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Cancer genetics
Week of 27 May 2026
13 articles
Geno'X Veille — genox-veille.fr
Key takeaways this week
- ►BRCA2 c.7847C>T — VUS → Pathogenic in the Japanese population: cosegregation + 3 functional assays, PARP inhibitor access unlocked.
- ►Lynch syndrome — colonoscopy reduces CRC mortality but insufficiently prevents incidence: accelerated MMR tumorigenesis bypasses conventional precursors.
- ►VHL co-mutation — 42.6% of VHL patients carry a co-mutation: higher RCC penetrance and faster tumor growth.
- ►POT1/TINF2/ACD — germline telomere variants are mutually exclusive from somatic TERT variants in thyroid cancer and melanoma.
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BRCA2
Autosomique dominantPubMedComprehensive evidence for the pathogenicity of the BRCA2 c.7847C>T (p.Ser2616Phe) variant in Japanese hereditary breast and ovarian cancer.
Hereditary breast and ovarian cancer (HBOC)
8
/10
Li-Fraumeni / TP53VUS reclassified
J Med Genet 2026· MayRead
Lynch syndrome
PubMedColonoscopy surveillance in Lynch syndrome: what it prevents and what it does not.
Lynch syndrome (HNPCC) — effectiveness of colonoscopic surveillance
7
/10
Lynch syndromePenetrance update
J Med Genet 2026· MayRead
POT1
Autosomique dominantmedRxivTelomere maintaining germline and somatic variants in thyroid cancer and melanoma
Hereditary cancer predisposition via long-telomere syndrome (POT1, TINF2, ACD) — non-medullary thyroid cancer and melanoma
7
/10
Recurrent variantPenetrance update
medRxiv 2026· MayRead
VHL
Autosomique dominantPubMedComparison of clinical characteristics between patients with single mutation and co-mutation in hereditary renal cancer: a retrospective analysis of 115 patients with von Hippel-Lindau syndrome.
Von Hippel-Lindau syndrome with hereditary clear cell renal cell carcinoma
6
/10
Recurrent variantPenetrance update
J Med Genet 2026· MayRead
TP53
Autosomique dominantPubMedGenotypic and phenotypic characteristics of germline TP53 variant carriers: experience from two cancer genetic counseling units.
Li-Fraumeni syndrome
6
/10
Li-Fraumeni / TP53Recurrent variantPenetrance update
Fam Cancer 2026· MayRead
Lynch syndrome
PubMedCancer Spectrum and Gene-Specific Patterns in Lynch Syndrome: Insights From 47 Families in a Brazilian Institutional Cohort.
Lynch syndrome — gene-specific tumor spectrum (Brazilian cohort)
6
/10
Lynch syndromePenetrance update
JCO Glob Oncol 2026· MayRead
Low-grade mosaicism in tumor predisposition syndromes (VHL, NF1, NF2)
PubMedEnd of a diagnostic odyssey: the added value of multi-tissue analysis in the identification of mosaicism in tumour predisposition syndromes.
Low-grade mosaicism in tumor predisposition syndromes (VHL, NF1, NF2)
6
/10
Recurrent variantMainstreaming
J Med Genet 2026· MayRead
CHEK2
PubMedRecent advances in genetic predisposition to primary testicular tumors.
Genetic predisposition to primary testicular tumors (germ cell and stromal)
5
/10
Penetrance update
Semin Diagn Pathol 2026· MayRead
Pancreatic cystic lesions in hereditary cancer predisposition syndromes
PubMedPancreatic cystic lesions in hereditary syndromes: Diagnostic role of endoscopic ultrasound.
Pancreatic cystic lesions in hereditary cancer predisposition syndromes
5
/10
New recommendation
Best Pract Res Clin Gastroenterol 2026· MarRead
VHL
Autosomique dominantPubMedHereditary Pheochromocytoma as a Major Manifestation of von Hippel Lindau Disease (vHL) in Childhood: Long-term Follow-up of Five Patients with vHL from One Family.
