Narayanasamy Shaman, Markina Varvara, Thorogood Adrian, Blazkova Adriana, Shabani Mahsa, Knoppers Bartha M, Prainsack Barbara, Koesters Robert
Megeno S.A., Esch-sur-Alzette, Luxembourg.
Centre of Genomics and Policy, McGill University, Montreal, QC, Canada.
Front Genet. 2020 May 6;11:303. doi: 10.3389/fgene.2020.00303. eCollection 2020.
Whole genome/exome sequencing (WGS/WES) has become widely adopted in research and, more recently, in clinical settings. Many hope that the information obtained from the interpretation of these data will have medical benefits for patients and-in some cases-also their biological relatives. Because of the manifold possibilities to reuse genomic data, enabling sequenced individuals to access their own raw (uninterpreted) genomic data is a highly debated issue. This paper reports some of the first empirical findings on personal genome access policies and practices. We interviewed 39 respondents, working at 33 institutions in 21 countries across Europe. These sequencing institutions generate massive amounts of WGS/WES data and represent varying organisational structures and operational models. Taken together, in total, these institutions have sequenced ∼317,259 genomes and exomes to date. Most of the sequencing institutions reported that they are able to store raw genomic data in compliance with various national regulations, although there was a lack of standardisation of storage formats. Interviewees from 12 of the 33 institutions included in our study reported that they had received requests for personal access to raw genomic data from sequenced individuals. In the absence of policies on how to process such requests, these were decided on an basis; in the end, at least 28 requests were granted, while there were no reports of requests being rejected. Given the rights, interests, and liabilities at stake, it is essential that sequencing institutions adopt clear policies and processes for raw genomic data retention and personal access.
全基因组/外显子组测序(WGS/WES)已在研究领域广泛应用,最近也开始应用于临床环境。许多人希望从这些数据解读中获得的信息能给患者带来医疗益处,在某些情况下,也能给他们的生物学亲属带来益处。由于复用基因组数据存在多种可能性,让测序个体能够获取自己的原始(未解读)基因组数据成为了一个备受争议的问题。本文报告了一些关于个人基因组访问政策与实践的首批实证研究结果。我们采访了来自欧洲21个国家33家机构的39名受访者。这些测序机构产生了大量的WGS/WES数据,代表了不同的组织结构和运营模式。总体而言,这些机构迄今已对约317,259个基因组和外显子组进行了测序。大多数测序机构报告称,他们能够按照各国的不同规定存储原始基因组数据,不过存储格式缺乏标准化。我们研究涵盖的33家机构中有12家的受访者报告称,他们收到了测序个体要求获取原始基因组数据的请求。由于缺乏处理此类请求的政策,这些请求都是逐案决定的;最终,至少28项请求获得批准,没有报告称请求被拒绝。鉴于其中涉及的权利、利益和责任,测序机构必须采用明确的政策和流程来保留原始基因组数据并处理个人访问请求。