medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 14, 2025
The
whole
genome
karyotype
refers
to
the
sequence
of
large
chromosomal
segments
that
make
up
an
individual's
genotype.
analysis,
which
includes
descriptions
aneuploidies
and
other
rearrangements
is
crucial
for
understanding
genetic
risk
factors,
diagnosis,
treatment
decisions,
counseling
linked
constitutional
disorders.
current
karyotyping
standard
based
on
microscopic
examination
chromosomes,
a
complex
process
requires
high
expertise
offers
Mb
scale
resolution.
Optical
Genome
Mapping
(OGM)
technology
can
identify
DNA
lesions
in
cost-effective
manner.
In
this
paper,
we
developed
OMKar,
method
uses
OGM
data
create
virtual
karyotype.
OMKar
processes
Structural
(SV)
Copy
Number
(CN)
Variants
as
inputs
encodes
them
into
compact
breakpoint
graph.
It
recomputes
copy
numbers
using
Integer
Linear
Programming
maintain
CN
balance
then
identifies
constrained
Eulerian
paths
representing
entire
donor
chromosomes.
tests
38
simulations
disorders,
reconstructed
with
88%
precision
95%
recall
SV
concordance
Jaccard
score
concordance.
We
applied
50
prenatal,
41
postnatal,
63
parental
samples
from
ten
different
sites.
correct
144
out
154
samples,
covering
25
aneuploidies,
32
balanced
translocations,
72
82
unbalanced
variations.
Detected
disorders
included
Cri-du-chat,
Wolf-Hirschhorn,
Prader-Willi
deletions,
Down,
Turner
syndromes.
Importantly,
it
identified
plausible
mechanism
five
cases
disorder
were
not
detected
by
technologies.
Together,
these
results
demonstrate
robustness
OGM-based
karyotyping.
publicly
available
at
https://github.com/siavashre/OMKar
.
Nature Biotechnology,
Год журнала:
2024,
Номер
42(10), С. 1571 - 1580
Опубликована: Янв. 2, 2024
Abstract
Calling
structural
variations
(SVs)
is
technically
challenging,
but
using
long
reads
remains
the
most
accurate
way
to
identify
complex
genomic
alterations.
Here
we
present
Sniffles2,
which
improves
over
current
methods
by
implementing
a
repeat
aware
clustering
coupled
with
fast
consensus
sequence
and
coverage-adaptive
filtering.
Sniffles2
11.8
times
faster
29%
more
than
state-of-the-art
SV
callers
across
different
coverages
(5–50×),
sequencing
technologies
(ONT
HiFi)
types.
Furthermore,
solves
problem
of
family-level
population-level
calling
produce
fully
genotyped
VCF
files.
Across
11
probands,
accurately
identified
causative
SVs
around
MECP2
,
including
highly
alleles
three
overlapping
SVs.
also
enables
detection
mosaic
in
bulk
long-read
data.
As
result,
multiple
brain
tissue
from
patient
system
atrophy.
The
showed
remarkable
diversity
within
cingulate
cortex,
impacting
both
genes
involved
neuron
function
repetitive
elements.
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2022,
Номер
unknown
Опубликована: Апрель 5, 2022
Abstract
Long-read
Structural
Variation
(SV)
calling
remains
a
challenging
but
highly
accurate
way
to
identify
complex
genomic
alterations.
Here,
we
present
Sniffles2,
which
is
faster
and
more
than
state-of-the-art
SV
caller
across
different
coverages,
sequencing
technologies,
types.
Furthermore,
Sniffles2
solves
the
problem
of
family-
population-level
produce
fully
genotyped
VCF
files
by
introducing
gVCF
file
concept.
Across
11
probands,
accurately
identified
causative
SVs
around
MECP2
,
including
alleles
with
three
overlapping
SVs.
also
enables
detection
mosaic
in
bulk
long-read
data.
As
result,
successfully
multiple
system
atrophy
patient
brain.
The
showed
remarkable
diversity
within
cingulate
cortex,
impacting
both
genes
involved
neuron
function
repetitive
elements.
In
summary,
demonstrate
utility
versatility
from
population
levels.
Nature Medicine,
Год журнала:
2023,
Номер
29(7), С. 1681 - 1691
Опубликована: Июнь 8, 2023
Critically
ill
infants
and
children
with
rare
diseases
need
equitable
access
to
rapid
accurate
diagnosis
direct
clinical
management.
Over
2
years,
the
Acute
Care
Genomics
program
provided
whole-genome
sequencing
290
families
whose
critically
were
admitted
hospitals
throughout
Australia
suspected
genetic
conditions.
The
average
time
result
was
2.9
d
diagnostic
yield
47%.
We
performed
additional
bioinformatic
analyses
transcriptome
in
all
patients
who
remained
undiagnosed.
Long-read
functional
assays,
ranging
from
clinically
accredited
enzyme
analysis
bespoke
quantitative
proteomics,
deployed
selected
cases.
This
resulted
an
19
diagnoses
overall
of
54%.
Diagnostic
variants
ranged
structural
chromosomal
abnormalities
through
intronic
retrotransposon,
disrupting
splicing.
Critical
care
management
changed
120
diagnosed
(77%).
included
major
impacts,
such
as
informing
precision
treatments,
surgical
transplant
decisions
palliation,
94
(60%).
Our
results
provide
preliminary
evidence
utility
integrating
multi-omic
approaches
into
mainstream
practice
fully
realize
potential
disease
genomic
testing
a
timely
manner.
