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Constitutional genetics
Week of 6 October 2026
16 articles
Geno'X Veille — genox-veille.fr
Key takeaways this week
- ►Genome: randomized Belgian trial: GS 39.8% versus 30% for standard of care (p = 0.015), but the gap falls to 7.3% (p = 0.069) after correction.
- ►rWGS in inpatient paediatric neurology: 45.1% phenotype-concordant diagnoses (79/175), management changed in 65.9% of diagnosed cases.
- ►CDK19: 28 individuals and Drosophila models: constant speech delay, epilepsy in 67%, supportive functional evidence.
- ►PIGB: motor neuropathy with conduction blocks in 12 patients from 9 families, a new adult phenotype for the GPI pathway.
- ►SLC26A2: 115-patient cohort, severity score and a cis-acting complex allele modifying severity.
- ►Reanalysis in the 100,000 Genomes Project (Wales): yield doubled from 20.8% to 42.2%, RNA for variants of uncertain significance.
16 articles of 16
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Neurodevelopment
PubMedA nationwide prospective randomized trial for diagnosing developmental disorders demonstrates genome sequencing outperforms standard of care.
Unexplained developmental disorders: genome sequencing versus standard of care
8
Neurodevelopment
Genome Med 2026· OctRead
Rapid WGS
PubMedRapid Whole-Genome Sequencing in Pediatric Neurology Inpatients.
Genetic diagnosis by rapid genome sequencing in paediatric neurology inpatients
7
Rapid WGS
JAMA Neurol 2026· OctRead
MYO5B
PubMedClinical Spectrum, Genetic Profile, and Genotype-Phenotype Correlations in Microvillus Inclusion Disease: A Systematic Review.
Microvillus inclusion disease (congenital enteropathy)
7
Am J Med Genet A 2026· OctRead
CDK19
PubMedIdentification of novel CDK19 variants and Drosophila-based in vivo functional evidence supporting pathogenicity in neurodevelopmental disorders.
CDK19-related neurodevelopmental disorder
7
NeurodevelopmentPhenotypic expansionFunctional SNV
Genet Med 2026· OctRead
PIGB
Autosomal recessivePubMedBiallelic PIGB Variants Cause Motor Neuropathy with Conduction Blocks and Peripheral Nerve Hyperexcitability.
Motor neuropathy with conduction blocks and peripheral nerve hyperexcitability (GPI deficiency)
7
NeurologyPhenotypic expansionFunctional SNV
Ann Neurol 2026· SepRead
SLC26A2
Autosomal recessivePubMedDelineating the Phenotypic Spectrum of SLC26A2-related Skeletal Dysplasias in a Cohort of 115 Patients: Evidence for a Novel Complex Allele Modifying Disease Severity.
SLC26A2-related skeletal dysplasias (from recessive multiple epiphyseal dysplasia to atelosteogenesis type 2)
7
WGS / DiagnosisFunctional SNV
Genet Med 2026· OctRead
WGS / Diagnosis
PubMedReanalysis of genomic data doubles the diagnostic yield for Welsh patients recruited to the UK 100,000 Genomes Project.
Undiagnosed rare diseases: genome reanalysis in the 100,000 Genomes Project (Wales)
7
WGS / DiagnosisVUS reclassified
Eur J Hum Genet 2026· SepRead
STXBP1
PubMedFunctional profiling of STXBP1 missense variants using a novel dual-readout fluorometric assay.
STXBP1-related disorders (epileptic encephalopathy and neurodevelopmental disorder)
6
NeurodevelopmentFunctional SNVVUS reclassified
Epilepsia 2026· SepRead
CSMD2
Autosomal recessive et dominantmedRxivHaploinsufficiency, de novo and biallelic missense variants in CSMD2 are associated with neurodevelopmental disorders
CSMD2-related neurodevelopmental disorder
6
NeurodevelopmentPhenotypic expansionFunctional SNV
medRxiv 2026· SepRead
Rapid WGS
medRxivOvercoming a diagnostic blindspot: Identifying balanced translocations in Mendelian rare disease cohorts
Balanced reciprocal translocations in Mendelian rare disease: detection from short-read genome sequencing
6
Rapid WGS
medRxiv 2026· OctRead
Familial cascade testing: direct contact of relatives with free testing
PubMedCHARGE free cascade genetic testing: Effectiveness and implementation outcomes from a hybrid type I feasibility trial.
