Advancements in multi-omics strategies in personalized medicine and the ethical, legal and criminological considerations

  1. Marco-Francia, María-Pilar 1
  2. Marina Mora-Ortiz 2
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  2. 2 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

Journal:
Revista de derecho y genoma humano: genética, biotecnología y medicina avanzada

ISSN: 1134-7198

Year of publication: 2023

Issue: 58

Pages: 163-182

Type: Article

DOI: 10.14679/2290 DIALNET GOOGLE SCHOLAR

More publications in: Revista de derecho y genoma humano: genética, biotecnología y medicina avanzada

Abstract

Advances in multi-omics strategies, both analytical and computational, have led to the development of personalized medicine, which tailors medical treatment to the individual based on an understanding of their biological makeup. This approach has the potential to revolutionize medical care by providing more effective and efficient treatments. However, the implementation of personalized medicine raises important ethical, legal, and social issues. Ethical and legal considerations surrounding multi- omics testing, the challenges of implementing personalized medicine in low-income countries, and the role of intellectual property laws in shaping access to personalized treatments are issues of growing concern. Some considerations include issues of privacy, informed consent, and possible discrimination, considerations that may apply in criminal terms because of the significant advances that will be made in the coming years in multi-omics analysis. Omics studies are going to lead to a greater understanding of the biological mechanisms that contribute to mental illness and aggressive behaviors (Jakovljevic and Jakovljevic 2019). Human biology, which underlies certain disorders that have a great influence on the criminal issue, will be better explained by the multi-layered system that multi-omics testing provides and will reveal biochemical biomarkers of aggression that will provide us with vital information in the criminal and criminological fields. An important ethical aspect is the right to privacy of genetic information. Patients may hesitate to undergo genetic testing if they fear that their information will be shared or used in ways they did not intend. Informed consent is another important ethical and legal consideration. The potential for discrimination is also an important legal consideration surrounding genetic testing. Patients may be concerned that their results will be used against them, as in denial of health insurance coverage or employment opportunities. Another concern is the use of highly accurate predictive models made with multi-omics data, by private insurers and public healthcare, and how it may affect the patient.

