RT Journal Article SR Electronic T1 A complete reference genome improves analysis of human genetic variation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.07.12.452063 DO 10.1101/2021.07.12.452063 A1 Sergey Aganezov A1 Stephanie M. Yan A1 Daniela C. Soto A1 Melanie Kirsche A1 Samantha Zarate A1 Pavel Avdeyev A1 Dylan J. Taylor A1 Kishwar Shafin A1 Alaina Shumate A1 Chunlin Xiao A1 Justin Wagner A1 Jennifer McDaniel A1 Nathan D. Olson A1 Michael E.G. Sauria A1 Mitchell R. Vollger A1 Arang Rhie A1 Melissa Meredith A1 Skylar Martin A1 Joyce Lee A1 Sergey Koren A1 Jeffrey A. Rosenfeld A1 Benedict Paten A1 Ryan Layer A1 Chen-Shan Chin A1 Fritz J. Sedlazeck A1 Nancy F. Hansen A1 Danny E. Miller A1 Adam M. Phillippy A1 Karen H. Miga A1 Rajiv C. McCoy A1 Megan Y. Dennis A1 Justin M. Zook A1 Michael C. Schatz YR 2021 UL http://biorxiv.org/content/early/2021/07/13/2021.07.12.452063.abstract AB Compared to its predecessors, the Telomere-to-Telomere CHM13 genome adds nearly 200 Mbp of sequence, corrects thousands of structural errors, and unlocks the most complex regions of the human genome to clinical and functional study. Here we demonstrate how the new reference universally improves read mapping and variant calling for 3,202 and 17 globally diverse samples sequenced with short and long reads, respectively. We identify hundreds of thousands of novel variants per sampleā€”a new frontier for evolutionary and biomedical discovery. Simultaneously, the new reference eliminates tens of thousands of spurious variants per sample, including up to 12-fold reduction of false positives in 269 medically relevant genes. The vast improvement in variant discovery coupled with population and functional genomic resources position T2T-CHM13 to replace GRCh38 as the prevailing reference for human genetics.One Sentence Summary The T2T-CHM13 reference genome universally improves the analysis of human genetic variation.Competing Interest StatementC.S.C. is an employee of DNAnexus. J.L. is an employee of Bionano Genomics. S.A. is an employee of Oxford Nanopore Technologies. F.J.S has received travel funds and spoken at PacBio and Oxford Nanopore Technologies events. S.K. has received travel funds to speak at symposia organized by Oxford Nanopore Technologies.