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Transparency, consent and trust in the use of customers' data by an online genetic testing company: an Exploratory survey among 23andMe users 在线基因检测公司使用客户数据的透明度、同意和信任:23andMe用户的探索性调查
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-05-15 DOI: 10.1080/14636778.2020.1755636
Aviad E. Raz, E. Niemiec, H. Howard, S. Sterckx, Julian Cockbain, B. Prainsack
23andMe not only sells genetic testing but also uses customer data in its R&D activities and commercial partnerships. This raises questions about transparency and informed consent. Based on a online survey conducted in 2017–18, we examine attitudes of 368 customers of 23andMe toward the company's use of their data. Our findings point at divides in the context of customers' awareness of the two-sided business model of DTC genetics and their attitudes toward consent. While most of our respondents (68%) were aware that 23andMe could store their data and use it for certain purposes without their consent, over 40% were not aware that using and sharing customer data was part of the business model. Views were also divided regarding what type of consent was most appropriate. We explore the implications of these divides for participatory research and for the importance of transparency and trust in commercially-driven scientific knowledge production.
23andMe不仅销售基因检测,还在研发活动和商业合作中使用客户数据。这引发了关于透明度和知情同意的问题。根据2017-18年进行的一项在线调查,我们研究了23andMe的368名客户对公司使用其数据的态度。我们的研究结果指出,在客户对DTC基因的双边商业模式的认识和他们对同意的态度方面存在分歧。虽然我们的大多数受访者(68%)知道23andMe可以在未经他们同意的情况下存储他们的数据并将其用于某些目的,但超过40%的受访者不知道使用和共享客户数据是商业模式的一部分。对于哪种类型的同意是最适当的,意见也有分歧。我们探讨了这些分歧对参与性研究的影响,以及在商业驱动的科学知识生产中透明度和信任的重要性。
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引用次数: 16
Opening up forensic DNA phenotyping: the logics of accuracy, commonality and valuing 开启法医DNA表型:准确性、共性和价值的逻辑
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-30 DOI: 10.1080/14636778.2020.1755638
Roos Hopman
Forensic DNA Phenotyping (FDP) encompasses an emerging set of technologies aimed at predicting physical characteristics of unknown suspects from crime scene DNA traces. In its application FDP involves a variety of settings: research laboratories where FDP tests are developed, forensic laboratories where FDP technologies are used to analyze crime scene DNA traces, and finally the criminal investigation, where results of tests are applied towards finding suspects. In this paper I show that the practices in each of these settings work by a different set of concerns, which I articulate by adopting the notion of “logics” as developed by Annemarie Mol. I ethnographically trace FDP from research lab to investigation, identifying three different logics along the way: those of accuracy, commonality, and valuing respectively. Taken together, I show that these practices do not linearly accumulate but form a heterogeneous assemblage, adding nuance to discussions surrounding FDP.
法医DNA表型(FDP)包含了一套新兴的技术,旨在通过犯罪现场的DNA痕迹预测未知嫌疑人的身体特征。在其应用中,FDP涉及各种环境:开发FDP测试的研究实验室,使用FDP技术分析犯罪现场DNA痕迹的法医实验室,最后是刑事调查,将测试结果用于寻找嫌疑人。在本文中,我展示了每种情况下的实践都有不同的关注点,我通过采用Annemarie Mol提出的“逻辑”概念来阐明这些关注点。我从研究实验室到调查,从民族志上追踪FDP,并在此过程中分别确定了三种不同的逻辑:准确性、共性和价值。综上所述,我表明这些实践并不是线性累积的,而是形成了一个异质的组合,为围绕FDP的讨论增加了细微差别。
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引用次数: 8
A cold yield. Cryopreserved oocytes of “social freezing” customers as potential option values for biomedical research 冷产量。“社会冷冻”客户的冷冻卵母细胞作为生物医学研究的潜在选择价值
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-30 DOI: 10.1080/14636778.2020.1755637
Alexander Friedrich
While the demand for “social freezing” services has increased significantly in recent years, the number of cryopreserved eggs that are actually being used in treatment remains very low, so far. Both tendencies indicate a continuously growing stock of unused oocytes. In this article, I discuss the possibility that the growing stock could be co-opted to solve the problem of egg procurement especially for biomedical research. As a consequence, the secondary utilization of female fertility resources would become their main form of use. However, this would finally turn the customers of fertility services into unintended productive forces of a cryotechnologically advanced bioeconomy. The paper discusses the risk of a subtle form of exploitation that could be associated with this reproductive service in the future, which will pose further challenges for the practice of informed consent.
