Neurol. praxi. 2021;22(2):93-99 | DOI: 10.36290/neu.2021.029

Rare diseases and the Orphanet

MUDr. Gabriela Hrčková
Ambulancia lekárskej genetiky, Detská klinika LF UK a NÚDCH, Bratislava

The history of rare diseases (RDs) dates back to the Middle Ages. At that time, RDs were rather described as "uncommon" phenotypes, somatic or biochemical. "Strange" clinical pictures that were observed repeatedly were thought to have a hereditary component firstly in the 19th century. To date, approximately 6 000 different RDs are known, and although they occur individually in a small number of patients, they affect together 3.5-5.9 % population worldwide. Most of them are genetically determined and the rapid development of molecular diagnostic methods has accelerated the identification of pathogenic, disease-causing variants. Research has also moved towards personalized treatment of RDs. Orphanet is the most comprehensive information portal on RDs for professionals and patients, as well (www.orpha.net). It offers its updated content about RDs for 23 years. Additionally, it is a database of diagnostic and research laboratories, medical expert centers, research projects, patient organizations, registries, biobanks and orphan drugs.

Keywords: rare diseases, genetics, Orphanet.

Published: April 30, 2021  Show citation

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Hrčková G. Rare diseases and the Orphanet. Neurol. praxi. 2021;22(2):93-99. doi: 10.36290/neu.2021.029.
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References

