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Constitutional genetics
Week of 18 August 2026
24 articles
Geno'X Veille — genox-veille.fr
Key takeaways this week
- ►Preconception screening — pan-ethnic targeted common-variant screening identified 11.9% more at-risk couples, with 26.8% of variants detected outside their historically associated population.
- ►Actionable secondary findings — an actionable coding genotype in 3.40% of 490,086 UK Biobank participants was associated with excess all-cause mortality (HR 1.42 in women).
- ►Paediatric cardiomyopathies — 55% of cases diagnosed before 6 months carried a variant in a syndromic cardiomyopathy gene despite an apparently isolated cardiac phenotype.
- ►KAT6A — the position of the truncating variant separates two entities with opposite mechanisms: loss of function for exons 1 to 15, gain of function for exons 16 and 17.
- ►SEPSECS — across 27 individuals, pontine involvement affected fewer than half of cases, prompting the renaming of PCH2D as SEPSECS-related neurodevelopmental disorder.
24 articles of 24
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Preconception screening for recessive disorders
PubMedPan-ethnic preconception screening: evidence from a large-scale programme in a genetically diverse population.
Preconception screening for recessive disorders
8
Prenatal application
J Med Genet 2026· AugRead
Cardiology
PubMedActionable genotypes beyond the coding sequence and their association with lifespan in the UK Biobank.
Actionable secondary findings (ACMG SF v3.2 list)
8
CardiologyFunctional SNVNew mechanism
J Med Genet 2026· AugRead
TREM2
PubMedPlasticity of human microglia and brain perivascular macrophages in aging and Alzheimer's disease.
Alzheimer's disease and brain aging
7
New mechanism
Nat Genet 2026· AugRead
Rapid WGS
PubMedRapid Genome Sequencing Identifies Treatable Conditions in Non-Intensive Care Unit Hospitalized Children.
Treatable genetic conditions in hospitalized children outside intensive care
7
Rapid WGSTherapeutic implication
Genet Med 2026· AugRead
Metabolism / Epilepsy
PubMedClinical subtypes and sleep-wake evolution pattern in epilepsy manifesting as sleep-related seizures.
Epilepsy manifesting as sleep-related seizures
7
Metabolism / EpilepsyTherapeutic implication
Epilepsia 2026· AugRead
Prenatal
PubMedTrio-Exome-Based Mendelian Inheritance Error Analysis Helps Identify Uniparental Disomies and Resolve Discordant NIPT Findings.
Uniparental disomy and discordant noninvasive prenatal testing
7
PrenatalPrenatal application
Prenat Diagn 2026· AugRead
TSC2
Autosomal dominantPubMedMolecular Characterization of TSC1 and TSC2 Variants in a Greek Cohort of Tuberous Sclerosis Complex Patients.
Tuberous sclerosis complex
7
WGS / DiagnosisRecurrent variantPhenotypic expansion
Hum Mutat 2026· AugRead
SEPSECS
Autosomal recessivePubMedDisease characteristics of SEPSECS deficiency: an international, retrospective, multicenter cohort study.
SEPSECS-related neurodevelopmental disorder (formerly PCH2D)
7
NeurodevelopmentPhenotypic expansionFunctional SNV
Genet Med 2026· AugRead
Cardiology
PubMedGenetic Architecture of Pediatric Cardiomyopathies Assessed by Whole-Exome Sequencing: Insights Into Early-Onset and Syndromic Forms.
Pediatric cardiomyopathies
7
CardiologyPhenotypic expansion
Clin Genet 2026· AugRead
KAT6A
Autosomal dominantmedRxivDominant truncating variants in KAT6A cause two neurodevelopmental disorders with opposite gene regulatory and metabolic changes.
Arboleda-Tham syndrome
7
NeurodevelopmentNew mechanismFunctional SNV
medRxiv 2026· AugRead
HNRNPK
PubMedhnRNPK condensates facilitate enhancer-promoter looping and RNA polymerase II recruitment.
