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Proficiency Testing of Virus Diagnostics Based on Bioinformatics Analysis of Simulated In Silico High-Throughput Sequencing Data Sets.

Published version
Peer-reviewed

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Type

Article

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Authors

Andrusch, Andreas 
Belka, Ariane 
Wylezich, Claudia 
Höper, Dirk 

Abstract

Quality management and independent assessment of high-throughput sequencing-based virus diagnostics have not yet been established as a mandatory approach for ensuring comparable results. The sensitivity and specificity of viral high-throughput sequence data analysis are highly affected by bioinformatics processing using publicly available and custom tools and databases and thus differ widely between individuals and institutions. Here we present the results of the COMPARE [Collaborative Management Platform for Detection and Analyses of (Re-)emerging and Foodborne Outbreaks in Europe] in silico virus proficiency test. An artificial, simulated in silico data set of Illumina HiSeq sequences was provided to 13 different European institutes for bioinformatics analysis to identify viral pathogens in high-throughput sequence data. Comparison of the participants' analyses shows that the use of different tools, programs, and databases for bioinformatics analyses can impact the correct identification of viral sequences from a simple data set. The identification of slightly mutated and highly divergent virus genomes has been shown to be most challenging. Furthermore, the interpretation of the results, together with a fictitious case report, by the participants showed that in addition to the bioinformatics analysis, the virological evaluation of the results can be important in clinical settings. External quality assessment and proficiency testing should become an important part of validating high-throughput sequencing-based virus diagnostics and could improve the harmonization, comparability, and reproducibility of results. There is a need for the establishment of international proficiency testing, like that established for conventional laboratory tests such as PCR, for bioinformatics pipelines and the interpretation of such results.

Description

Keywords

external quality assessment, high-throughput sequencing, next-generation sequencing, proficiency testing, virus diagnostics, Computational Biology, Computer Simulation, Data Analysis, Europe, Genome, Viral, High-Throughput Nucleotide Sequencing, Humans, Intersectoral Collaboration, Laboratory Proficiency Testing, Reproducibility of Results, Sequence Analysis, DNA, Viruses

Journal Title

J Clin Microbiol

Conference Name

Journal ISSN

0095-1137
1098-660X

Volume Title

57

Publisher

American Society for Microbiology
Sponsorship
European Commission Horizon 2020 (H2020) Societal Challenges (643476)