The Challenges of Rare-Disease Research

With few resources and hesitant investors, basic scientists must rely on clinicians, patient advocates, and their own keen eye for biological connections.

| 8 min read

Register for free to listen to this article
Listen with Speechify
0:00
8:00
Share

© ISTOCK.COM/FANGXIANUOBecoming a mother changed Heather Etchevers’s life in more ways than she expected. After her daughter was born in 1999 with a rare skin condition known as giant congenital melanocytic nevus (CMN), the developmental biologist engaged with patient groups to understand the condition’s risks, which include myriad neurological disorders, malignancies, and cancer-like growths. But as the dearth of information about her daughter’s condition grew more apparent, she began to see a wealth of research potential. “I realized that things should be getting done that weren’t, and I had some special approaches that others weren’t doing or implementing at the time,” she says.

So Etchevers, who was using functional genomics to study malformations involving embryonic neural crest cells, decided to expand the focus of her research at the French National Institutes of Health (INSERM). But it would be another decade before any projects on CMN got off the ground. Because a rare disorder afflicts, by definition, fewer than 200,000 people in the U.S., patients are difficult to recruit without the help of a clinician, and clinical trials must be kept small so as to have any hope of filling them (giant CMN affects just 1 in 500,000 individuals). Funds are often scarce for research on conditions with such a small market, and the lack of existing literature and investigators working on the same disease can pose added professional ...

Interested in reading more?

Become a Member of

The Scientist Logo
Receive full access to digital editions of The Scientist, as well as TS Digest, feature stories, more than 35 years of archives, and much more!
Already a member? Login Here

Keywords

Meet the Author

  • Jyoti Madhusoodanan

    This person does not yet have a bio.

Published In

Share
A greyscale image of cells dividing.
March 2025, Issue 1

How Do Embryos Know How Fast to Develop

In mammals, intracellular clocks begin to tick within days of fertilization.

View this Issue
Discover the history, mechanics, and potential of PCR.

Become a PCR Pro

Integra Logo
3D rendered cross section of influenza viruses, showing surface proteins on the outside and single stranded RNA inside the virus

Genetic Insights Break Infectious Pathogen Barriers

Thermo Fisher Logo
A photo of sample storage boxes in an ultra-low temperature freezer.

Navigating Cold Storage Solutions

PHCbi logo 
The Immunology of the Brain

The Immunology of the Brain

Products

Sapio Sciences

Sapio Sciences Makes AI-Native Drug Discovery Seamless with NVIDIA BioNeMo

DeNovix Logo

New DeNovix Helium Nano Volume Spectrophotometer

Olink Logo

Olink® Reveal: Accessible NGS-based proteomics for every lab

Olink logo
Zymo Logo

Zymo Research Launches the Quick-16S™ Full-Length Library Prep Kit