Evidence map›Paper›PMID 36988494›Full record

ArticleJournal of clinical microbiology2023

Real-Time Nanopore Q20+ Sequencing Enables Extremely Fast and Accurate Core Genome MLST Typing and Democratizes Access to High-Resolution Bacterial Pathogen Surveillance.

Gabriel E Wagner, Johanna Dabernig-Heinz, Michaela Lipp, Adriana Cabal, Jonathan Simantzik, Matthias Kohl, Martina Scheiber, Sabine Lichtenegger, Ralf Ehricht, Eva Leitner and 2 more

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 56 citations in OpenAlex.

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  5. Microbiology resource announcements · 2026
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  20. Critical Steps in Shotgun Metagenomics-Based Diagnosis of Bloodstream Infections Using Nanopore Sequencing.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Gabriel E WagnerDiagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-5704-3955
Johanna Dabernig-Heinz *Diagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Michaela Lipp *Diagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Adriana CabalAustrian Agency for Health and Food Safety, Vienna, Austria.ORCID 0000-0001-9346-1612
Jonathan SimantzikMedical and Life Sciences Faculty, Furtwangen University, Villingen-Schwenningen, Germany.
Matthias KohlMedical and Life Sciences Faculty, Furtwangen University, Villingen-Schwenningen, Germany.
Martina ScheiberDiagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Sabine LichteneggerDiagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Ralf EhrichtInfectoGnostics Research Campus, Centre for Applied Research, Jena, Germany.
Eva LeitnerDiagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.
Werner RuppitschAustrian Agency for Health and Food Safety, Vienna, Austria.ORCID 0000-0001-9940-3333
Ivo SteinmetzDiagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-0510-7336
Medical University of Graz · ATAustrian Agency for Health and Food Safety · ATFurtwangen University · DELeibniz Institute of Photonic Technology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Next-generation whole-genome sequencing is essential for high-resolution surveillance of bacterial pathogens, for example, during outbreak investigations or for source tracking and escape variant analysis. However, current global sequencing and bioinformatic bottlenecks and a long time to result with standard technologies demand new approaches. In this study, we investigated whether novel nanopore Q20+ long-read chemistry enables standardized and easily accessible high-resolution typing combined with core genome multilocus sequence typing (cgMLST). We set high requirements for discriminatory power by using the slowly evolving bacterium Bordetella pertussis as a model pathogen. Our results show that the increased raw read accuracy enables the description of epidemiological scenarios and phylogenetic linkages at the level of gold-standard short reads. The same was true for our variant analysis of vaccine antigens, resistance genes, and virulence factors, demonstrating that nanopore sequencing is a legitimate competitor in the area of next-generation sequencing (NGS)-based high-resolution bacterial typing. Furthermore, we evaluated the parameters for the fastest possible analysis of the data. By combining the optimized processing pipeline with real-time basecalling, we established a workflow that allows for highly accurate and extremely fast high-resolution typing of bacterial pathogens while sequencing is still in progress. Along with advantages such as low costs and portability, the approach suggested here might democratize modern bacterial typing, enabling more efficient infection control globally.

Indexed as

BacteriaGenome, BacterialGenotyping TechniquesMultilocus Sequence TypingNanopore SequencingAntigens, BacterialBacterial VaccinesBordetella pertussisDrug Resistance, BacterialEnvironmental MonitoringHigh-Throughput Nucleotide SequencingPhylogenyReproducibility of ResultsVirulence FactorsAntigens, BacterialBacterial VaccinesVirulence Factorsbacterial typingBordetella pertussismolecular surveillancenext-generation sequencing

Identifiers

PMID36988494
PMCPMC10117118
OpenAlexW4361297045

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.