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Enriching for answers in rare diseases

  • Published on: October 24 2025
  • Source: medRxiv

Rare diseases affect one in 20 people globally, with many people remaining undiagnosed. For the best outcomes, rapid and accurate diagnosis of genetic variants is required; however, current methods are time-consuming and cannot access the entire genome. Here, the authors performed trio analysis with Oxford Nanopore sequencing and adaptive sampling, a targeted sequencing method. Analysing research samples from 13 patients with a rare disease, de novo and inherited variants were accurately detected, and causative variants were identified in 77% of cases. Furthermore, sequencing costs were halved by running three samples on one flow cell. These findings demonstrate a scalable and cost-effective sequencing method for rare diseases, potentially helping patients receive an accurate diagnosis for better care.

‘TBAS achieved near-complete variant phasing and detection of small variants, structural variants, and tandem repeats with high accuracy and 77% potential solve rate’

Fu et al. medRxiv (2025)

Sample type: peripheral blood

Kit: Native Barcoding Kit and the Ligation Sequencing Kit

Authors: Yilei Fu, Adam C. English, Luis F. Paulin, Shalini N Jhangiani, George Weissenberger, Vanessa Vee, Yi Han, Heer H. Mehta, Donna M. Muzny, Richard A. Gibbs, Jennifer E. Posey, Daniel G. Calame, Fritz J. Sedlazeck

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