虽然近年来对“社会冷冻”服务的需求显著增加,但到目前为止,实际用于治疗的冷冻卵子数量仍然非常少。这两种趋势都表明未使用卵母细胞的存量在不断增加。在这篇文章中,我讨论的可能性,可以利用生长的库存来解决鸡蛋的采购问题,特别是用于生物医学研究。因此,女性生育资源的二次利用将成为其主要利用形式。然而,这最终会将生育服务的客户转变为冷冻技术先进的生物经济的意想不到的生产力。本文讨论了一种微妙的剥削形式的风险,这种剥削形式可能与未来的生殖服务有关,这将对知情同意的实践构成进一步的挑战。
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引用次数: 12
The welfare state driving “me” and “we” medicine – a critical discourse analysis 福利国家驱动“我”与“我们”医学——批判性话语分析
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-28 DOI: 10.1080/14636778.2020.1755635
M. Terkildsen, V. Burau, Ulla Væggemose, Nina Konstantin Nissen
This study explored the relationship between visions of personalized medicine, for-profit companies, and state governance in the context of an ongoing discussion of “me” vs. “we” medicine. It took its empirical departure in a Scandinavian welfare state, Denmark, and a discourse analysis was conducted based on interviews, documents, webpages, and media sources from vital public and private stakeholders. The analysis demonstrated how the development of a program for personalized medicine in Denmark emerges as largely driven by the state. Although for-profit companies are involved, the Danish state governs the development of the personalized medicine program single-handedly. This results in a form of personalized medicine framed in both “me” and “we” discursive terms. The analysis revealed that the welfare state plays a dominating role and controls these discourses articulating certain ideas of “me” and “we.” When compared to other studies, these results showed how the role of welfare states may still remain potent in the development of personalized medicine, and in the case of a Scandinavian welfare state, this challenges established views of a “me” vs. “we” dichotomy.
在“我”与“我们”医学的持续讨论背景下,本研究探讨了个性化医疗愿景、营利性公司和国家治理之间的关系。它以斯堪的纳维亚福利国家丹麦为实证出发点,并基于重要的公共和私人利益相关者的访谈、文件、网页和媒体来源进行了话语分析。分析表明,丹麦个性化医疗项目的发展在很大程度上是由国家推动的。虽然营利性公司也参与其中,但丹麦政府一手管理着个性化医疗项目的发展。这导致了一种以“我”和“我们”两种话语形式框架的个性化医疗形式。分析表明,福利国家在这些表达“我”和“我们”某些观念的话语中起着主导作用和控制作用。与其他研究相比,这些结果表明,福利国家在个性化医疗的发展中可能仍然发挥着重要作用,而在斯堪的纳维亚福利国家的情况下,这挑战了“我”与“我们”二分法的既定观点。
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引用次数: 8
Bioinsecurities: disease interventions, empire, and the government of species 生物不安全:疾病干预、帝国和物种治理
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-26 DOI: 10.1080/14636778.2020.1755640
Courtney Addison
In Bioinsecurities, Neel Ahuja charts the lively and affective forces that constitute and threaten US empire. Racialized discourses of contagion and risk are repeatedly coded as matters of security...
