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Updated: Nov 12, 2025

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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
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Comparing low-pass sequencing and genotyping for trait mapping in pharmacogenetics
Kaja Wasik1, Tomaz Berisa1, Joseph K Pickrell1
1Gencove, Inc., New York, NY, 10016, USA.
BMC Genomics
|March 21, 2021
Summary
Low-pass sequencing offers a cost-effective alternative to genotyping arrays for pharmacogenetics (PGx) research. Sequencing at 0.4x or higher coverage provides comparable or superior results to arrays for identifying genetic variants.
Area of Science:
- Genomics
- Pharmacogenetics
- Bioinformatics
Background:
- Low-pass sequencing is a cost-effective method for identifying genetic variants influencing multifactorial traits.
- Genotyping arrays are standard for pharmacogenetic (PGx) studies, which often involve smaller sample sizes but larger effect sizes.
Purpose of the Study:
- To compare low-pass sequencing with array-based genotyping for pharmacogenetics (PGx) applications.
- To evaluate the performance of low-pass sequencing at various coverages (0.4x-1x) for genotype imputation and pharmacogenetic variant identification.
Main Methods:
- Sequenced 79 individuals at 1x genome coverage and genotyped them using the Affymetrix Axiom Biobank Precision Medicine Research Array (PMRA).
- Down-sampled sequencing data to 0.8x, 0.6x, and 0.4x coverage for genotype imputation.
- Imputed human leukocyte antigen (HLA) genotypes from both sequencing and array data.
- Compared overall concordance, concordance at pharmacogenetics-related single nucleotide polymorphisms (SNPs), HLA genotype concordance, and imputation r².
Main Results:
- Overall concordance between low-pass sequencing (0.4x-1x) and arrays ranged from 98.2% to 99.2%.
- Imputation accuracy (r²) at common SNPs was comparable between 0.4x sequencing (0.90) and arrays (0.90), and higher for 1x sequencing (0.96).
- Pharmacogenetic variant concordance mirrored overall concordance.
- Imputed human leukocyte antigen (HLA) genotype concordance was also assessed.
Conclusions:
- Low-pass sequencing above 0.4x coverage demonstrates higher power for pharmacogenetics association studies compared to the PMRA.
- Low-pass sequencing is a competitive alternative to genotyping arrays for trait mapping in pharmacogenetics.
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