RT Journal Article SR Electronic T1 Mapping and phasing of structural variation in patient genomes using nanopore sequencing JF bioRxiv FD Cold Spring Harbor Laboratory SP 129379 DO 10.1101/129379 A1 Mircea Cretu Stancu A1 Markus J. van Roosmalen A1 Ivo Renkens A1 Marleen Nieboer A1 Sjors Middelkamp A1 Joep de Ligt A1 Giulia Pregno A1 Daniela Giachino A1 Giorgia Mandrile A1 Jose Espejo Valle-Inclan A1 Jerome Korzelius A1 Ewart de Bruijn A1 Edwin Cuppen A1 Michael E. Talkowski A1 Tobias Marschall A1 Jeroen de Ridder A1 Wigard P. Kloosterman YR 2017 UL http://biorxiv.org/content/early/2017/04/24/129379.abstract AB Structural genomic variants form a common type of genetic alteration underlying human genetic disease and phenotypic variation. Despite major improvements in genome sequencing technology and data analysis, the detection of structural variants still poses challenges, particularly when variants are of high complexity. Emerging long-read single-molecule sequencing technologies provide new opportunities for detection of structural variants. Here, we demonstrate sequencing of the genomes of two patients with congenital abnormalities using the ONT MinION at 11x and 16x mean coverage, respectively. We developed a bioinformatic pipeline - NanoSV - to efficiently map genomic structural variants (SVs) from the long-read data. We demonstrate that the nanopore data are superior to corresponding short-read data with regard to detection of de novo rearrangements originating from complex chromothripsis events in the patients. Additionally, genome-wide surveillance of SVs, revealed 3,253 (33%) novel variants that were missed in short-read data of the same sample, the majority of which are duplications < 200bp in size. Long sequencing reads enabled efficient phasing of genetic variations, allowing the construction of genome-wide maps of phased SVs and SNVs. We employed read-based phasing to show that all de novo chromothripsis breakpoints occurred on paternal chromosomes and we resolved the long-range structure of the chromothripsis. This work demonstrates the value of long-read sequencing for screening whole genomes of patients for complex structural variants.