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AI plain-English summaryClinicians and researchers around the world now share data on more than 38,000 rare disease patients through a single online platform called DECIPHER, which helps them diagnose previously unknown disorders and interpret genetic test results. The problem is that rare diseases are individually uncommon but collectively affect millions of people, and their genetic causes often remain mysterious because no single centre sees enough cases to spot patterns. DECIPHER solves this by letting hospitals and labs across the globe—including in underserved regions—upload and openly share anonymised patient genotypes and symptoms in real time. This live, richly contextualised dataset allows clinicians to compare a new patient’s genome against thousands of others, flagging matching variants that point to a known or novel disorder. If the planned improvements succeed, DECIPHER will expand to include non-coding regions of the genome, integrate new research datasets to accelerate discovery, and refine gene-phenotype-disease models that can guide drug development. The platform is also moving from the Wellcome Sanger Institute to EMBL’s European Bioinformatics Institute, which will ensure its long-term sustainability and strengthen its role as a bridge between research resources and clinical practice. For families waiting years for a diagnosis, this infrastructure quietly makes the difference between uncertainty and a name for their child’s condition.
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