Genotype-based prevalence of Birt-Hogg-Dubé syndrome in the healthcare and genomic registry populations – breaking the ‘rare disease’ status?

The phenotype-based prevalence of Birt-Hogg-Dubé syndrome (BHD) is commonly estimated at 1 in 200,000–500,000. However, we demonstrate that BHD-causing FLCN variants are 75 to 180 times more prevalent in the multi-ethnic large genomic registry population. We highlight the urgent need for updated prevalence and penetrance estimates for BHD and other tumor suppressor gene syndromes, particularly among underrepresented non-European populations.

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Publication Details

Journal
npj Genomic Medicine
Published
2026-03-27
DOI
https://doi.org/10.1038/s41525-026-00563-2
Primary Topic
Renal cell carcinoma treatment
Type
article
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article

Genotype-based prevalence of Birt-Hogg-Dubé syndrome in the healthcare and genomic registry populations – breaking the ‘rare disease’ status?

Ireneusz Stolarek, N. Rajan, Katarzyna Klonowska, P. M. Kozlowski et al.
npj Genomic Medicine
Renal cell carcinoma treatment
article

Genotype-based prevalence of Birt-Hogg-Dubé syndrome in the healthcare and genomic registry populations – breaking the ‘rare disease’ status?

Ireneusz Stolarek, N. Rajan, Katarzyna Klonowska, P. M. Kozlowski, Kuniaki Seyama, Marcin Drzewiecki, Luiza Handschuh, Izabela Broniarek, Marek Figlerowicz, David J. Kwiatkowski
article en

Abstract

The phenotype-based prevalence of Birt-Hogg-Dubé syndrome (BHD) is commonly estimated at 1 in 200,000–500,000. However, we demonstrate that BHD-causing FLCN variants are 75 to 180 times more prevalent in the multi-ethnic large genomic registry population. We highlight the urgent need for updated prevalence and penetrance estimates for BHD and other tumor suppressor gene syndromes, particularly among underrepresented non-European populations.

npj Genomic MedicineVol. 11(1)
Brigham and Women's Hospital (US), Harvard University (US), Juntendo University (JP), NIHR Newcastle Biomedical Research Centre (GB), Cancer Genetics (United States) (US), Institute of Bioorganic Chemistry, Polish Academy of Sciences (PL), Newcastle University (GB)
Openalex Percentile: Top 6%
Renal cell carcinoma treatment
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