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Image 1 Image 1 Audience
1st EMBL/EMBO Joint Conference 2000 Session III
Panel discussion
Public understanding of genetic information
Chair Alastair Kent [Chair], Genetic Interest Group, UK
Barbara Cohen, Director of the Office of Communications, The Ludwig Institute for Cancer Research, New York, USA
Jean-Louis Mandel, Professor of Genetics, IGBMC, Illkirch, France
Alexandre Mauron, Professor of Bioethics, University of Geneva Medical School, Switzerland
Vivienne Parry, Writer and broadcaster, UK

There are a number of issues that have to be addressed in our discussion. It is clear that a very large proportion of the public is opposed to the introduction of foods, feeds or agricultural products that have been modified using modern biotechnology.

If we are convinced that GM foods pose little or no risk to human health and to the environment, how do we convince others? How do we justify our conviction? If this conviction is based on comparison, why test if we don't test everything?

Why can we not test new GM-derived foods in the same way as we test new medicines? What are the constraints for testing foods which suggest that we should not apply the same standards as we insist on for pharmaceuticals. There are many answers, including the simple question as to what constitutes a dose.

Why is it acceptable to consider GM as a class, rather than discussing each modified product in relation to the changes made and possible predicted effects, trying to take into account indirect and delayed effects. We can be fairly sure that the products currently on the market have no immediate effect on consumers [or we would have already seen the impact]. We have some evidence that the impact on the environment has been benign, if not providing an advantage – this evidence suggests that wildlife diversity has actually increased. Others speculate, based on laboratory experiments, that the delayed or indirect effects could be dreadful for the environment. Can we find any common ground?

When traits are introduced that have real changes on the way in which products interact with the environment, such as drought resistance, saline tolerance, modified oils, will not the blanket objection and therefore the blanket acceptance by scientists make the assessment more difficult and more dangerous?

Biographies

Alastair Kent [Chair]
Alastair Kent is the Director of the Genetic Interest Group [GIG], the UK alliance of charities and support groups for people affected by genetic disorders. GIG's mission is to promote the development of the scientific understanding of genetics and the part that genetic factors play in health and disease, and to see the speedy transfer of this new knowledge into improved services and support for the treatment of currently incurable conditions. Prior to joining GIG Kent worked for a number of voluntary organisations on issues concerning policy, service development and disabled people.

Barbara Cohen
Barbara Cohen is currently the Director of the Office of Communications at the Ludwig Institute for Cancer Research, an international, not-for-profit organization that conducts basic and clinical research with the goal to understand and control cancer. Barbara was born and raised in Munich, Germany, where she received her undergraduate training. From there she moved to Houston, Texas, to obtain a PhD in developmental genetics. After a short stay as a postdoctoral fellow at the European Molecular Biology Laboratory, she joined the editorial staff of the scientific journal Nature in 1993. She was responsible for the peer-review process and the ultimate publication of manuscripts dealing primarily with developmental biology, human genetics and plant science. In 1997, Barbara became Editor of the monthly journal Nature Genetics. After three years at the helm of that journal, she moved to the Ludwig Institute, where she is responsible for internal communication as well as public information. Stemming from a passion for science and its communication, Barbara's professional interests include scientific publishing, the ethical and social implications of biomedical research, and the interface between basic research and clinical applications.

Jean-Louis Mandel
Jean-Louis Mandel was born in 1946 in Strasbourg [France]. He received his MD and PhD from University of Strasbourg, and is currently Professor of Genetics at the Faculty of Medicine of Strasbourg, and Head of the Human Molecular Genetic Group at the Institut de Génétique et de Biologie Moléculaire et Cellulaire [CNRS, INSERM, Université Louis Pasteur]. He has received the Baschirotto Prize from the European Society of Human Genetics [1998] and the Louis-Jeantet Prize [Geneva, 1999]. He has been involved in research on Fragile X since 1983, in the identification and characterization of several disease genes, and notably in the analysis of diseases caused by trinucleotide repeat expansions.

Professor Mandel is also the Director of the DNA Diagnostic Laboratory for Genetic Diseases, at the Faculté de Médecine and University Hospital in Strasbourg, that conducts tests for about 30 diseases, and he is on the scientific board of several associations for patients affected by specific genetic diseases.

Alex Mauron
Alex Mauron is Associate Professor of Bioethics at the University of Geneva Medical School, where he teaches ethics to medical students. He holds a PhD [Lausanne, 1978] in molecular biology, with research experience in molecular genetics and neurobiology.

Current scholarly interests [since moving to the field of bioethics in 1988] include ethical issues in human genetics [gene therapy, diagnostics, social implications of genetic data], standing of the human embryo, biological concepts in ethics, teaching bioethics, and clinical ethics [futility, end-of-life issues].

He is a member of the Central Ethics Commission of the Swiss Academy of Medical Sciences, the Federal Ethics Commission on genetic engineering and several other ethics committees. He has published widely on the ethical issues of genetics and reproduction, as well as on clinical ethics and participated in the formulation of ethical guidelines and/or other policy documents on several bioethical issues. In addition, he is a regular columnist on bioethics in the French-language Swiss daily Le Temps

Genetics offers the promise of contributing to better medical treatments by improving drug efficacy and safety. The individual response to a drug is affected by genetic variation altering the mechanisms of drug absorption, distribution and metabolism, as well as the functioning of the target receptors or enzymes. Genetic approaches will also improve disease classification by defining the underlying cause of disease. In the short term it may be possible to identify subgroups of patients who will benefit from a drug as well as those most likely to suffer an adverse reaction. In the long term, genetics may be used to identify new targets for therapeutic intervention.

To gain these benefits, it will be necessary to collect medical data on large cohorts of individuals and to seek correlations with genetic variation within the same cohort. The data set generated at the population level could have implications at the level of the individual for life insurance, medical insurance, criminal tracking [e.g. rape cases] and employment practises. As a society, we need to judge the risk benefit ratio of applying these new approaches. The issues are not new but the scale of the opportunity and the potential risks are now much greater.

Vivienne Parry
Vivienne Parry is a writer and broadcaster. She has presented BBC TV's well known science magazine programme, Tomorrow's World as well as a number of science documentaries for BBC Radio 4. A scientist by training, she also writes for a wide range of magazines and is the popular and irreverent columnist of the world's biggest selling Sunday paper, the News of the World. She is the author of several books on health, including one on antenatal testing.
Last updated by: Halldór Stefánsson, 1 August 2007
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