Matsuyama Kotone, Kurihara Chieko, Crawley Francis P, Kerpel-Fronius Sandor
Department of Health Policy and Management, Nippon Medical School, Tokyo, Japan.
Kanagawa Dental University, Yokosuka, Kanagawa, Japan.
Front Genet. 2023 Jun 14;14:1085864. doi: 10.3389/fgene.2023.1085864. eCollection 2023.
Advances in genomic research have significantly enhanced modern drug development. However, equitable benefit sharing of the results of scientific advancement has not always been achieved. This paper shows how molecular biology has modified medicines development while also leaving open significant challenges for benefit sharing. Presented here is a conceptual modeling describing the processes in genetic-related medicines development and how these are related to specific ethical considerations. The focus is on three important areas: 1) population genetics and the need for discrimination prevention; 2) pharmacogenomics and the need for inclusive governance; and 3) global health to be achieved in open science frameworks. Benefit sharing is taken as the ethical value that underlies all these aspects. The implementation of benefit sharing requires a value shift in which the outcomes of health science are not viewed simply as trade commodities but also as a "global public good". This approach should lead to genetic science to contribute to promoting the fundamental human right to health to all members of the global community.
基因组研究的进展显著推动了现代药物研发。然而,科学进步成果的公平利益分享并非总能实现。本文展示了分子生物学如何改变了药物研发,同时也为利益分享带来了重大挑战。这里呈现的是一个概念模型,描述了与基因相关的药物研发过程以及这些过程与特定伦理考量的关系。重点关注三个重要领域:1)群体遗传学与预防歧视的必要性;2)药物基因组学与包容性治理的必要性;3)在开放科学框架下实现全球健康。利益分享被视为所有这些方面的伦理价值基础。利益分享的实施需要一种价值观的转变,即健康科学的成果不应仅仅被视为贸易商品,还应被视为“全球公共利益”。这种方法应促使基因科学为促进全球社会所有成员的基本健康人权做出贡献。