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International Cooperation to Enable the Diagnosis of All Rare Genetic Diseases.


ABSTRACT: Provision of a molecularly confirmed diagnosis in a timely manner for children and adults with rare genetic diseases shortens their "diagnostic odyssey," improves disease management, and fosters genetic counseling with respect to recurrence risks while assuring reproductive choices. In a general clinical genetics setting, the current diagnostic rate is approximately 50%, but for those who do not receive a molecular diagnosis after the initial genetics evaluation, that rate is much lower. Diagnostic success for these more challenging affected individuals depends to a large extent on progress in the discovery of genes associated with, and mechanisms underlying, rare diseases. Thus, continued research is required for moving toward a more complete catalog of disease-related genes and variants. The International Rare Diseases Research Consortium (IRDiRC) was established in 2011 to bring together researchers and organizations invested in rare disease research to develop a means of achieving molecular diagnosis for all rare diseases. Here, we review the current and future bottlenecks to gene discovery and suggest strategies for enabling progress in this regard. Each successful discovery will define potential diagnostic, preventive, and therapeutic opportunities for the corresponding rare disease, enabling precision medicine for this patient population.

SUBMITTER: Boycott KM 

PROVIDER: S-EPMC5420351 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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International Cooperation to Enable the Diagnosis of All Rare Genetic Diseases.

Boycott Kym M KM   Rath Ana A   Chong Jessica X JX   Hartley Taila T   Alkuraya Fowzan S FS   Baynam Gareth G   Brookes Anthony J AJ   Brudno Michael M   Carracedo Angel A   den Dunnen Johan T JT   Dyke Stephanie O M SOM   Estivill Xavier X   Goldblatt Jack J   Gonthier Catherine C   Groft Stephen C SC   Gut Ivo I   Hamosh Ada A   Hieter Philip P   Höhn Sophie S   Hurles Matthew E ME   Kaufmann Petra P   Knoppers Bartha M BM   Krischer Jeffrey P JP   Macek Milan M   Matthijs Gert G   Olry Annie A   Parker Samantha S   Paschall Justin J   Philippakis Anthony A AA   Rehm Heidi L HL   Robinson Peter N PN   Sham Pak-Chung PC   Stefanov Rumen R   Taruscio Domenica D   Unni Divya D   Vanstone Megan R MR   Zhang Feng F   Brunner Han H   Bamshad Michael J MJ   Lochmüller Hanns H  

American journal of human genetics 20170501 5


Provision of a molecularly confirmed diagnosis in a timely manner for children and adults with rare genetic diseases shortens their "diagnostic odyssey," improves disease management, and fosters genetic counseling with respect to recurrence risks while assuring reproductive choices. In a general clinical genetics setting, the current diagnostic rate is approximately 50%, but for those who do not receive a molecular diagnosis after the initial genetics evaluation, that rate is much lower. Diagnos  ...[more]

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