Familial cascade testing: direct contact of relatives with free testing
6
Genet Med 2026· OctRead
ADAMTS6
PubMedLoss of function variants in ADAMTS6: a new connective tissue disorder with heart defect, aortic aneurysm and neurodevelopmental features.
Connective tissue disorder with heart defect, aortic aneurysm and neurodevelopmental features
6
Functional SNV
Genet Med 2026· OctRead
FADD
PubMedCurrent review of pediatric Fas-associated death domain protein deficiency: expanding clinical and therapeutic perspectives.
FADD deficiency (inborn error of immunity) in children
6
Clin Exp Pediatr 2026· SepRead
Neurodevelopment
PubMedImputation of fluid intelligence scores reduces ascertainment bias and increases power for analyses of common and rare variants.
Genetics of fluid intelligence and neurodevelopmental conditions (UK Biobank)
6
Neurodevelopment
Nat Genet 2026· OctRead
ECHS1
Autosomal recessivePubMedShort-chain enoyl-CoA hydratase deficiency: a systematic review of clinical spectrum, genotype-phenotype correlations and survival predictors.
Short-chain enoyl-CoA hydratase (SCEH) deficiency (ECHS1 gene)
6
Neurogenetics 2026· OctRead
Prenatal
PubMedIntegrated Molecular Autopsy in a Highly Consanguineous Perinatal Cohort With Severe Malformations and Strong Genetic Susceptibility.
Severe perinatal malformations: integrated molecular autopsy in a consanguineous population
5
PrenatalPrenatal application
Prenat Diagn 2026· OctRead
References and sources
- Unexplained developmental disorders: genome sequencing versus standard of care. Genome Med 2026. PMID 42830293. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42830293/
- Genetic diagnosis by rapid genome sequencing in paediatric neurology inpatients. JAMA Neurol 2026. PMID 42832236. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42832236/
- MYO5B — Microvillus inclusion disease (congenital enteropathy). Am J Med Genet A 2026. PMID 42834355. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42834355/
- CDK19 — CDK19-related neurodevelopmental disorder. Genet Med 2026. PMID 42820262. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42820262/
- PIGB — Motor neuropathy with conduction blocks and peripheral nerve hyperexcitability (GPI deficiency). Ann Neurol 2026. PMID 42813498. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42813498/
- SLC26A2 — SLC26A2-related skeletal dysplasias (from recessive multiple epiphyseal dysplasia to atelosteogenesis type 2). Genet Med 2026. PMID 42831386. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42831386/
- Undiagnosed rare diseases: genome reanalysis in the 100,000 Genomes Project (Wales). Eur J Hum Genet 2026. PMID 42806038. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42806038/
- STXBP1 — STXBP1-related disorders (epileptic encephalopathy and neurodevelopmental disorder). Epilepsia 2026. PMID 42811883. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42811883/
- CSMD2 — CSMD2-related neurodevelopmental disorder. medRxiv 2026. doi:10.64898/2026.09.24.26361611. Score 6/10. https://www.medrxiv.org/content/10.64898/2026.09.24.26361611v1
- Balanced reciprocal translocations in Mendelian rare disease: detection from short-read genome sequencing. medRxiv 2026. doi:10.64898/2026.09.30.26363717. Score 6/10. https://www.medrxiv.org/content/10.64898/2026.09.30.26363717v1
- Familial cascade testing: direct contact of relatives with free testing. Genet Med 2026. PMID 42820263. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42820263/
- ADAMTS6 — Connective tissue disorder with heart defect, aortic aneurysm and neurodevelopmental features. Genet Med 2026. PMID 42829835. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42829835/
- FADD — FADD deficiency (inborn error of immunity) in children. Clin Exp Pediatr 2026. PMID 42722396. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42722396/
- Genetics of fluid intelligence and neurodevelopmental conditions (UK Biobank). Nat Genet 2026. PMID 42834203. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42834203/
- ECHS1 — Short-chain enoyl-CoA hydratase (SCEH) deficiency (ECHS1 gene). Neurogenetics 2026. PMID 42825840. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42825840/
- Severe perinatal malformations: integrated molecular autopsy in a consanguineous population. Prenat Diagn 2026. PMID 42822536. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42822536/