A multidisciplinary RNA-guided approach to complement genomic analysis of unsolved patients with an inborn error of immunity - Takeaways - MDSpire

A multidisciplinary RNA-guided approach to complement genomic analysis of unsolved patients with an inborn error of immunity

  • By

  • Willem T. K. Maassen

  • Lotte C. E. T. Pape

  • Tim Niemeijer

  • Anne-Margriet Heijink

  • Martine T. Meems-Veldhuis

  • Daniëlle J. Boerrigter

  • Gerben van der Vries

  • Helga Westers

  • Lennart F. Johansson

  • Kasper J. van der Velde

  • Morris A. Swertz

  • Lude Franke

  • Geertje E. Legger

  • Annechien J. A. Lambeck

  • Abraham Rutgers

  • Iris H. Jonkers

  • Mariëlle E. van Gijn

  • Evelien Zonneveld-Huijssoon

  • May 28, 2026

  • 0 min

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  • 1

    Inborn errors of immunity (IEI) include over 550 disorders linked to more than 500 genes, with diagnostic rates ranging from 15% to 70%.

  • 2

    A structured RNA-guided approach was developed to reanalyze unsolved IEI patients, aiming to increase the diagnostic yield of genetic testing.

  • 3

    The study analyzed 22 patients with inconclusive standard genetic testing, focusing on aberrant expression and splicing to identify causative variants.

  • 4

    Two patients received conclusive diagnoses through RNA-guided variant interpretation, highlighting its potential to improve genetic diagnostic yield.

  • 5

    Integrating RNA-sequencing into routine diagnostics may enhance the precision of genetic diagnoses for patients with inborn errors of immunity.

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