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Ethical issues concerning familial disease research in the era of next-generation sequencing

Research Project

Project/Area Number 16K16333
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Sociology/History of science and technology
Research InstitutionNational Center for Global Health and Medicine (2018-2019)
The University of Tokyo (2016-2017)

Principal Investigator

Takashima Kyoko  国立研究開発法人国立国際医療研究センター, その他部局等, 上級研究員 (10735749)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
KeywordsELSI / 家族性疾患 / 遺伝情報の患者家族への開示 / 守秘義務 / ゲノム医療と倫理 / データ共有 / 遺伝情報の患者家系員への開示 / ヒトゲノム / 研究倫理 / ゲノム研究
Outline of Final Research Achievements

This study aimed to clarify ethical concerns for familial/hereditary disease research in the era of next-generation sequencing. Through literature study and empirical study, three main outcomes were achieved: 1) ethical considerations in familial genomic data sharing that researchers and other stakeholders conducting familial disease study should manage are identified, and an article of recommendations for them was published; 2) surveys which subjected to the public were conducted to clarify their knowledge and comprehension about genome or genetic information, views against ethical concerns in genomic research, and preferences for genomic medicine; 3) a dilemma between sharing of patients’ genetic information with their family members and confidentiality, and its ethical and legal issues were examined with reviewing international latest discussion and national regulations and guidelines, and published.

Academic Significance and Societal Importance of the Research Achievements

国内においてNGSを用いた家族性疾患研究や大規模多施設共同研究はすでに実施されており、さらに本研究の実施期間中、コンパニオン診断薬やがん遺伝子パネル検査が保険収載されるなど国内のゲノム医療が大きく進展、国民にとって現実的な治療選択肢となり、患者同様、家系員への配慮の重要性が一層増している。そうした状況において、本研究が提示した倫理的配慮事項は、現に実施される国内外の家族性疾患ゲノム研究において、必要かつ直ちに実践に生かせるものである。また、研究倫理及びELSI研究(医学研究の倫理的・法的・社会的問題に取り組む研究分野)の領域においても新たな意義を提起すると考える。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (23 results)

All 2020 2019 2018 2017 2016

All Journal Article (8 results) (of which Peer Reviewed: 7 results,  Open Access: 6 results) Presentation (12 results) (of which Int'l Joint Research: 3 results,  Invited: 1 results) Book (3 results)

  • [Journal Article] 研究で用いたゲノムデータの共有に関する患者・市民の期待と懸念―研究者との対話を通じた試み2020

    • Author(s)
      高島響子,東島仁,鎌谷洋一郎,川嶋実苗,谷内田真一,三木義男,武藤香織.
    • Journal Title

      科学技術社会論研究

      Volume: 18 Pages: 147-160

    • NAID

      130008031945

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 出生前羊水染色体検介におけるロバートソン転座の症例報告をめぐって~医療倫理の四原則の対立状況とゲノム情報の伝達プロセスの観点からの考察~2019

    • Author(s)
      荒川玲子,高島響子,池田真理子,徳富智明,河村理恵,佐々木規子,山本佳世乃,中谷中,鈴森伸宏,古庄知己.
    • Journal Title

      日本遺伝カウンセリング学会誌

      Volume: 40 Pages: 211-213

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] UFI女性に対する子宮移植の実用化に向けた法的・倫理的課題の検討と代替手段の考察―代理懐胎の倫理的問題を回避する解決策といえるか?―2019

    • Author(s)
      高島響子.
    • Journal Title

      生命倫理

      Volume: 30 Pages: 37-44

    • NAID

      130007883657

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 日本生命倫理学会と生命倫理学の30年2019

    • Author(s)
      高島響子,浦出美緒,中田亜希子,中澤栄輔,伊吹友秀.
    • Journal Title

      生命倫理

      Volume: 30 Pages: 4-36

    • NAID

      130007883661

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Where Can Patients Obtain Information on the Preapproval Access Pathway to Investigational Treatment in Japan? A Survey of Patient Advocacy Organizations’ Websites2019

    • Author(s)
      Nakada Haruka, Takashima Kyoko
    • Journal Title

      Clinical Pharmacology in Drug Development

      Volume: 8 Issue: 8 Pages: 978-983

    • DOI

      10.1002/cpdd.745

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ethical concerns on sharing genomic data including patients' family members.2018

    • Author(s)
      Takashima K, Maru Y, Mori S, Mano H, Noda T, Muto K.
    • Journal Title

      BMC Med Ethics.

