Department of Global Health and Social Medicine, King's College London, London, UK.
Division of Surgery and Interventional Science, University College London, London, UK.
BMC Med Ethics. 2023 Jun 1;24(1):36. doi: 10.1186/s12910-023-00908-x.
Biobanks are a key aspect of healthcare research; they enable access to a wide range of heterogenous samples and data, as well as saving individual researchers time and funds on the collection, storage and/or curation of such resources. However, biobanks are also associated with impacts associated with a depletion of natural resources (energy, water etc.) production of toxic chemicals during manufacturing of laboratory equipment, and effects on biodiversity. We wanted to better understand the biobanking sector in the UK as a first step to assessing the environmental impacts of UK biobanking.
We explored the sample storage infrastructure and environmental sustainability practices at a number of UK biobanks through a mixed methods quantitative and qualitative approach, including information gathering on an online platform, and eight in-depth interviews.
Environmental sustainability was deprioritised behind biobanks' financial sustainability practices. Nevertheless, both often aligned in practice. However, there was a tendency towards underutilisation of stored samples, the avoidance of centralisation, and providing accessibility to biosamples, and this conflicted with valuing sustainability goals. This related to notions of individualised and competitive biobanking culture. Furthermore, the study raised how value attachments to biosamples overshadows needs for both financial and environmental sustainability concerns.
We need to move away from individualised and competitive biobanking cultures towards a realisation that the health of the publics and patients should be first and foremost. We need to ensure the use of biosamples, ahead of their storage ('smart attachments'), align with environmental sustainability goals and participants' donation wishes for biosample use.
生物库是医疗保健研究的一个关键方面;它们使人们能够访问广泛的异质样本和数据,同时还为个别研究人员节省了收集、存储和/或管理此类资源的时间和资金。然而,生物库也与自然资源(能源、水等)消耗、实验室设备制造过程中产生有毒化学品以及对生物多样性的影响等相关联。我们希望更好地了解英国的生物库行业,作为评估英国生物库环境影响的第一步。
我们通过混合方法(定量和定性)探索了一些英国生物库的样本存储基础设施和环境可持续性实践,包括在在线平台上收集信息以及进行了八次深入访谈。
环境可持续性被置于生物库财务可持续性实践之后。尽管如此,两者在实践中通常是一致的。然而,存储样本的利用率往往较低,避免了集中化,并提供了对生物样本的可及性,这与可持续性目标相冲突。这与个体化和竞争的生物库文化观念有关。此外,该研究提出了对生物样本的价值附加如何掩盖了对财务和环境可持续性的关注。
我们需要摆脱个体化和竞争的生物库文化,认识到公众和患者的健康应该是首要的。我们需要确保在存储之前使用生物样本(“智能附件”),使其与环境可持续性目标和参与者对生物样本使用的捐赠意愿保持一致。