  1. AbeBooks.com - online kníhkupectvo. Dodoens R. Medicinalium observationum exempla rara. Dostupné na: https://www.abebooks.com/Medicinalium-observationum-exempla-rara-Accessere-alia/21929234636/bd.
  2. Alves R, Piñol M, Vilaplana J, Teixidó I, Cruz J, Comas J, Vilaprinyo E, Sorribas A, Solsona F. Computer-assisted initial diagnosis of rare diseases. PeerJ. 2016; 4: e2211. Published 2016 Jul 21. doi:10.7717/peerj.2211. Go to original source... Go to PubMed...
  3. Aymé S, Bellet B, Rath A. Rare diseases in ICD11: making rare diseases visible in health information system through appropriate coding. Orphanet J Rare Dis 2015; 10: 35-49. DOI: 10.1186/s13023-015-0251-8. Go to original source... Go to PubMed...
  4. Bolli R. William Harvey and the Discovery of the Circulation of the Blood. Circ Res. 2019; 124(9): 1300-1302. DOI: 10.1161/CIRCRESAHA.119.314977. Go to original source... Go to PubMed...
  5. ČAVO - Česká asociace pro vzácná onemocnění. Dostupné na: http://www.vzacna-onemocneni.cz/.Dohovor o ľudských právach a boimedicíne. 40/2000 Z.z., Oznámenie Ministerstva zahraničných vecí Slovenskej republiky. Dostupné online: http://www.pravo-medicina.sk/___files/Dohovor%20o%20ludskych%20pravach%20a%20biomedicine.pdf.
  6. Dooms MM. Rare diseases and orphan drugs: 500 years ago. Orphanet J Rare Dis. 2015; 10: 161. Published 2015 Dec 21. doi:10.1186/s13023-015-0353-3. Go to original source... Go to PubMed...
  7. EAN - European academy of neurology. Interview with Prof. Segolene Aymé, Founder of Orphanet. Published 2018 March 1. Dostupné na https://www.eanpages.org/2018/03/01/16324/.
  8. EJPRD - European Joint Programme Rare Diseases. Dostupné na: https://www.ejprarediseases.org/index.php/about/.
  9. ERN - European Reference Networks. Dostupné na: https://ec.europa.eu/health/ern_en.Garrod AE. The incidence of alkaptonuria: a study in chemical individuality. 1902 [classical article]. Yale J Biol Med 2002; 75(4): 221-31.
  10. Heather JM, Chain B. The sequence of sequencers: The history of sequencing DNA. Genomics 2016; 107(1): 1-8. DOI: 10.1016/j.ygeno.2015.11.003. Go to original source... Go to PubMed...
  11. Huyard C. How did uncommon disorders become 'rare diseases'? History of a boundary object. Sociol Health Illn. 2009; 31(4): 463-77. DOI: 10.1111/j.1467-9566.2008.01143.x. Go to original source... Go to PubMed...
  12. Institute of Medicine (US) Committee on Accelerating Rare Diseases Research and Orphan Product Development; Field MJ, Boat TF, editors. Rare Diseases and Orphan Products: Accelerating Research and Development. Washington (DC): National Academies Press (US); 2010. 3, Regulatory Framework for Drugs for Rare Diseases. Dostupné na: https://www.ncbi.nlm.nih.gov/books/NBK56185/.
  13. Kennedy MA. Mendelian genetic disorders. eLS; e-pub, first published: 23 September 2005; DOI: 10.1038/npg.els.0003934. Go to original source...
  14. Khoury MJ, Jones K, Grosse SD. Quantifying the health benefits of genetic tests: the importance of a population perspective. Genet Med 2006; 8(3): 191-5. DOI: 10.1097/01.gim.0000206278.37405.25. PMID: 16540755. Go to original source... Go to PubMed...
  15. Klein C, Gahl WA. Patients with rare diseases: from therapeutic orphans to pioneers of personalized treatments. EMBO Mol Med. 2018; 10(1): 1-3. DOI: 10.15252/emmm.201708365. Go to original source... Go to PubMed...
  16. Knox WE. Sir Archibald Garrod's inborn errors of metabolism. II. Alkaptonuria. Am J Hum Genet 1958; 10(2): 95-124.
  17. Koboldt DC, Steinberg KM, Larson DE, Wilson RK, Mardis ER. The next-generation sequencing revolution and its impact on genomics. Cell 2013; 155(1): 27-38. DOI: 10.1016/j.cell.2013.09.006. Go to original source... Go to PubMed...
  18. Lee CE, Singleton KS, Wallin M, Faundez V. Rare Genetic Diseases: Nature's Experiments on Human Development. iScience. 2020; 23(5): 101123. DOI: 10.1016/j.isci.2020.101123. Go to original source... Go to PubMed...
  19. Lwoff L. Council of Europe adopts protocol on genetic testing for health purposes. Eur J Hum Genet 2009; 17(11): 1374-1377. doi: 10.1038/ejhg.2009.84. Epub 2009 Jul 1. PMID: 19568268. Go to original source... Go to PubMed...
  20. Macek M. jr. Vzácná onemocnění a jejich domácí a mezinárodní kontext v roce 2019. Čas. Lék. čes. 2019; 158: 33-37.
