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Constitutional genetics
Week of 13 October 2026
19 articles
Geno'X Veille — genox-veille.fr
Key takeaways this week
- ►IDUA — retinitis pigmentosa without MPS I in 7 adults (14 individuals, 12 families): hypomorphic genotypes and a recurrent missense acting through splicing.
- ►LTBP2 — loss-of-function heterozygotes: OR 4.14 for adult primary open-angle glaucoma in UK Biobank, diagnosis 8 years earlier, replicated in All of Us.
- ►BRIP1 — 11 homozygotes for a C-terminal truncation without Fanconi anaemia: the N-terminal helicase domain is sufficient.
- ►FLCN — 1,084 suspected Birt-Hogg-Dubé probands: 29% positive, fibrofolliculomas (OR 12.9) and pneumothorax (OR 5.8) the strongest predictors.
- ►Hypertrophic cardiomyopathy — re-evaluation of 2,154 index cases: 86 genetic statuses changed, TNNT2 upgraded, ACTC1, MYL3 and TPM1 downgraded.
- ►France, 34 centres — diagnostic yield for developmental disorders up from 16% (2012) to 27% (2022), genome at 42% in patients with long odysseys.
- ►CHD8 and incomplete penetrance — across 4,325 families, at least 1 in 60 diagnostic variants is inherited from a reportedly unaffected parent (preprint).
19 articles of 19
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IDUA
Autosomal recessivePubMedHypomorphic IDUA genotypes are associated with retinitis pigmentosa in individuals without syndromic mucopolysaccharidosis type I.
IDUA-related retinitis pigmentosa without syndromic mucopolysaccharidosis type I
8
Long-read WGSPhenotypic expansionFunctional SNV
Am J Hum Genet 2026· OctRead
LTBP2
PubMedIndividuals heterozygous for LTBP2 loss-of-function variants have an increased risk of adult-onset primary open-angle glaucoma.
Adult-onset primary open-angle glaucoma in LTBP2 loss-of-function heterozygotes
8
Phenotypic expansion
Genet Med 2026· OctRead
BRIP1
PubMedLoss of the human BRIP1 C terminus does not cause Fanconi anemia.
Fanconi anaemia: homozygous C-terminal truncating BRIP1 variants
8
Functional SNVNew mechanism
Am J Hum Genet 2026· OctRead
MECP2
X-linkedPubMedSystematic Review of Females With Intellectual Disability and MECP2 Duplication.
MECP2 duplication syndrome in females with intellectual disability
8
Neurodevelopment
Am J Med Genet A 2026· OctRead
FLCN
Autosomal dominantPubMedBirt-Hogg-Dubé syndrome, prevalence of identified cases according to clinical indication in a cohort of 1,084 patients with genetic analysis.
Birt-Hogg-Dubé syndrome: test yield by clinical indication
7
WGS / Diagnosis
Genet Med 2026· OctRead
Cardiology
PubMedGene-specific reclassification patterns of variants in hypertrophic cardiomyopathy.
Hypertrophic cardiomyopathy: gene-specific variant reclassification
7
CardiologyVUS reclassified
Eur J Hum Genet 2026· OctRead
WGS / Diagnosis
PubMedDiagnostic pathways in developmental disorders: a decade-apart comparison of two multicenter cohorts (2012-2022).
Developmental disorders: change in diagnostic practice in France between 2012 and 2022
7
WGS / Diagnosis
Eur J Hum Genet 2026· OctRead
Neurodevelopment
PubMedClinical and molecular spectrum of congenital disorders of glycosylation in 80 Egyptian patients.
Congenital disorders of glycosylation: clinical and molecular spectrum in an Egyptian cohort
7
NeurodevelopmentRecurrent variant
Hum Genet 2026· OctRead
Mitochondrial aminoacyl-tRNA synthetase (ARS2) deficiencies
PubMedTailored Amino Acid Treatment for Pediatric Patients With Mitochondrial Aminoacyl-tRNA Synthetase Deficiencies.
Mitochondrial aminoacyl-tRNA synthetase (ARS2) deficiencies
7
Therapeutic implication
J Inherit Metab Dis 2026· OctRead
RP1
Autosomal dominant ou récessifPubMedAllelic Architecture and Clinical Spectrum of RP1-Associated Retinal Dystrophies in a Multicenter Korean Cohort.
RP1-associated retinal dystrophies in a multicentre Korean cohort
7
Long-read WGSRecurrent variantPhenotypic expansion
Invest Ophthalmol Vis Sci 2026· OctRead
Preimplantation genetic testing for aneuploidy (PGT-A): variability between laboratories
PubMedPreimplantation genetic testing laboratory classification strategies are associated with diagnostic yield and downstream clinical performance.
Preimplantation genetic testing for aneuploidy (PGT-A): variability between laboratories
7
Fertil Steril 2026· OctRead
DGUOK
Autosomal recessivePubMedPleuroparenchymal fibroelastosis in a monogenic mitochondrial DNA depletion syndrome.
