Skip to main content

Legal and Ethical Implications of Epigenetics

  • Chapter
  • First Online:
Book cover Environmental Epigenomics in Health and Disease

Part of the book series: Epigenetics and Human Health ((EHH))

Abstract

Epigenetics raises important legal and ethical issues that have been largely unexplored. Initially, this chapter considers whether legal and ethical issues raised by epigenetics differ from those raised by genetics, about which there already has been much discussion and legislation. Among the key differences are the higher rates of epigenetic marks than genetic mutations from similar environmental exposures and the greater potential for multigenerational harms caused by epigenetics. This chapter discusses the following legal issues: (1) regulation of research, (2) regulation of exposures, (3) discrimination, (4) personal injury litigation, and (5) medical malpractice. The ethical issues discussed are (1) environmental and occupational justice, (2) personal responsibility, (3) privacy and confidentiality, (4) access to healthcare, (5) equality, and (6) intergenerational equity. In general, this chapter discusses how epigenetics raises fundamental issues in a new context, thereby challenging existing legal and ethical doctrines.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agency for Toxic Substances and Disease Registry (2011) Case studies in environmental medicine – benzene toxicity – physiologic effects. Available at www.atsdr.cdc.gov/csem/benzene/physiologic_effects.html. Last accessed 11 Mar 2011

  • Carruth RS, Goldstein BD (2001) Relative risk greater than two in proof of causation in toxic tort litigation. Jurimetrics 41:195–209

    Google Scholar 

  • Disability Rights Education and Defense Fund (2011) Country laws index. Available at http://www.dredf.org/international/lawindex.shtml. Last accessed 11 Mar 2011

  • Dierickx K, Borry P eds. (2009) New challenges for biobanks: ethics, law and governance. Intersentia, Antwerp, Belgium

    Google Scholar 

  • Dolinoy DC, Weidman JR, Jirtle RL (2007) Epigenetic gene regulation: linking early developmental environment to adult disease. Reprod Toxicol 23:297–307

    Article  PubMed  CAS  Google Scholar 

  • Eiseman E, Haga SB (1999) Handbook of human tissue sources: a national resource of human tissue samples. RAND, Rockville

    Google Scholar 

  • Federal Policy for the Protection of Human Subjects (2011) 45 C.F.R. Part 46

    Google Scholar 

  • Golle P (2006) Revisiting the uniqueness of simple demographics in the U.S. population. In Workshop on privacy in the electronic society. Association for Computing Machinery, New York. Available at www.trustee.org/wise/articles2009/article M3.pdf. Last accessed 14 Mar 2011

  • Hellman D (2003) What makes genetic discrimination exceptional? Am J Law Med 29:77–116

    PubMed  Google Scholar 

  • Hull SC et al (2008) Patients’ views on identifiability of samples and informed consent for genetic research. Am J Bioeth 8:62–70

    PubMed  Google Scholar 

  • Jirtle RL, Skinner MK (2007) Environmental epigenomics and disease susceptibility. Nat Rev Genet 8:253–262

    Article  PubMed  CAS  Google Scholar 

  • Kaati G et al (2002) Cardiovascular and diabetes mortality determined by nutrition during parents’ and grandparents’ slow growth period. Eur J Hum Genet 10:682–688

    Article  PubMed  CAS  Google Scholar 

  • Knoppers BM (2005) Biobanking: international norms. J Law Med Ethics 33:7–14

    Article  PubMed  Google Scholar 

  • Melo-Martin I (2008) A duty to participate in research: does social context matter? Am J Bioeth 8:28–36

    PubMed  Google Scholar 

  • Pembrey ME (1996) Imprinting and transgenerational modulation of gene expression; human growth as a model. Acta Genet Med Gemellol (Roma) 45:111–125

    CAS  Google Scholar 

  • Rawls J (1971) A theory of justice. Belknap Press of Harvard University, Cambridge, MA

    Google Scholar 

  • Rothstein MA (2005a) Genetic exceptionalism and legislative pragmatism. Hastings Cent Rep 35(4):27–33

    Article  PubMed  Google Scholar 

  • Rothstein MA (2005b) Expanding the ethical analysis of biobanks. J Law Med Ethics 33:89–101

    Article  PubMed  Google Scholar 

  • Rothstein MA (2007) Legal conceptions of equality in the genomic age. Law Inequal 25:429–463

    PubMed  Google Scholar 

  • Rothstein MA (2010a) Is deidentification sufficient to protect health privacy in research? Am J Bioeth 10:3–11

    PubMed  Google Scholar 

  • Rothstein MA (2010b) Health care reform and medical malpractice claims. J Law Med Ethics 38:871–874

    Article  PubMed  Google Scholar 

  • Rothstein MA (2010c) The Hippocratic bargain and health information technology. J Law Med Ethics 38:7–13

    Article  PubMed  Google Scholar 

  • Rothstein MA, Anderlik M (2001) What is genetic discrimination and when and how can it be prevented? Genet Med 3:354–358

    Article  PubMed  CAS  Google Scholar 

  • Rothstein MA et al (2009) The ghost in our genes: legal and ethical implications of epigenetics. Health Matrix 19:1–62

    PubMed  Google Scholar 

  • Swede H, Stone CL, Norwood AR (2007) National population-based biobanks for genetic research. Genet Med 9:141–149

    Article  Google Scholar 

  • Sweeney L (2002) K-anonymity: a model for protecting privacy. Int J Uncertain Fuzz Knowl Base Syst 10:557–570

    Article  Google Scholar 

  • World Medical Association (2000) Declaration of Helsinki. Available at http://ohsr.od.nih.gov/guidelines/helsinki.html. Last accessed 11 Mar 2011

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark A. Rothstein .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rothstein, M.A. (2013). Legal and Ethical Implications of Epigenetics. In: Jirtle, R., Tyson, F. (eds) Environmental Epigenomics in Health and Disease. Epigenetics and Human Health. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36827-1_14

Download citation

Publish with us

Policies and ethics