- Genomics and Gene Editing 2026
- Chapter 8
Systems in depth
One section per system: its state at evidence close, its exposures and what the operational series will watch.
Contents
- ·Edition home
- ·Executive summary
- 1Genomics is data infrastructure and a therapeutic frontier
- 2Key findings
- 3Systems and sectors at baseline
- 4Risks and capability
- 5Individualised editing outpaces delivery systems
- 6Readings from the other desks
- 7The 2027 agenda
- 8Systems in depth
- AMethodology
- BData appendix
- CReferences and record
- ·Complete edition, for print
8.1Sequencing hardware, data and compute
Sequencers, reference genomes and biobanks carry the data base. Evidence is strongest where peer review exists, and weakest where claims rest on vendor pages.
| Component | State | Evidence | Status |
|---|---|---|---|
| Reference genomes | a complete sequence and a 47-assembly draft pangenome published | 1112 | Reported |
| Biobanks | two releases of 490,640 and 245,388 genomes | 1617 | Reported |
| Sequencers | vendor pages claim 16 to 21 Tb per run and a USD 60 genome on another platform | 1415 | Reported |
| Genome models | a 2025 preprint reports a model trained on 9.3 trillion base pairs | 23 | Reported |
Couplings
- INF ↔ DAT hardware and data
- DAT → HLT diagnosis and targets
- DAT → AIC genome models
Evidence to bind in 2027
- independent cost per genome
- sequencer fleet by country
Related editions
- GLB Global Systems
- GS-04 Health
- XT-04 Biotechnology
- XT-10 Cybersecurity and Advanced Cryptography
- SR-04 Critical Minerals and Strategic Materials
- XT-01 Artificial Intelligence and Agentic Systems
8.2Compute, energy and cold chains
Genomics is a big-data science, and compute has a carbon footprint. The energy and cooling use of sequencing and of cell-therapy cold chains is not published.
cold-chain energy and water
| Component | State | Evidence | Status |
|---|---|---|---|
| Compute | biobank-scale association studies emit substantial carbon; software choices matter | 2122 | Reported |
| Data growth | genomics projected to be on par with the most demanding data domains | 20 | Reported |
| Cold chain | cell therapies are collected, edited and infused; energy not published | 16 | Expert input |
| Water | not published for laboratories and manufacture | 21 | Expert input |
Couplings
- ENE ↔ INF facility power
- ENE → CLI emissions
- INF → HLT cold-chain continuity
Evidence to bind in 2027
- sequencing and cold-chain energy
- laboratory water use
Related editions
- GLB Global Systems
- GS-04 Health
- XT-04 Biotechnology
- XT-10 Cybersecurity and Advanced Cryptography
- SR-04 Critical Minerals and Strategic Materials
- XT-01 Artificial Intelligence and Agentic Systems
8.3Instruments, consumables and supply chain
Sequencing depends on instruments and consumables from a few suppliers, and trade rules changed supply in 2025.
| Component | State | Evidence | Status |
|---|---|---|---|
| Instrument trade | China banned Illumina imports in March 2025 and lifted the ban in November 2025 | 31 | Reported |
| Procurement law | BIOSECURE enacted on 18 December 2025; BGI, FGI and MGI covered through the 1260H list | 30 | Reported |
| New entrants | a second vendor lists a lower price on its own platform | 15 | Reported |
| Reagents and plastics | not assessed in this edition | 14 | Expert input |
Couplings
- TRD → INF instruments
- TRD → DAT data access
- FIN → INF new platforms
Evidence to bind in 2027
- consumable supply by country
- single points of failure by platform
Related editions
- GLB Global Systems
- GS-04 Health
- XT-04 Biotechnology
- XT-10 Cybersecurity and Advanced Cryptography
- SR-04 Critical Minerals and Strategic Materials
- XT-01 Artificial Intelligence and Agentic Systems
8.4Economy, access and workforce
Therapy revenue is rising from a small base, and access is limited by cost and manufacturing capacity. Workforce figures are thin.
