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Vorlesung Forschungsethik der biomedizinischen Wissenschaften Master MLS/MIW, 2. Semester, SS 2012 Genetik und Genomik 3. Juli 2012 Christoph Rehmann-Sutter Prof. für Theorie und Ethik der Biowissenschaften [email protected] www.imgwf.uni-luebeck.de These: Das Genom hat im Verlauf seiner Entzifferung seine Identität gewechselt • • • Es ist immer noch dasselbe Molekül (DNA) geblieben, aber es bedeutet für uns nicht mehr dasselbe. Wechsel vom genetischen Programm zur System-Genomik Einflussfaktoren (u.a.): – Verständnis einzelner Gene und ihrer Funktionen in der Entwicklung des Phänotyps auf molekularem Niveau – Multiple, kontextabhängige Funktionen von DNASequenzabschnitten, Systembiologie – Forschung mit großen Datenmengen (-omics) und genomweite Assoziationsstudien – Theoretische Widersprüche im Programm-Modell des Genoms. Î Was bedeutet das philosophisch? Gibt es ethische Implikationen? 2 Interpretation Es kommt drauf an, was DNA ist! Berkeley: Lawrence Hall of Science. DNA model/climbing structure (Photo: CRS 1998, 2010) 5 Bill Clinton on June 26, 2000 (CNN.com.transcripts) „Today's announcement represents more than just an effort making triumph of science and reason. After all, when Galileo discovered he could use the tools of mathematics and mechanics to understand the motion of celestial bodies, he felt, in the words of one imminent researcher, that he had learned the language in which God recreated the universe. Today we are learning the language in which God created life.“ www.TheDNAStore.co Visited: May 14, 2008 Frequently used metaphors to explain genomics Instruction book Skript Bauplan Information Architekturplan Blueprint “Program” Code Book of life Map Text Language Each metaphor is a messenger of meaning between discourses (Maasen/Weingart 1995): genetics and anthropology (Menschenbild/ Weltanschauung). Each metaphor contains a little story to explain the relation between DNA and the organism and ourselves. RISC = RNAinduced silencing complex D. O. Perkins et al. Molecular Psychiatry (2005) 10, 69–78; www.epialliance.org.au/contents/AboutUs/WhatIsEpigenetics.sht Widersprüche in der Idee vom “Bauplan” oder “genetischen Programm” • • • • • • • • • • • Epigenetik ncRNA Alternatives Spleissen Überlappende Gene Alternative Leseraster Trans-splicing Anti-sense transcripts mRNA editing Selektive Methylierung der DNA Nucleotide (epigenetisches Programmieren/Regulieren des Genoms) Multiple, ‘Orts’-spezifische Funktionen von Genprodukten … Gene sind multifunktionell; ihre Wirkung und Funktion hängt vom Kontext ab. Î Die Molecularbiologie denkt heute nicht mehr in Begriffen des Bauplans und des genetischen Programms, sondern betrachtet die Zelle als interaktives System. The basic picture in systems biology „Thus the situation is one of mutual influence, not unidirectional causation. Hence, although the genes can be thought of as in some sense controlling such processes, in fact it is not true that an understanding of the genes alone is sufficient for their complete description. For example, even if we were somehow able to obtain the DNA of a dinosaur, unless we also knew the initial conditions of the cellular composition that allow their proper expression of genes, we would not be able to create a Jurassic Park. The conclusion we reach from these considerations is that ... we should be studying models of interactive dynamics. Then, we should inquire whether, within such dynamics, the asymmetric relation between two molecules is generated so that one plays a more controlling role and therefore can be regarded as the bearer of genetic information.“ Kunihiko Kaneko, Life: An Introduction to Complex Systems Biology (Berlin: Springer 2006, 20): Science 2011;331: „...das definierende Prinzip der Systemgenetik ist, dass sie verstehen will, wie genetische Information integriert, koordiniert und dann durch molekulare, zelluläre und physiologische Netwerke übertragen wird, um die Funktionen höherer Ordnung und die emergenten Eigenschaften biologischer Systeme zu ermöglichen.“ 13 Assumptions of “program” genomics 1. DNA (information) has an ontological privilege. DNA has the status of an organizer molecule, a primary active substance. Other things are means, requirements or necessary conditions. 2. Genetic information is the nucleotide sequence of the genome. 3. Structures and capabilities are results of the execution of a kind of instructions, which are present in the sequences of DNA. 4. Hereditary bottleneck assumption. Assumptions of “system” genomics 1. 2. 3. 4. DNA (information) has no ontological privilege. DNA is an organ of the organism like all other components and processes of cells. It differs only by the special character of its interactions. Genetic information is the information that is actually pertinent for developmental steps. It is continually produced during development, in the course of the interactions between DNA, cells and environment. Genetic information has itself an ontogeny, is temporally and locally present. Structures and capabilities are not only results of informed developmental steps but appear also as causes for further developmental steps. No hereditary bottleneck; no genetic reductionism. Ta b . 