Pleuroparenchymal fibroelastosis in DGUOK-related mitochondrial DNA depletion syndrome
6
Phenotypic expansionFunctional SNV
Eur Respir J 2026· OctRead
Neurodevelopment
PubMedDiagnostic yield of genome sequencing for children with intellectual disability and developmental delay.
Intellectual disability and developmental delay in children: genome sequencing yield
6
Neurodevelopment
Front Neurol 2026· SepRead
TBX4
PubMedVariant Class-Specific Phenotypes and Outcomes in Pediatric TBX4-Associated Pulmonary Hypertension.
Paediatric TBX4-associated pulmonary hypertension: CNVs versus single nucleotide variants
6
Neurodevelopment
Pediatr Pulmonol 2026· OctRead
Prenatal
PubMedFrom Isolated to Complex: Diagnostic Yield of Chromosomal Microarray and Exome Sequencing in Fetal Growth Restriction.
Fetal growth restriction: yield of chromosomal microarray and exome sequencing
6
PrenatalPrenatal application
Prenat Diagn 2026· OctRead
Prenatal
PubMedGenetic Investigation of Pregnancies With an Isolated Fetal Pelvic Kidney.
Isolated fetal pelvic kidney: prenatal genetic work-up
6
PrenatalPrenatal application
Prenat Diagn 2026· OctRead
CYB5A
Autosomal recessivePubMedBiallelic CYB5A disruptions in 46, XY DSD: Novel missense and deep intronic variants.
46,XY disorder of sex development due to CYB5A deficiency
6
WGS / DiagnosisDeep intronic variantFunctional SNV
J Clin Endocrinol Metab 2026· OctRead
CHD8
medRxivSystematic evaluation of incomplete penetrance in 4,325 rare disease families reveals divergent transcriptional networks in CHD8 pathology
Rare diseases: inherited variants with incomplete penetrance
6
WGS / Diagnosis
medRxiv 2026· OctRead
CEP135
Autosomal recessivePubMedVariants in CEP135 Cause Congenital Microcephaly and Primary Ciliary Dyskinesia.
CEP135-related congenital microcephaly and primary ciliary dyskinesia
5
Phenotypic expansionFunctional SNV
Pediatr Pulmonol 2026· OctRead
References and sources
- IDUA — IDUA-related retinitis pigmentosa without syndromic mucopolysaccharidosis type I. Am J Hum Genet 2026. PMID 42838055. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42838055/
- LTBP2 — Adult-onset primary open-angle glaucoma in LTBP2 loss-of-function heterozygotes. Genet Med 2026. PMID 42847173. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42847173/
- BRIP1 — Fanconi anaemia: homozygous C-terminal truncating BRIP1 variants. Am J Hum Genet 2026. PMID 42863473. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42863473/
- MECP2 — MECP2 duplication syndrome in females with intellectual disability. Am J Med Genet A 2026. PMID 42847249. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42847249/
- FLCN — Birt-Hogg-Dubé syndrome: test yield by clinical indication. Genet Med 2026. PMID 42857909. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42857909/
- Hypertrophic cardiomyopathy: gene-specific variant reclassification. Eur J Hum Genet 2026. PMID 42839025. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42839025/
- Developmental disorders: change in diagnostic practice in France between 2012 and 2022. Eur J Hum Genet 2026. PMID 42839024. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42839024/
- Congenital disorders of glycosylation: clinical and molecular spectrum in an Egyptian cohort. Hum Genet 2026. PMID 42853272. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42853272/
- Mitochondrial aminoacyl-tRNA synthetase (ARS2) deficiencies. J Inherit Metab Dis 2026. PMID 42863838. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42863838/
- RP1 — RP1-associated retinal dystrophies in a multicentre Korean cohort. Invest Ophthalmol Vis Sci 2026. PMID 42847597. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42847597/
- Preimplantation genetic testing for aneuploidy (PGT-A): variability between laboratories. Fertil Steril 2026. PMID 42854774. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42854774/
- DGUOK — Pleuroparenchymal fibroelastosis in DGUOK-related mitochondrial DNA depletion syndrome. Eur Respir J 2026. PMID 42860273. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42860273/
- Intellectual disability and developmental delay in children: genome sequencing yield. Front Neurol 2026. PMID 42851323. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42851323/
- TBX4 — Paediatric TBX4-associated pulmonary hypertension: CNVs versus single nucleotide variants. Pediatr Pulmonol 2026. PMID 42836726. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42836726/
- Fetal growth restriction: yield of chromosomal microarray and exome sequencing. Prenat Diagn 2026. PMID 42841616. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42841616/
- Isolated fetal pelvic kidney: prenatal genetic work-up. Prenat Diagn 2026. PMID 42841708. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42841708/
- CYB5A — 46,XY disorder of sex development due to CYB5A deficiency. J Clin Endocrinol Metab 2026. PMID 42839303. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42839303/
- CHD8 — Rare diseases: inherited variants with incomplete penetrance. medRxiv 2026. doi:10.64898/2026.10.05.26364218. Score 6/10. https://www.medrxiv.org/content/10.64898/2026.10.05.26364218v1
- CEP135 — CEP135-related congenital microcephaly and primary ciliary dyskinesia. Pediatr Pulmonol 2026. PMID 42829883. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42829883/