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Biobanking
Presented by: Sanjay Singh
What is aBiobank?
• Defined by many authors, institutions, societies and
organizations in many different ways.
• Organized collections and storage of human biological samples and
associated data of great significance for research and personalized
medicine.
---BBMRI-European Commission (EC) in 2015
Biobank vs Biorepository
• Biorepository is a biological
materials repository that collects,
processes, stores, and distributes
biospecimens to support future
scientific investigation.
• Biorepositories can contain or
manage specimens from animals,
including humans, and many
other living organisms.
A biobank is a type of
biorepository that stores
human biological samples for
use in research.
History of biobanking
 Started with small, predominantly university-based
repositories that were developed for the research needs of
specific projects
 Gradually evolved institutional and government supported
repositories, commercial (for profit) biorepositories,
population based biobanks and most recently to virtual
biobanks
 Data associated with stored biospecimens have increased in
complexity
Classification schemes of Biobanks
 Disease-oriented biobanks usually have a hospital affiliation collect
samples
•Representing a variety of diseases
•Search for biomarkers affiliated with disease
 Population-based biobanks need no particular hospital affiliation
because they take samples from large numbers of all kinds of people
•Look for biomarkers for disease susceptibility in a general population
 Virtual biobanks : Developed to assist investigators locate
biospecimens for testing and data mining from multiple biobanks in
dispersed locations.
•They can be accessed using specialized software or web portals designed to
connect biobanks and investigators throughout the world
Types ofBiobanks
• Human biobank classification is based on:
1. Tissue type(tumor tissue, cells, blood, DNA or RNA )
2. Purpose/intended use (research, forensics, transplantation, source
for therapeutics, e.g., umbilical blood, stem cell biobanks for
individual or community use, ordiagnostics)
3. Ownership (academic and research institutions, hospitals,
biotechnology and pharmaceutical companies or governmentrun)
Types of Biobanks
 Tissue bank – (i) Surgical tissues,
Transplant tissues
 Cancer / Tumor bank
 Cord blood / Stem cell bank
 Blood bank – Dried Blood Spots
 Body fluids – (i) Synovial, (ii) Urine,
(iii)Sputum, (iv) Buccal scrapings,
(v) Sperm
 DNA / RNA bank
 Cornea bank
Examples of biobanks
 Biobank consists of three groups of distinct information.
1. Biological human sample(Biospecimen)
2. Attached or connected information
3. The legal issues like consent and patient/individual data
safety and protection
Biobanking
• Blood, plasma, serum, RBC, white cells, DNA, RNA, protein, cell
lines, fluid, urine, cerebrospinal fluid, synovial fluid, amniotic fluid
buffy coat, bone marrow stem cells and tissues(freshly frozen or
FFPE).
 Biospecimen
Biobanking Work Processes
Specimen Accessioning, Processing and Storage
Workflow
Specimen Withdrawal/Request Workflow
Who are thedonors?
• Patient at the hospital or avolunteer.
• Sometimes, biobank collections are driven by researchers needs or
population based research.
• Samples and information are labelled with unique identifiers.
• Samples are divided into separatealiquots.
• Samples are stored in a way appropriatefor the sample material and the
intended research purpose.
• Blood, plasma, serum, and DNA are stored in -80°C freezers.
• Tissues and cell lines are preserved in liquid nitrogen freezers at -196°C.
Storage of samples
Utilities of a biobank
•Therapeuticwork-
•Bone allografts used in spinal fusion surgery
•Tendon allografts for knee ligament
replacement
•Heart valves for treatment of congenital
heart defect in children
•Viable and non-viable skin dressing for burn
patients
•Hematopoetic stem cells and marrow used to
replace bone marrow.
•Sperms in fertility preservation.
• RESEARCHWORK
• Diseasebased research
• Populationbased
epidemiological research
Benefits ofBiobanking?
Biobanking in personalizedmedicine
Biobanks Ethical and safety Issues
 For tissue banking, freely given informed patient consent is
mandatory.
 “The Privacy Rule,” set new standards and regulations to protect patients from
inappropriate disclosures of their “protected health information.
 One way of ensuring the individual’s right to privacy and upholding the principle of
confidentiality is to delink the person from his/her biological material
 QA and QC checks necessary right from planning, implementation, up
to documentation and analysis
 Secondary or extended uses of stored samples
 Ethical issues relating to re-consent
The ICMR guidelines make no mention of re-consent as a requirement, saying only that
“for secondary use of samples, the original consent shall not be transgressed”.
 Final decision with ethics committee
 Findings of participants and informing participants
Debatable matter
While some hold that no feedback should be given at all, others are of the view that
feedback should be given under specific conditions, such as if the test result has clinical
relevance and if there is a known therapy/intervention which is effective.
