Evidence map›Paper›PMID 40244604›Full record

ArticleInvestigative ophthalmology & visual science2025

Application of Metagenomic Long-Read Sequencing for the Diagnosis of Herpetic Uveitis.

Yoshito Koyanagi, Ai Fujita Sajiki, Kenya Yuki, Hiroaki Ushida, Kenichi Kawano, Kosuke Fujita, Hideyuki Shimizu, Daishi Okuda, Mitsuki Kosaka, Kazuhisa Yamada and 7 more

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

17 authors.

Yoshito KoyanagiDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ai Fujita SajikiDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kenya YukiDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroaki UshidaDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kenichi KawanoDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kosuke FujitaDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hideyuki ShimizuDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Daishi OkudaDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Mitsuki KosakaDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kazuhisa YamadaDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ayana SuzumuraDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shu KachiShohzankai Medical Foundation, Miyake Eye Hospital, Nagoya, Japan.
Hiroki KanekoDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroyuki KomatsuDepartment of Ophthalmology, Tokyo Medical University, Tokyo, Japan.
Yoshihiko UsuiDepartment of Ophthalmology, Tokyo Medical University, Tokyo, Japan.
Hiroshi GotoDepartment of Ophthalmology, Tokyo Medical University, Tokyo, Japan.
Koji M NishiguchiDepartment of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the sensitivity and specificity of herpes virus detection by nanopore metagenomic analysis (NMA) compared with multiplex polymerase chain reaction (mPCR)-positive and -negative controls. Methods: This study included 43 patients with uveitis who had been screened for intraocular herpes virus infection using mPCR from aqueous humor samples. Aqueous humor samples stored after mPCR were subjected to whole-genome amplification, long-read sequencing, and analysis of the phylogenetic microorganism composition using a Flongle flow cell on the Oxford Nanopore MinION platform. For samples that tested positive with mPCR and negative with the Flongle flow cell, additional long-read sequencing was performed using a MinION flow cell, which enabled acquisition of more sequence data. The sensitivity and specificity of herpes virus detection by NMA were compared with the mPCR-positive and -negative controls. Results: NMA using a Flongle flow cell detected the pathogenic virus in 60.0% of those who tested positive by mPCR (12/20). Further analysis using the MinION flow cell successfully identified viral DNA fragments in three out of the eight initially undetected samples, yielding a collective sensitivity of 75.0% (15/20). All of the virus detected with the long-read sequencing were identical to those diagnosed by mPCR testing, and none of the samples that tested negative by mPCR revealed herpes viral DNA with the use of long-read sequencing. Conclusions: For the detection of etiologic herpes virus DNA fragments, NMA revealed a reasonable sensitivity and high specificity. Our study highlights the potential of nanopore sequencing to facilitate further advances in uveitis diagnosis.

Indexed as

Aqueous HumorDNA, ViralEye Infections, ViralHerpesviridaeMetagenomicsUveitisAdultAgedFemaleHumansMaleMiddle AgedMultiplex Polymerase Chain ReactionSensitivity and SpecificityYoung AdultDNA, Viral

Identifiers

PMID40244604
PMCPMC12013679

What OpenQuestion holds

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Registered trials

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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.