Wangler Michael F, Yamamoto Shinya, Chao Hsiao-Tuan, Posey Jennifer E, Westerfield Monte, Postlethwait John, Hieter Philip, Boycott Kym M, Campeau Philippe M, Bellen Hugo J
Department of Molecular and Human Genetics, Baylor College of Medicine (BCM), Houston, Texas 77030.
Department of Pediatrics, Baylor College of Medicine (BCM), Houston, Texas 77030.
Genetics. 2017 Sep;207(1):9-27. doi: 10.1534/genetics.117.203067.
Efforts to identify the genetic underpinnings of rare undiagnosed diseases increasingly involve the use of next-generation sequencing and comparative genomic hybridization methods. These efforts are limited by a lack of knowledge regarding gene function, and an inability to predict the impact of genetic variation on the encoded protein function. Diagnostic challenges posed by undiagnosed diseases have solutions in model organism research, which provides a wealth of detailed biological information. Model organism geneticists are by necessity experts in particular genes, gene families, specific organs, and biological functions. Here, we review the current state of research into undiagnosed diseases, highlighting large efforts in North America and internationally, including the Undiagnosed Diseases Network (UDN) (Supplemental Material, File S1) and UDN International (UDNI), the Centers for Mendelian Genomics (CMG), and the Canadian Rare Diseases Models and Mechanisms Network (RDMM). We discuss how merging human genetics with model organism research guides experimental studies to solve these medical mysteries, gain new insights into disease pathogenesis, and uncover new therapeutic strategies.
识别罕见未确诊疾病的遗传基础的努力越来越多地涉及使用下一代测序和比较基因组杂交方法。这些努力受到对基因功能缺乏了解以及无法预测遗传变异对编码蛋白质功能的影响的限制。未确诊疾病带来的诊断挑战在模式生物研究中有解决办法,模式生物研究提供了丰富的详细生物学信息。模式生物遗传学家必然是特定基因、基因家族、特定器官和生物学功能方面的专家。在这里,我们综述了未确诊疾病的研究现状,强调了北美和国际上的大量努力,包括未确诊疾病网络(UDN)(补充材料,文件S1)和UDN国际(UDNI)、孟德尔基因组学中心(CMG)以及加拿大罕见疾病模型与机制网络(RDMM)。我们讨论了将人类遗传学与模式生物研究相结合如何指导实验研究来解开这些医学谜团、获得对疾病发病机制的新见解以及发现新的治疗策略。