this article, we address several important ethical and legal issues relating to the use of UCB in research and recommend guidelines to serve as a source of useful information for researchers. While their legal acceptability may vary across Canada, it is hoped that these recommendations foster more harmonized UCB research practices.

Caulfield T., Zarzeczny A., McCormick J., Bubela T., Joly Y., Isasi R. et al, "International stem cell environments: A world of difference", (2009) Nature Reports Stem Cells, doi:10.1038/stemcells.2009.61 
Abstract: [None available]

Caulfield T., Zarzeczny A., McCormick J., Joly Y., Isasi R. et al, "The Stem Cell Research Environment: A Patchwork of Patchworks", (2009) 5:2 Stem Cell Rev. and Rep., 82
Abstract: Few areas of recent research have received as much focus or generated as much excitement and debate as stem cell research. Hope for the therapeutic promise of this field has been matched by social concern associated largely with the sources of stem cells and their uses. This interplay between promise and controversy has contributed to the important as we enter this new era of stem cell research. The current progression towards translational and clinical research among international collaborators serves as a catalyst for identifying potential policy conflict and makes it imperative to address jurisdictional variability in stem cell research environments. The existing patchworks seen in contemporary stem cell research environments provide a valuable opportunity to consider how variations in regulations and policies across and within jurisdictions influence research efficiencies and directions. In one sense, the stem cell research context can be viewed as a living experiment occurring across the globe. The lessons to be gleaned from examining this field have great potential for broad-ranging general science policy application.

Fortin S., Knoppers B.M., "Secondary Uses of Personal Data for Population Research", (2009) 5:1 Genomics, Society and Policy, 60
Abstract: With accompanying infrastructures (databases and biobanks). Population-based research links samples and data from multiple sources often obtained for other purposes. The normative frameworks of many countries are largely based on 1980 OECD principles which limit the uses of personal data, especially for secondary purposes. These limits, now found in legislation, policies and research guidelines, pose major barriers to population-based research. This text examines similarities and differences between epidemiology, public health research and genomics. It also distinguishes between primary and secondary uses of personal information. In a comparative and critical analysis of the normative landscapes of five countries, Québec (Canada), Germany, Australia, the United States and the United Kingdom, three barriers are identified: the impracticability of re-consent; the shortcomings of the review process (ethics and privacy) and certain multi-jurisdictional issues. Recommendations are proposed.

Joly Y., "La biotechnology ouverte - Bilan de la rencontre de deux révolutions", (2009) 25 : 11 Médecine Sciences 957 - 961
Abstract: [Available only in French]

Joly, Y., Pham, C., Shorno, D., Knoppers, B.M., "Down the Rabbit Hole: Technology Transfer in the Field of Stem Cell Research", (2008) 47 Revista da Faculta de Dereito de Universidade Federal do Parana 101
Abstract: This article posits that collaborative models of technology transfer could be considered for their remarkable ability to maintain or increase the pace and quality of scientific development in stem cell research rather than for their potential to fix problems that do not empirically exist. In light of this scientific field’s logistical constraints and its current stage of development, the open model appears to be a particularly suitable collaborative method of technology management for stem cell research.

Kirby É., Lévesque E., Avard D., "Reducing Fears of Participating in Research Involving Genetic Testing", (2009)  1 : 6 MIREC Newsletter 8
Abstract: [None available]

Knoppers B.M., "Challenges to Ethics Review in Health Research", (2009) 17:2-3 Health Law Review, 47
Abstract: [None available]

Knoppers B.M., Avard D., "'Principled' personalized medicine?", (2009) 6:6 Personalized Medicine, 663
Abstract: The advent of both population genomic studies and direct-to-consumer personal genetic testing raises ethical challenges for researchers and physicians alike. Quality and solidarity can now be added to traditional ethical principles, such as autonomy and privacy. There is no doubt that genetic information is going 'public'. Information technologies allow for greater accessibility and integration, but can researchers and physicians handle the challenges? Are ethics committees equipped to handle this shift towards greater openess and towards a conflation of research and traditional medical ethics?

