Practice-Based Insights into Adult Genetics: High Diagnostic Yield, Demographic Determinants, and Patterns of Test Utilization across 10,000 Patient Encounters

This study analyzes eight years of data from nearly 10,000 adult patient encounters to demonstrate that genetic testing in adults offers a high diagnostic yield, particularly with whole-exome sequencing, while revealing significant variations in test utilization and outcomes based on patient age, referral indication, and operational factors.

Gold, J. I., Elkaim, Y., Asher, S. + 17 more2026-03-09📄 genetic and genomic medicine

Enhanced EBNA2-dependent activity in EBV-transformed B cells from patients with multiple sclerosis

This study reveals that Epstein-Barr virus (EBV) infection drives multiple sclerosis (MS) pathogenesis by enhancing the activity of the viral transcription factor EBNA2, which alters gene expression, chromatin accessibility, and transcription factor binding at MS genetic risk loci in a manner dependent on the host's MS genetic background.

Granitto, M., Kim, E., Forney, C. R. + 27 more2026-03-09📄 genetic and genomic medicine

Genetically proxied inhibition of angiotensinogen synthesis is associated with lower cardiovascular risk

Human genetic evidence demonstrates that inhibiting hepatic angiotensinogen synthesis lowers blood pressure and significantly reduces the risk of coronary artery disease, stroke, and heart failure without raising major safety concerns, thereby supporting the potential of angiotensinogen inhibitors as effective cardiovascular therapies.

Zangas, P., Omarov, M., Zhang, L. + 1 more2026-03-09📄 genetic and genomic medicine

Integrative screening identifies functional variants and VNTRs underlying GWAS signals at the 5p15.33 multi-cancer susceptibility locus

By integrating statistical fine-mapping with functional assays, this study identifies eight multi-cancer functional variants and a key intronic VNTR within the 5p15.33 locus that mediate antagonistic pleiotropy in cancer susceptibility through differential regulation of TERT and CLPTM1L via Hippo-pathway transcription factors.

O'Brien, A., Kong, H., Patel, H. + 43 more2026-03-07📄 genetic and genomic medicine

Whole-genome variant detection in long-read sequencing data from ultra-low input patient samples

This study demonstrates that Ultra-Low Input HiFi (ULI-HiFi) sequencing overcomes high DNA input limitations to achieve superior whole-genome variant detection compared to dMDA methods, enabling the identification of clinically significant tandem repeat expansions in difficult-to-map regions of ultra-low input patient samples.

Wang, K., Aex, C. J., Lee, H. + 9 more2026-03-06📄 genetic and genomic medicine

Gene Portals: A Framework for Integrating Clinical, Functional, and Structural Evidence into Rare Disease Variant Classification

This paper introduces Gene Portals, a modular framework that consolidates scattered clinical, functional, structural, and population data into unified, gene-centered resources to enable automated, mechanism-aware variant classification and standardized interpretation for rare Mendelian disorders.

Brünger, T., Krey, I., Kim, S. + 42 more2026-03-06📄 genetic and genomic medicine

Cancer genomic profiling predicts pathogenicity of BRCA1 and BRCA2 variants

This study develops machine learning models that leverage large-scale real-world cancer genomic profiles to accurately predict the pathogenicity of BRCA1 and BRCA2 variants, successfully reclassifying nearly half of the previously uncertain variants by integrating tumor-derived features such as homologous recombination deficiency signatures and co-mutated genes.

Kondrashova, O., Johnston, R. L., Parsons, M. T. + 14 more2026-03-06📄 genetic and genomic medicine

Leveraging the Genetics of Psychiatric Disorders to Prioritize Potential Drug Targets and Compounds

This study leverages genome-wide association studies and multi-omics data from four psychiatric disorders to prioritize and repurpose drug targets and compounds, revealing genetic support for existing treatments and identifying novel opportunities such as cholinergic drugs for ADHD and estrogen modulators for depression.

Parker, N., Koch, E., Shadrin, A. A. + 12 more2026-03-04📄 genetic and genomic medicine

FA-NIVA: A Nextflow framework for automated analysis of Nanopore based long-read sequencing data for genetic analysis in Fanconi anemia

FA-NIVA is a reproducible, Nextflow-based automated workflow that leverages Nanopore long-read sequencing to comprehensively detect and phase both single nucleotide and structural variants in Fanconi anemia genes, overcoming the limitations of current short-read methods.

Neurgaonkar, P., Dierolf, M., O'Gorman, L. + 10 more2026-03-04📄 genetic and genomic medicine

Pan-cancer tumour classification and risk stratification from whole-genome somatic variants via dual-task representation learning

The paper introduces MuAt2, a Transformer-based dual-task model that leverages pre-trained whole-genome somatic variant data to accurately classify pan-cancer tumor types and subtypes while improving prognostic risk stratification and identifying tissue origins for metastatic or unknown primary cancers.

Sanjaya, P., Pitkänen, E.2026-03-04📄 genetic and genomic medicine

Prediction of incident coronary artery disease in individuals with zero coronary artery calcium using a novel multi-ancestry, label-free polygenic risk score framework

This study demonstrates that a novel, label-free, multi-ancestry polygenic risk score framework (8 Billion) can identify individuals with a coronary artery calcium score of zero who still harbor a significantly elevated risk of future coronary artery disease, thereby refining preventive strategies beyond imaging alone.

Botta, G., Rossi, M., Kintzle, J. + 1 more2026-03-04📄 genetic and genomic medicine

Too rare to be random: genetic finding suggests previously unrecognized path of mutagenesis

This study identifies a previously unrecognized mutagenic pathway called clustered monoallelic mosaicism (cMoMa), characterized by two closely spaced mosaic variants on the same allele that never co-occur on a single DNA molecule, likely arising from asymmetric repair of a single mutational event in early embryonic cells.

Boehnlein, J., Maass, J. G., Dennig, J. + 9 more2026-03-04📄 genetic and genomic medicine

Molecular characterisation of a Klebsiella pneumoniae neonatal sepsis outbreak in a rural Gambian hospital: a retrospective genomic epidemiology investigation

This retrospective genomic epidemiology study utilized whole-genome sequencing to identify a multidrug-resistant *Klebsiella pneumoniae* ST39 strain as the cause of a fatal neonatal sepsis outbreak in a rural Gambian hospital, pinpointing contaminated multi-use intravenous fluids as the source and highlighting the global spread and high-risk nature of the SL39 sublineage.

Foster-Nyarko, E., Bah, A., Adefila, W. O. + 10 more2026-03-04📄 genetic and genomic medicine

Genetic liability to hip osteoarthritis confers neurovascular protection against Alzheimer's disease despite depression-mediated phenotypic comorbidity

This study reveals that while the clinical comorbidity between hip osteoarthritis and Alzheimer's disease is driven by a depression-mediated "phenotypic illusion," the underlying genetic liability for hip osteoarthritis actually confers robust neurovascular protection against Alzheimer's disease through astrocyte- and pericyte-mediated mechanisms, highlighting a critical evolutionary trade-off within the bone-brain axis.

Xu, Q., Zhao, P., Tao, J. + 1 more2026-03-04📄 genetic and genomic medicine