Clinical Metagenomic Next-Generation Sequencing for Pathogen Detection.

Clinical Metagenomic Next-Generation Sequencing for Pathogen Detection.
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DOI:
10.1146/annurev-pathmechdis-012418-012751
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发表时间:
2019-01-24
期刊:
Annual review of pathology
影响因子:
--
通讯作者:
Chiu CY
Chiu CY
中科院分区:
其他
文献类型:
--
作者:
Gu W;Miller S;Chiu CY

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Nearly all infectious agents contain DNA or RNA genomes, making sequencing an attractive approach for pathogen detection. The cost of high-throughput or next-generation sequencing has been reduced by several orders of magnitude since its advent in 2004, and it has emerged as an enabling technological platform for the detection and taxonomic characterization of microorganisms in clinical samples from patients. This review focuses on the application of untargeted metagenomic next-generation sequencing to the clinical diagnosis of infectious diseases, particularly in areas in which conventional diagnostic approaches have limitations. The review covers (a) next-generation sequencing technologies and common platforms, (b) next-generation sequencing assay workflows in the clinical microbiology laboratory, (c) bioinformatics analysis of metagenomic next-generation sequencing data, (d) validation and use of metagenomic next-generation sequencing for diagnosing infectious diseases, and (e) significant case reports and studies in this area. Next-generation sequencing is a new technology that has the promise to enhance our ability to diagnose, interrogate, and track infectious diseases.
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