在《生物不安全》一书中,尼尔·阿胡贾描绘了构成并威胁美国帝国的活跃而有力的力量。传染和风险的种族化话语被反复编码为安全问题。
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引用次数: 5
Facing legal barriers regarding disclosure of genetic information to relatives 在向亲属披露遗传信息方面面临法律障碍
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-21 DOI: 10.1080/14636778.2020.1755639
Roy Gilbar, S. Barnoy
Leading research projects are evidence of the growing public interest in genetic diagnosis and treatment. In this context, disclosure of genetic information to relatives has become a prominent issue. However, this involves patient confidentiality, which is grounded in law and conflicts with disclosure to relatives. When conducting a legal and bioethical discussion in this context, it is first necessary to examine how clinicians perceive the role of law in their practice and how they interpret it. A qualitative study was therefore conducted among clinicians in Israel. The findings indicate that the clinicians’ approach is more relational than that of the law, in view of their pro-active steps to ensure that familial information reaches the relatives when the patient is reluctant to convey this information themselves. In light of these findings the authors argue that the law can resolve situations of explicit and implicit refusal to inform relatives.
领先的研究项目是公众对基因诊断和治疗日益增长的兴趣的证据。在这种背景下,向亲属披露遗传信息已成为一个突出的问题。然而,这涉及到病人的保密,这是基于法律的,与向亲属透露有冲突。在这种情况下进行法律和生物伦理讨论时,首先有必要检查临床医生如何看待法律在其实践中的作用以及他们如何解释法律。因此,在以色列的临床医生中进行了定性研究。研究结果表明,临床医生的方法比法律更具有相关性,因为他们采取了积极的步骤,以确保在患者不愿自己传达这些信息时,将家庭信息传达给亲属。鉴于这些发现,作者认为,法律可以解决明确或暗示拒绝通知亲属的情况。
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引用次数: 0
Television and the genetic imaginary 电视和基因想象
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-21 DOI: 10.1080/14636778.2020.1755641
Kostas Kampourakis
There is no doubt that television can provide various representations of what science is and how it is done, as well as convey various messages about the specifics of various disciplines. As far as...
毫无疑问,电视可以提供科学是什么以及科学是如何进行的各种表现,也可以传达关于不同学科细节的各种信息。就…而言
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引用次数: 0
A feeling for the (micro)organism? Yeastiness, organism agnosticism and whole genome synthesis 对(微生物)有机体的感觉?酵母,有机体不可知论和全基因组合成
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-09 DOI: 10.1080/14636778.2020.1736537
J. Calvert, E. Szymanski
Synthetic biologists attempt to apply engineering principles to biological systems. This involves treating organisms as “chassis” – neutral frames into which synthetic constructs can be inserted, rather than living entities with distinctive features. Here we focus on a particularly charismatic organism – Saccharomyces cerevisiae (brewer's yeast) – and the attempt to make a synthetic version of its genome. We argue that the “personality” of the yeast and the affective relationship scientists (and others) have to it, challenges the “organism agnosticism” of synthetic biology. This leads us to ask whether synthetic biologists have straightforwardly exploitative relationships to the organisms they work on. We connect this “feeling for the (micro)organism” to the activity of engineering whole genomes, rather than discrete genetic parts. We argue that this connection is significant because we are likely to see an escalation in attempts to synthesize complete genomes in the future, including the human genome.
