Abstract
Important advances in genetics research have been made in recent years. Such advances have facilitated the availability of huge amounts of genetic information that could potentially be reused beyond the original purpose for which such information was obtained. Any such reuse must meet certain ethical criteria to ensure that the dignity, integrity, and autonomy of the individual from whom that information was obtained are protected. The aim of this paper is to reflect on these criteria through a critical analysis of the literature. To guarantee these values, ethical criteria need to be established in several respects. For instance, the question must be posed whether the information requires special attention and protection (so-called genetic exceptionalism). Another aspect to bear in mind is the most appropriate type of consent to be given by the person involved, on the one hand favouring research and the reuse of genetic information while on the other protecting the autonomy of that person. Finally, there is a need to determine what protection such reuse should have in order to avoid detrimental consequences and protect the rights of the individual. The main conclusions are that genetic information requires special care and protection (genetic exceptionalism) and that broad consent is the most practical and trustworthy type of consent for the reuse of genetic information.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Pereira S, Robinson JO, McGuire AL. Return of individual genomic research results: what do consent forms tell participants? Eur J Hum Genet. 2016;24:1524–9.
McGuire AL, Beskow LM. Informed consent in genomics and genetic research. Annu Rev Genomics Hum Genet. 2010;11:361–81.
Martani A, Genevieve LD, Pauli-Magnus, McLennan S, Elger BS. Regulating the secondary use of data for research: arguments against genetic exceptionalism. Front Genet. 2019;10:1254.
Evans JP, Burke W. Genetic exceptionalism. Too much of a good thing? Genet Med. 2008;10:500–1.
McGuire AL, Fisher R, Cusenza P, Hudson K, Rothstein MA, McGraw D, et al. Confidentiality, privacy, and security of genetic and genomic test information in electronic health records: points to consider. Genet Med. 2008;10:495–9.
Slokenberga S. You can’t put the genie back in the bottle: on the legal and conceptual understanding of genetic privacy in the era of personal data protection in Europe. BioLaw J. 2021;21:223–50.
Mascalzoni D, Hicks A, Pramstaller P, Wjst M. Informed consent in the genomics era. PLoS Med. 2008;5:e192.
Lin Z, Altman RB, Owen AB. Confidentiality in genome research. Science. 2006;313:441–2.
Byrd JB, Greene AC, Prasar DV, Jiang X, Greene C. Responsible, practical genomic data sharing that accelerates research. Nat Rev Genet. 2020;21:615–29.
Stauton C, Slokenberga S, Parziale A, Mascalzoni D. Appropriate safeguards and article 89 of the GDPR: considerations for biobank, databank and genetic research. Front Genet. 2022;13:719317.
Lemke AA, Wolf WA, Herbert-Beirne J, Smith ME. Public and biobank participant attitudes toward genetic research participation and data sharing. Public Health Genom. 2010;13:368–77.
Haga SB, O’Daniel J. Public perspectives regarding data-sharing practices in genomics research. Public Health Genom. 2011;14:319–24.
Shabani M, Borry P. Challenges of web-based personal genomic data Sharing. Life Sci Soc Policy. 2015;11:3.
Khan A, Capps B, Sum MY, Kuswanto C, Sim K. Informed consent for human genetic and genomic studies: a systematic review. Clin Genet. 2014;86:199–206.
Hofmann B. Broadening consent–and diluting ethics?”. J Med Ethics. 2009;35:125–9.
Clayton EW, Halverson CMN, Sathe NA, Malin BA. A systematic literature review of individuals’ perspectives on privacy and genetic information in the United States. PLoS ONE. 2018;13:e0204417.
Gille F, Brall C. Can we know if donor trust expires? About trust relationships and time in the context of open consent for future data use. J Med Ethics. 2022;48:184–8.
Knoppers BM, Joly Y, Simard J, Durocher F. The emergence of an ethical duty to disclose genetic research results: international perspectives. Eur J Hum Genet. 2006;14:1170–8.
Martin-Sanchez FJ, Aguiar-Pulido V, Lopez-Campos GH, Peek KN, Sacchi L. Secondary use and analysis of big data collected for patient care. Yearb Med Inf. 2017;26:28–37.
Wendler D, Emanuel E. The debate over research on stored biological samples: what do sources think? Arch Int Med. 2002;162:1457–62.
Petrini C. Broad consent, exceptions to consent and the question of using biological samples for research purposes different from the initial collection purpose”. Soc Sci Med. 2010;70:217–20.
Johnsson L, Eriksson S. Autonomy is a right, not a feat: how theoretical misconceptions have muddled the debate on dynamic consent to biobank research. Bioethics 2016;30:471–8.
Budin-Ljosnel I, Teare H, Kaye J, Beck S, Bentzen HB, Caenazzo L, et al. Dynamic consent: a potential solution to some of the challenges of modern biomedical research. BMC Med Ethics. 2017;18:4.