1: T wo c on t rasti ng v ie w s o f g ene s and t h e g en om e -o r g an is m relat io n sh ip. program the ory o f DN A syst em ic t h e o r y o f DNA Reg ul ar ity is ex pl ai n e d as t h e … real izati on o f g ene t ic inf o rm ati on/ imp le m e n tati o n of pr e d eter mi ne d sets o f inst ru ct io ns . ”h ist or ic al” su c c essi on o f c o mp lex c on ste llat io n s o f c ause s. ( ii) Cau sal o r d e r: DNA n ee d s o t h er f act o rs f or it s ad e qu ate ex pr essi on . A ll f act or s are n eces sar y ; DNA is n o t pr iv il ege d as sup er io r c ause . ( iii) Gen eti c inf o rm ati on … pr eexists is ge n e r ate d in d e v el opm ent al in te r ac t io n s. ( iv) Mic ro st ru c t u re , t h e ”p la c e ” o f DNA in te rac t io n s … is su bo r di nat ed , as o n e o f t h e n eces sar y c ond it io n s f or g ene ex pr essi on . m atte rs p e r se , as o n e d ist in ct k ind o f c ause in d e v el opm e n tal syst ems . (v) En v ir onm e n tal inf lu e n ces are d es c r ibe d b y a … n o rm o f react io n/ph e n ot y p ic p la stic ity . c or r elat o r y f un ct io n . ( i) d e v el opm ent . Presymptomatic genetic tests Program genomics: System genomics: A mutation in a cancer-related gene is understood as information for making cancer. A mutation in a cancer-related gene is an indicator for an elevated likelihood that the body and its circumstances could together produce the information that leads to cancer. The mutation does not indicate information for making cancer. Understanding the embodied self Program genomics: System genomics: The body is essentially a product of its genetic sequences. Embodiment (development) is an act of executing instructions imposed by the inherited genetic information (the invisible genotype). Organisms are survival machines of their genes. The body is seen as the author of its genetic information. Embodiment is a self-informing developmental process, which retrospectively can be explained as following a pattern. Developing, organisms integrate their dynamic features into a new moment of presence. Understanding the practices that need to be regulated 1) A testable mutation in a disease-related gene is an indicator for an elevated likelihood that the body and its circumstances could together produce the information that leads to the disease (“risk factor”). The mutated allele is not the ‘information for the disease’, or an ‘instruction for developing the disease symptoms’. 2) A whole individual genome sequence is a personalized conundrum, containing a set of answers to known questions and another set of potential answers to yet unknown questions: a developing informational resource with implications for the individual. To have one‘s genome sequence makes both sets of answers accessible to all parties who have access to the sequence. The sequence is a peremptory total gene test whose content continually changes. 19 Ziel einer guten Regelung • • • • • Ziel der Politik; ein gutes Leben und die Freiheit der BürgerInnen ermöglichen; Dies schließt ein: Gesundheit, Handlungsfähigkeit, Beziehungen, Privatsphäre, etc.; Erfahrungen aus der PND: Grenzen der Nichtdirektivität („Autonomieansatz“); In einem sich so rasch entwickelnden Handlungsbereich ist eine begleitende Erforschung der ethischen, rechtlichen und sozialen Implikationen (ELSI) Voraussetzung für das Gelingen einer guten Regelung (‚good governance‘); Automatismen (technologischer Imperativ, Systemzwänge) können Freiheit und gutes Leben in Frage stellen. 20 Offene Fragen im Bezug auf genetische Information • Wofür ist die genetische Information Symbol (biologische v. psychische Ebene)? • Bedeutung für wen (Eltern, Kind, Ärztin/Arzt)? • Jetzt und später (Erzählung, Erinnerungen, Lebensgeschichte)? • Sind Geheimnisse, Nichtwissen im Bezug auf Zukunft immer schlecht? • Multigentests (Chips), whole genome scans (exome sequencing)? • Handlungsfähigkeit ≠ (>) informed consent. • Kindeswohl: Wie verändern sich unsere Vorstellungen von einer „guten Kindheit“ als Teil eines „guten Lebens“? Wie verändern sich die elterlichen Pflichten? 21 Paradox der Prädiktion: Bei der Maximierung des Wissens um die Zukunft droht genau das verlorenzugehen, in das man gerne blicken möchte: die Zukunft. Zukunft als eigentliches Noch-Nicht kann nur ein unendlich offener Möglichkeitsraum sein. Die Kolonialisierung der Zukunft durch gegenwärtige Wissensansprüche vernichtet möglicherweise diese selbst. Auch die Genetik blickt nicht wirklich in die Zukunft (wie auch ein Tarot oder ein Horoskop nicht). The child‘s right to an open future (Joel Feinberg) v. the parental investment factor (Dena Davis) Literatur Dena Davis: Genetic Dilemmas. Reproductive Technology, Parental Choices, and Children‘s Futures. New York: Routledge 2001. Eva M. Neumann-Held / Christoph Rehmann-Sutter (eds.): Genes in Development. Re-Reading the Molecular Paradigm. Durham: Duke UP 2006 Christoph Rehmann-Sutter / Hansjakob Müller (eds.): Disclosure Dilemmas. Ethics of Genetic Prognosis after the ‚Right to Know/Not to Know‘ Debate. Farnham: Ashgate 2009. Christoph Rehmann-Sutter: Zwischen den Molekülen. Beiträge zur Philosophie der Genetik. Tübingen: Francke 2005.