Ashkenazi Jews and breast cancer: the consequences of linking ethnic identity to genetic disease.
We explored the advantages and disadvantages of using ethnic categories in genetic research. With the discovery that certain breast cancer gene mutations appeared to be more prevalent in Ashkenazi Jews, breast cancer researchers moved their focus from high-risk families to ethnicity. The concept of Ashkenazi Jews as genetically unique, a legacy of Tay-Sachs disease research and a particular reading of history, shaped this new approach even as methodological imprecision and new genetic and historical research challenged it. Our findings cast doubt on the accuracy and desirability of linking ethnic groups to genetic disease. Such linkages exaggerate genetic differences among ethnic groups and lead to unequal access to testing and therapy.
Brandt-Rauf
Sherry I
SI
Center for the Study of Society and Medicine, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
Raveis
Victoria H
VH
Drummond
Nathan F
NF
Conte
Jill A
JA
Rothman
Sheila M
SM
D001943:Breast Neoplasms / Q000208:ethnology* / Q000235:genetics*; D005260:Female; D018703:Founder Effect; D019398:Genes, BRCA1; D024522:Genes, BRCA2; D020022:Genetic Predisposition to Disease / Q000208:ethnology*; D036281:Genetic Research; D005820:Genetic Testing; D005828:Genetics, Population; D006801:Humans; D007407:Interviews as Topic; D007585:Jews / Q000145:classification / Q000235:genetics*; D007599:Judaism; D009154:Mutation; D012108:Research Personnel; D012933:Social Identification; D013661:Tay-Sachs Disease / Q000208:ethnology / Q000235:genetics