文摘
With progress in molecular genetic diagnosis and the improved possibilities of a demonstration of the resulting impairments, e.g., in the model organism it is possible in principle, to bring about an explanation for many diseases whose causes we do not know today, and finally develop treatments based on them. In the meantime, more than 6000 different rare diseases have come to light. There will be more because by testing the whole genome it will be possible to more precisely define diseases that have so far only been described in collective terms. This is the basis for individualized medcine, better designated precision medicine, which will enable the diagnosis and treatment of a multitude of rare congenital diseases. Therefore, newly integrated health care and research centers are needed that enable a rapid application of new knowledge in the clinic and have a broad, long-term specialist expertise in rare diseases. In the German National Action Plan for People with Rare Diseases (NAMSE) a structuring was developed, with the broad consensus of all participants. In this article the Berlin Center for Rare Diseases (BCSE) is given as an example, and has already considered some of the criteria prescribed in the NAMSE.