The UK Biobank, for example, states clearly in its framework that “participants will
receive no feedback at all, since the findings will all be in an aggregate form, with no
release of individual data .
The ICMR guidelines do not make any mention of providing results to participants.
 Ownership of samples and results
• Multiple stakeholders in a biobank – the donors, investigators, funding agencies,
institution housing the biosamples and ethics review committee
• The institution of the biobank should hold “custodianship” for the use of the resource,
and that the custodian of the samples should fulfil numerous responsibilities
• Include strict adherence to ethics and regulations, commitment to ensuring the stated
scientific outcomes and translating the scientific outcomes into broader health benefits
Biobanks Ethical and safety Issues
Biobanks in India
Brain Biobank
NIMHANS, Bangalore
ACTREC, Mumbai
Cancer Biobank
Organ Retrieval Banking
Organization (ORBO),
AIIMS, New Delhi
Mycobacterial Repository,
JALMA, Agra
National Repository for
Cell Lines / Hybridomas,
NCCS, Pune
Repositories in India
• Biobanks are complex systems of systematically programmed storage of human
material and associated data.
• In the past 20 years the science of biobanks has became an integral part of
personalized medicine.
• A great number of biobanks have been established all over the world to support the
dramatic development in diseases prevention, prediction, diagnosis and treatment.
• There are multiple stakeholders in biobanking research. The current regulations in
biobanking research reflect the “subordinate” role of the individual providing the
sample
• There is a greater need to understand public perceptions and the readiness of the people to
participate in biobanking research. it is necessary to commit to a deeper, wider engagement
with the community to ensure equity, transparency and trust.
Conclusion
Biobanking 17072018 sanjay singh.pptx

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Biobanking 17072018 sanjay singh.pptx

  • 2. What is aBiobank? • Defined by many authors, institutions, societies and organizations in many different ways. • Organized collections and storage of human biological samples and associated data of great significance for research and personalized medicine. ---BBMRI-European Commission (EC) in 2015
  • 3. Biobank vs Biorepository • Biorepository is a biological materials repository that collects, processes, stores, and distributes biospecimens to support future scientific investigation. • Biorepositories can contain or manage specimens from animals, including humans, and many other living organisms. A biobank is a type of biorepository that stores human biological samples for use in research.
  • 4. History of biobanking  Started with small, predominantly university-based repositories that were developed for the research needs of specific projects  Gradually evolved institutional and government supported repositories, commercial (for profit) biorepositories, population based biobanks and most recently to virtual biobanks  Data associated with stored biospecimens have increased in complexity
  • 5. Classification schemes of Biobanks  Disease-oriented biobanks usually have a hospital affiliation collect samples •Representing a variety of diseases •Search for biomarkers affiliated with disease  Population-based biobanks need no particular hospital affiliation because they take samples from large numbers of all kinds of people •Look for biomarkers for disease susceptibility in a general population  Virtual biobanks : Developed to assist investigators locate biospecimens for testing and data mining from multiple biobanks in dispersed locations. •They can be accessed using specialized software or web portals designed to connect biobanks and investigators throughout the world
  • 6. Types ofBiobanks • Human biobank classification is based on: 1. Tissue type(tumor tissue, cells, blood, DNA or RNA ) 2. Purpose/intended use (research, forensics, transplantation, source for therapeutics, e.g., umbilical blood, stem cell biobanks for individual or community use, ordiagnostics) 3. Ownership (academic and research institutions, hospitals, biotechnology and pharmaceutical companies or governmentrun)
  • 7. Types of Biobanks  Tissue bank – (i) Surgical tissues, Transplant tissues  Cancer / Tumor bank  Cord blood / Stem cell bank  Blood bank – Dried Blood Spots  Body fluids – (i) Synovial, (ii) Urine, (iii)Sputum, (iv) Buccal scrapings, (v) Sperm  DNA / RNA bank  Cornea bank
  • 9.  Biobank consists of three groups of distinct information. 1. Biological human sample(Biospecimen) 2. Attached or connected information 3. The legal issues like consent and patient/individual data safety and protection Biobanking • Blood, plasma, serum, RBC, white cells, DNA, RNA, protein, cell lines, fluid, urine, cerebrospinal fluid, synovial fluid, amniotic fluid buffy coat, bone marrow stem cells and tissues(freshly frozen or FFPE).  Biospecimen
  • 10.
  • 12. Specimen Accessioning, Processing and Storage Workflow
  • 14. Who are thedonors? • Patient at the hospital or avolunteer. • Sometimes, biobank collections are driven by researchers needs or population based research. • Samples and information are labelled with unique identifiers. • Samples are divided into separatealiquots. • Samples are stored in a way appropriatefor the sample material and the intended research purpose. • Blood, plasma, serum, and DNA are stored in -80°C freezers. • Tissues and cell lines are preserved in liquid nitrogen freezers at -196°C. Storage of samples
  • 15. Utilities of a biobank •Therapeuticwork- •Bone allografts used in spinal fusion surgery •Tendon allografts for knee ligament replacement •Heart valves for treatment of congenital heart defect in children •Viable and non-viable skin dressing for burn patients •Hematopoetic stem cells and marrow used to replace bone marrow. •Sperms in fertility preservation. • RESEARCHWORK • Diseasebased research • Populationbased epidemiological research
  • 18.