Hallinan D. Broad consent under the GDPR: an optimistic perspective on a bright future”. Life Sci Soc Policy. 2020;16:1.
Then SN, Lipworth W, Stewart C, Kerridge I. A framework for ethics review of applications to store, reuse and share tissue samples. Monash Bioeth Rev. 2021;39:115–24.
Teare HJ, Prictor M, Kaye J. Reflections on dynamic consent in biomedical research: the story so far. Eur J Hum Genet. 2021;29:649–56.
Gille F, Vayena E, Blasimme A. Future-proofing biobanks’ governance. Eur J Hum Genet. 2020;28:989–96.
Caulfield T. Biobanks and blanket consent: the proper place of the public good and public perception rationales. King’s Law J 2007;18:209–26.
Clayton EW. Informed consent and biobanks. J Law Med Ethics. 2005;3:15–21.
Grady C, Eckstein L, Berkman B, Brock D, Cook-Deegan R, Fullerton SM, et al. Broad consent for research with biological samples: workshop conclusions. Am J Bioeth. 2015;15:34–42.
McKeown A, Mourby M, Harrison P, Walker S, Sheehan M, Singh I. Ethical issues in consent for the reuse of data in health data platforms. Sci Eng Ethics 2021;27:9.
Hansson MG, Dillner J, Bartram CR, Carlson JA, Helgesson G. Should donors be allowed to give broad consent to future biobank research? Lancet Oncol. 2006;7:266–9.
Regidor E. The use of personal data from medical records and biological materials: ethical perspectives and the basis for legal restrictions in health research. Soc Sci Med. 2004;59:1975–84.
Mascalzoni D, Melotti R, Pattaro C, Pramstaller PP, Gögele M, De Grandi A, et al. Ten years of dynamic consent in the CHRIS study: informed consent as a dynamic process. Eur J Hum Genet. 2022;30:1391–7.
Kaye J, Whitley EA, Lund D, Morrison M, Teare H, Melham K. Dynamic consent : a patient interface for twenty-first century research networks. Eur J Hum Genet. 2014;23:141–6. https://doi.org/10.1038/ejhg.2014.71.
Austin MA, Hardings S, McElroy C. Genebanks: a comparison of eight proposed international genetic databases. Community Genet. 2003;6:37–45.
Salter B, Jones M. Biobanks and bioethics: the politics of legitimation. J Eur Public Policy. 2005;12:710–32.
Hewitt R. Biobanking: The foundation of personalized medicine. Curr Opin Oncol. 2011;23:112–9.
D’Abramo F. Biobank research, informed consent and society. Towards a new alliance? J Epidemiol Community Health. 2015;69:1125–8.
Shalowitz DI, Miller FG. The search for clarity in communicating research results to study participants. J Med Ethics. 2008;34:e17.
Fernandez CV, Kodish E, Weijer C. Informing study participants of research results: an ethical imperative. Ethics Hum Res. 2003;25:12–19.
Parker M, Lucasse AM. Genetic information: a joint account? BMJ. 2004;329:165–7.
Meggiolaro N, Barlow-Stewart K, Dunlop K, Newson AJ, Fleming J. Disclosure to genetic relatives without consent–Australian genetic professionals’ awareness of the health privacy law. BMC Med Ethics. 2020;21:1–10.
Geissbuhler A, Safran C, Buchan I, Bellazzi R, Labkoff S, Eilenberg K, et al. Trustworthy reuse of health data: a transnational perspective. Int J Med Inform 2013;82:1–9 A.
Langhof H, Schwietering J, Strech D. Practice evaluation of biobank ethics and governance: current needs and future perspectives. J Med Genet. 2019;56:176–85.
Helgersson G, Dillner J, Carlson J, Bartram CR, Hansson MG. Ethical framework for previously collected biobank samples. Nat Biotechnol. 2007;25:973–6.
Wiertz S, Boldt J. Evaluating models of consent in changing health research environments. Med Health Care Philos. 2022;25:269–80.
Laurie G. Evidence of support for biobanking practices. BMJ. 2008;337:a337.
Funding
No funding was needed.
Author information
Authors and Affiliations
Contributions
DL, ME, VC and FP developed the research project and wrote the manuscript. MB, HR, JC, JB, FC, MV, MG participated in the discussion, drafted the paper and all authors provided critical revisions.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Lorenzo, D., Esquerda, M., Bofarull, M. et al. The reuse of genetic information in research and informed consent. Eur J Hum Genet 31, 1393–1397 (2023). https://doi.org/10.1038/s41431-023-01457-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41431-023-01457-y
This article is cited by
-
Ambivalence and regret in genome sequencing
European Journal of Human Genetics (2023)