Knoppers B.M., Kharaboyan L., ""Deconstructing" Biobank Communication of Results", (2009) 6:3 SCRIPTed, 677
Abstract: Biobanks have been troubled by a history of confusion and controversy around certain key concepts such as “broad consent”, and, more recently, “return of results”. This article analyses the return of results only as it pertains to the participation of (presumably healthy) volunteers in the creation of longitudinal biobank infrastructures for future unspecified research. Limiting ourselves to the trajectory of a typical protocol then that begins with: the arrival of volunteers at assessment centres for the collection of blood and the filling-in of extensive questionnaires on lifestyle, socio-demographic factors and family history; followed by long term storage; and finally the use by researchers accessing such biobanks (it is evident that it is necessary to distinguish between the different obligations that may arise at distinct moments in this trajectory). We posit that there are five types of communication, and we explore the best means of protecting the privacy of those involved in such biobanks, concluding that international policies are converging towards an ethical duty to return individual genetic research results to subjects, provided there is proof of validity, significance and benefit.

Knoppers B.M., Nguyen T.M., "Prenatal and Preimplantation Diagnosis: International Policy Perspectives", in Milunsky, A. (ed.) Genetic Disorders and the Fetus, (London: Wiley-Blackwell, 2009)
Abstract: None available

Lévesque E., "Les banques de matériel biologique utilisées en recherche : préférer une évaluation globale afin de décider du meilleur moyen de protéger la confidentialité", (2009) 43:3 R.J.T., 773-800
Abstract: [Available only in French]

Tassé A.M., Godard B., "L'internationalisation des services génétiques: Analyse comparative des normes de gouvernance canadiennes, américaines, britanniques et australiennes", L'internationalisation des services génétiques: Analyse comparative des normes de gouvernance canadiennes, américaines, britanniques et australiennes (Montréal: Thémis, 2009)
Abstract: [None available]

Tassé A.M., Godard, B., "Analyse éthique de l’internationalisation des services de laboratoires génétiques", (2009) 6:3 Éthique & Santé 152, online: URL
Abstract: Since the discovery of the double helix structure of DNA in 1953, knowledge in genetics has grown exponentially. The decoding of the human genome suggests the creation of an impressive array of new diagnostic tests. Nevertheless, a large number of genetic disorders are rare, and required tests are sometimes available only in specialized laboratories. For this reason, many samples must be sent abroad to be tested. However, a comparative analysis shows that most countries have different frameworks governing genetic laboratories and patient rights. The internationalization of genetic services is an undeniable reality, creating important ethical and legal issues for the health professionals required to send samples abroad for genetic analysis. An analysis of these issues, using three major ethical perspectives, principlism, utilitarianism and deontology, demonstrates prima facie evidence of the ethics of the internationalization of genetic services. However, this analysis also raises several issues created by the coexistence of different national frameworks governing genetic laboratory services.

Zarzeczny A., Scott C., Isasi R. et. al., "iPS Cells: Mapping the Policy Issues", (2009) 139:6 Cell, 1032, online: URL
Abstract: Given the explosion of research on induced pluripotent stem (iPS) cells, it is timely to consider the various ethical, legal, and social issues engaged by this fast-moving field. Here, we review issues associated with the procurement, basic research and clinical translation of iPS cells.


• PHG Foundation – Monthly News : http://www.phgfoundation.org/pages/update.htm
• CDC Office of Public Health Genomics - Genomics & Health Weekly Update:
    http://www.cdc.gov/genomics/update/current.htm


Editor-in-chief: Thu Minh Nguyen  |  Associate editor: Ma'n H. Zawati |  Contributing editors: HumGen Team   | Webmaster: Dan-Thanh Truong  | Director: Bartha Maria Knoppers  |  Research Director: Denise Avard


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