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Ethical, Legal, and Social Implications of Whole-Genome Sequencing in Direct-to-Consumer Testing Markets
Author: Ivan Mutebi
Publisher: RESEARCH INVENTION JOURNAL OF BIOLOGICAL AND APPLIED SCIENCES
Published: 2026
Section: School of Pharmacy
Abstract
Whole-genome sequencing (WGS) has rapidly transitioned from specialized research laboratories to the direct-to
consumer (DTC) genetic testing marketplace due to declining costs and advances in high-throughput sequencing
technologies. While these services expand access to genomic information and offer potential benefits for disease
prediction, ancestry tracing, and personalized health insights, they also raise significant ethical, legal, and social
concerns. This paper examines the implications of WGS within DTC contexts, focusing on issues of informed
consent, privacy and data security, governance and regulatory oversight, accountability of service providers, and
the broader social consequences of commercialization. It highlights how indefinite data storage, third-party data
sharing, and risks of re-identification challenge traditional frameworks of confidentiality and consumer protection.
The analysis further reviews national and international regulatory approaches, emphasizing disparities between
jurisdictions and the absence of binding global standards. Additionally, the study explores challenges relating to
public trust, transparency, equity of access, and methodological limitations in research using consumer genomic
data. The paper concludes that while DTC WGS holds transformative potential for healthcare and research,
stronger regulatory frameworks, transparent consent processes, and robust privacy safeguards are essential to
ensure responsible innovation and protect consumer rights.