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Structural and epigenetic profiling of D4Z4 arrays in FSHD using Oxford Nanopore sequencing

Poster for ACMG by Stubbs et al.

This poster presents a comprehensive Oxford Nanopore multiomic sequencing workflow for structural and epigenetic profiling of D4Z4 arrays in facioscapulohumeral muscular dystrophy (FSHD). Using ultra-long (ULK) and ligation-based (LSK) sequencing, we jointly resolve haplotypes, quantify repeat copy number, and measure DNA methylation and chromatin accessibility on a single platform.

Download this poster to discover:

  • How ULK reads span entire D4Z4 arrays to directly count repeat units across all four DUX4 alleles
  • The high concordance between ULK spanning reads and LSK de novo assemblies for repeat sizing
  • How nanopore sequencing distinguishes 4q and 10q haplotypes and confirms pathogenic 4qA alleles
  • Direct detection of native DNA methylation revealing hypomethylation of pathogenic contracted arrays
  • Chromatin accessibility profiling using 6mA chromatin stencilling to identify open chromatin at pathogenic alleles
  • A single-platform approach that streamlines comprehensive molecular testing for FSHD

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