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Янв. 29, 2024
The
All
of
Us
(AoU)
initiative
aims
to
sequence
the
genomes
over
one
million
Americans
from
diverse
ethnic
backgrounds
improve
personalized
medical
care.
In
a
recent
technical
pilot,
we
compare
performance
traditional
short-read
sequencing
with
long-read
in
small
cohort
samples
HapMap
project
and
two
AoU
control
representing
eight
datasets.
Our
analysis
reveals
substantial
differences
ability
these
technologies
accurately
complex
medically
relevant
genes,
particularly
terms
gene
coverage
pathogenic
variant
identification.
We
also
consider
advantages
challenges
using
low
increase
sample
numbers
large
analysis.
results
show
that
HiFi
reads
produce
most
accurate
for
both
variants.
Further,
present
cloud-based
pipeline
optimize
SNV,
indel
SV
calling
at
scale
long-reads
These
lead
widespread
improvements
across
AoU.
This
article
advocates
for
mobilizing
pathogen
genomic
surveillance
to
contain
and
mitigate
health
threats
from
infectious
diseases
antimicrobial
resistance
(AMR),
building
upon
successes
achieved
by
large-scale
genome
sequencing
analysis
of
SARS-CoV-2
variants
in
guiding
COVID-19
monitoring
public
responses
adopting
a
One
Health
approach.
Capabilities
laboratory-based
epidemic
alert
systems
should
be
enhanced
fostering
(i)
universal
access
real-time
whole
sequence
(WGS)
data
pathogens
inform
clinical
practice,
infection
control,
policies,
vaccine
drug
research
development;
(ii)
integration
diagnostic
microbiology
data,
testing
asymptomatic
individuals,
epidemiological
into
programs;
(iii)
stronger
cross-sectorial
collaborations
between
healthcare,
health,
animal
environmental
using
approaches,
toward
understanding
the
ecology
transmission
pathways
AMR
across
ecosystems;
(iv)
international
collaboration
interconnection
networks,
harmonization
laboratory
methods,
standardization
methods
global
reporting,
including
on
variant
or
strain
nomenclature;
(v)
responsible
sharing
databases,
platforms
according
FAIR
(findability,
accessibility,
interoperability,
reusability)
principles;
(vi)
system
implementation
its
cost-effectiveness
different
settings.
Regional
policies
governance
initiatives
foster
concerted
development
efficient
utilization
protect
humans,
animals,
environment.
npj Genomic Medicine,
Год журнала:
2024,
Номер
9(1)
Опубликована: Фев. 27, 2024
Abstract
Single
locus
(Mendelian)
diseases
are
a
leading
cause
of
childhood
hospitalization,
intensive
care
unit
(ICU)
admission,
mortality,
and
healthcare
cost.
Rapid
genome
sequencing
(RGS),
ultra-rapid
(URGS),
rapid
exome
(RES)
diagnostic
tests
for
genetic
ICU
patients.
In
44
studies
children
in
ICUs
with
unknown
etiology,
37%
received
diagnosis,
26%
had
consequent
changes
management,
net
costs
were
reduced
by
$14,265
per
child
tested
URGS,
RGS,
or
RES.
URGS
outperformed
RGS
RES
faster
time
to
higher
rate
diagnosis
clinical
utility.
Diagnostic
outcomes
will
improve
as
methods
evolve,
decrease,
testing
is
implemented
within
precision
medicine
delivery
systems
attuned
needs.
currently
performed
<5%
the
~200,000
likely
benefit
annually
due
lack
payor
coverage,
inadequate
reimbursement,
hospital
policies,
hospitalist
unfamiliarity,
under-recognition
possible
diseases,
current
formatting
rather
than
system.
The
gap
between
actual
optimal
increasing
since
expanded
use
lags
growth
those
through
new
therapies.
There
sufficient
evidence
conclude
that
should
be
considered
all
uncertain
etiology
at
admission.
Minimally,
ordered
early
during
admissions
critically
ill
infants
suspected
diseases.
Cancers,
Год журнала:
2024,
Номер
16(7), С. 1275 - 1275
Опубликована: Март 25, 2024
Cancer
is
a
multifaceted
disease
arising
from
numerous
genomic
aberrations
that
have
been
identified
as
result
of
advancements
in
sequencing
technologies.
While
next-generation
(NGS),
which
uses
short
reads,
has
transformed
cancer
research
and
diagnostics,
it
limited
by
read
length.
Third-generation
(TGS),
led
the
Pacific
Biosciences
Oxford
Nanopore
Technologies
platforms,
employs
long-read
sequences,
marked
paradigm
shift
research.
genomes
often
harbour
complex
events,
TGS,
with
its
ability
to
span
large
regions,
facilitated
their
characterisation,
providing
better
understanding
how
rearrangements
affect
initiation
progression.
TGS
also
characterised
entire
transcriptome
various
cancers,
revealing
cancer-associated
isoforms
could
serve
biomarkers
or
therapeutic
targets.
Furthermore,
advanced
improving
genome
assemblies,
detecting
variants,
more
complete
picture
transcriptomes
epigenomes.
This
review
focuses
on
growing
role
We
investigate
advantages
limitations,
rigorous
scientific
analysis
use
previously
hidden
missed
NGS.
promising
technology
holds
immense
potential
for
both
clinical
applications,
far-reaching
implications
diagnosis
treatment.