Evidence map›Paper›PMID 41547936›Full record

ReviewHuman genomics2026

Charting exposomethics: a roadmap for the ethical foundations of the human exposome project.

Fenna C M Sillé, Myriem Belkadi, Kirsten Koehler, Joseph Ali, Vasilis Vasiliou, Denis Sarigiannis, Thomas Hartung

Abstract readReview
In one paragraph

Review in Human genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Fenna C M SilléCenter for Alternatives to Animal Testing (CAAT), Department of Environmental Health & Engineering, Johns Hopkins Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, 21205, USA.
Myriem BelkadiDepartment of Environmental Health & Engineering, Johns Hopkins Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, 21205, USA.
Kirsten KoehlerDepartment of Environmental Health & Engineering, Johns Hopkins Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, 21205, USA.
Joseph AliJohns Hopkins Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, 21205, USA.
Vasilis VasiliouDepartment of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, 06510, USA.
Denis SarigiannisNational Hellenic Research Foundation, 48 Vassileos Constantinou Avenue, 11635, Athens, Greece.
Thomas HartungCenter for Alternatives to Animal Testing (CAAT), Department of Environmental Health & Engineering, Johns Hopkins Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, 21205, USA. thartun1@jhu.edu.ORCID 0000-0003-1359-7689

Funding

SENSORS FOR WATER CONTAMINANT DETECTION AND MONITORINGP42ES033815 · NIEHS · YALE UNIVERSITY · PI Jaehong Kim · 2022 to 2026
$9.5M
Pilot Project ProgramP30ES032756 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 2022 to 2026
$6.0M
NEXUS: Network for Exposomics in the U.S.U24ES036819 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Rima Habre, GARY W MILLER · 2024 to 2026
$4.6M
Mouse Models for Alcohol Metabolism and Tissue InjuryR24AA022057 · NIAAA · YALE UNIVERSITY · PI VASILIOU, VASILIS · 2013 to 2022
$4.5M
Neurotoxicity due to Environmental complex Metal Mixtures ExposureRF1NS130672 · NINDS · JOHNS HOPKINS UNIVERSITY · PI BISWAL, SHYAM, HARTUNG, THOMAS · 2022 to 2022
$2.4M
European Commission NEUROSOME 766251Johns Hopkins University Nexus Convening awardNIAAA NIH HHS R24 AA022057NIEHS NIH HHS P30 ES032756NIEHS NIH HHS P42 ES033815NIEHS NIH HHS U24 ES036819NIEHS NIH HHS U24ES036819NIH HHS AA022057NINDS NIH HHS RF1 NS130672NINDS NIH HHS RF1NS130672
6 · The paper itself

Abstract

backgroundThe Human Exposome Project (HEP) aims to chart lifelong environmental exposures and their biological consequences, furnishing the environmental counterpart to the genomic revolution. Yet the fine‑grained, multimodal data streams that fuel exposomics-biospecimens, geolocation traces, wearable‑sensor feeds, and socio‑environmental metadata-raise privacy, justice, and governance questions that may exceed the reach of conventional bioethics. MAIN BODY: Building on lessons from genomics, biobanking, digital health, and environmental‑justice research, we identify five foundational ethical domains for exposome science: (1) privacy and data sovereignty, (2) informed consent and sustained participant engagement, (3) environmental justice, (4) governance and oversight, and (5) actionability and the responsible return of results,as well as (6)the adherence to research program goals. Similar to the "values in design" construct widely used in the socio-technical field and the "ethics by design" in the artificial intelligence (AI) field, we translate these domains into operational pillars for ethics‑by‑design research practice: dynamic or tiered consent architectures; participatory governance mechanisms such as community advisory boards; embedded ethics research programs; algorithmic‑fairness protocols for artificial‑intelligence analytics; and dedicated review bodies equipped to evaluate longitudinal, sensor‑based, multi‑omics studies. Concrete recommendations include federated data stewardship to minimize re‑identification risk, Evidence‑to‑Decision frameworks that couple exposomic evidence with societal values, and transparent pathways for communicating context‑dependent findings to individuals, communities, and policymakers.

conclusionsEthical preparedness and action are a prerequisite for the scientific impact and social license of exposome research. Institutionalizing the proposed roadmap-via an international Exposome Ethics Consortium, expanded training for Institutional Review Boards, harmonized regulatory guidance, and sustained community co‑governance-will help protect privacy, promote equity, and foster public trust. Embedding systematic ethical reflection as core infrastructure will enable the Human Exposome Project to realize its promise of precision public health without replicating patterns of opaque surveillance, marginalization, or data commodification. The Human Exposome Project (HEP) represents an ambitious endeavor to characterize lifelong environmental exposures in relation to health. Yet, this vision brings profound ethical challenges: from managing massive, sensitive datasets to ensuring justice for disproportionately exposed communities. This article synthesizes foundational work on exposome ethics, outlines core ethical challenges, and proposes a proactive ethical governance model that ensures scientific integrity and social legitimacy.

Indexed as

Environmental ExposureExposomeDigital HealthGenomicsHumansInformed Consent

Identifiers

PMID41547936
PMCPMC12895843

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.