Tomoharu Tokutomi
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Pediatrics,
   Position   Professor with Special Assignment
Article types 原著
Language English
Peer review Peer reviewed
Title The return of individual genomic results to research participants: design and pilot study of Tohoku Medical Megabank Project.
Journal Formal name:Journal of human genetics
ISSN code:1434-5161/1435-232X
Domestic / ForeginForegin
Publisher Springer Science and Business Media LLC
Volume, Issue, Page 67(1),pp.9-17
Author and coauthor Hiroshi Kawame,Akimune Fukushima,Nobuo Fuse,Fuji Nagami,Yoichi Suzuki,Mika Sakurai-Yageta,Jun Yasuda,Yumi Yamaguchi-Kabata,Kengo Kinoshita,Soichi Ogishima,Takako Takai,Shinichi Kuriyama,Atsushi Hozawa,Naoki Nakaya,Tomohiro Nakamura,Naoko Minegishi,Junichi Sugawara,Kichiya Suzuki,Hiroaki Tomita,Akira Uruno,Tomoko Kobayashi,Yayoi Aizawa,Tomoharu Tokutomi,Kayono Yamamoto,Kinuko Ohneda,Shigeo Kure,Yoko Aoki,Hideki Katagiri,Yasushi Ishigaki,Shojiro Sawada,Makoto Sasaki,Masayuki Yamamoto
Publication date 2022/01
Summary Certain large genome cohort studies attempt to return the individual genomic results to the participants; however, the implementation process and psychosocial impacts remain largely unknown. The Tohoku Medical Megabank Project has conducted large genome cohort studies of general residents. To implement the disclosure of individual genomic results, we extracted the potential challenges and obstacles. Major challenges include the determination of genes/disorders based on the current medical system in Japan, the storage of results, prevention of misunderstanding, and collaboration of medical professionals. To overcome these challenges, we plan to conduct multilayer pilot studies, which deal with different disorders/genes. We finally chose familial hypercholesterolemia (FH) as a target disease for the first pilot study. Of the 665 eligible candidates, 33.5% were interested in the pilot study and provided consent after an educational "genetics workshop" on the basic genetics and medical facts of FH. The genetics professionals disclosed the results to the participants. All positive participants were referred to medical care, and a serial questionnaire revealed no significant psychosocial distress after the disclosure. Return of genomic results to research participants was implemented using a well-prepared protocol. To further elucidate the impact of different disorders, we will perform multilayer pilot studies with different disorders, including actionable pharmacogenomics and hereditary tumor syndromes.
DOI 10.1038/s10038-021-00952-8
PMID 34234266
PermalinkURL https://www.nature.com/articles/s10038-021-00952-8.pdf
URL for researchmap https://www.nature.com/articles/s10038-021-00952-8