quinta-feira, 13 de junho de 2013

Supreme Court Rules Human Genes May Not Be Patented

Jonathan Ernst/Reuters
The news media waited for rulings outside the Supreme Court building on Thursday morning.
By ADAM LIPTAK

WASHINGTON — Isolated human genes may not be patented, the Supreme Court ruled unanimously on Thursday. The case concerned patents held by Myriad Genetics, a Utah company, on genes that correlate with increased risk of hereditary breast and ovarian cancer.



The patents were challenged by scientists and doctors who said their research and ability to help patients had been frustrated. The particular genes at issue received public attention after the actress Angelina Jolie revealed in May that she had had a preventive double mastectomy after learning that she had inherited a faulty copy of a gene that put her at high risk for breast cancer.

The price of the test, often more than $3,000, was partly a product of Myriad’s patent, putting it out of reach for some women. The company filed patent infringement suits against others who conducted testing based on the gene. The price of the test "should come down significantly," said Dr. Harry Ostrer, one of the plaintiffs in the case decided Thursday. The ruling, he said, “will have an immediate impact on people’s health.”

The court’s ruling will also shape the course of scientific research and medical testing in other fields, and it may alter the willingness of businesses to invest in the expensive work of isolating and understanding genetic material.

The decision hewed closely to the position of the Obama administration, which had argued that isolated DNA could not be patented, but that complementary DNA, or cDNA, which is an artificial construct, could. The patentability of cDNA could limit some of the impact on industry from the decision.

Myriad’s stock price was up about 10 percent in early trading, a sign that investors believed that Myriad had retained the ability to protect its business from competition.

“I think everybody that was paying close attention to this case pretty much guessed what they were going to do,” said Robert Cook-Deegan, a research professor at Duke University’s Institute for Genome Sciences and Policy, who has closely followed the case and the issue of gene patenting.

Dr. Cook-Deegan said he thought Myriad would now face competition for testing for the breast cancer risk genes.

“I think there might be some blustering or saber rattling, but I would be really surprised if they sue anybody for patent infringement for a diagnostic test,” he said about Myriad.

He said that there were only a small number of diagnostic companies that relied on isolated DNA patents to protect their business, and that the impact of the decision on the broader biotechnology industry might be limited.

The central question for the justices in the case, Association for Molecular Pathology v. Myriad Genetics, No. 12-398, was whether isolated genes are “products of nature” that may not be patented or “human-made inventions” eligible for patent protection.

Myriad’s discovery of the precise location and sequence of the genes at issue, BRCA1 and BRCA2, did not qualify, Justice Clarence Thomas wrote for the court. “A naturally occurring DNA segment is a product of nature and not patent eligible merely because it has been isolated,” he said. “It is undisputed that Myriad did not create or alter any of the genetic information encoded in the BRCA1 and BRCA2 genes.”

“Groundbreaking, innovative or even brilliant discovery does not by itself satisfy the criteria” for patent eligibility, he said.

But manipulating a gene to create something not found in nature, Justice Thomas added, is an invention eligible for patent protection.

He also left the door open for other ways for companies to profit from their research.

They may patent the methods of isolating genes, he said. “But the processes used by Myriad to isolate DNA were well understood by geneticists, ” Justice Thomas wrote. He added that companies may also obtain patents on new applications of knowledge gained from genetic research.

Andrew Pollack contributed reporting from New York.


