Introduction
After demonstrating the convergence between ontogenesis and oncogenesis using alpha-fetoprotein as a new biomarker of neoplastic development[1,2], the phenomenon was confirmed using another cancer biomarker—IGF-I[3,4], followed by the development of genetic testing of IGF-I[5,6], and the establishment of cancer gene therapy, applying the anti-gene IGF-I approach[7]. Through the example of the IGF-I biomarker, which plays an important role in cancerology[7], the presented review article describes the common ethical problems triggered by genetic testing. Biomarkers or molecular markers are defined by the National Cancer Institute (NCI) as "biological molecules found in blood, other body fluids, or tissues, including RNA and microRNA that are a sign of a normal or abnormal process, or of a condition or disease". Biomarkers, especially those associated with genetic mutations or epigenetic alterations, help to identify early stages of cancer, its prognostic, treatment choice, and therapy response[8-14].
New "array" technologies such as Comparative Genomic Hybridization arrays (CGH), Single Nucleotide Polymorphisms arrays (SNP), protein arrays, among others, are powerful sources of data when identifying biomarkers. In fact, studies in cancer using this kind of technology, have been able to identify genes involved with initiation, promotion, progression, and treatment response, as well as understandingthe biological characteristics of cancer cells. Finally, changes in micro RNA (miRNAs) expression can also be a biomarker i.e. the increase of miR-206 and -221 gene expression or down expression of miR-125b and let-7 genes[13,14]. As far as biomarkers are considered, related genetic testing constitutes an important domain of clinical laboratory diagnostic. In this context, possible patents related to genetic testing should be discussed. The idea of patenting genes may seem absurd, yet it is a reality – as the "invention" is prior to the inventor. Just 15 years ago, the United States counted at least 48 private companies with three patents class 435/6 minimum (molecular biology involving nucleic acids)[15]. Genes of plants, animals, and humans are being patented[16,17]. If the human genome is, in a symbolic sense, heritage of humanity (UNESCO, 1997)[18]. In addition, there is great concern that gene sequence patents may hinder future biotechnological innovations in the medical field[19].