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Updated: May 5, 2026

Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Ethical issues and Huntington's disease.
Jennifer G R Kromberg1, Tina-Marié Wessels
1Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand and National Health Laboratory Service, Johannesburg, South Africa. jennifer.kromberg@nhls.ac.za.
Genetic counselling presents ethical challenges, requiring adherence to biomedical ethics principles. Case studies highlight dilemmas in predictive testing for Huntington
Area of Science:
- Biomedical Ethics
- Genetic Counselling
- Medical Ethics
Background:
- Genetic counselling involves navigating complex ethical dilemmas.
- Core principles of biomedical ethics include autonomy, beneficence, non-maleficence, and justice.
- Familiarity with these principles is crucial for genetic counsellors.
Purpose of the Study:
- To discuss ethical dilemmas encountered in genetic counselling.
- To analyze specific case studies involving predictive genetic testing.
- To explore the application of biomedical ethics principles in complex scenarios.
Main Methods:
- Ethical analysis of case studies.
- Application of established bioethical principles.
- Discussion of counsellor's role in ethical decision-making.
Main Results:
- Case 1: Predictive testing for Huntington's disease in one of identical twins presented autonomy and confidentiality issues.
- Case 2: Predictive testing in minors for adoption agency and foster parents raised concerns about consent, privacy, and beneficence.
- Both cases underscore the complexity of ethical decision-making in genetic counselling.
Conclusions:
- Genetic counsellors must be adept at applying bioethical principles to real-world situations.
- Ethical frameworks are essential for addressing challenges in predictive genetic testing.
- Careful consideration of patient autonomy, beneficence, and justice is paramount.
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