DECIPHER: Improving Genetic Diagnosis Through Dynamic Integration of Genomic and Clinical Data

Annu Rev Genomics Hum Genet. 2023 Aug 25:24:151-176. doi: 10.1146/annurev-genom-102822-100509. Epub 2023 Jun 7.

Abstract

DECIPHER (Database of Genomic Variation and Phenotype in Humans Using Ensembl Resources) shares candidate diagnostic variants and phenotypic data from patients with genetic disorders to facilitate research and improve the diagnosis, management, and therapy of rare diseases. The platform sits at the boundary between genomic research and the clinical community. DECIPHER aims to ensure that the most up-to-date data are made rapidly available within its interpretation interfaces to improve clinical care. Newly integrated cardiac case-control data that provide evidence of gene-disease associations and inform variant interpretation exemplify this mission. New research resources are presented in a format optimized for use by a broad range of professionals supporting the delivery of genomic medicine. The interfaces within DECIPHER integrate and contextualize variant and phenotypic data, helping to determine a robust clinico-molecular diagnosis for rare-disease patients, which combines both variant classification and clinical fit. DECIPHER supports discovery research, connecting individuals within the rare-disease community to pursue hypothesis-driven research.

Keywords: genetic diagnosis; genetic disorders; genotype–phenotype correlation; rare diseases; variant interpretation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alleles
  • DNA Copy Number Variations
  • Databases, Genetic
  • Genomics* / methods
  • Humans
  • Practice Guidelines as Topic
  • Rare Diseases / genetics