| Component | State | Evidence | Status |
|---|---|---|---|
| Revenue | USD 42.9 million in the first quarter of 2026 against USD 14.2 million in 2025 | 6 | Reported |
| Access | limited by cost and manufacturing capacity; a Uganda model adapts evidence to local costs | 78 | Reported |
| Counselling workforce | median pay USD 100,040 in May 2025 | 33 | Reported |
| Newborn sequencing | a study plans 100,000 babies and screens for more than 200 conditions | 34 | Reported |
Couplings
- FIN → HLT access
- HLT → FIN payment
- DAT → FIN data assets
Evidence to bind in 2027
- patients treated and prices
- wider workforce
Related editions
- GLB Global Systems
- GS-04 Health
- XT-04 Biotechnology
- XT-10 Cybersecurity and Advanced Cryptography
- SR-04 Critical Minerals and Strategic Materials
- XT-01 Artificial Intelligence and Agentic Systems
8.5Security, data protection and governance watch
Rules decide what reaches patients and who holds genetic data. Heritable editing is judged unacceptable at this time, and approvals for bespoke therapies are being redrawn.
| Component | State | Evidence | Status |
|---|---|---|---|
| Approvals | first CRISPR-based therapy approved; plausible mechanism pathway described | 15 | Reported |
| Heritable editing | judged unacceptable at this time by the Third Summit committee | 28 | Reported |
| Data protection | sale of a large genetic database was approved in bankruptcy in 2025 | 3238 | Reported |
| Plant editing | rules in England and the EU | 2936 | Reported |
Couplings
- GOV → HLT approvals
- GOV → DAT consent
- GOV → FOO plant rules
Evidence to bind in 2027
- national rule texts
- migration of data-protection practice
Related editions
- GLB Global Systems
- GS-04 Health
- XT-04 Biotechnology
- XT-10 Cybersecurity and Advanced Cryptography
- SR-04 Critical Minerals and Strategic Materials
- XT-01 Artificial Intelligence and Agentic Systems
Notes
Numbers are the edition’s reference numbers, so a note reads the same in every chapter. The full list, with every source and its licence, is in Annex C. Annex C, references
- 11Nurk, S. et al., The complete sequence of a human genome, Science 2022 (abstract read through the Europe PMC record; 3.055 billion base pairs; nearly 200 million base pairs of new sequence). American Association for the Advancement of Science, Washington. Observation year 2022. Accessed 2026-11-03.back
- 16UK Biobank Whole-Genome Sequencing Consortium, Whole-genome sequencing of 490,640 UK Biobank participants, Nature 2025 (abstract read through the Europe PMC record). Springer Nature, London. Observation year 2025. Accessed 2026-11-03.back
- 14Illumina (ed.), NovaSeq X Series product page (vendor claims: 16 to 21 Tb per run for NovaSeq X Plus, more than 128 genomes per run, run time about 14 to 48 hours; vendor evidence, weak). Illumina, San Diego. Observation year 2026. Accessed 2026-11-03.back
- 12Liao, W.-W. et al. (Human Pangenome Reference Consortium), A draft human pangenome reference, Nature 2023 (abstract read through the Europe PMC record; 47 phased diploid assemblies; 119 million base pairs added). Springer Nature, London. Observation year 2023. Accessed 2026-11-03.back
- 17All of Us Research Program Genomics Investigators, Genomic data in the All of Us Research Program, Nature 2024 (abstract read through the Europe PMC record; 245,388 genomes; 77% from communities under-represented in research). Springer Nature, London. Observation year 2024. Accessed 2026-11-03.back
- 15Ultima Genomics (ed.), germline genetics product page (vendor claim of a USD 60 genome at list price over 4 wafers on the UG200 series; the browser title reads USD 80; vendor evidence, weak). Ultima Genomics, Newark. Observation year 2026. Accessed 2026-11-03.back
- 23Brixi, G. et al., Genome modelling and design across all domains of life with Evo 2, bioRxiv preprint 2025 (abstract read through the Europe PMC record; trained on 9.3 trillion base pairs; not peer reviewed at the time of reading). Cold Spring Harbor Laboratory, New York. Observation year 2025. Accessed 2026-11-03.back
- 21Grealey, J. et al., The Carbon Footprint of Bioinformatics, Molecular Biology and Evolution 2022 (abstract read through the Europe PMC record; a software upgrade cut one tool footprint by 73%). Oxford University Press, Oxford. Observation year 2022. Accessed 2026-11-03.back
- 20Stephens, Z.D. et al., Big Data: Astronomical or Genomical?, PLOS Biology 2015 (abstract read through the Europe PMC record). Public Library of Science, San Francisco. Observation year 2015. Accessed 2026-11-03.back
