Publication Date

7-1-2022

Journal

Nature Biotechnology

DOI

10.1038/s41587-022-01221-5

PMID

35347328

PMCID

PMC9287171

PubMedCentral® Posted Date

3-28-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Chromosome Mapping, High-Throughput Nucleotide Sequencing, Humans, Nanopore Sequencing, Nanopores, Whole Genome Sequencing, DNA sequencing, Genetics research, Computational biology and bioinformatics

Abstract

Whole-genome sequencing (WGS) can identify variants that cause genetic disease, but the time required for sequencing and analysis has been a barrier to its use in acutely ill patients. In the present study, we develop an approach for ultra-rapid nanopore WGS that combines an optimized sample preparation protocol, distributing sequencing over 48 flow cells, near real-time base calling and alignment, accelerated variant calling and fast variant filtration for efficient manual review. Application to two example clinical cases identified a candidate variant inprioritization, and accelerates diagnostic clinical genome sequencing twofold compared with previous approaches.

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