合成生物学家试图将工程原理应用于生物系统。这包括将生物体视为“底盘”——可以插入合成结构的中性框架,而不是具有独特特征的生物实体。在这里,我们关注的是一种特别有魅力的生物——酿酒酵母——以及合成其基因组的尝试。我们认为,酵母的“个性”以及科学家(和其他人)与它的情感关系,挑战了合成生物学的“有机体不可知论”。这让我们不禁要问,合成生物学家是否与他们研究的生物有着直接的剥削关系。我们将这种“对(微生物)有机体的感觉”与整个基因组的工程活动联系起来,而不是将其与离散的基因部分联系起来。我们认为,这种联系是重要的,因为我们很可能会看到未来合成完整基因组的尝试的升级,包括人类基因组。
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引用次数: 5
Genome editing: the dynamics of continuity, convergence, and change in the engineering of life 基因组编辑:生命工程中连续性、收敛性和变化的动态
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-02 DOI: 10.1080/14636778.2020.1730166
P. Martin, M. Morrison, Ilke Turkmendag, B. Nerlich, Aisling McMahon, Stevienna de Saille, A. Bartlett
Genome editing enables very accurate alterations to DNA. It promises profound and potentially disruptive changes in healthcare, agriculture, industry, and the environment. This paper presents a multidisciplinary analysis of the contemporary development of genome editing and the tension between continuity and change. It draws on the idea that actors involved in innovation are guided by “sociotechnical regimes” composed of practices, institutions, norms, and cultural beliefs. The analysis focuses on how genome editing is emerging in different domains and whether this marks continuity or disruption of the established biotechnology regime. In conclusion, it will be argued that genome editing is best understood as a technology platform that is being powerfully shaped by this existing regime but is starting to disrupt the governance of biotechnology. In the longer term is it set to converge with other powerful technology platforms, which together will fundamentally transform the capacity to engineer life.
基因组编辑可以非常精确地改变DNA。它有望在医疗保健、农业、工业和环境方面带来深远的、潜在的颠覆性变化。本文提出了基因组编辑的当代发展和连续性与变化之间的紧张多学科分析。它借鉴了这样一种观点,即参与创新的行为者受到由实践、制度、规范和文化信仰组成的“社会技术制度”的指导。该分析的重点是基因组编辑如何在不同领域出现,以及这是否标志着现有生物技术制度的连续性或破坏性。总之,有人认为,基因组编辑最好被理解为一种技术平台,它正在受到现有制度的有力塑造,但正开始扰乱生物技术的治理。从长远来看,它将与其他强大的技术平台融合,这些平台将从根本上改变人类设计生活的能力。
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引用次数: 15
Commercialization of the gene-edited crop and morality: challenges from the liberal patent law and the strict GMO law in the EU 基因编辑作物的商业化与道德:来自欧盟自由专利法和严格转基因法的挑战
IF 1.8 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2020-04-02 DOI: 10.1080/14636778.2019.1686968
Li Jiang
The EU aspires to utilize the economic advantages of gene-editing technology on one hand and ensure human health and environmental safety on the other. Surrounding the fierce debates over emerging gene-edited plant, the current debate focused on the issue of whether the gene-edited crop should be within or outside the GMO law and its implication for innovation. It should not be forgotten that it is also involved in the complex patentability issues pertaining to the legal interpretation of the patent law. The gene-edited crop is governed by GMO regulations due to its potential risk to human health and environmental safety. But it is heavily patented, as patent regulations ignore its potential risk. This article examines the discrepancy of the gene-edited crop between the existing GMO law and the patent law and reveals the challenges to current EU jurisdiction, including the international trade impediment challenge, the patent monopoly challenge, the market confusion challenge, and the agricultural economy suspension challenge. In the end, this article argues that EU GMO regulations should be bridged with a patent system in facing the regulatory challenges from the gene-edited crop.
欧盟一方面希望利用基因编辑技术的经济优势,另一方面希望确保人类健康和环境安全。围绕新出现的基因编辑植物的激烈争论,目前的争论焦点是基因编辑作物应该在转基因生物法之内还是之外,以及它对创新的影响。不应忘记的是,它还涉及与专利法的法律解释有关的复杂的可专利性问题。由于基因编辑作物对人类健康和环境安全的潜在风险,它受到转基因生物法规的监管。但由于专利法规忽视了它的潜在风险,它的专利含量很高。本文考察了现行转基因生物法与专利法对基因编辑作物的差异,揭示了当前欧盟管辖权面临的挑战,包括国际贸易障碍挑战、专利垄断挑战、市场混乱挑战和农业经济暂停挑战。最后,本文认为,面对基因编辑作物带来的监管挑战,欧盟转基因生物法规应与专利制度相结合。
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引用次数: 11
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New Genetics and Society
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