      Volume: 19 Issue: 1 Pages: 61-61

    • DOI

      10.1186/s12910-018-0310-5

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Current Status of Policy for Genome Medicine in Finland2018

    • Author(s)
      中田はる佳,高島響子,吉田幸恵,永井亜貴子,平沢晃
    • Journal Title

      JOURNAL OF FAMILIAL TUMORS

      Volume: 18 Issue: 2 Pages: 42-47

    • DOI

      10.18976/jsft.18.2_42

    • NAID

      130007554731

    • ISSN
      1346-1052, 2189-6674
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical ethics in risk-reducing surgery in hereditary breast and ovarian cancer2017

    • Author(s)
      武藤香織,高島響子.
    • Journal Title

      JOURNAL OF FAMILIAL TUMORS

      Volume: 17 Issue: 1 Pages: 2-7

    • DOI

      10.18976/jsft.17.1_2

    • NAID

      130006832908

    • ISSN
      1346-1052, 2189-6674
    • Related Report
      2017 Research-status Report
    • Open Access
  • [Presentation] 患者遺伝情報に対する家族アプローチによる守秘義務の再考2019

    • Author(s)
      高島響子.
    • Organizer
      日本生命倫理学会第31回年次大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 高リスク未発症者に対する倫理的課題2019

    • Author(s)
      高島響子.
    • Organizer
      日本人類遺伝学会第64回大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 遺伝性疾患のある子どもの父親に関する理解のための試み2019

    • Author(s)
      渡辺基子,高島響子,川島亜紀子,三宅秀彦.
    • Organizer
      臨床遺伝2019 in Sapporo(第43回日本遺伝カウンセリング学会・第26回日本遺伝子診療学会 合同学術集会)
    • Related Report
      2019 Annual Research Report
  • [Presentation] NCGMバイオバンクの分譲モデル2019

    • Author(s)
      高島響子,鈴木哲史,山本圭一郎,安田和基,新谷幸子,多田敬一郎,丸岡豊.
    • Organizer
      第5回クリニカルバイオバンク学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 遺伝子診療の関わる倫理的課題2018

    • Author(s)
      高島響子
    • Organizer
      第4回日本産科婦人科遺伝診療学会学術講演会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 患者家系員を含むゲノム研究のデータ共有における倫理的懸念2018

    • Author(s)
      高島響子
    • Organizer
      日本生命倫理学会第30回年次大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 予防的医療と生と性 ー生命倫理から考えるRRSOー2017

    • Author(s)
      武藤香織、高島響子
    • Organizer
      第5回HBOCコンソーシアム学術集会
    • Place of Presentation
      北海道・札幌市
    • Year and Date
      2017-01-21
    • Related Report
      2016 Research-status Report
  • [Presentation] 市民・患者からみた遺伝情報の利活用と差別(1)~研究利用とデータ共有に関する一般市民対象調査研究~2017

    • Author(s)
      高島響子,永井亜貴子,吉田幸恵,中田はる佳,井上悠輔,東島仁,丸祐一,武藤香織.
    • Organizer
      日本人類遺伝学会第62回大会
    • Related Report
      2017 Research-status Report
  • [Presentation] Japanese public expectations and reluctance on sharing of genomic data used in research: A comparative study of general adults and patients2017

    • Author(s)
      Takashima K, Nagai A, Yoshida S, Nakada H, Inoue Y, Higashijima J, Maru Y, Muto K.
    • Organizer
      The 12th International Workshop on Advance Genomics
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Reconsideration of “research participants” concerning a familial disease registry for prospective genomic research2016

    • Author(s)
      Kyoko TAKASHIMA, Yuichi MARU, Kaori MUTO
    • Organizer
      13th World Congress of Bioethics
    • Place of Presentation
      Edinburgh (Scotland)
    • Year and Date
      2016-06-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 予防的手術をめぐる医療倫理2016

    • Author(s)
      武藤香織、高島響子
    • Organizer
      第22回日本家族性腫瘍学会
    • Place of Presentation
      愛媛県・松山市
    • Year and Date
      2016-06-03
    • Related Report
      2016 Research-status Report
  • [Presentation] Ethical considerations in sharing genomic data of patients’ relatives in cancer research2016

    • Author(s)
      Kyoko Takashima, Seiichi Mori, Hiroyuki Mano, Tetsuo Noda, Kaori Muto
    • Organizer
      European Conference of Human Genetics 2016
    • Place of Presentation
      Barcelona(Spain)
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Book] 遺伝子医学MOOK34号「臨床応用に向けた疾患シーケンス解析」2018

    • Author(s)
      高島響子,武藤香織(分担執筆)
    • Total Pages
      228
    • Publisher
      メディカルドゥ
    • ISBN
      9784944157280
    • Related Report
      2018 Research-status Report
  • [Book] 医事法辞典2018

    • Author(s)
      高島響子(分担執筆)
    • Total Pages
      592
    • Publisher
      信山社
    • ISBN
      9784797270150
    • Related Report
      2018 Research-status Report
  • [Book] 遺伝子医学MOOK別冊シリーズ3「最新多因子遺伝性疾患研究と遺伝カウンセリング」2018

    • Author(s)
      高島響子(分担執筆)
    • Publisher
      メディカルドゥ
    • Related Report
      2017 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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