Evidence map›Paper›PMID 41257875›Full record

ArticleBMC medical genomics2025

Long-range PCR and Nanopore sequencing for localisation and phasing variants: an end-to-end clinical application workflow.

Javad Jamshidi, Conor Rowntree, Shannon Fadaee, Futao Zhang, Ying Zhu, Michael Buckley, Franki Hart, Tony Roscioli

Abstract read
In one paragraph

Article in BMC medical genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Javad JamshidiNeuroscience Research Australia, Sydney, NSW, Australia. j.jamshidi@neura.edu.au.
Conor RowntreeNeuroscience Research Australia, Sydney, NSW, Australia.
Shannon FadaeeNew South Wales Health Pathology Randwick Genomics, Prince of Wales Hospital, Sydney, NSW, Australia.
Futao ZhangNeuroscience Research Australia, Sydney, NSW, Australia.
Ying ZhuNeuroscience Research Australia, Sydney, NSW, Australia.
Michael BuckleyRandwick Clinical Campus, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Franki HartNew South Wales Health Pathology Randwick Genomics, Prince of Wales Hospital, Sydney, NSW, Australia.
Tony RoscioliNeuroscience Research Australia, Sydney, NSW, Australia. tony.roscioli@health.nsw.gov.au.

Funding

University of New South Wales Sydney and the Medical Research Futures Fund PreGen program GHFMPACI000006
6 · The paper itself

Abstract

backgroundNext-Generation short-read sequencing has limited diagnostic utility in phasing distantly separated variants and analysing genomic regions with high homology. Determining the phase of variants from parental chromosomes is critical for accurate identification of compound heterozygosity. Long-read sequencing technology is able to overcome these limitations through the analysis of long haplotypes of separated variants. This study has developed and validated a robust, end-to-end workflow for phasing and localising variants using long-range PCR (LR-PCR) and targeted Nanopore sequencing for clinical implementation.

methodsNA24385 (HG002) reference DNA was used for all tests. Four PCR kits were tested to optimise LR-PCR for targets between 1 and 20 kb. Amplicons were barcoded and sequenced on Flongle flow cells, with up to eight amplicons on each flow cell. An in-house bioinformatic pipeline was developed to analyse the amplicons. This pipeline is capable of detecting chimeric reads (a known PCR artefact), and incorporating Clair3 for variant calling, and WhatsHap and HapCUT2 for phasing.

resultsThe UltraRun LongRange PCR Kit performed with a 90% success rate for DNA amplification up to 22 kb. All 15 tested heterozygous Single Nucleotide Variant (SNV) pairs, and 10 small InDels, with inter-variant distances from 5.8 to 21.4 kb, were phased with 100% concordance to known phase. Furthermore, SNV calling within six low-mappability genes demonstrated precision and sensitivity of 1 against benchmark data. The median proportion of chimeric reads was maintained at 2.80% (range 1.79-16.12%) under optimised conditions.

conclusionsThis study establishes a reliable and affordable clinical diagnostic workflow for accurate phasing of variants separated by up to ~ 20 kb and for variant localisation in genomic regions not able to be sequenced by short-read sequencing. This integrated approach enables implementation in diagnostic settings to resolve complex genetic findings and improve variant interpretation. The bioinformatic pipeline and documentation are available at https://github.com/j-jamshidi/ONT_amp_phase .

Indexed as

Nanopore SequencingPolymerase Chain ReactionHigh-Throughput Nucleotide SequencingHumansPolymorphism, Single NucleotideWorkflowLong-range PCRNanopore long-read sequencingPhasing

Identifiers

PMID41257875
PMCPMC12628991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.