Bibliographic References

  • ABRIL ALONSO, A., AMBROSIO FLORES, E. Fundamentos biológicos de la conducta (2ª edición, 2a reimpresión ed.). Madrid: Sanz y Torres S.L. 2005.
  • AIZAT, W. M. et al. (eds.). “Omics Applications for Systems Biology. Advances in Experimental Medicine and Biology”. Vol. 1102. [Online]. Cham: Springer International Publishing. [online], 2018.
  • AKÇAN, R. et al. Omics era in forensic medicine: towards a new age. Turk J Med Sci. 2020 Aug 26;50(5):1480-1490.
  • ALYASS, A. et al. “From big data analysis to personalized medicine for all: challenges and opportunities”. BMC Medical Genomics. [Online] 8 (1), 33, 2015.
  • AMERICAN SOCIETY OF HUMAN GENETICS. (2021). Privacy and Confidentiality of Genetic Information. 2021. Retrieved from https://www.ashg.org/policy/privacy.shtml [date of last consultation 9-8-2023].
  • ANDERSON, C.A., BUSHMAN, B.J. Human aggression. Annu Rev Psychol 53:27–51. 2002.
  • ANDERSON, G. (2007). Biological influences on criminal behavior. Boca Raton: CRC Press Taylor & Francis Group, 2007, p. 7.
  • ANDREU MARTÍNEZ, M. B. “Intimidad, confidencialidad y documentación clínica”. In Romeo Casabona, C., Nicolás Jiménez, P. Romeo Malanda, S. Manual de Bioderecho. Dykinson. 2022, pp. 197-222.
  • BHAK et al. “Depression and suicide risk prediction models using blood-derived multi-omics data”. Translational Psychiatry, 9:262, 2019.
  • BHAK, Y., JEONG, H., CHO, Y.S., et al (2019) Depression and suicide risk prediction models using blood-derived multi-omics data. Transl Psychiatry 9:262.
  • BONETTA, L. “Whole-Genome Sequencing Breaks the Cost Barrier”. Cell. [Online] 141 (6), 917-919, 2010.
  • CALLIER, S. L. et al. “Ethical, Legal, and Social Implications of Personalized Genomic Medicine Research: Current Literature and Suggestions for the Future”. Bioethics. [Online] 30 (9), 698-705, 2016.
  • CARELLI, L. “Los términos del problema penal”. In: R. Garófalo, La Criminologí. Estudio sobre la naturaleza del crimen y teoría de la penalidad (pp. 561-605). Madrid: Daniel Jorro, Editor, 1912.
  • CHEN, R. & SNYDER, M. “Promise of personalized omics to precision medicine”. WIREs Systems Biology and Medicine. [Online] 5 (1), 73-82, 2013.
  • CUI, Y. & PAULES, R. S. “Use of transcriptomics in understanding mechanisms of drug-induced toxicity”. Pharmacogenomics. [Online] 11 (4), 573–585, 2010.
  • GAROFALO, R. La Criminologí. Estudio sobre la naturaleza del crimen y teorí de la personalidad. Madrid: Daniel Jorro Editor. 1912.
  • GARRIDO GENOVÉS, V. (2005). Qué es la psicología criminológica. Madrid: Biblioteca Nueva, 2005.
  • GUAN, F. NI, T., ZHU, W. et al. Integrative omics of schizophrenia: from genetic determinants to clinical classification and risk prediction. Mol Psychiatry 27, 113-126 (2022).
  • HAGENBEEK, F., VAN DONGEN, J., POOL, R. et al. “Integrative Multi-omics Analysis of Childhood Aggressive Behavior”. Behavior Genetics, 53:101-117, 2023.
  • HALLGRÍNSON, B., HALL, B K. Epigenetics. Linking genotype and phenotype in development and evolution. University of California Press, 2011.
  • HASIN, Y. et al. “Multi-omics approaches to disease”. Genome Biology. [Online] 18 (1), 83, 2017.
  • HOUSE, S.H. (2011). “Epigenetics in adaptive evolution and Development. The Interplay Between Evolving Species and Epigenetic Mechanisms”. In: Tollefslod, T. (Ed.) Handbook of epigenetics. The new molecular and medical genetics. Elsevier, pp. 425-445.
  • HU, Y. et al. “NMR-Based Methods for Protein Analysis”. Analytical Chemistry. [Online] 93 (4), 1866-–1879, 2021.
  • HUANG, K. et al. “Pathogenic Germline Variants in 10,389 Adult Cancers”. Cell. [Online] 173 (2), 355-370.e14, 2018.
  • JHA, A. et al. “Identifying common transcriptome signatures of cancer by interpreting deep learning models”. Genome Biology. [Online] 23117, 2022.
  • KARCZEWSKI, K. J. & SNYDER, M. P. “Integrative omics for health and disease”. Nature Reviews Genetics. [Online] 19 (5), 299–310, 2018.
  • LESHEM, R. WEISBURD, D. “Epigenetics and Hot Spots of Crime: Rethinking the Relationship Between Genetics and Criminal Behavior”. Journal of Contemporary Criminal Justice, Vol. 35(2) 186-204, 2019
  • LI, X. et al. “Quantitative chemical proteomics approach to identify post- translational modification-mediated protein–protein interactions”. Journal of the American Chemical Society. [Online] 134 (4), 1982-1985, 2012.
  • LOWE, R. et al. “Transcriptomics technologies”. PLOS Computational Biology. [Online] 13 (5), e1005457, 2017.
  • MCARDLE, A. J. & MENIKOU, S. “What is proteomics?” Archives of Disease in Childhood - Education and Practice. [Online] 106 (3), 178–181, 2021.
  • NATIONAL CENTER FOR BIOTECHNOLOGY INFORMATION. (2020). Discrimination in Health Insurance and Employment Based on Genetic Information.
