Genes, cells, and biobanks: Yes, there’s still a consent problem

From a research perspective, the interest in biobanking continues to intensify. Governments and industry have invested heavily in biobanks, as exemplified by initiatives like the United Kingdom Biobank and United States' Precision Medicine Initiative. But despite this enthusiasm, many profound legal and ethical challenges remain unresolved. Indeed, there continues to be disagreements about how best to obtain consent and the degree and nature of control that research participants retain over donated samples and health information. Emerging social trends—including concerns about commercialization and perceived rights of continuing control (“biorights”)—seem likely to intensify these issues.

[1]  S. Gadarian,et al.  Public opinion on policy issues in genetics and genomics , 2013, Genetics in Medicine.

[2]  S. Terry Obama's Precision Medicine Initiative. , 2015, Genetic testing and molecular biomarkers.

[3]  DATA SHARING, BIOBANKS AND INFORMED CONSENT: A RESEARCH PARADOX? , 2013 .

[4]  Judy Illes,et al.  A review of the key issues associated with the commercialization of biobanks , 2014, Journal of law and the biosciences.

[5]  Scott T. Weiss,et al.  Implementation of Electronic Consent at a Biobank: An Opportunity for Precision Medicine Research , 2016, Journal of personalized medicine.

[6]  Ine Van Hoyweghen,et al.  Global trends on fears and concerns of genetic discrimination: a systematic literature review , 2016, Journal of Human Genetics.

[7]  C. Critchley,et al.  Understanding the impact of commercialization on public support for scientific research: Is it about the funding source or the organization conducting the research? , 2011, Public understanding of science.

[8]  H. Greely The uneasy ethical and legal underpinnings of large-scale genomic biobanks. , 2007, Annual review of genomics and human genetics.

[9]  R. D. de Vries,et al.  Moral concerns and the willingness to donate to a research biobank. , 2015, JAMA.

[10]  Henry T. Greely,et al.  Clinical genomics, big data, and electronic medical records: reconciling patient rights with research when privacy and science collide , 2017, Journal of law and the biosciences.

[11]  Jonathan S. Schildcrout,et al.  Public Attitudes toward Consent and Data Sharing in Biobank Research: A Large Multi-site Experimental Survey in the US. , 2017, American journal of human genetics.

[12]  Richard O'Mara Waiting for the Revolution , 1989 .

[13]  M. Bergmann,et al.  Newspaper coverage of biobanks , 2014, PeerJ.

[14]  L. Gostin,et al.  Revamping the US Federal Common Rule: Modernizing Human Participant Research Regulations. , 2017, JAMA.

[15]  Timothy Caulfield,et al.  Scientists’ perspectives on consent in the context of biobanking research , 2014, European Journal of Human Genetics.

[16]  C. Compton,et al.  Biobankonomics: developing a sustainable business model approach for the formation of a human tissue biobank. , 2011, Journal of the National Cancer Institute. Monographs.

[17]  G. Henderson,et al.  Biobanks containing clinical specimens: defining characteristics, policies, and practices. , 2014, Clinical biochemistry.

[18]  John T. Brown Property rights and the human body , 1983 .

[19]  Jeremy Shtern,et al.  Models of Global Internet Governance and the Projection of State Power: The Case of Facebook and the Office of the Privacy Commissioner of Canada , 2010 .

[20]  D. Coomber At the barricades. , 1997, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[21]  Mhairi Aitken,et al.  Public responses to the sharing and linkage of health data for research purposes: a systematic review and thematic synthesis of qualitative studies , 2016, BMC medical ethics.

[22]  Cicely Marston,et al.  Patient and public views about the security and privacy of Electronic Health Records (EHRs) in the UK: results from a mixed methods study , 2015, BMC Medical Informatics and Decision Making.

[23]  Jeffrey C Murray,et al.  Active choice but not too active: Public perspectives on biobank consent models , 2011, Genetics in Medicine.

[24]  James P Evans,et al.  Genetic exceptionalism. Too much of a good thing? , 2008, Genetics in Medicine.

[25]  A. McGuire,et al.  Policy Uncertainty, Sequencing, and Cell Lines , 2013, G3: Genes, Genomes, Genetics.