Au-Kline syndrome
6
NeurodevelopmentNew mechanismFunctional SNV
Nat Genet 2026· AugRead
KIRREL3
PubMedIdentifying the Potential Role of Missense KIRREL3 Variants in Neurodevelopmental Phenotypes: A Case Series.
Neurodevelopmental disorder
6
NeurodevelopmentPhenotypic expansionRecurrent variant
Am J Med Genet A 2026· AugRead
SOD1
PubMedBlood SOD1 Activity in ALS Patients Receiving Tofersen Treatment.
SOD1-related amyotrophic lateral sclerosis
6
Therapeutic implicationFunctional SNV
Ann Neurol 2026· AugRead
MFN2
Variant de novomedRxivA loss-of-function mutation in the GTPase domain of MFN2, perverting mitochondrial dynamics, is associated with dilated cardiomyopathy
Dilated cardiomyopathy
6
CardiologyFunctional SNVNew mechanism
medRxiv 2026· AugRead
UBTF
Autosomal dominantPubMedChildhood-onset neurodegeneration and brain atrophy: defining UBTF-related developmental regression and progressive ataxia.
Childhood-onset neurodegeneration with brain atrophy (CONDBA)
6
NeurodevelopmentRecurrent variantFunctional SNV
J Med Genet 2026· AugRead
TNFRSF13B
Monoallélique ou biallélique, à pénétrance incomplètePubMedClinical Heterogeneity of TNFRSF13B Variants: A Monogenic Cause or a Genetic Modifier?
Common variable immunodeficiency and selective IgA deficiency
6
Recurrent variantPhenotypic expansion
Immunology 2026· AugRead
RNU4ATAC
Autosomal recessivePubMedPrenatal Phenotypic Features of Five Fetal Cases With RNU4ATAC-Associated Microcephalic Osteodysplastic Primordial Dwarfism Type I.
Microcephalic osteodysplastic primordial dwarfism type I (MOPD1)
6
PrenatalPrenatal applicationPhenotypic expansion
Prenat Diagn 2026· AugRead
PRCD
Autosomal recessivePubMedClinical and molecular features of PRCD-associated retinopathy.
Autosomal recessive retinitis pigmentosa
6
WGS / DiagnosisRecurrent variant
Acta Ophthalmol 2026· AugRead
AP4B1
Autosomal recessivePubMedSplice effect of a synonymous variant in AP4B1: multiomics approach establishes the diagnosis in two sisters with spastic paraplegia.
Autosomal recessive spastic paraplegia 47 (AP-4 complex deficiency)
6
VUS reclassifiedFunctional SNV
Hum Mutat 2026· AugRead
SLC20A2
Autosomal recessivePubMedBiallelic SLC20A2 loss-of-function in severe early-onset neurodevelopmental disorder with brain calcification.
Severe neurodevelopmental disorder with brain calcification
6
NeurodevelopmentPhenotypic expansionFunctional SNV
J Hum Genet 2026· AugRead
Prenatal
PubMedWhen Fetal Anomalies Lead to Prognostic Clarification: An Underrecognized Application of Exome Sequencing.
Fetal anomalies — prognostic clarification by exome sequencing
6
PrenatalPrenatal application
Prenat Diagn 2026· AugRead
Cardiology
PubMedFive-year outcomes of next-generation sequencing implementation at a Brazilian public health system reference centre for rare diseases.
Rare diseases — implementation of next-generation sequencing in a public health system
5
Cardiology
Front Genet 2026· AugRead
PLCG2
PubMedPLCG2 downregulation impairs synaptic function and increases Alzheimer's disease hallmarks in neuronal cultures.
Alzheimer's disease — genetic risk factor
5
NeurodevelopmentFunctional SNV
Nat Genet 2026· AugRead
CLCN1
Autosomal recessivePubMedNovel deep intronic variant in CLCN1 causing autosomal recessive myotonia congenita.