- 22Lannelongue, L., Grealey, J. and Inouye, M., Green Algorithms: Quantifying the Carbon Footprint of Computation, Advanced Science 2021 (abstract read through the Europe PMC record). Wiley, Weinheim. Observation year 2021. Accessed 2026-11-03.back
- 1US Food and Drug Administration (ed.), FDA approves first gene therapies to treat patients with sickle cell disease (press announcement, 8 December 2023; Casgevy uses CRISPR/Cas9, Lyfgenia a lentiviral vector; patients 12 years and older). FDA, Silver Spring. Observation year 2023. Accessed 2026-11-03.back
- 6Vertex Pharmaceuticals (ed.), Vertex Reports First Quarter 2026 Financial Results (company press release read through a wire page; Casgevy revenue USD 42.9 million against USD 14.2 million; pediatric submission completed; company statement, weak evidence). Vertex, Boston. Observation year 2026. Accessed 2026-11-03.back
- 31MedTech Dive (ed.), China to lift Illumina export ban (trade press, November 2025; listing in February 2025, import ban in March 2025, lift on 10 November 2025, instrument sales in China down 54% in the third quarter; secondary report, weak evidence). Industry Dive, Washington. Observation year 2025. Accessed 2026-11-03.back
- 30Latham and Watkins (ed.), BIOSECURE Act becomes law, limiting grants with biotechnology companies of concern (law-firm summary; enacted 18 December 2025 in the FY2026 NDAA; OMB list due by 18 December 2026; secondary source of a statute). Latham and Watkins, Los Angeles. Observation year 2025. Accessed 2026-11-03.back
- 33US Bureau of Labor Statistics (ed.), Occupational Outlook Handbook: Genetic Counselors (about 4,200 jobs in 2025; median pay USD 100,040 in May 2025; 10% growth projected 2025 to 2035). BLS, Washington. Observation year 2025. Accessed 2026-11-03.back
- 7Chetlapalli, K. et al., Haploidentical transplant, gene therapy, and standard care in sickle cell disease: a cost-effectiveness analysis, Blood 2026 (abstract read through the Europe PMC record; gene therapy access limited by cost and manufacturing capacity). American Society of Hematology, Washington. Observation year 2026. Accessed 2026-11-03.back
- 8Montano-Campos, J.F. et al., Cost-effectiveness of gene therapy for sickle cell disease in Uganda: tailoring high-income evidence to Uganda context, Gene Therapy 2026 (abstract read through the Europe PMC record). Springer Nature, London. Observation year 2026. Accessed 2026-11-03.back
- 34Genomics England (ed.), Generation Study: newborn genome sequencing (initiative page; 100,000 babies; more than 200 conditions; recruitment progress not stated). Genomics England, London. Observation year 2026. Accessed 2026-11-03.back
- 27World Health Organization (ed.), Human genome editing: a framework for governance (technical document, 12 July 2021; companion recommendations published separately and not read). WHO, Geneva. Observation year 2021. Accessed 2026-11-03.back
- 36UNVERIFIED, not opened: European Parliament and Council, Regulation (EU) 2026/1388 on plants obtained by certain new genomic techniques (adopted 17 June 2026, published 26 June 2026, applies from 17 July 2028), taken from search-result summaries that differ on some dates. Official Journal of the European Union, Luxembourg. Observation year 2026. Accessed 2026-11-03.back
- 5Clinical Trials Arena (ed.), FDA unveils new pathway to usher bespoke therapies to market (trade press, 13 November 2025; describes the plausible mechanism pathway announced in a journal article by the FDA Commissioner and the CBER Director; secondary report, weak evidence). Clinical Trials Arena, London. Observation year 2025. Accessed 2026-11-03.back
- 28Royal Society (ed.), Statement from the Organising Committee of the Third International Summit on Human Genome Editing (8 March 2023; convened by the Royal Society, the Academy of Medical Sciences, the US National Academies and The World Academy of Sciences). Royal Society, London. Observation year 2023. Accessed 2026-11-03.back
- 32MedTech Dive (ed.), Anne Wojcicki bid to buy 23andMe in bankruptcy (trade press, 17 June 2025; USD 305 million bid against a USD 256 million bid; state objections; secondary report, weak evidence). Industry Dive, Washington. Observation year 2025. Accessed 2026-11-03.back
- 38UNVERIFIED, not opened: NPR (ed.), Judge approves sale of 23andMe to a nonprofit led by its founder (30 June 2025), taken from a search-result summary; the page returned a service error. NPR, Washington. Observation year 2025. Accessed 2026-11-03.back
- 29UK Parliament (ed.), Genetic Technology (Precision Breeding) Act 2023, 2023 c. 6 (contents page read; section texts not read). UK Parliament, London. Observation year 2023. Accessed 2026-11-03.back
