Application of Metagenomic Sequencing in the Diagnosis of Infectious Uveitis

Semin Ophthalmol. 2020 Aug 17;35(5-6):276-279. doi: 10.1080/08820538.2020.1818795. Epub 2020 Oct 18.

Abstract

Purpose: to summarize the origin and very recent history of the use of metagenomic sequencing for the diagnosis of infectious uveitis, convey the technique as described by one of the primary institutions experimenting with the technology, and present recent successful applications of the technology as well as potential advantages and pitfalls compared to other current diagnostic tools.Methods: review of peer-reviewed literature concerning metagenomic sequencing for the diagnosis of infectious uveitis.Conclusion: compared to existing diagnostic methods, metagenomic deep sequencing is a sensitive, unbiased, and comprehensive technique with great potential for diagnosing the causative pathogens of cases of infectious uveitis. However, many issues remain to be addressed in the process of developing this technology, including but not limited to the potentially overwhelming amount of information generated, definition of diagnostic thresholds, demonstration of validity, contamination, and cost.

Keywords: Uveitis; clinical metagenomics; metagenomic deep sequencing; next generation sequencing; rubella virus.

Publication types

  • Review

MeSH terms

  • Eye Infections, Bacterial / diagnosis*
  • Eye Infections, Bacterial / genetics
  • High-Throughput Nucleotide Sequencing / methods*
  • Humans
  • Metagenomics / methods*
  • Sequence Analysis, DNA
  • Uveitis / diagnosis*
  • Uveitis / genetics