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中文摘要
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描述(由申请人提供):ELSI CEER计划的预期目标之一是就新的遗传和基因组科学及其应用所引起的政策问题提供指导。然而,这种关注忽略了表观遗传过程。表观遗传学涉及到先天和后天通过对基因组进行离散的环境强加的修改而相交的点。这些修饰包括DNA甲基化,它们在基因组中的分布创建了细胞特定的表观基因组,控制细胞特定的表达模式。与基因组的DNA序列不同,基因组在整个生命过程中相对静止,而表观基因组在胎儿和儿童的发育过程中是动态的。表观基因组的这一动态方面创造了机会,例如新的癌症疗法,但它也创造了脆弱性,例如因母亲营养不足或喂养不足而产生的终生疾病风险。P20规划应用的前提是,当前NIH和其他倡议导致的表观遗传学知识的增加将为理解人类生物学和行为以及如何更好地保护两者创造挑战和机会。拟议的中心基于关于表观遗传学的三个假设:(1)表观遗传学概念构成了对基因与环境相互作用的科学理解的深刻范式转变;(2)表观遗传学研究结果可能对传统上脆弱的人群产生影响,因为科学研究被转化为卫生应用;(3)表观遗传学研究结果将对公共政策产生强大影响。俄勒冈健康与科学大学和刘易斯和克拉克学院西北法学院的一个跨学科研究小组,与基于社区的西北美洲原住民健康研究中心和俄勒冈州环境健康中心合作,并与华盛顿大学的基因组学和医疗平等中心(P50)建立联系,将参与一系列活动,以支持以下具体目标:(1)创建跨学科公地,在此基础上建立伙伴关系和组织结构,用于设计和实施对表观遗传学中复杂和迅速出现的ELSI问题的调查;(2)通过话语分析和对主要信息者的采访,对表观遗传学中与健康有关的两个案例进行初步的社会科学调查;(3)调查表观遗传学向癌症诊断和治疗的转化;(4)通过准备一系列可出版的白皮书,研究表观遗传学知识的法律和政策影响;以及(5)设计和准备培训计划,包括招收和留住少数族裔学生的计划。 与公共健康相关:我们的生活在很大程度上由环境和我们的基因之间的相互作用所控制,这些相互作用是通过修改DNA和附着的蛋白质来实现的。这些所谓的“表观遗传”修改可以增加或降低我们作为人类的能力,这取决于发生的修改的类型和它们在我们基因组中的位置。将考虑快速出现的表观遗传学数据的伦理、法律和社会影响。
英文摘要
DESCRIPTION (provided by applicant): One of the intended goals of the ELSI CEER program is to provide guidance on policy issues that arise from novel genetic and genomic science and applications. This focus, however, misses epigenetic processes. Epigenetics involves the point at which nature and nurture intersect via discrete environmentally imposed modifications to the genome. These modifications include DNA methylation, and their distribution across the genome creates cell-specific epigenomes that control cell-specific expression patterns. Unlike the DNA sequence of the genome, which is relatively static throughout life, the epigenome is dynamic during fetal and childhood development. This dynamic aspect of the epigenome creates opportunities, such as novel cancer therapies, but it also creates vulnerabilities, such as lifelong risk of disease from inadequate maternal nutrition or nurturing. The premise of this P20 planning application is that an increase in epigenetic knowledge resulting from current NIH and other initiatives will create challenges and opportunities for understanding human biology and behavior, and how to better protect both. The proposed Center is based on three assumptions about epigenetics: (1) Epigenetic concepts constitute a profound paradigm shift in scientific understandings of the interaction of gene and environment; (2) Epigenetic findings are likely to have implications for traditionally vulnerable populations, as scientific research is translated to health applications; and (3) Epigenetic findings will have a powerful impact on public policy. An interdisciplinary group of investigators from Oregon Health & Science University and the Northwestern School of Law at Lewis and Clark College, in partnership with the community based Northwest Native American Research Center for Health and Oregon Center for Environmental Health, and with links to the University of Washington's Center for Genomics and Healthcare Equality (P50), will engage in a range of activities to support the following Specific Aims: (1) Create an interdisciplinary Commons upon which will to build partnerships and an organizational structure to be used to design and implement investigations of complex and rapidly emerging ELSI issues in epigenetics; (2) Undertake preliminary social science investigation, through discourse analysis and interviews with key informants, of two health-related cases in epigenetics; (3) Investigate the translation of epigenetic science to cancer diagnostics and therapy; (4) Examine law and policy implications of epigenetic knowledge through preparation of a series of publishable white papers; and (5) Design and prepare for a training program, including a plan to recruit and retain minority students. PUBLIC HEALTH RELEVANCE: Our lives are controlled in large part by interactions between the environment and our genes via modifications to DNA and attached proteins. These so-called "epigenetic" modifications can increase or decrease our capabilities as humans depending up the types of modifications that occur and where they occur in our genomes. The ethical, legal and social implications of rapidly emerging epigenetic data will be considered.
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Interdisciplinary Center on Epigenetics Science and Society
Interdisciplinary Center on Epigenetics Science and Society
Interdisciplinary Center on Epigenetics Science and Society
Is primary care ready to utilize the promise of genetics? A vignette study
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