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2
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Privacy and confidentiality measures in genetic testing and counselling: arguing on genetic exceptionalism again?基因检测与咨询中的隐私和保密措施:再次就基因例外论展开争论?
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Between Openness and Privacy in Genomics.基因组学中的开放性与隐私性
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Privacy in the Genomic Era.基因组时代的隐私问题。
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The CpG island methylator phenotype in breast cancer is associated with the lobular subtype.乳腺癌中的 CpG 岛甲基化表型与小叶型亚型相关。
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TET2 mutations predict response to hypomethylating agents in myelodysplastic syndrome patients.TET2突变可预测骨髓增生异常综合征患者对去甲基化药物的反应。
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A new generation of companion diagnostics: cobas BRAF, KRAS and EGFR mutation detection tests.新一代伴随诊断: cobas BRAF、KRAS 和 EGFR 突变检测试剂盒。
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Charting a dynamic DNA methylation landscape of the human genome.绘制人类基因组动态 DNA 甲基化图谱。
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10
ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing.ACMG 临床外显子组和基因组测序中偶然发现报告的推荐标准。
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基因数据有多敏感?

How Sensitive Is Genetic Data?

作者信息

Sariyar Murat, Suhr Stephanie, Schlünder Irene

机构信息

1 Institute of Medical Informatics, Bern University of Applied Sciences , Bienne, Switzerland .

2 Independent Researcher, Cambridge, United Kingdom .

出版信息

Biopreserv Biobank. 2017 Dec;15(6):494-501. doi: 10.1089/bio.2017.0033. Epub 2017 Sep 7.

DOI:10.1089/bio.2017.0033
PMID:28880588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7473038/
Abstract

The rising demand to use genetic data for research goes hand in hand with an increased awareness of privacy issues related to its use. Using human genetic data in a legally compliant way requires an examination of the legal basis as well as an assessment of potential disclosure risks. Focusing on the relevant legal framework in the European Union, we discuss open questions and uncertainties around the handling of genetic data in research, which can result in the introduction of unnecessary hurdles for data sharing. First, we discuss defining features and relative disclosure risks of some DNA-related biomarkers, distinguishing between the risk for disclosure of (1) the identity of an individual, (2) information about an individual's health and behavior, including previously unknown phenotypes, and (3) information about an individual's blood relatives. Second, we discuss the European legal framework applicable to the use of DNA-related biomarkers in research, the implications of including both inherited and acquired traits in the legal definition, as well as the issue of "genetic exceptionalism"-the notion that genetic information has inherent characteristics that require different considerations than other health and medical information. Finally, by mapping the legal to specific technical definitions, we draw some initial conclusions concerning how sensitive different types of "genetic data" may actually be. We argue that whole genome sequences may justifiably be considered "exceptional" and require special protection, whereas other genetic data that do not fulfill the same criteria should be treated in a similar manner to other clinical data. This kind of differentiation should be reflected by the law and/or other governance frameworks as well as agreed Codes of Conduct when using the term "genetic data."

摘要

将基因数据用于研究的需求不断上升,与此同时,人们对其使用过程中涉及的隐私问题也有了更高的认识。以合法合规的方式使用人类基因数据需要审视法律依据,并评估潜在的披露风险。我们聚焦于欧盟的相关法律框架,讨论研究中基因数据处理方面存在的开放性问题和不确定性,这些问题可能会给数据共享带来不必要的障碍。首先,我们讨论一些与DNA相关的生物标志物的定义特征和相对披露风险,区分披露以下信息的风险:(1)个人身份;(2)有关个人健康和行为的信息,包括此前未知的表型;(3)有关个人血亲的信息。其次,我们讨论适用于在研究中使用与DNA相关生物标志物的欧洲法律框架,在法律定义中纳入遗传和后天特征的影响,以及“基因例外论”的问题——即认为基因信息具有内在特征,需要与其他健康和医学信息区别对待。最后,通过将法律定义映射到具体的技术定义,我们得出一些初步结论,即不同类型的“基因数据”实际可能有多敏感。我们认为,全基因组序列可被合理视为“特殊”数据,需要特别保护,而其他不符合相同标准的基因数据应与其他临床数据以类似方式处理。在使用“基因数据”一词时,这种区分应在法律和/或其他治理框架以及商定的行为准则中得到体现。