2023
DOI: 10.1186/s13073-023-01194-3
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Applications of long-read sequencing to Mendelian genetics

Abstract: Advances in clinical genetic testing, including the introduction of exome sequencing, have uncovered the molecular etiology for many rare and previously unsolved genetic disorders, yet more than half of individuals with a suspected genetic disorder remain unsolved after complete clinical evaluation. A precise genetic diagnosis may guide clinical treatment plans, allow families to make informed care decisions, and permit individuals to participate in N-of-1 trials; thus, there is high interest in developing new… Show more

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Cited by 31 publications
(22 citation statements)
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“…Additionally, long-read sequencing technologies are emerging approaches for detecting all types of genetic variation with a single test, including complex variants as well as variants in genomic regions that are difficult to resolve with short reads (e.g., repetitive regions). 22 Future studies could aim to evaluate the validity and utility of long-read sequencing, including at reduced depth of coverage, in the prenatal setting.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, long-read sequencing technologies are emerging approaches for detecting all types of genetic variation with a single test, including complex variants as well as variants in genomic regions that are difficult to resolve with short reads (e.g., repetitive regions). 22 Future studies could aim to evaluate the validity and utility of long-read sequencing, including at reduced depth of coverage, in the prenatal setting.…”
Section: Discussionmentioning
confidence: 99%
“…These findings highlight the comparatively limited sensitivity of traditional sequencing techniques for resolving complex variants such as variable nucleotide tandem repeats. Future studies leveraging targeted sequencing methods such as Cas9, PCR, and hybridization capture focusing on these loci in a larger set of individuals would enable comprehensive population-level variant analysis [111].…”
Section: Discussionmentioning
confidence: 99%
“…It is especially difficult to reconstruct individual genomes in mixed microbial communities when multiple genomes are present [ 67 ]. Additionally, short-read sequencing may encounter repetitive regions and structural variations, making genome assembly less accurate and complete [ 68 ]. For the target sequencing, one key challenge is the risk of amplification bias during enrichment, which causes the data to reflect a skew of certain microbial taxa or genomic regions, which can affect microbial diversity quantification and prevent detection of rare or novel organisms [ 69 ].…”
Section: Understanding the Role Of Iso Standards In Workflow Standard...mentioning
confidence: 99%