  • 19. Biobanks Ethical and safety Issues  For tissue banking, freely given informed patient consent is mandatory.  “The Privacy Rule,” set new standards and regulations to protect patients from inappropriate disclosures of their “protected health information.  One way of ensuring the individual’s right to privacy and upholding the principle of confidentiality is to delink the person from his/her biological material  QA and QC checks necessary right from planning, implementation, up to documentation and analysis  Secondary or extended uses of stored samples  Ethical issues relating to re-consent The ICMR guidelines make no mention of re-consent as a requirement, saying only that “for secondary use of samples, the original consent shall not be transgressed”.  Final decision with ethics committee
  • 20.  Findings of participants and informing participants Debatable matter While some hold that no feedback should be given at all, others are of the view that feedback should be given under specific conditions, such as if the test result has clinical relevance and if there is a known therapy/intervention which is effective. The UK Biobank, for example, states clearly in its framework that “participants will receive no feedback at all, since the findings will all be in an aggregate form, with no release of individual data . The ICMR guidelines do not make any mention of providing results to participants.  Ownership of samples and results • Multiple stakeholders in a biobank – the donors, investigators, funding agencies, institution housing the biosamples and ethics review committee • The institution of the biobank should hold “custodianship” for the use of the resource, and that the custodian of the samples should fulfil numerous responsibilities • Include strict adherence to ethics and regulations, commitment to ensuring the stated scientific outcomes and translating the scientific outcomes into broader health benefits Biobanks Ethical and safety Issues
  • 21. Biobanks in India Brain Biobank NIMHANS, Bangalore ACTREC, Mumbai Cancer Biobank
  • 22. Organ Retrieval Banking Organization (ORBO), AIIMS, New Delhi Mycobacterial Repository, JALMA, Agra National Repository for Cell Lines / Hybridomas, NCCS, Pune Repositories in India
  • 23. • Biobanks are complex systems of systematically programmed storage of human material and associated data. • In the past 20 years the science of biobanks has became an integral part of personalized medicine. • A great number of biobanks have been established all over the world to support the dramatic development in diseases prevention, prediction, diagnosis and treatment. • There are multiple stakeholders in biobanking research. The current regulations in biobanking research reflect the “subordinate” role of the individual providing the sample • There is a greater need to understand public perceptions and the readiness of the people to participate in biobanking research. it is necessary to commit to a deeper, wider engagement with the community to ensure equity, transparency and trust. Conclusion

Editor's Notes

  1. Biobanking and Biomolecular Resources Research Infrastructure The Biobank acts as safe house with detailed information pertaining to the individuals from whom biological materials have been collected Data collection and proper cataloging are essential components for the success of a Biobank. Biobanking evolved from a simple collection of frozen specimens to the virtual biobank. Biorepository and biospecimen science has evolved in response to the changing landscape of external regulatory pressures, the advances made in the biological sciences, and the advent of the computer chip. Biospecimen banking is a growing enterprise crucial to health science research and other biological sciences.
  2. From basics such as date of collection and the diagnosis, to extensive information sets encompassing many aspects of participant or patient phenotype, now rapidly extending into genetic, proteomic, and other “omics” information
  3. Different region and different ethnicity
  4. These are the steps involved in a typical biobank. A. Specimen collection (consent has been obtained prior to collection) B. Centrifugation of specimens for processing C. Serum (red top blood tubes) and 50 ml conical containing peripheral blood mononuclear cell layer sitting on ficoll after centrifugation. D. Sub-aliquotting specimens under a biosafety laminar flow cabinet. E. Putting specimens into long-term storage. F. Specimens will be shipped to investigators for translational research.
  5. MTA material transfer agreement
  6. A major goal of personalized medicine is the development of highly targeted therapies that minimize or eliminate side effects. 
  7. the best way to retain tissue for research is through educating and encouraging people to donate their redundant tissues, not by taking them without their knowledge  harm patients by disclosing health or other information resulting in discrimination in employment or insurance (breach of confidentiality) Always a concerns over the storage of samples over a period of time for repeated measurements, the main concern being the reproducibility and reliability of the stored assays Broader consent to overcome the problem of reconsent.
  8. fndings of the basic assessment, ie blood pressure, body mass index (BMi) and other physical parameters, will be made known to the participants and, if they wish, to their general practitioner, at the time of their enrolment only