Autosomal recessive myotonia congenita (Becker disease)
5
Deep intronic variantFunctional SNV
Neurogenetics 2026· AugRead
References and sources
- Preconception screening for recessive disorders. J Med Genet 2026. PMID 42586782. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42586782/
- Actionable secondary findings (ACMG SF v3.2 list). J Med Genet 2026. PMID 42586783. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42586783/
- TREM2 — Alzheimer's disease and brain aging. Nat Genet 2026. PMID 42581323. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42581323/
- Treatable genetic conditions in hospitalized children outside intensive care. Genet Med 2026. PMID 42583753. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42583753/
- Epilepsy manifesting as sleep-related seizures. Epilepsia 2026. PMID 42579524. Score 7/10. https://onlinelibrary.wiley.com/doi/10.1002/epi.70447?af=R
- Uniparental disomy and discordant noninvasive prenatal testing. Prenat Diagn 2026. PMID 42584023. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42584023/
- TSC2 — Tuberous sclerosis complex. Hum Mutat 2026. PMID 42577675. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42577675/
- SEPSECS — SEPSECS-related neurodevelopmental disorder (formerly PCH2D). Genet Med 2026. PMID 42603098. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42603098/
- Pediatric cardiomyopathies. Clin Genet 2026. PMID 42596595. Score 7/10. https://onlinelibrary.wiley.com/doi/10.1111/cge.70230?af=R
- KAT6A — Arboleda-Tham syndrome. medRxiv 2026. doi:10.64898/2026.08.11.26358095. Score 7/10. https://www.medrxiv.org/content/10.64898/2026.08.11.26358095v1
- HNRNPK — Au-Kline syndrome. Nat Genet 2026. PMID 42587094. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42587094/
- KIRREL3 — Neurodevelopmental disorder. Am J Med Genet A 2026. PMID 42590949. Score 6/10. https://onlinelibrary.wiley.com/doi/10.1002/ajmg.a.70264?af=R
- SOD1 — SOD1-related amyotrophic lateral sclerosis. Ann Neurol 2026. PMID 42581415. Score 6/10. https://onlinelibrary.wiley.com/doi/10.1002/ana.78328?af=R
- MFN2 — Dilated cardiomyopathy. medRxiv 2026. doi:10.64898/2026.08.10.26360061. Score 6/10. https://www.medrxiv.org/content/10.64898/2026.08.10.26360061v1
- UBTF — Childhood-onset neurodegeneration with brain atrophy (CONDBA). J Med Genet 2026. PMID 42601187. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42601187/
- TNFRSF13B — Common variable immunodeficiency and selective IgA deficiency. Immunology 2026. PMID 42601324. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42601324/
- RNU4ATAC — Microcephalic osteodysplastic primordial dwarfism type I (MOPD1). Prenat Diagn 2026. PMID 42598898. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42598898/
- PRCD — Autosomal recessive retinitis pigmentosa. Acta Ophthalmol 2026. PMID 42593959. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42593959/
- AP4B1 — Autosomal recessive spastic paraplegia 47 (AP-4 complex deficiency). Hum Mutat 2026. PMID 42597316. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42597316/
- SLC20A2 — Severe neurodevelopmental disorder with brain calcification. J Hum Genet 2026. PMID 42601517. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42601517/
- Fetal anomalies — prognostic clarification by exome sequencing. Prenat Diagn 2026. PMID 42604848. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42604848/
- Rare diseases — implementation of next-generation sequencing in a public health system. Front Genet 2026. PMID 42583500. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42583500/
- PLCG2 — Alzheimer's disease — genetic risk factor. Nat Genet 2026. PMID 42601455. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42601455/
- CLCN1 — Autosomal recessive myotonia congenita (Becker disease). Neurogenetics 2026. PMID 42599553. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42599553/