  • NATIONAL HUMAN GENOME RESEARCH INSTITUTE. (2021). Ethical, Legal, and Social Implications of Genomics.
  • NATIONAL INSTITUTES OF HEALTH. (2018). Informed Consent for Genomics Research.
  • NIELSEN, C. H., LARSEN, A. and NIELSEN, A. L. (2016) ‘DNA methylation alterations in response to prenatal exposure of maternal cigarette smoking: A persistent epigenetic impact on health from maternal lifestyle?’, Archives of Toxicology, 90(2), pp. 231-45.
  • NORSTROM, R. ET AL. “Neurocriminology”. In: Editor(s): Robert Huber, Danika L. Bannasch, Patricia Brennan, et al. “Advances in Genetics”, Academic Press, Volume 75, 2011, Pages 255-283.
  • NORVIEL, V. et al. “Role of intellectual property in investment-backed personalized medicine”. Personalized Medicine. [Online] 7 (1), 95-102, 2010
  • PAZ, M. F. et al. “Germ-line variants in methyl-group metabolism genes and susceptibility to DNA methylation in normal tissues and human primary tumors”. Cancer Research. 62 (15), 4519-4524, 2002.
  • PENG, L. et al. “Large-scale RNA-Seq Transcriptome Analysis of 4043 Cancers and 548 Normal Tissue Controls across 12 TCGA Cancer Types”. Scientific Reports. [Online] 5 (1), 13413, 2015.
  • PRENTKY, R. “The neurochemistry and neuroendocrinology of sexual aggression”. In D. Farrington, J. Gunn, Aggression and dangerousness. Chichester: John Wiley & Sons, pp. 7-55, 1985.
  • RADTKE, K.M. RUF, M. ET AL. Transgenerational impact of intimate partner violence on methylation in the promoter of the glucocorticoid receptor. Transl Psychiatry 1, 2011.
  • RAINE, A., BRENNAN, P. MEDWICK, S.A. Birth complication combined with early maternal rejection at age 1 year predispose to violent crimes at age 18 years. Ach. Gen Psychiatry, vol 51, 1994, pp. 984-8.
  • ROBERTS, L. D. et al. “Targeted Metabolomics”. Current Protocols in Molecular Biology. [Online] 98 (1), 30.2.1-30.2.24, 2012.
  • ROMENS, S. E., MCDONALD, J., SVAREN, J. and POLLAK, S. D. (2015) ‘Associations between early life stress and gene methylation in children’, Child Development, 86(1), pp. 303-9.
  • ROMEO CASABONA, C., NICOLÁS JIMÉNEZ, P., DE MIGUEL BERIAIN, I. La medicina personalizada de precisión. Retos eticos y necesidades normativas en la actividad asistencial, Instituto Roche, Madrid, 2018.
  • ROMEO CASABONA, C.M. (DIR.), ROMEO MALANDE, S., NICOLÁS JIMÉNEZ, P. Manual de Bioderecho. Dykinson, 2022.
  • ROTH, G. Delincuentes violentos: ¿Seres malvados o enfermos mentales? In E. Demetrio Crespo, M. Maroto Calatayud, Derecho Penal y Neurociencias (pp. 669-690). Madrid: Edisofer S.L. 2013.
  • SCHMIDT, D. R. et al. “Metabolomics in cancer research and emerging applications in clinical oncology”. CA: a cancer journal for clinicians. [Online] 71 (4), 333–358, 2021.
  • SEGERS, K. et al. “Analytical techniques for metabolomic studies: a review”. Bioanalysis. [Online] 11 (24), 2297–2318, 2019.
  • TEFFERI, A. “Genomics Basics: DNA Structure, Gene Expression, Cloning, Genetic Mapping, and Molecular Tests”. Seminars in Cardiothoracic and Vascular Anesthesia. [Online] 10 (4), 282-290, 2006.
  • TYERS, M. & MANN, M. “From genomics to proteomics”. Nature. [Online] 422 (6928), 193–197, 2003.
  • VAN DER GREEF, J. et al. “Metabolomics-based systems biology and personalized medicine: moving towards n = 1 clinical trials?”. Pharmacogenomics. [Online] 7 (7), 1087–1094, 2006.
  • VLAANDEREN, J. et al. “Application of OMICS technologies in occupational and environmental health research; current status and projections”. Occupational and Environmental Medicine. [Online] 67 (2), 136-143, 2010.
  • WANG, W. & WANG, G.-Z. “Understanding Molecular Mechanisms of the Brain Through Transcriptomics”. Frontiers in Physiology. 10.
  • WECKWERTH, W. & MORGENTHAL, K. Metabolomics: from pattern recognition to biological interpretation. Drug Discovery Today. [Online] 10 (22), 1551–1558, 2005.
  • WOLPE, P. R. “Personalized Medicine and Its Ethical Challenges”. World Medical & Health Policy. [Online] 1 (1), 47-55, 2009.
  • ZHANG, X. “Proteomics in Cancer Biomarker Discovery”, in Omics Technologies in Cancer Biomarker Discovery. CRC Press, 2011.
  • JAKOVLJEVIC, M., JAKOVLJEVIC, I.A. “Transdisciplinary Integrative Approach for Precision Psychiatry”. In: Kim, YK. (eds) Frontiers in Psychiatry. Advances in Experimental Medicine and Biology, vol 1192. Springer, Singapore, 2019.
  • JOHNSON, E. C. B. et al. “Large-scale proteomic analysis of Alzheimer’s disease brain and cerebrospinal fluid reveals early changes in energy metabolism associated with microglia and astrocyte activation”. Nature Medicine.[Online] 26 (5), 769-780, 2020.
  • Genetic Information Nondiscrimination Act of 2008, Pub. L. No. 110-233, 122 Stat. 881, 2008.
  • GARCÍA-PABLOS DE MOLINA, A. Tratado de Criminología (5ª Edición ed.). Valencia: Tirant lo Blanch. 2014.