Julius Center for Health Sciences & Primary Care, Department of Medical Humanities, University Medical Center Utrecht, Internal post Str. 6.131, P.O. Box 85500, GA Utrecht 3508, The Netherlands.
Dutch Cystic Fibrosis Foundation (NCFS), Dr. A. Schweitzerweg 3A, MG Baarn 3744, The Netherlands.
Per Med. 2021 May;18(3):241-254. doi: 10.2217/pme-2020-0161. Epub 2021 Apr 7.
Organoid technology has enormous potential for precision medicine, such as has recently been demonstrated in the field of cystic fibrosis. However, storage and use of organoids has been associated with ethical challenges and there is currently a lack of harmony in regulation and guidelines to govern the rapid emergence of 'organoid medicine'. Developing sound governance demands incorporation of the perspectives of patients as key stakeholders. We conducted 17 semi-structured interviews with people with cystic fibrosis to explore their perspectives on the ethics and governance of organoid biobanking. We identified three themes: prioritization of research and trust, ambivalent views on commercial involvement and transparency and control. Our study offers important insights for ethically robust governance of 'organoid medicine'.
类器官技术在精准医学方面具有巨大的潜力,最近在囊性纤维化领域已经得到了证明。然而,类器官的存储和使用与伦理挑战相关联,目前在规范和指导方针方面缺乏协调,以规范“类器官医学”的快速发展。制定健全的治理需要将患者作为主要利益相关者的观点纳入其中。我们对 17 名囊性纤维化患者进行了半结构化访谈,以探讨他们对类器官生物库的伦理和治理的看法。我们确定了三个主题:对研究和信任的优先排序、对商业参与的矛盾看法以及透明度和控制。我们的研究为“类器官医学”的伦理健全治理提供了重要的见解。