To read the decision

(Slip Opinion) OCTOBER TERM, 2012 1
Syllabus
NOTE: Where it is feasible, a syllabus (headnote) will be released, as is
being done in connection with this case, at the time the opinion is issued.
The syllabus constitutes no part of the opinion of the Court but has been
prepared by the Reporter of Decisions for the convenience of the reader.
See United States v. Detroit Timber & Lumber Co., 200 U. S. 321, 337.
SUPREME COURT OF THE UNITED STATES
Syllabus
ASSOCIATION FOR MOLECULAR PATHOLOGY ET AL.
v. MYRIAD GENETICS, INC., ET AL.
CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR
THE FEDERAL CIRCUIT
No. 12–398. Argued April 15, 2013—Decided June 13, 2013
Each human gene is encoded as deoxyribonucleic acid (DNA), which
takes the shape of a “double helix.” Each “cross-bar” in that helix
consists of two chemically joined nucleotides. Sequences of DNA nucleotides contain the information necessary to create strings of amino
acids used to build proteins in the body. The nucleotides that code
for amino acids are “exons,” and those that do not are “introns.” Scientists can extract DNA from cells to isolate specific segments for
study. They can also synthetically create exons-only strands of nucleotides known as composite DNA (cDNA). cDNA contains only the
exons that occur in DNA, omitting the intervening introns...

terça-feira, 11 de junho de 2013

Baby Born To Beatriz, El Salvador Woman Denied Life-Saving Abortion, Dies After C-Section Birth

SAN SALVADOR, El Salvador — An ill Salvadoran woman who delivered a baby without a brain through a cesarean section after being denied a medical abortion is recovering well and has had her tubes tied as she requested, doctors said Tuesday.

The 22-year-old woman was stable and remained in intensive care because of her fragile health, doctors said.

"This is a period of high risk because of possible post-surgery complications related to her health," said Dr. Xenia Sandoval, head of the Intensive Care Unit at Maternity Hospital.

Her baby girl was born without a brain and died five hours after the woman had a C-section Monday.

The woman, known only as Beatriz for privacy reasons, underwent the operation after 27 weeks of pregnancy.

The country's Supreme Court last week prohibited an abortion for the mother of one, who suffers from lupus and kidney failure.

Her bid to end what her lawyers said was a life-threatening pregnancy drew international attention and a ruling from the Inter-American Court on Human Rights that El Salvador should protect her life and help her end the pregnancy.

El Salvador's laws prohibit all abortions, even when a woman's health is at risk. Beatriz and any doctor who terminated her pregnancy would have faced arrest and criminal charges.

There have been cases in El Salvador in which women who had abortions have been convicted of homicide and sentenced to 30 years in prison.

site huffingtonpost.com

United States: After "Myriad" Oral Argument, Supreme Court Set To Decide Patentability Of Isolated Human DNA Molecules

Article by Marc A. Hearron, James J. Mullen III, Ph.D. and Matthew I. Kreeger


Today (April 22 2013), the Supreme Court of the United States heard oral argument in Association for Molecular Pathology v. Myriad Genetics, Inc. (No. 12-398) to decide the question, "Are human genes patentable?" The Court's decision in Myriad could have broad implications for biotechnology companies. Morrison & Foerster was present at the argument. Although one must be cautious about reading tea leaves from oral argument, a majority of Justices at the argument seemed skeptical that isolated human genes are patentable subject matter.

BACKGROUND

Myriad Genetics, Inc. is the patentee of several U.S. patents with claims directed to the human genes BRCA1 and BRCA2. The presence of mutations in these genes is highly correlated with the risk of developing breast or ovarian cancer. A coalition of groups and individuals brought a declaratory-judgment action over the patentability of the BRCA1 and BRCA2 claims.

A divided Federal Circuit panel held that claims covering isolated DNA sequences are patentable subject matter under 35 U.S.C. § 101. In March 2012, the Supreme Court sent the case back to the Federal Circuit for that court to reconsider its decision in light of the Supreme Court's decision in Mayo Collaborative Services v. Prometheus Laboratories, Inc., 132 S. Ct. 1289 (2012). In Mayo, the Supreme Court reaffirmed the principle that laws of nature are not patentable. On remand, the Federal Circuit wholly reaffirmed its prior ruling.

The challengers petitioned the Supreme Court for review. The Supreme Court granted certiorari to decide one question: "Are human genes patentable."

