2018
DOI: 10.1093/nar/gky066
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Single molecule real-time (SMRT) sequencing comes of age: applications and utilities for medical diagnostics

Abstract: Short read massive parallel sequencing has emerged as a standard diagnostic tool in the medical setting. However, short read technologies have inherent limitations such as GC bias, difficulties mapping to repetitive elements, trouble discriminating paralogous sequences, and difficulties in phasing alleles. Long read single molecule sequencers resolve these obstacles. Moreover, they offer higher consensus accuracies and can detect epigenetic modifications from native DNA. The first commercially available long r… Show more

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Cited by 569 publications
(397 citation statements)
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“…Long-read sequencers, such as PacBio R SMRT II and Oxford Nanopore MinION, can provide species-and strain-level microbiota resolution, but their low throughput increases their error rates, which makes hybrid sequencing the method of choice for comprehensive microbiome analysis. 70,71 Hybrid sequencing, involving the combination of long-and short-read sequencing, has been shown to produce better metagenomic read lengths and coverage/depth than using single sequencing platforms. 71,72 Although expensive, hybrid sequencing yields better metagenomic and transcriptomic sequence reads for a better resolution of the sputum/BAL and gut microbiome species, as well as gene expression profiles to elucidate the interactions between Mtb, the immune system, and commensals.…”
Section: Challenges and Future Perspectivesmentioning
confidence: 99%
“…Long-read sequencers, such as PacBio R SMRT II and Oxford Nanopore MinION, can provide species-and strain-level microbiota resolution, but their low throughput increases their error rates, which makes hybrid sequencing the method of choice for comprehensive microbiome analysis. 70,71 Hybrid sequencing, involving the combination of long-and short-read sequencing, has been shown to produce better metagenomic read lengths and coverage/depth than using single sequencing platforms. 71,72 Although expensive, hybrid sequencing yields better metagenomic and transcriptomic sequence reads for a better resolution of the sputum/BAL and gut microbiome species, as well as gene expression profiles to elucidate the interactions between Mtb, the immune system, and commensals.…”
Section: Challenges and Future Perspectivesmentioning
confidence: 99%
“…In order to analyse amplicons larger than 2000 bp in high throughput, the only feasible approach would be to use long-read sequencing technologies such as Oxford Nanopore Technologies (ONT) and Pacific Biosciences (PacBio). However, these methods are limited by a relatively high raw error-rate of 9 and 13% respectively 17 . For PacBio, the circular consensus sequencing (CCS) approach, where a template molecule is circularized and read multiple times by the polymerase, can produce mean error rates to as low as 0.04% 18 .…”
Section: Introductionmentioning
confidence: 99%
“…SMRT sequencing is performed by continuously observing the incorporation of a fluorescently labeled nucleotide by DNA polymerase in each well. Approximately 365,000 reads with an average length of 10-14 kb are generated by the PacBio Sequel sequencer per an SMRT cell [42]. On the basis of differences in the duration of nucleotide incorporation between unmodified and modified bases, SMRT sequencing can detect the positions and kinds of base modifications (Fig.…”
Section: Smrt (Single Molecule Real-time) Sequencingmentioning
confidence: 99%