RT journal article T1 VUS next in rare diseases? Deciphering genetic determinants of biomolecular condensation A1 Heredia Torrejon, María A1 Montañez, R. A1 González-Meneses, A. A1 Carcavilla, A. A1 Medina, M.A. A1 Lechuga Sancho, Alfonso María A2 Materno-Infantil y Radiología K1 Biomolecular condensation K1 Genetic variant prioritization K1 Intrinsically disordered protein regions K1 LLPS K1 Molecular diagnosis K1 Molecular effects of genetic variations K1 Rare diseases AB The diagnostic odysseys for rare disease patients are getting shorter as next-generation sequencing becomes more widespread. However, the complex genetic diversity and factors influencing expressivity continue to challenge accurate diagnosis, leaving more than 50% of genetic variants categorized as variants of uncertain significance. Genomic expression intricately hinges on localized interactions among its products. Conventional variant prioritization, biased towards known disease genes and the structure-function paradigm, overlooks the potential impact of variants shaping the composition, location, size, and properties of biomolecular condensates, genuine membraneless organelles swiftly sensing and responding to environmental changes, and modulating expressivity. To address this complexity, we propose to focus on the nexus of genetic variants within biomolecular condensates determinants. Scrutinizing variant effects in these membraneless organelles could refine prioritization, enhance diagnostics, and unveil the molecular underpinnings of rare diseases. Integrating comprehensive genome sequencing, transcriptomics, and computational models can unravel variant pathogenicity and disease mechanisms, enabling precision medicine. This paper presents the rationale driving our proposal and describes a protocol to implement this approach. By fusing state-of-the-art knowledge and methodologies into the clinical practice, we aim to redefine rare diseases diagnosis, leveraging the power of scientific advancement for more informed medical decisions. PB BioMed Central Ltd SN 1750-1172 YR 2024 FD 2024 LK http://hdl.handle.net/10498/35636 UL http://hdl.handle.net/10498/35636 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 22-sep-2026