Deep Agentic Variant Prioritisation for Expert Level Genetic Diagnosis Fast at Scale

This paper introduces DAVP, a hierarchical agentic AI system that significantly outperforms expert clinicians in speed and accuracy for genetic diagnosis by dynamically prioritizing variants through a specialized three-component workflow that integrates gene pre-screening, semantic knowledge graph analysis, and in-context learning to address the complexities of rare disease detection.

Kara, M., Gungor, A. F., Kuday, S. E. + 2 more2026-02-18📄 genetic and genomic medicine

Short tandem repeats significantly contribute to the genetic architecture of metabolic and sensory age-related hearing loss phenotypes

This study demonstrates that short tandem repeats (STRs) significantly contribute to the genetic architecture of age-related hearing loss, particularly explaining a larger portion of the heritability for metabolic phenotypes than sensory ones, while identifying specific STR variants and rare repeat burdens associated with increased metabolic risk and reduced sensory risk.

Ahmed, S., Vaden, K. I., Dubno, J. R. + 2 more2026-02-18📄 genetic and genomic medicine

Investigating penetrance of severe combined immunodeficiency variants in an adult population cohort: implications for genomic newborn screening

This study analyzing 490,640 UK Biobank genomes found that severe combined immunodeficiency (SCID) variants exhibit high penetrance and a low prevalence of biallelic pathogenic variants, supporting the inclusion of SCID in genomic newborn screening while highlighting the need for careful reporting of hypomorphic variants.

Grimwade, I. J., Fasham, J., Wright, C. F. + 1 more2026-02-18📄 genetic and genomic medicine

Development and cross-tissue validation of a methylation profile score for the cortisol response to stress

This study developed and cross-tissue validated a novel machine learning-based methylation profile score using whole blood data that successfully predicts individual salivary cortisol responses to stress, revealing associations with immune and stress-related pathways and offering a potential epigenetic biomarker for improving clinical risk assessment of HPA axis dysregulation.

Balfour, D., Mittinty, M., Nguyen, D. P. + 1 more2026-02-18📄 genetic and genomic medicine

Association Between Psychiatric Polygenic Scores, Healthcare Utilization and Chronic Disease Comorbidity Burden Among European Ancestry Individuals

In a large observational cohort study of European ancestry individuals, higher polygenic scores for major depressive disorder were significantly associated with increased healthcare utilization and comorbidity burden, both in those without a clinical diagnosis and those with a confirmed diagnosis, suggesting that these scores may serve as valuable biomarkers for predicting health outcomes in real-world settings.

Kirchner, H. L., Rocha, D., Linner, R. K. + 9 more2026-02-17📄 genetic and genomic medicine

Genomics link obesity and type 2 diabetes to Alzheimer's disease to unveil novel biological insights

This study utilizes multi-omics and machine learning approaches to uncover sex-specific genetic links between obesity, type 2 diabetes, and Alzheimer's disease, identifying shared biological pathways and repurposing the heart failure drug levosimendan as a potential candidate for Alzheimer's treatment.

Cunha, C., Garcia-Urena, M., Sanz Martlnez, R. + 22 more2026-02-17📄 genetic and genomic medicine

Characterization of the somatic landscape and transcriptional profile of breast tumors from 748 Hispanic/Latina women in California

This study characterizes the somatic and transcriptional profiles of breast tumors in 748 Hispanic/Latina women, revealing similarities to non-Hispanic White women overall but identifying distinct features such as increased CTCF mutations, a higher prevalence of favorable immune ecotypes linked to Indigenous American ancestry, and a germline APOBEC3A/B deletion associated with specific mutational signatures.

Ding, Y., Sayaman, R. W., Wolf, D. + 6 more2026-02-17📄 genetic and genomic medicine

Monogenic Syndromes as a Cause of Adverse Drug Reactions in the Russian Population

This study analyzed whole-exome sequencing data from 6,739 Russian individuals to identify 75 pathogenic or likely pathogenic variants in 18 genes associated with monogenic syndromes, demonstrating that 1.77% of the population carries clinically actionable genetic risks for adverse drug reactions that could be mitigated through personalized pharmacotherapy.

Buianova, A. A., Cheranev, V. V., Shmitko, A. O. + 6 more2026-02-17📄 genetic and genomic medicine

Integrative transcriptomic analysis identifies long noncoding RNA dysregulation and circadian disruption in reward and executive circuits of opioid use disorder

This study utilizes integrative transcriptomic analysis of postmortem human brain tissue to reveal that long noncoding RNAs (lncRNAs) are extensively dysregulated in the reward and executive circuits of opioid use disorder, exhibiting cell-type specificity and circadian disruption that contribute to the disease's underlying pathology.

Li, Z., Fu, C., Zhou, P. + 2 more2026-02-17📄 genetic and genomic medicine

Pharmacogenomic Variants in the Russian Population: A Retrospective Analysis of 6102 Exomes

This retrospective analysis of 6,102 Russian exomes establishes a comprehensive reference for pharmacogenomic variant and HLA allele frequencies, confirming the utility of whole-exome sequencing for population screening while highlighting its critical limitations in detecting non-coding variants and accurately determining CYP2D6 copy numbers.

Buianova, A. A., Cheranev, V. V., Shmitko, A. O. + 6 more2026-02-17📄 genetic and genomic medicine

Whole Exome Sequencing of Suspected Monogenic Cerebral Small Vessel Disease Patients reveals Novel Gene Associations

This study utilized whole exome sequencing on 117 patients with suspected monogenic cerebral small vessel disease to identify novel gene associations, including a significant burden of variants in ABCC6 and new links to genes such as MYH11, NOTCH1, and seven others, thereby highlighting the need for expanded genetic screening and functional characterization to improve diagnosis and understanding of CSVD pathogenesis.

Guyler, S. K., Alfayyadh, M. M., Maksemous, N. + 4 more2026-02-16📄 genetic and genomic medicine