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Table 1 Translational toolbox: Conditions and resources that will enable effective orphan disease translational research

From: A generalizable pre-clinical research approach for orphan disease therapy

Critical Information

Known Gene

Known Inheritance (dominant or recessive)

Known Mechanism (LOF or GOF)

Helpful Information

Existence of a presymptomatic window or likeliness of clinical reversibility

Dysregulated pathway known

Diagnostic assay associated with primary defect available

Purified protein available

Protein crystal structure known

Antibody directed against protein available

Previous screen related to disease gene exists (screen for pharmacologic modulation, ASO screening, etc)

Gene under control of transcription factors responsive to drugs

Scorable cell culture phenotype exists

Animal or other model available

Scorable biomarker reflecting disease state exists (metabolomic, transcriptomic marker, etc)

 

Disease management protocol in use