Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor.
Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor.
JAMA Oncol. 2019 Mar 1;5(3):406-410. doi: 10.1001/jamaoncol.2018.6988.
Newly revised regulations for human research affecting translational oncology will become effective in January 2019. A substantial component of the debate leading to this revision was how to regulate biospecimen research; specifically, whether all biospecimens should be considered inherently "identifiable," thereby necessitating informed consent for use in research. The famous cases seminal to this discussion involve cancer cell lines, but the unique features of this kind of biospecimen research were largely missing from the regulatory deliberation. However, special aspects of cell line research-at the stages of procurement, generation, evolution, and sharing-alter how society should balance participant interests against the goals of research. Recommendations are offered to cancer researchers and policymakers going forward to enable ethically appropriate regulation of biospecimen research across its diverse spectrum.
新修订的影响转化肿瘤学的人类研究法规将于 2019 年 1 月生效。导致此次修订的辩论的一个重要组成部分是如何规范生物标本研究;具体来说,是否应将所有生物标本都视为固有“可识别”,从而需要获得知情同意才能用于研究。这场讨论的标志性著名案例涉及癌细胞系,但在监管审议中,这种生物标本研究的独特特征在很大程度上被忽略了。然而,细胞系研究在采购、生成、演变和共享阶段的特殊方面改变了社会应该如何平衡参与者利益与研究目标之间的关系。为癌症研究人员和政策制定者提供了建议,以便在其多样化的范围内对生物标本研究进行符合伦理的规范。