THE BRIEFS BEFORE THE SUPREME COURT

The plaintiffs assert that Myriad "did not invent any genes or variants or cause their significance" and that Myriad's patents "cover the BRCA genes of every person in the United States, even genes that Myriad has never seen." Because human genes and genetic variants of those genes are "products of nature," they are not eligible for patenting. The fact that the BRCA genes have been isolated from the human body makes no difference because under that rationale, "a kidney 'isolated' from the body would be patentable, gold 'isolated' from a stream would be patentable, and leaves 'isolated' from trees would be patentable." The challengers' position is supported, in whole or in part, by 24 amicus briefs, including briefs by the American Medical Association, AARP, and the American Intellectual Property Association.

Myriad contends that the claimed isolated DNA molecules "fall on the inventive side of the line" drawn by Section 101 and Supreme Court precedent. According to Myriad, "[o]nly by human intervention have the claimed molecules come about." "Where others failed, Myriad identified the BRCA genes, and then, using information it had collected and discerned from studying the genes, characterized, defined, and isolated these particular molecules. The creation of new molecules never before available to the public is invention." Myriad's position is supported by 26 amicus briefs, including briefs by the American Bar Association, the Biotechnology Industry Organization (BIO), the Pharmaceutical Research and Manufacturers of America (PhRMA), and a number of pharmaceutical companies.

The Solicitor General filed an amicus brief on behalf of the United States, nominally supporting neither party, but which, in practical terms, is seen as supporting the challengers. In a departure from the position of the Patent Office, the Solicitor General argues that "isolated but otherwise unmodified DNA is not patent-eligible." According to the Solicitor General, the "public's ability to study and use native DNA would be unduly compromised if changes caused by the extraction of naturally-occurring substances from their native environments were sufficient to trigger patent-eligibility." The Solicitor General departs from the challengers when it comes to "complementary DNA" (cDNA) molecules, which the government describes as "synthetic molecules built by scientists to include, in a single contiguous DNA segment, only the exons of a naturally occurring gene, without the introns and regulatory regions that are normally interspersed with exon sequences in genomic DNA."

ORAL ARGUMENT

The Justices' questioning at oral argument suggests that a majority of Justices seem inclined to agree with the challengers' argument that isolated human genes are not patent-eligible. As to cDNA, however, several Justices suggested that it is the product of human invention and would be eligible for patenting under Section 101, although it may or may not be patentable under other doctrines such as obviousness.

The Challengers' Argument

Counsel for the challengers began his argument by asserting that Myriad invented "nothing." The decisions as to what the genes contained were "made by nature," not by Myriad. Myriad merely "unlocked the secrets" of the genes; it did not invent them.

A number of Justices asked the challengers to clarify exactly what they contend is and is not patentable. Justice Sotomayor asked why the test for the presence of the BRCA genes had not been patented. Justice Scalia asked why the method of isolating the genes was not patented. Justice Kennedy asked whether the challengers were asserting that the process of "tagging" the isolated DNA was not patentable. Counsel answered that the method was patented but had been freely licensed for years, and he clarified that the challengers were not asserting that the process of tagging the DNA could not be patented.

Justice Alito was one of the only Justices to ask questions at oral argument suggesting outright agreement with Myriad that isolated genes can be patented. Justice Alito asked how the isolated DNA was different from a plant in the Amazon that is discovered to have therapeutic properties but which requires a chemical to be extracted and concentrated. Counsel agreed that the process of concentrating the substance might make it patentable. Justice Alito suggested that that was no different from isolating the gene because both the isolated gene and the concentrated plant substance have a different "function" and are in a new "form."

Several Justices, including Justices Scalia, Kennedy, and Kagan, asked whether there would be sufficient incentives for biotechnology companies to perform the type of work that Myriad performed if the genes are not patentable.

Justice Sotomayor stated that the isolated gene itself "has no value," but rather it is "the use you put the isolation to" that has value.

As to cDNA, the Justices were far less receptive to the challengers' argument. Justice Sotomayor stated that cDNA is "not a product of nature; it's a product of human invention." Justice Breyer stated that there is "no such thing in nature" as cDNA and that cDNA has properties that are not true of the isolated DNA. Justice Kennedy suggested that cDNA has features that regular DNA does not. Counsel repeatedly tried to assert that cDNA is found in nature, but he appeared to make little headway.

