[PDF][PDF] Rare genetic diseases: nature's experiments on human development

CE Lee, KS Singleton, M Wallin, V Faundez - IScience, 2020 - cell.com
CE Lee, KS Singleton, M Wallin, V Faundez
IScience, 2020cell.com
Rare genetic diseases are the result of a continuous forward genetic screen that nature is
conducting on humans. Here, we present epistemological and systems biology arguments
highlighting the importance of studying these rare genetic diseases. We contend that the
expanding catalog of mutations in∼ 4,000 genes, which cause∼ 6,500 diseases and their
annotated phenotypes, offer a wide landscape for discovering fundamental mechanisms
required for human development and involved in common diseases. Rare afflictions …
Rare genetic diseases are the result of a continuous forward genetic screen that nature is conducting on humans. Here, we present epistemological and systems biology arguments highlighting the importance of studying these rare genetic diseases. We contend that the expanding catalog of mutations in ∼4,000 genes, which cause ∼6,500 diseases and their annotated phenotypes, offer a wide landscape for discovering fundamental mechanisms required for human development and involved in common diseases. Rare afflictions disproportionately affect the nervous system in children, but paradoxically, the majority of these disease-causing genes are evolutionarily ancient and ubiquitously expressed in human tissues. We propose that the biased prevalence of childhood rare diseases affecting nervous tissue results from the topological complexity of the protein interaction networks formed by ubiquitous and ancient proteins encoded by childhood disease genes. Finally, we illustrate these principles discussing Menkes disease, an example of the discovery power afforded by rare diseases.
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