[26]  S. Somiari,et al.  The Future of Biobanking: A Conceptual Look at How Biobanks Can Respond to the Growing Human Biospecimen Needs of Researchers. , 2015, Advances in experimental medicine and biology.

[27]  M. Willebrand,et al.  No regrets: Young adult patients in psychiatry report positive reactions to biobank participation , 2017, BMC Psychiatry.

[28]  J. V. van Delden,et al.  When Children Become Adults: Should Biobanks Re-Contact? , 2016, PLoS medicine.

[29]  J. P. Porter The federal policy for the protection of human subjects. , 1991, IRB.

[30]  Joan Scott,et al.  Public opinion about the importance of privacy in biobank research. , 2009, American journal of human genetics.

[31]  Timothy Caulfield,et al.  Biobanks and Blanket Consent: The Proper Place of the Public Good and Public Perception Rationales , 2007 .

[32]  Michael Morrison,et al.  Dynamic consent: a patient interface for twenty-first century research networks , 2014, European Journal of Human Genetics.

[33]  P. Burstein The Impact of Public Opinion on Public Policy: A Review and an Agenda , 2003 .

[34]  Laura K. Barker,et al.  Confidentiality in Biobanking Research: A Comparison of Donor and Nondonor Families' Understanding of Risks. , 2017, Genetic testing and molecular biomarkers.

[35]  Jan Schildmann,et al.  Research participants’ perceptions and views on consent for biobank research: a review of empirical data and ethical analysis , 2015, BMC medical ethics.

[36]  Manolis Tsiknakis,et al.  Donor's support tool: Enabling informed secondary use of patient's biomaterial and personal data , 2017, Int. J. Medical Informatics.

[37]  Melissa L McPheeters,et al.  A systematic literature review of individuals' perspectives on broad consent and data sharing in the United States , 2015, Genetics in Medicine.

[38]  Michael Friedewald,et al.  Open consent, biobanking and data protection law: can open consent be ‘informed’ under the forthcoming data protection regulation? , 2015, Life Sciences, Society and Policy.

[39]  Eric M Meslin,et al.  Research Ethics Recommendations for Whole-Genome Research: Consensus Statement , 2008, PLoS biology.

[40]  R. Charo,et al.  Body of research--ownership and use of human tissue. , 2006, The New England journal of medicine.

[41]  Geoffrey S Ginsburg,et al.  Public knowledge of and attitudes toward genetics and genetic testing. , 2013, Genetic testing and molecular biomarkers.

[42]  Ian R. Kerr,et al.  Policy recommendations for addressing privacy challenges associated with cell-based research and interventions , 2014, BMC medical ethics.

[43]  G. Henderson,et al.  Characterizing biobank organizations in the U.S.: results from a national survey , 2013, Genome Medicine.

[44]  T. Caulfield,et al.  Biobanking, consent, and control: a survey of Albertans on key research ethics issues. , 2012, Biopreservation and biobanking.

[45]  W. D. Dotson,et al.  Public Awareness of Genetic Nondiscrimination Laws in Four States and Perceived Importance of Life Insurance Protections , 2015, Journal of Genetic Counseling.

[46]  S. Beck,et al.  Dynamic Consent: a potential solution to some of the challenges of modern biomedical research , 2017, BMC Medical Ethics.

[47]  R. D. de Vries,et al.  Understanding the Public’s Reservations about Broad Consent and Study-By-Study Consent for Donations to a Biobank: Results of a National Survey , 2016, PloS one.

[48]  Timothy Caulfield,et al.  Confronting stem cell hype , 2016, Science.

[49]  Timothy Caulfield,et al.  Biobanks, consent and claims of consensus , 2012, Nature Methods.

[50]  Z. Master The U.S. National Biobank and (No) Consensus on Informed Consent , 2015, The American journal of bioethics : AJOB.

[51]  S. Soini Finland on a road towards a modern legal biobanking infrastructure. , 2013, European journal of health law.

[52]  T. Carey,et al.  Immortal Life of the Common Rule: Ethics, Consent, and the Future of Cancer Research. , 2017, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[53]  G. Geller,et al.  Public perspectives on informed consent for biobanking. , 2009, American journal of public health.