  21. Maiella S, Rath A, Angin C, Mousson F, Kremp O. Orphanet et son réseau: où trouver une information validée sur les maladies rares [Orphanet and its consortium: where to find expert-validated information on rare diseases]. Rev Neurol (Paris). 2013; 169(Suppl. 1): S3-8. French. DOI: 10.1016/S0035-3787(13)70052-3. Go to original source... Go to PubMed...
  22. MZSR - Aktualizácia Akčného plánu na roky 2018-2019 k Národnému programu rozvoja starostlivosti o pacientov so zriedkavými chorobami v Slovenskej republike na obdobie rokov 2016 - 2020 podľa 9 základných priorít. Dostupné na: https://www.health.gov.sk/Clanok?zriedkave-choroby-aktualizacia-ap-2018-2019.
  23. NAP - Národní akční plán pro vzácná onemocnění na léta 2018-2020. Dostupné na: https://www.dataplan.info/img_upload/7bdb1584e3b8a53d337518d988763f8d/3.-narodni_akcni_plan_pro_vzacna_onemocneni_2018-2020.pdf.
  24. Nariadenie Komisie (ES) č. 141/2000, Lieky na ojedinelé ochorenia. Dostupné na: https://eur-lex.europa.eu/legal-content/SK/LSU/?uri=celex:32000R0141.
  25. Nariadenie Komisie (ES) č. 847/2000 z 27. apríla 2000, ktorým sa ustanovujú vykonávacie pravidlá ku kritériám na zaradenie lieku medzi lieky na ojedinelé ochorenia a definície pojmov podobný liek a klinická nadradenosť. Dostupné na: https://eur-lex.europa.eu/legal-content/SK/ALL/?uri=CELEX:32000R0847.
  26. Národná stratégia rozvoja zdravotnej starostlivosti o pacientov so zriedkavými chorobami na roky 2012-2013. Dostupné na: https://www.health.gov.sk/?narodna-strategia.
  27. Národní strategie pro vzácná onemocnění 2010-2020. Dostupné na: https://www.databaze-strategie.cz/cz/mzd/strategie/narodni-strategie-pro-vzacna-onemocneni-na-leta-2010-2020.
  28. NKCVO - Národní koordinační centrum pro vzácná onemocnění - Dostupné na: http://nkcvo.cz/.
  29. Nguengang Wakap S, Lambert DM, Olry A, Rodwell C, Gueydan C, Lanneau V, Murphy D, Le Cam Y, Rath A. Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database. Eur J Hum Genet. 2020; 28(2): 165-173. DOI: 10.1038/s41431-019-0508-0. Go to original source... Go to PubMed...
  30. Odporúčanie Rady 2009/C 151/02. Dostupné na: https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:C:2009:151:0007:0010:SK:PDF.
  31. Orphanet: online databáza zriedkavých chorôb a liekov na zriedkavé choroby. ©INSERM 1997. Dostupné na: http://www.orpha.net.
  32. Právny predpis č. 40/2000 Z. z. Dostupné na: https://www.slov-lex.sk/pravne-predpisy/SK/ZZ/2000/40/.
  33. Rath A, Olry A, Dhombres F, Brandt MM, Urbero B, Aymé S. Representation of rare diseases in health information systems: the Orphanet approach to serve a wide range of end users. Hum Mutat 2012; 33: 803-808. DOI: 10.1002/humu.22078. Go to original source... Go to PubMed...
  34. Sanders SJ, Sahin M, Hostyk J, Thurm A, Jacquemont S, Avillach P, Douard E, Martin CL, Modi ME, Moreno-De-Luca A, Raznahan A, Anticevic A, Dolmetsch R, Feng G, Geschwind DH, Glahn DC, Goldstein DB, Ledbetter DH, Mulle JG, Pasca SP, Samaco R, Sebat J, Pariser A, Lehner T, Gur RE, Bearden CE. A framework for the investigation of rare genetic disorders in neuropsychiatry. Nat Med 2019; 25(10): 1477-1487. DOI: 10.1038/s41591-019-0581-5. Go to original source... Go to PubMed...
  35. SAZCH - Slovenská aliancia zriedkavých chorôb, o.z. Dostupné na: http://sazch.sk/.
  36. Szabó AT, Poczai P. The emergence of genetics from Festetics' sheep through Mendel's peas to Bateson's chickens. J Genet 2019; 98(2): 63. Go to original source... Go to PubMed...
  37. Valdez R, Ouyang L, Bolen J. Public Health and Rare Diseases: Oxymoron No More [published correction appears in Prev Chronic Dis. 2016; 13: E20]. Prev Chronic Dis. 2016; 13: E05. DOI: 10.5888/pcd13.150491. Go to original source... Go to PubMed...
  38. World Health Organization (WHO). Human Genomics in Global Health. Genetic testing. Dostupné na: https://www.who.int/genomics/elsi/gentesting/en/.Zákon č. 48/1997 Sb. Zákon o veřejném zdravotním pojištění a o změně a doplnění některých souvisejících zákonů. Dostupné na: https://www.zakonyprolidi.cz/cs/1997-48.
  39. Zákon č. 363/2011 Z. z. Zákon o rozsahu a podmienkach úhrady liekov, zdravotníckych pomôcok a dietetických potravín na základe verejného zdravotného poistenia a o zmene a doplnení niektorých zákonov. Dostupné na: https://www.zakonypreludi.sk/zz/2011-363.
  40. Zákon č. 373/2011 Sb. Zákon o specifických zdravotních službách. Dostupné na: https://www.zakonyprolidi.cz/cs/2011-373.




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