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新型冠状病毒肺炎基因研究中的知情同意与个人数据保护

Informed Consent and Protection of Personal Data in Genetic Research on COVID-19.

作者信息

Fedeli Piergiorgio, Scendoni Roberto, Cingolani Mariano, Corrales Compagnucci Marcelo, Cirocchi Roberto, Cannovo Nunzia

机构信息

Shool of Law, University of Camerino, 62032 Camerino, Italy.

Department of Law, University of Macerata, 62100 Macerata, Italy.

出版信息

Healthcare (Basel). 2022 Feb 11;10(2):349. doi: 10.3390/healthcare10020349.

Abstract

The particular characteristics of COVID-19 demand the careful biomedical study of samples from patients who have shown different symptomatology, in order to understand the genetic foundations of its phenotypic expression. Research on genetic material from COVID-19 patients is indispensable for understanding the biological bases for its varied clinical manifestations. The issue of "informed consent" constitutes the crux of the problem in regulating research biobanks, because it concerns the relationship between the person and the parts separated from the body. There are several consensus models that can be adopted, varying from quite restricted models of specific informed consent to forms that allow very broad authorization (open consent). Our current understanding of COVID-19 is incomplete. Thus, we cannot plan, with precision, the research to be conducted on biological samples that have been, or will be, collected from patients infected by the novel coronavirus. Therefore, we suggest utilizing the "participation pact" between researchers and donors, based on a new form of participation in research, which offers a choice based on the principles of solidarity and reciprocity, which represent the communication of "values". In the last part of this paper, the general data protection regulation concerning the matter is discussed. The treatment of personal data must be performed with explicit goals, and donors must be provided with a clear, transparent explanation of the methods, goals and time of storage. The data must not be provided to unauthorized subjects. In conclusion, open informed consent forms will be necessary for research on individual patients and on populations.

摘要

新冠病毒病(COVID-19)的独特特征要求对表现出不同症状的患者样本进行细致的生物医学研究,以便了解其表型表达的遗传基础。对COVID-19患者的遗传物质进行研究对于理解其多样临床表现的生物学基础必不可少。“知情同意”问题是规范研究生物样本库问题的关键,因为它涉及个人与从身体分离出的部分之间的关系。有几种共识模式可供采用,从非常严格的特定知情同意模式到允许非常广泛授权的形式(开放式同意)不等。我们目前对COVID-19的了解并不完整。因此,我们无法精确规划对已从新型冠状病毒感染患者身上采集或将要采集的生物样本进行的研究。因此,我们建议基于一种新的研究参与形式,即研究人员与捐赠者之间的“参与契约”,这种形式基于团结和互惠原则提供一种选择,而团结和互惠原则代表了“价值观”的传达。在本文的最后部分,讨论了有关此事的通用数据保护法规。个人数据的处理必须有明确的目标,并且必须向捐赠者清楚、透明地解释存储方法、目标和时间。数据不得提供给未经授权的主体。总之,对于个体患者和人群的研究,开放式知情同意书将是必要的。

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本文引用的文献

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Mapping the human genetic architecture of COVID-19.绘制人类 COVID-19 遗传结构图谱。
Nature. 2021 Dec;600(7889):472-477. doi: 10.1038/s41586-021-03767-x. Epub 2021 Jul 8.
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