Autoinflammatory & rare systemic diseases

Clinical impact of whole-exome sequencing: 10 years of the Great Ormond Street Hospital Autoinflammation Centre of Excellence experience

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

In patients with suspected autoinflammation, WES increased diagnostic yield compared with TGP testing, while providing additional clinical value through novel gene discovery and capacity for future systematic reanalysis of unsolved cases.

Study context

Population
Patients evaluated for autoinflammation at the Great Ormond Street Hospital Autoinflammation Centre of Excellence
Participants
210 vs 476
Exposure
Whole-exome sequencing (WES) vs targeted gene panel (TGP) testing
  • WESn = 210
  • TGPn = 476reference
Outcome
Diagnostic yield (molecular diagnoses)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Molecular diagnostic yield

Observational data: associations, not effects.

Further findings

WES enabled discovery of novel genotype-phenotype associations

Safety

Significant incidental findings, incl. variants predisposing to cancer or cardiomyopathy

Significant incidental findings in cases
29/210 (13.8%)

Original publication

Clinical impact of whole-exome sequencing: 10 years of the Great Ormond Street Hospital Autoinflammation Centre of Excellence experience. Rheumatology (Oxford). Published 29 January 2026. doi:10.1093/rheumatology/keag046

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