加强基因组学和生物银行的伦理监督:对津巴布韦研究实践的回顾性分析。

IF 3.1 1区 哲学 Q1 ETHICS
Oppah Kuguyo, Alice Matimba, Florence Mutevedzi, Andrew Chimatira, Vasco Chikwasha, Abigail Kangwende, Lovemore Gwanzura, Paul Ndebele
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引用次数: 0

摘要

背景:随着基因组学和生物银行在非洲迅速扩张,基因组研究和生物银行的伦理治理框架往往跟不上步伐,特别是在津巴布韦等国家,这些国家的研究越来越多地涉及国际合作,但监管监督仍然有限。这项研究分析了津巴布韦研究人员如何解决人类生物标本和基因组研究的核心伦理、法律和社会文化问题(ELSIs)。方法:我们对2009年至2016年间提交给津巴布韦医学研究委员会的研究方案进行了全面审查,特别是涉及人类生物标本收集、生物银行和基因组研究的研究方案。采用结构化抽象形式来评估这些协议如何处理关键的elsi,包括知情同意、生物标本和数据共享、利益共享和知识产权考虑。结果:在200个符合条件的方案中,92个(46%)由独立研究机构提交,67个(33.5%)由大学提交。同意实践各不相同:99个(49.5%)协议采用具体同意,37个(18.5%)协议采用广泛同意,37个(18.5%)协议采用全面同意。值得注意的是,2个(1%)协议没有使用知情同意书,而是选择了广泛或具体的通知。只有44个(22%)方案包括销毁收集样本的计划。虽然44份(22%)协议涉及出口生物标本,但其中近三分之二缺乏材料转移协议(MTA)。关键的是,所有协议都没有涉及利益分享,只有26项(13%)涉及知识产权。结论:本综述揭示了津巴布韦基因组学和生物银行研究伦理规划方面的系统性差距。尽管研究人员越来越多地参与前沿科学,但监管和伦理框架需要转型。对利益分享、同意未来使用和知识产权的有限关注反映了更深层次的治理和公平挑战。为了保护研究参与者并确保道德诚信,津巴布韦迫切需要更新国家指南,确定解决各种elsi的最低标准,超越同意和隐私,拥抱正义、问责制和长期管理。加强这些框架对于确保津巴布韦日益增长的生物银行和基因组研究领域的道德诚信至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strengthening ethical oversight in genomics and biobanking: a retrospective analysis of research practices in Zimbabwe.

Background: As genomics and biobanking expanded rapidly across Africa, ethical governance frameworks for genomic research and biobanking often failed to keep pace, particularly in countries like Zimbabwe, where research increasingly involved international collaboration, but regulatory oversight remained limited. This study analysed how Zimbabwean researchers addressed the ethical, legal, and sociocultural issues (ELSIs) central to human biospecimen and genomic research.

Methods: We conducted a comprehensive review of research protocols submitted to the Medical Research Council of Zimbabwe between 2009 and 2016, specifically those involving human biospecimen collection, biobanking, and genomic research. A structured abstraction form was employed to evaluate how these protocols addressed key ELSIs, including informed consent, biospecimen and data sharing, benefit sharing, and intellectual property considerations.

Results: Of the 200 eligible protocols, 92(46%) were submitted by independent research institutions and 67(33.5%) by universities. Consent practices varied: 99(49.5%) protocols utilized specific consent, 37(18.5%) employed broad consent, and 37(18.5%) used blanket consent. Notably, 2(1%) protocols did not use consent forms, opting instead for broad or specific notifications. Only 44(22%) protocols included plans for the destruction of collected samples. While 44(22%) protocols involved exporting biospecimens, nearly two-thirds of these lacked a material transfer agreement (MTA). Critically, benefit sharing was absent across all protocols, and only 26(13%) addressed intellectual property rights.

Conclusions: This review exposes systemic gaps in the ethical planning of genomics and biobanking research in Zimbabwe. Although researchers are increasingly engaging in cutting-edge science, the regulatory and ethical frameworks require transformation. The limited attention to benefit sharing, consent for future use, and intellectual property reflects deeper governance and equity challenges. To protect research participants and ensure ethical integrity, Zimbabwe urgently needs updated national guidelines that define minimum standards for addressing a full range of ELSIs, moving beyond consent and privacy to embrace justice, accountability, and long-term stewardship. Strengthening these frameworks is crucial to ensuring ethical integrity in Zimbabwe's growing biobanking and genomic research landscape.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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