The Solicitor General's Argument

Solicitor General Donald Verrilli himself argued as amicus on behalf of the United States, reflecting the importance of this case. The Solicitor General's middle-ground position—that isolated genes are not patentable but that cDNA is—appeared to be carrying the day with several of the Justices.

The Chief Justice queried whether patentability under Section 101 was the proper way to consider these issues, suggesting that the doctrine of obviousness was the better course. He stated that taking a small part of something bigger is obvious, and thus it would be obvious to take an isolated gene from an entire chromosome. "I don't understand how a small part of something bigger isn't obvious," remarked the Chief Justice. Nevertheless, the Solicitor General urged the Court to focus on patentability under Section 101 as it did in Mayo.

Justice Alito pointed out that the government has changed its position and that there are conflicting opinions within the Executive Branch. The Solicitor General acknowledged as much.

Justice Kagan brought up Justice Alito's hypothetical about the Amazonian plant. The Solicitor General contended that the use of the substance in the plant would be patentable but that the substance itself would not.

Myriad's Argument

Counsel for Myriad withstood a barrage of questioning about the patentability of merely isolated human genes, which several Justices stated are "found in nature."

Justice Sotomayor, for example, likened the case to a new recipe for improved chocolate-chip cookies, stating that the cookie might be patentable because the inventor has done something new with the ingredients but that the basic ingredients themselves—salt, flour, eggs, and butter—could not be patented.

Myriad's counsel argued that there was human invention in the decision where to begin the gene and where to end the gene—i.e., where to snip the gene from the rest of the chromosome. He likened isolating the gene to a baseball bat that has been isolated from the rest of a tree, stating that a baseball bat is found in nature but the decision where to start and end it is decided by humans. Justices Scalia and Breyer resisted the analogy, stating that this DNA is found in the human body. The Chief Justice also stated that the baseball-bat analogy is "quite different" because that is not just snipping. "Here," he stated, "what's involved is snipping. You've got the thing there and you snip—snip off the top and you snip off the bottom and there you've got it."

Justice Kennedy remarked that isolated DNA is not useful until "tags" are added to it. He thus suggested that DNA that is isolated but not tagged is not different from how it exists in the body.

Justice Breyer stated that "the patent law is filled with uneasy compromises." Returning to the hypothetical about the plant in the Amazon, Justice Breyer stated that the historically recognized compromise is that processes to extract the substance from the plant are patentable, that newly discovered uses of the substance are patentable, but that the substance itself is not. This "hornbook patent law," he suggested, keeps substances themselves free of patent restrictions but encourages innovation to develop new uses for those substances.

Myriad's counsel urged the Court to defer to the views of the Patent Office, which "sits at the intersection of law and science." He pointed out that the Patent Office did not join the Solicitor General's brief and has adopted the position that isolated genes are patentable. Justice Ginsburg responded that the federal government has disavowed the Patent Office's position, and that "the strength of the presumption would be diluted" as a result. Justice Kagan referred to the Patent Office as "very patent happy."

Justice Kagan asked whether the "first person who found a chromosome and isolated it" from the body could have patented chromosomes. She also asked whether "the first person who found a liver" could patent the liver. Myriad's counsel answered that these would be patentable under Section 101 but might not be under other provisions, such as 35 U.S.C. § 103. Justice Breyer responded that "that's the problem" because it would mean "[a]nything from inside the body that you snip out and isolate" could satisfy Section 101. Justice Sotomayor added that "if you cut off a piece of the liver or a piece of the kidney," that does not make it patentable, suggesting that the same should be true of a piece of a chromosome.

In the most explicit signs that the Court might accept the Solicitor General's view, Justice Kennedy asked Myriad's counsel whether, if the Court were to agree with the government, it would "give the industry sufficient protection for innovation and research." And in the challengers' rebuttal, Justice Sotomayor asked whether there would be "some value to us striking down isolated DNA and upholding the cDNA."

Myriad had argued in its brief that the Federal Circuit erred in concluding that any of the challengers has standing. At oral argument, none of the Justices asked any questions about Myriad's standing argument, suggesting that standing likely will not be a basis for the Court's decision in this case.

