Researchers from a group of universities are advancing our understanding of rare diseases through the Genomics Research to Elucidate the Genetics of Rare Diseases (GREGoR) Consortium. While individual rare diseases may each affect only a small number of people, collectively they impact about one in twenty individuals worldwide. For many patients and families, finding a genetic diagnosis can take years, often involving multiple rounds of testing that lead to inconclusive results.

The GREGoR Consortium was created to change that outcome by bringing together a global network of scientists, clinicians, bioinformaticians, and data analysts who specialize in uncovering the genetic roots of the world’s most challenging rare diseases. Many of the patients involved have already undergone clinical genetic testing, yet more than half still lack an identified genetic cause. GREGoR is using a powerful combination of next-generation sequencing, long-read and RNA sequencing, and cutting-edge computational methods to pinpoint disease-causing variants that standard tests often miss.

Overview of GREGoR

Fig. 1

Strategic framework of the GREGoR consortium for accelerating genomics in rare-disease research, highlighting cross-cutting themes, systematic data generation, computational innovations and end points of success.

A key feature of the consortium’s approach is collaboration and data sharing. GREGoR researchers are not working in isolation, they are part of a coordinated framework that includes thousands of families and individuals whose data are aggregated and made available through the NIH Analysis, Visualization and Informatics Lab-space (AnVIL). This open-access platform allows scientists worldwide to analyze the information, develop new algorithms, and cross-reference findings across populations and diseases. Currently, data from over 7,500 individuals and 3,000 families are accessible, creating an unprecedented resource for global research efforts.

The consortium’s efforts are already producing meaningful insights. By integrating functional genomics with advanced analytics, GREGoR is revealing previously hidden genetic mechanisms and helping to confirm links between specific variants and rare disease symptoms. These breakthroughs are not only helping to explain undiagnosed cases but also guiding the development of new diagnostic tests that can be used in clinical practice.

What makes GREGoR especially important is its commitment to translating research discoveries into real-world medical benefits. The consortium’s work is expected to accelerate how quickly new genomic technologies reach patients, leading to earlier diagnoses, better treatment strategies, and potentially even prevention for some genetic disorders. The open sharing of both data and methods ensures that the benefits extend far beyond the participating institutions, setting a new model for transparency and collaboration in genomics.

For families affected by rare diseases, every discovery represents more than a scientific milestone, it offers hope. GREGoR’s collaborative and data-driven approach is helping to close the gap between cutting-edge research and clinical care, building a future where fewer rare disease cases remain unsolved and more patients receive the answers they deserve.

Availabilityhttps://gregorconsortium.org/

Dawood M, Heavner B, Wheeler MM, Ungar RA, LoTempio J, Wiel L, Berger S, Bernstein JA, Chong JX, Délot EC, Eichler EE, Lupski JR, Shojaie A, Talkowski ME, Wagner AH, Wei CL, Wellington C, Wheeler MT, Carvalho CMB, Gibbs RA, Gifford CA, May S, Miller DE, Rehm HL, Samocha KE, Sedlazeck FJ, Vilain E, O’Donnell-Luria A, Posey JE, Chadwick LH, Bamshad MJ, Montgomery SB. (2025) GREGoR: accelerating genomics for rare diseases. Nature 647(8089): 331-342. [article]

Researchers from a group of universities are advancing our understanding of rare diseases through the Genomics Research to Elucidate the Genetics of Rare Diseases (GREGoR) Consortium. While individual rare diseases may each affect only a small number of people, collectively they impact about one in twenty individuals worldwide. For many patients and families, finding a genetic diagnosis can take years, often involving multiple rounds of testing that lead to inconclusive results.

The GREGoR Consortium was created to change that outcome by bringing together a global network of scientists, clinicians, bioinformaticians, and data analysts who specialize in uncovering the genetic roots of the world’s most challenging rare diseases. Many of the patients involved have already undergone clinical genetic testing, yet more than half still lack an identified genetic cause. GREGoR is using a powerful combination of next-generation sequencing, long-read and RNA sequencing, and cutting-edge computational methods to pinpoint disease-causing variants that standard tests often miss.

Overview of GREGoR

Fig. 1

Strategic framework of the GREGoR consortium for accelerating genomics in rare-disease research, highlighting cross-cutting themes, systematic data generation, computational innovations and end points of success.

A key feature of the consortium’s approach is collaboration and data sharing. GREGoR researchers are not working in isolation, they are part of a coordinated framework that includes thousands of families and individuals whose data are aggregated and made available through the NIH Analysis, Visualization and Informatics Lab-space (AnVIL). This open-access platform allows scientists worldwide to analyze the information, develop new algorithms, and cross-reference findings across populations and diseases. Currently, data from over 7,500 individuals and 3,000 families are accessible, creating an unprecedented resource for global research efforts.

The consortium’s efforts are already producing meaningful insights. By integrating functional genomics with advanced analytics, GREGoR is revealing previously hidden genetic mechanisms and helping to confirm links between specific variants and rare disease symptoms. These breakthroughs are not only helping to explain undiagnosed cases but also guiding the development of new diagnostic tests that can be used in clinical practice.

What makes GREGoR especially important is its commitment to translating research discoveries into real-world medical benefits. The consortium’s work is expected to accelerate how quickly new genomic technologies reach patients, leading to earlier diagnoses, better treatment strategies, and potentially even prevention for some genetic disorders. The open sharing of both data and methods ensures that the benefits extend far beyond the participating institutions, setting a new model for transparency and collaboration in genomics.

For families affected by rare diseases, every discovery represents more than a scientific milestone, it offers hope. GREGoR’s collaborative and data-driven approach is helping to close the gap between cutting-edge research and clinical care, building a future where fewer rare disease cases remain unsolved and more patients receive the answers they deserve.

Availabilityhttps://gregorconsortium.org/

Dawood M, Heavner B, Wheeler MM, Ungar RA, LoTempio J, Wiel L, Berger S, Bernstein JA, Chong JX, Délot EC, Eichler EE, Lupski JR, Shojaie A, Talkowski ME, Wagner AH, Wei CL, Wellington C, Wheeler MT, Carvalho CMB, Gibbs RA, Gifford CA, May S, Miller DE, Rehm HL, Samocha KE, Sedlazeck FJ, Vilain E, O’Donnell-Luria A, Posey JE, Chadwick LH, Bamshad MJ, Montgomery SB. (2025) GREGoR: accelerating genomics for rare diseases. Nature 647(8089): 331-342. [article]

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