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Updated: May 21, 2025

Author Spotlight: A Cost-Effective Genomic Workflow for Advancing Rabies Control in Resource-Limited Settings
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Long-Read Sequencing for the Rapid Response to Infectious Diseases Outbreaks.

Josephine B Oehler1,2, Kaitlin Burns2,3, Jeffrey Warner2,3

  • 1Computational Biomedicine Lab, College of Science and Engineering, James Cook University, 1 James Cook Drive, Townsville, QLD 4811 Australia.

Current Clinical Microbiology Reports
|May 19, 2025
PubMed
Summary

Long-read sequencing (LRS) offers high-fidelity pathogen genomic analysis for real-time outbreak response. This review covers LRS advancements, applications in epidemiology and public health, and future integration strategies.

Keywords:
Genomic epidemiology antimicrobial resistance profilingMetagenomicsPathogen identificationReal-time surveillanceThird-generation sequencing

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Area of Science:

  • Genomic epidemiology
  • Pathogen surveillance
  • Bioinformatics

Background:

  • Long-read sequencing (LRS) provides high-fidelity genomic data crucial for infectious disease outbreak response.
  • LRS technologies, such as Oxford Nanopore Technologies (ONT) and Pacific Biosciences (PacBio), enable detailed analysis of complex genomic structures and antimicrobial resistance.
  • The portability of LRS devices has been key in field-based pathogen identification during global health crises like Ebola and COVID-19.

Purpose of the Study:

  • To review recent advancements in long-read sequencing (LRS) technologies and their applications.
  • To evaluate the impact of LRS on genomic epidemiology, metagenomics, and public health decision-making.
  • To identify limitations and future prospects for integrating LRS into global outbreak surveillance systems.

Main Methods:

  • Literature review of recent studies on long-read sequencing in pathogen surveillance.
  • Synthesis of findings on LRS applications in genomic epidemiology and metagenomics.
  • Critical evaluation of LRS performance, including accuracy, portability, and limitations.

Main Results:

  • LRS offers superior resolution of complex genomic features, antimicrobial resistance genes, and transmission dynamics compared to short-read sequencing.
  • Portable LRS platforms have enabled rapid, on-site pathogen identification during major outbreaks.
  • Ongoing challenges include sequencing error rates, computational demands, and cost-effectiveness.

Conclusions:

  • Long-read sequencing is a transformative tool for pathogen surveillance and outbreak response.
  • Addressing current limitations is essential for maximizing the potential of LRS in global health security.
  • Leveraging LRS knowledge is vital for researchers and public health professionals facing evolving infectious disease threats.