CONCLUSION

One should not read too much into the Justices' questions at oral argument because the Court does sometimes rule differently from how observers expect it to rule based on questioning. Many Justices today, however, did seem to be searching for a middle ground in which isolated human genes could not be patented but synthetic cDNA is patent-eligible under Section 101. A decision is expected by the end of June 2013.

Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

site mondaq.com

Academic highlight: Myriad Genetics and the history of intellectual property in the United States

Amanda Frost

Can human genes be patented?  That is the claim at the heart of Association for Molecular Pathology v. Myriad Genetics, Inc., which was argued in April and is likely to be decided over the next few weeks.  For those interested in the case, and the convoluted history of intellectual property protection in the United States, I recommend an unusual but terrific academic source:  The Public Radio program BackStory.  BackStory features three University of Virginia historians, Ed Ayers, Peter Onuf, and Brian Balogh, each specializing in a different period in American history.  Their goal is to “tear a topic from the headlines and plumb its historical depths, . . . revealing the connections (and disconnections) between past and present.”  A few weeks ago BackStory broadcast a show on the history of intellectual property in the United States, using the Myriad case as a springboard for discussion.


The wide-ranging program began with a discussion of Myriad Genetics, described Madison’s and Jefferson’s conflicting views on the best way to promote invention and creation, discussed Mark Twain’s ambivalence about copyright protection, and concluded with the debate on how to copyright a joke.  As usual, Ayers, Onuf, and Balogh presented a complicated historical question in an accessible and interesting way, and the three of them clearly have a lot of fun doing it.  I’m hoping that they will continue to use Supreme Court cases as inspiration for their programs.  (If you live in the Washington, D.C., area, you can hear them at 6 a.m. on Sunday mornings on WAMU.  But if you aren’t lucky enough to have a one-year old who wakes you up at that hour, then you can listen online here.)

site scotusblog.com

domingo, 9 de junho de 2013

Asociacion Española de Bioetica - Servicio Informativo Mayo

ASOCIACION ESPAÑOLA DE BIOETICA
SERVICIO INFORMATIVO  Mayo 2013
Enviamos el Servicio Informativo de la Asociación Española de Bioética, con la siguiente información:

* Pautas para revisión ética para investigación en salud con seres humanos. OPS/OMS.  Se pueden bajar de:http://new.paho.org/hq/index.php?option=com_content&view=article&id=5582&Itemid=4004&lang=es

*Declaración de Guanajuato, sobre Sentencia de la Corte Interamericana de Derechos Humanos respecto a Costa Rica: www.declaraciondeguanajuato.org

* Información del  IX Congreso Nacional de la Asociación Española de Bioética (AEBI): El lenguaje universal de la Bioética. Pamplona, España. 25-26 octubre 2013. Información e inscripciones: http://www.aebioetica.org/IX_Bioetica/index.html  El 15 de mayo termina plazo para presentar pósters y comunicaciones al IX Congreso Nacional de Bioética, y también para presentar comunicaciones al I Congreso Universitario de Bioética. Hay más información en las páginas del Congreso: http://aebioetica.org/IX_Bioetica/comunicacionprimera.html y http://aebioetica.org/IX_Bioetica/comunicacionsegunda.html. 
Últimas publicaciones añadidas:  (Se pueden solicitar de modo gratuito por mail)
Tesis de Maestría:
- Estigmas morales sobre la epilepsia en pacientes y familiares atendidos en consulta de neurología Hospital Calixto García. La Habana. Dra. Teresa de las Mercedes Sosa Sánchez. Tesis Universidad Libre Internacional de las Américas. Defendida 2012.
- Cuidados paliativos pediátricos. Una necesidad emergente. Guisela Moya. Universidad Católica del Maule, Talca, Chile. Tesis Universidad Libre Internacional de las Américas. Defendida enero 2013.
- Monitoreo y aspectos éticos del tratamiento de los resíduos en los Hospitales.  Alicia Fajardo. Montevideo. Tesis Universidad Libre Internacional de las Américas. Defendida enero 2013.