Von Hippel-Lindau disease type 2 with pediatric pheochromocytoma
5
/10
Recurrent variantPenetrance update
J Clin Res Pediatr Endocrinol 2026· MayRead
PALB2
Autosomique récessif (MUTYH) + autosomique dominant (PALB2)medRxivDifferential causative effects of germline pathogenic variants in MUTYH and PALB2 in a patient with colorectal polyposis and breast cancer
MINAS (Multi-locus Inherited Neoplasia Allele Syndrome) — biallelic MUTYH + heterozygous PALB2
5
/10
PARP inhibitor
medRxiv 2026· MayRead
Germline variants predictive of exceptional response to cancer treatments
medRxivRare Germline Variants in Immune and Drug Target Genes Among Cancer Exceptional Responders
Germline variants predictive of exceptional response to cancer treatments
5
/10
Recurrent variant
medRxiv 2026· MayRead
BRCA1
Autosomique dominantmedRxivTargeted BRCA1/BRCA2 Sequencing in a Bangladeshi Clinically Referred Cohort Identifies Candidate BRCA1 Loss-of-Function Variants and a Multi-Exon Deletion-Like CNV Signal
Hereditary breast and ovarian cancer (HBOC) — Bangladeshi population
5
/10
Breast cancerRecurrent variant
medRxiv 2026· MayRead
References and sources
- BRCA2 — Hereditary breast and ovarian cancer (HBOC). J Med Genet 2026. PMID 41856558. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/41856558/
- Lynch syndrome (HNPCC) — effectiveness of colonoscopic surveillance. J Med Genet 2026. PMID 41825943. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/41825943/
- VHL — Von Hippel-Lindau syndrome with hereditary clear cell renal cell carcinoma. J Med Genet 2026. PMID 41856557. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/41856557/
- TP53 — Li-Fraumeni syndrome. Fam Cancer 2026. PMID 42171906. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42171906/
- Lynch syndrome — gene-specific tumor spectrum (Brazilian cohort). JCO Glob Oncol 2026. PMID 42160694. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/42160694/
- CHEK2 — Genetic predisposition to primary testicular tumors (germ cell and stromal). Semin Diagn Pathol 2026. PMID 42151003. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42151003/
- Pancreatic cystic lesions in hereditary cancer predisposition syndromes. Best Pract Res Clin Gastroenterol 2026. PMID 42167859. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/42167859/
- VHL — Von Hippel-Lindau disease type 2 with pediatric pheochromocytoma. J Clin Res Pediatr Endocrinol 2026. PMID 39311599. Score 5/10. https://pubmed.ncbi.nlm.nih.gov/39311599/
- POT1 — Hereditary cancer predisposition via long-telomere syndrome (POT1, TINF2, ACD) — non-medullary thyroid cancer and melanoma. medRxiv 2026. doi:10.64898/2026.05.22.26353814. Score 7/10. https://www.medrxiv.org/content/10.64898/2026.05.22.26353814v1
- PALB2 — MINAS (Multi-locus Inherited Neoplasia Allele Syndrome) — biallelic MUTYH + heterozygous PALB2. medRxiv 2026. doi:10.64898/2026.05.15.26352890. Score 5/10. https://www.medrxiv.org/content/10.64898/2026.05.15.26352890v1
- Germline variants predictive of exceptional response to cancer treatments. medRxiv 2026. doi:10.64898/2026.05.14.26352838. Score 5/10. https://www.medrxiv.org/content/10.64898/2026.05.14.26352838v1
- BRCA1 — Hereditary breast and ovarian cancer (HBOC) — Bangladeshi population. medRxiv 2026. doi:10.64898/2026.05.11.26352643. Score 5/10. https://www.medrxiv.org/content/10.64898/2026.05.11.26352643v1
- Low-grade mosaicism in tumor predisposition syndromes (VHL, NF1, NF2). J Med Genet 2026. PMID 41702693. Score 6/10. https://pubmed.ncbi.nlm.nih.gov/41702693/