Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes

Abstract Long-read sequencing can often overcome the deficiencies in routine microarray or short-read technologies in detecting complex genomic rearrangements. Here we used Pacific Biosciences circular consensus sequencing to resolve complex rearrangements in two patients with rare genetic anomalies...

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Main Authors: Iftekhar A. Showpnil, Maria E. Hernandez Gonzalez, Swetha Ramadesikan, Mohammad Marhabaie, Allison Daley, Leeran Dublin-Ryan, Matthew T. Pastore, Umamaheswaran Gurusamy, Jesse M. Hunter, Brandon S. Stone, Dennis W. Bartholomew, Kandamurugu Manickam, Anthony R. Miller, Richard K. Wilson, Rolf W. Stottmann, Daniel C. Koboldt
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:npj Genomic Medicine
Online Access:https://doi.org/10.1038/s41525-024-00454-4
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author Iftekhar A. Showpnil
Maria E. Hernandez Gonzalez
Swetha Ramadesikan
Mohammad Marhabaie
Allison Daley
Leeran Dublin-Ryan
Matthew T. Pastore
Umamaheswaran Gurusamy
Jesse M. Hunter
Brandon S. Stone
Dennis W. Bartholomew
Kandamurugu Manickam
Anthony R. Miller
Richard K. Wilson
Rolf W. Stottmann
Daniel C. Koboldt
author_facet Iftekhar A. Showpnil
Maria E. Hernandez Gonzalez
Swetha Ramadesikan
Mohammad Marhabaie
Allison Daley
Leeran Dublin-Ryan
Matthew T. Pastore
Umamaheswaran Gurusamy
Jesse M. Hunter
Brandon S. Stone
Dennis W. Bartholomew
Kandamurugu Manickam
Anthony R. Miller
Richard K. Wilson
Rolf W. Stottmann
Daniel C. Koboldt
author_sort Iftekhar A. Showpnil
collection DOAJ
description Abstract Long-read sequencing can often overcome the deficiencies in routine microarray or short-read technologies in detecting complex genomic rearrangements. Here we used Pacific Biosciences circular consensus sequencing to resolve complex rearrangements in two patients with rare genetic anomalies. Copy number variants (CNVs) identified by clinical microarray —chr8p deletion and chr8q duplication in patient 1, and interstitial deletions of chr18q in patient 2—were suggestive of underlying rearrangements. Long-read genome sequencing not only confirmed these CNVs but also revealed their genomic structures. In patient 1, we resolved a novel recombinant chromosome 8 (Rec8)-like rearrangement with a 3.43 Mb chr8q terminal duplication that was linked to a 7.25–8.21 Mb chr8p terminal deletion. In patient 2, we uncovered a novel complex rearrangement involving a 1.17 Mb rearranged segment and four interstitial deletions ranging from 9 bp to 12.39 Mb. Our results underscore the diversity of clinically relevant structural rearrangements and the power of long-read sequencing in unraveling their nuanced architectures.
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spelling doaj-art-a4f7cdcd1f8b40b4abac22ac18b0dace2025-08-20T01:57:16ZengNature Portfolionpj Genomic Medicine2056-79442024-12-019111210.1038/s41525-024-00454-4Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromesIftekhar A. Showpnil0Maria E. Hernandez Gonzalez1Swetha Ramadesikan2Mohammad Marhabaie3Allison Daley4Leeran Dublin-Ryan5Matthew T. Pastore6Umamaheswaran Gurusamy7Jesse M. Hunter8Brandon S. Stone9Dennis W. Bartholomew10Kandamurugu Manickam11Anthony R. Miller12Richard K. Wilson13Rolf W. Stottmann14Daniel C. Koboldt15The Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalDivision of Genetic & Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalDivision of Genetic & Genomic Medicine, Nationwide Children’s HospitalDivision of Genetic & Genomic Medicine, Nationwide Children’s HospitalDivision of Genetic & Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children’s HospitalAbstract Long-read sequencing can often overcome the deficiencies in routine microarray or short-read technologies in detecting complex genomic rearrangements. Here we used Pacific Biosciences circular consensus sequencing to resolve complex rearrangements in two patients with rare genetic anomalies. Copy number variants (CNVs) identified by clinical microarray —chr8p deletion and chr8q duplication in patient 1, and interstitial deletions of chr18q in patient 2—were suggestive of underlying rearrangements. Long-read genome sequencing not only confirmed these CNVs but also revealed their genomic structures. In patient 1, we resolved a novel recombinant chromosome 8 (Rec8)-like rearrangement with a 3.43 Mb chr8q terminal duplication that was linked to a 7.25–8.21 Mb chr8p terminal deletion. In patient 2, we uncovered a novel complex rearrangement involving a 1.17 Mb rearranged segment and four interstitial deletions ranging from 9 bp to 12.39 Mb. Our results underscore the diversity of clinically relevant structural rearrangements and the power of long-read sequencing in unraveling their nuanced architectures.https://doi.org/10.1038/s41525-024-00454-4
spellingShingle Iftekhar A. Showpnil
Maria E. Hernandez Gonzalez
Swetha Ramadesikan
Mohammad Marhabaie
Allison Daley
Leeran Dublin-Ryan
Matthew T. Pastore
Umamaheswaran Gurusamy
Jesse M. Hunter
Brandon S. Stone
Dennis W. Bartholomew
Kandamurugu Manickam
Anthony R. Miller
Richard K. Wilson
Rolf W. Stottmann
Daniel C. Koboldt
Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
npj Genomic Medicine
title Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
title_full Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
title_fullStr Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
title_full_unstemmed Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
title_short Long-read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
title_sort long read genome sequencing resolves complex genomic rearrangements in rare genetic syndromes
url https://doi.org/10.1038/s41525-024-00454-4
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