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European pilot interlaboratory comparison study on mpox virus whole genome sequencing

Title: European pilot interlaboratory comparison study on mpox virus whole genome sequencing
Authors: Fuchs, Jonas; Bertelli, Claire; Pillonel, Trestan; Cordeiro, Rita; Izopet, Jacques; Pasquier, Christophe; Lewandowski, Kuiama; Maks, Anastasija; Michel, Janine; Rodriguez-Sanchez, Belén; Sanches-Seco, Maria Paz; Ledesma, Juan; Sobral, Daniel; Vercauteren, Koen; de Block, Tessa; Rezende, Antonio Mauro; Brinkmann, Annika; Nitsche, Andreas; Greub, Gilbert; Panning, Marcus
Source: Clinical microbiology and infection. - 32, 1 (2026) , 181-184, ISSN: 1198-743X
Publication Year: 2026
Collection: University of Freiburg: FreiDok
Description: Objectives Since 2022, distinct Mpox virus (MPXV) clades have been spreading across different geographic regions, causing a challenging epidemiological situation. Whole genome sequencing (WGS) proved to be instrumental for patient management and global public health. We report a pilot interlaboratory comparison study for MPXV WGS. Methods We distributed noninfectious DNA samples, including the main MPXV clades I and II, to eight European laboratories. We included one cowpox (CPXV) sample as a specificity control. Participants were free to choose their WGS pipeline of choice to mimic a real-world scenario and were asked to report on the sequencing pipeline used, average genome coverage, and MPXV species, clade, and subclade assignments. Results Seven of the eight invited laboratories reported results back. All participants largely identified the MPXV clades and reported high-quality genomes with minimal variations, specifically for MPXV clade IIb 2022 outbreak strains. However, reconstructed genomes showed high variability for nonclade IIb MPXV strains. The CPXV sample was correctly identified by three laboratories. Conclusions Although results for MPXV clade IIb 2022 outbreak strains are reassuring, the inclusion of MPXV clade I and IIa strains highlights pitfalls for targeted sequencing approaches and subsequent bioinformatic analyses. Our findings underscore the need for standardized external quality assessment studies.
Document Type: article in journal/newspaper
File Description: pdf
Language: English
Relation: https://freidok.uni-freiburg.de/data/272226
DOI: 10.1016/j.cmi.2025.09.011
Availability: https://freidok.uni-freiburg.de/data/272226; https://nbn-resolving.org/urn:nbn:de:bsz:25-freidok-2722268; https://doi.org/10.1016/j.cmi.2025.09.011; https://freidok.uni-freiburg.de/dnb/download/272226
Rights: free
Accession Number: edsbas.2F2751A5
Database: BASE