RT Journal Article SR Electronic T1 CODEC enables ‘single duplex’ sequencing JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.06.11.448110 DO 10.1101/2021.06.11.448110 A1 Bae, Jin H. A1 Liu, Ruolin A1 Nguyen, Erica A1 Rhoades, Justin A1 Blewett, Timothy A1 Xiong, Kan A1 Shea, Douglas A1 Gydush, Gregory A1 Tabrizi, Shervin A1 An, Zhenyi A1 Patel, Sahil A1 Makrigiorgos, G. Mike A1 Golub, Todd R. A1 Adalsteinsson, Viktor A. YR 2021 UL http://biorxiv.org/content/early/2021/06/12/2021.06.11.448110.abstract AB Detecting mutations as rare as a single molecule is crucial in many fields such as cancer diagnostics and aging research but remains challenging. Third generation sequencers can read a double-stranded DNA molecule (a ‘single duplex’) in whole to identify true mutations on both strands apart from false mutations on either strand but with limited accuracy and throughput. Although next generation sequencing (NGS) can track dissociated strands with Duplex Sequencing, the need to sequence each strand independently severely diminishes its throughput. Here, we developed a hybrid method called Concatenating Original Duplex for Error Correction (CODEC) that combines the massively parallel nature of NGS with the single-molecule capability of third generation sequencing. CODEC physically links both strands to enable NGS to sequence a single duplex with a single read pair. By comparing CODEC and Duplex Sequencing, we showed that CODEC achieved a similar error rate (10−6) with 100 times fewer reads and conferred ‘single duplex’ resolution to most major NGS workflows.Competing Interest StatementThe authors have filed a patent application on this method. V.A.A. is a member of the scientific advisory boards of AGCT GmbH and Bertis Inc. T.R.G. has advisor roles at Foundation Medicine, GlaxoSmithKline, and Sherlock Biosciences.