Evidence map›Paper›PMID 40922658›Full record

ArticleAPMIS : acta pathologica, microbiologica, et immunologica Scandinavica2025

Next Generation Sequencing Improves Diagnostic 16S rRNA Amplicon-Based Microbiota Analyses of Clinical Samples Compared to Sanger Sequencing.

Huma Aftab, Christian H Schouw, Rimtas Dargis, Laus K Vejrum, Rikke L Johansen, Josefine Tange Møller, Tina V Madsen, Asta Lili Laugesen, Jens J Christensen, Michael Kemp and 1 more

Abstract readComparative Study
In one paragraph

Article in APMIS : acta pathologica, microbiologica, et immunologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Article
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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

11 authors.

Huma AftabDepartment of Clinical Microbiology, University Hospital Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0009-0001-7376-2976
Christian H SchouwThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Rimtas DargisThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Laus K VejrumThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Rikke L JohansenThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Josefine Tange MøllerThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Tina V MadsenThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Asta Lili LaugesenThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Jens J ChristensenThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Michael KempThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.
Xiaohui C NielsenThe Regional Department of Clinical Microbiology, Zealand University Hospital-Koege, Køge, Denmark.ORCID https://orcid.org/0000-0003-4068-5748

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sequencing of the 16S ribosomal RNA (rRNA) gene is an important tool in addition to conventional methods for the identification of bacterial pathogens in human infections. In polymicrobial samples, Sanger sequencing can produce uninterpretable chromatograms. This limitation can be overcome by Next Generation Sequencing (NGS) of the 16S rRNA gene. We investigated the applicability of Oxford Nanopore Technologies (ONT) sequencing of the partial 16S rRNA gene as a diagnostic routine method for pathogen detection in clinical samples. From June 2021 to August 2022, 101 clinical samples positive in PCR for partial 16S rRNA gene analysis were subjected to both Sanger and ONT sequencing. Sanger sequences were edited and compared with deposited sequences in the NCBI database using BLAST, while ONT data were processed using EPI2ME Fastq 16S. The positivity rate (clinically relevant pathogen) was higher for ONT vs. Sanger sequencing: 72% and 59%, respectively. Concordance between Sanger and ONT sequencing was 80%. Furthermore, ONT detected more samples with polymicrobial presence compared to Sanger (13 vs. 5) sequencing. Interestingly, in one joint fluid sample, Borrelia bissettiiae was identified by ONT but not by Sanger. The results show that the detection of both monobacterial and multiple bacterial species is improved using ONT.

Indexed as

BacteriaBacterial InfectionsHigh-Throughput Nucleotide SequencingMicrobiotaRNA, Ribosomal, 16SDNA, BacterialHumansSequence Analysis, DNADNA, BacterialRNA, Ribosomal, 16S16S rRNA gene PCRmolecular diagnosticsnext‐generation sequencingOxford Nanopore technologiessanger sequencing analysis

Identifiers

PMID40922658
PMCPMC12418051

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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.