🏥 Three Benchmark Clinical Applications of Long-Read Sequencing
Phase 4 Clinical TranslationResolving the Complex CYP2D6 Locus
Disentangling CYP2D6 from the 94% identical CYP2D7 pseudogene; phasing whole-gene deletions (*5), tandem duplications (*1xN/*2xN), and hybrid conversions (*36-*10) for precise metabolizer status.
Pathogenic Tandem Repeat Expansions
Single-molecule sizing and native 5mC methylation profiling of expanded repeat loci: C9orf72 (ALS/FTD hexanucleotide), HTT (Huntington CAG), and FMR1 (Fragile X CGG).
Real-Time Pathogen & AMR Surveillance
Rapid on-site MinION pathogen identification, full assembly of circular antimicrobial resistance (AMR) plasmids, and bacterial 6mA/4mC restriction-modification characterization.
Who This Course Is For
Learning Outcomes
- Execute Dorado transformer model basecalling from raw POD5/FAST5 signals with 5mC/5hmC methylation.
- Compute comprehensive third-generation QC metrics including N50, Phred Q-scores, and pore health via NanoPlot.
- Align long reads with minimap2 across ONT and PacBio presets, optimizing split-read mapping and gap costs.
- Discover and genotype high-confidence structural variants (>50 bp) using cuteSV, Sniffles2, and AnnotSV.
- Manually inspect complex structural breakpoints, phase haplotype blocks, and filter alignment artifacts in IGV.
- Translate workflows to high-impact clinical benchmarks: CYP2D6 metabolizer status, repeat expansions, and AMR plasmids.
Long-Read Genomics Roadmap & Benchmarks
Self-paced, hands-on masterclass curriculum structured into 4 foundational phases with production command-line scripts and benchmark Oxford Nanopore and PacBio HiFi datasets.
Chemistries & Data Ecosystem
Modules 01–03 • Chemistries, Formats & GIAB
- ONT R10.4.2 vs PacBio SMRT circular consensus (HiFi)
- Anatomy of raw ionic current squiggles
- FAST5 to high-speed columnar POD5 transition
- Long-read SAM/BAM methylation tags (MM/ML)
- Mining Genome in a Bottle (GIAB) & HPRC benchmarks
Neural Basecalling & QC
Modules 04–06 • Dorado, NanoPlot & Preprocessing
- Dorado deep neural network transformer architecture
- Super-Accurate (SUP) basecalling with 5mC methylation
- NanoPlot quality analytics & read length N50 metrics
- Evaluating Phred quality score distributions
- Read filtering with Chopper, Filtlong & Rasusa
Alignment & IGV Phasing
Modules 07–09 • Minimap2 & Haplotype Curation
- Minimap2 heuristic seeding, chaining & preset selection
- Coordinate sorting, indexing & coverage with Samtools
- Mosdepth high-speed regional depth calculations
- Visualizing split-read alignments & soft clips in IGV
- Haplotype block phasing and alignment artifact triage
SV Calling & Clinical Translation
Modules 10–12 • cuteSV, Sniffles2 & Case Studies
- Structural variant calling with cuteSV & Sniffles2
- VCF filtering, genotyping & AnnotSV functional annotation
- Pharmacogenomics case: CYP2D6 pseudogene resolution
- Neurological case: C9orf72 & HTT tandem repeat sizing
- Outbreak case: AMR plasmid assembly & tracking
12 Comprehensive Modular Chapters
📚 Foundational Literature & Methodology Benchmarks
🧬 Long-Read Chemistries, Neural Basecalling & Alignment
- Jain M, Koren S, Miga KH, et al. (2018). Nanopore sequencing and assembly of a human genome with ultra-long reads. Nature Biotechnology 36(4):338–345. doi:10.1038/nbt.4060
- Wenger AM, Peluso P, Rowell WJ, et al. (2019). Accurate circular consensus long-read sequencing improves variant detection and assembly of a human genome. Nature Biotechnology 37(10):1155–1162. doi:10.1038/s41587-019-0217-9
- Li H. (2018). Minimap2: pairwise alignment for nucleotide sequences. Bioinformatics 34(18):3094–3100. doi:10.1093/bioinformatics/bty191
- De Coster W, D'Hert S, Schultz DT, et al. (2018). NanoPack: visualizing and processing long-read sequencing data. Bioinformatics 34(15):2666–2669. doi:10.1093/bioinformatics/bty149
🔬 Structural Variant Discovery & Clinical Translation
- Jiang T, Liu Y, Jiang Y, et al. (2020). Long-read-based human genomic structural variation detection with cuteSV. Genome Biology 21:189. doi:10.1186/s13059-020-02107-y
- Smolka S, Paulin LF, Grochowski CM, et al. (2024). Detection of structural variants from long-read data using Sniffles2. Nature Biotechnology 42:610–618. doi:10.1038/s41587-023-02024-y
- Robinson JT, Thorvaldsdóttir H, Winckler W, et al. (2011). Integrative Genomics Viewer. Nature Biotechnology 29:24–26. doi:10.1038/nbt.1754
- English AC, Salerno WJ, Hampton OA, et al. (2015). Assessing structural variation in a personal genome—towards a human genomes standard. BMC Genomics 16:286. doi:10.1186/s12864-015-1479-3
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