Nyika Aceme
African Malaria Network Trust (AMANET), Dar es Salaam, Tanzania.
Acta Trop. 2009 Nov;112 Suppl 1:S21-31. doi: 10.1016/j.actatropica.2009.07.034. Epub 2009 Aug 8.
The nature of some potential benefits and risks associated with genetic research is different from the types of potential benefits and risks associated with other types of health research such as clinical trials and biomedical research involving humans. Whereas most potential risks associated with biomedical research or clinical trials are mainly biological in nature, potential risks associated with genetic research are mainly of socioeconomic nature. Although the peculiarity of some of the aspects of genetic research and the complexity of the science involved are acknowledged, the extent to which these characteristics hinder firstly disclosure of information to participants and their communities and secondly comprehension of the disclosed information is a practical challenge that tends to be exaggerated in some cases. In this article, a brief overview of the various types of genetic research will be given in order to set the scene for some ethical and practical issues surrounding the research in developing countries that will be discussed subsequently. Case studies that illustrate some of the ethical and practical issues flagged will be given, followed by suggestions on possible ways of tackling some of the challenges in developing country settings. Nevertheless, genetic and genomic research could go a long way in providing knowledge that could be useful in the development of drugs and vaccines for many diseases affecting the developing countries.
与基因研究相关的一些潜在益处和风险的性质,不同于与其他类型健康研究(如临床试验以及涉及人类的生物医学研究)相关的潜在益处和风险类型。大多数与生物医学研究或临床试验相关的潜在风险主要是生物学性质的,而与基因研究相关的潜在风险主要是社会经济性质的。尽管基因研究某些方面的特殊性以及所涉及科学的复杂性是公认的,但这些特征首先在多大程度上阻碍向参与者及其社区披露信息,其次在多大程度上阻碍对所披露信息的理解,这是一个实际挑战,在某些情况下往往被夸大了。在本文中,将对各类基因研究进行简要概述,以便为后续将讨论的发展中国家围绕该研究的一些伦理和实际问题搭建背景。将给出说明所提出的一些伦理和实际问题的案例研究,随后是关于在发展中国家背景下应对一些挑战的可能方式的建议。然而,基因和基因组研究在提供有助于开发针对影响发展中国家许多疾病的药物和疫苗的知识方面大有可为。