Evidence map›Paper›PMID 40087273›Full record

ArticleNature communications2025

Long read sequencing enhances pathogenic and novel variation discovery in patients with rare diseases.

Shruti Sinha, Fatma Rabea, Sathishkumar Ramaswamy, Ikram Chekroun, Maha El Naofal, Ruchi Jain, Roudha Alfalasi, Nour Halabi, Sawsan Yaslam, Massomeh Sheikh Hassani and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Genetic susceptibility to respiratory health effects from outdoor air pollution: a structured narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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  7. Article
  8. Article
  9. Article
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  17. Article
  18. Application of Biomarkers in Spinal Muscular Atrophy.International journal of molecular sciences · 2025
    Review
  19. Article
  20. 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.

Shruti Sinha *Dubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE. ajch_ssinha@dubaihealth.ae.ORCID http://orcid.org/0009-0008-5273-2920
Fatma Rabea *Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.
Sathishkumar Ramaswamy *Dubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Ikram ChekrounMohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.
Maha El NaofalDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Ruchi JainDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Roudha AlfalasiDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Nour HalabiDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Sawsan YaslamDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Massomeh Sheikh HassaniDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Shruti ShenbagamDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.ORCID http://orcid.org/0009-0000-1470-4875
Alan TaylorDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE.
Mohammed UddinMohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.
Mohamed A AlmarriMohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.ORCID http://orcid.org/0000-0003-1255-0918
Stefan Du PlessisMohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.ORCID http://orcid.org/0000-0003-4617-4367
Alawi Alsheikh-AliMohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, UAE.
Ahmad Abou TayounDubai Health Genomic Medicine Center, Dubai Health, Dubai, UAE. Ahmad.Tayoun@dubaihealth.ae.ORCID http://orcid.org/0000-0002-9134-1673

Funding

Oxford Nanopore Technologies (Oxford Nanopore) NA
6 · The paper itself

Abstract

With ongoing improvements in the detection of complex genomic and epigenomic variations, long-read sequencing (LRS) technologies could serve as a unified platform for clinical genetic testing, particularly in rare disease settings, where nearly half of patients remain undiagnosed using existing technologies. Here, we report a simplified funnel-down filtration strategy aimed at enhancing the identification of small and large deleterious variants as well as abnormal episignature disease profiles from whole-genome LRS data. This approach detected all pathogenic single nucleotide, structural, and methylation variants in a positive control set (N = 76) including an independent sample set with known methylation profiles (N = 57). When applied to patients who previously had negative short-read testing (N = 51), additional diagnoses were uncovered in 10% of cases, including a methylation profile at the spinal muscular atrophy locus utilized for diagnosing this life-threatening, yet treatable, condition. Our study illustrates the utility of LRS in clinical genetic testing and the discovery of novel disease variation.

Indexed as

Rare DiseasesDNA MethylationGenetic TestingGenetic VariationGenome, HumanHigh-Throughput Nucleotide SequencingHumansMuscular Atrophy, SpinalPolymorphism, Single NucleotideSequence Analysis, DNAWhole Genome Sequencing

Identifiers

PMID40087273
PMCPMC11909103

What Socratic holds

Textmetadata
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 Socratic graph.