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September 15, 2026mSystemsOpen Access

Library strategies differentially shape microbial, functional, and host signals in clinical metagenomic sequencing

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Authors

GLGengyan LuoJZJin ZhaoLXLinlin Xie

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Overview

Comparative sequencing study demonstrates that DNA and RNA library preparations capture distinct infectome signals across clinical specimens, indicating protocol choice dictates diagnostic utility.

Key Points

  • Determine how DNA-, RNA-, and total nucleic acid-based library preparation strategies impact the detection of microbial, functional, and host signals in clinical metagenomic sequencing.
  • Conducted a within-sample parallel comparison of three library preparation strategies: DNA-based (DNAlib), RNA-based (RNAlib), and total nucleic acid-based (TNAlib).
  • Assayed clinical specimens across five sample types and benchmarked performance against a curated clinical infectome.
  • RNAlib provided the most comprehensive standalone infectome recovery, showing enhanced detection of RNA viruses and cellular pathogens, antimicrobial resistance, virulence markers, and host immune signals.
  • DNAlib demonstrated superior baseline recovery of DNA viruses and broader host genome coverage.
  • TNAlib functioned as an intermediate approach rather than offering consistent improvements over dedicated DNA or RNA workflows.

Cite This Study

Luo et al. (2026) studied this question.

synapsesocial.com/papers/6aa9134b9013453be30a1189https://doi.org/10.1128/msystems.00897-26
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