*Novedades en web de Bioética:
- Revista Acta Bioethica. Santiago de Chile. 2012, Vol. 18, Nº 2. Temas de bioética clínica.  http://www.actabioethica.cl/
- Revista Bioética.  Conselho Federal Brasileiro de Medicina. Editada desde 1992. Vol. 21, 1°, 2013.http://revistabioetica.cfm.org.br/index.php/revista_bioetica
- Revista “Bioètica & Debat”. Institut Borja de Bioètica de la Universidad Ramon Llull. Se pueden descargar algunos ejemplares en: http://www.bioetica-debat.org/modules/tinycontent/index.php?id=7
- Revista de Bioética y Humanidades Médicas Quirón. Argentina, Vol. 3, nº 1. Edición digital. Director fundador: José Alberto Mainetti. http://ar.microjuris.com/revistaQuiron.jsp  Quirón. Revista de Medicina y Bioética
- Revista de Bioética Latinoamericana. Universidad de los Andes, Mérida, Venezuela. Último número: n° 11, Marzo 2013.http://www.saber.ula.ve/revistabioetica/
- Revista Colombiana de Bioética. Universidad El Bosque. Vol. 7, nº 2. diciembre 2012. http://www.bioeticaunbosque.edu.co/publicaciones/revista_bioetica.htm
- Revista Cuadernos de Bioética, España. Asociación Española de Bioética y Ética Médica. Vol. 24, nº 80, enero-abril 2013. Tema monográfico: Bioética personalista. http://www.aebioetica.org/cuadernos.htm
- Revista Latinoamericana de Bioética. Universidad Militar Nueva Granada, Bogotá. Vol. 12, nº 2. Diciembre 2012.http://www.umng.edu.co/web/revistas/revista-latinoamericana-de-bioetica
- Revista Persona y Bioética. Departamento de Bioética. Facultad de Medicina. Universidad de La Sabana. Colombia. Último número en web: 2012, Vol 16, nº 2: http://personaybioetica.unisabana.edu.co/index.php/personaybioetica
- Revista Redbioética/Unesco. Año 3, nº 6. Julio-diciembre 2012.

* Información de Congresos: 
- XVIII Congreso Internacional Ciencia y Vida. Ciencia, humanismos y posthumanismos. Convocado por la Universidad Libre Internacional de las Américas, ULIA, y por la Universidad San Pablo CEU y el Instituto de Humanidades Ángel Ayala.. Días 22 a 24 de Julio de 2013. Facultad de Humanidades y Ciencias de la Comunicación de la Universidad San Pablo CEU, Madrid. Información: http://www.investigadoresyprofesionales.org/drupal/content/xviii-congreso-internacional-ciencia-y-vida-ulia
- XI Congreso de la Asociación de Bioética Fundamental y Clínica. 3-5 octubre 2013. León, España.http://www.asociacionbioetica.com/BIOETICA/Portada.php
-IX Congreso Nacional de Bioética: El lenguaje universal de la Bioética. Asociación Española de Bioética y Ética Médica. Pamplona, España. 25-26 octubre 2013. Información e inscripciones: http://www.aebioetica.org/IX_Bioetica/index.html
- VI INTERNATIONAL SYMPOSIUM ON BRAIN DEATH AND DISORDERS OF CONSCIOUSNESS. La Habana, Cuba. Diciembre 2013. Coordinador: Dr. Calixto Machado. Mail: braind@infomed.sld.cu

*Información de cursos:
- VII Curso de Ética de la Investigación en Seres Humanos y VI Curso de Bioética Clínica y Social. Programa de Educación Permanente en Bioética REDBIOÉTICA/UNESCO extensión@redbioetica-edu.com.ar  www.redbioetica-edu.com.ar
- Curso de Iniciación en Bioética. “La bioética como diálogo interdisciplinario”. Institut Borja de Bioètica. Universitat Ramon LLull (Barcelona). Convocatoria Modalidad presencial y on-line. Web: