TY - JOUR A1 - Hari, Ananth A1 - Zhou, Qinghui A1 - Gonzaludo, Nina A1 - Harting, John A1 - Scott, Stuart A. A1 - Qin, Xiang A1 - Scherer, Steve A1 - Sahinalp, S. Cenk A1 - Numanagić, Ibrahim T1 - An efficient genotyper and star-allele caller for pharmacogenomics Y1 - 2023/01/01 JF - Genome Research JO - Genome Research SP - 61 EP - 70 DO - 10.1101/gr.277075.122 VL - 33 IS - 1 UR - http://genome.cshlp.org/content/33/1/61.abstract N2 - High-throughput sequencing provides sufficient means for determining genotypes of clinically important pharmacogenes that can be used to tailor medical decisions to individual patients. However, pharmacogene genotyping, also known as star-allele calling, is a challenging problem that requires accurate copy number calling, structural variation identification, variant calling, and phasing within each pharmacogene copy present in the sample. Here we introduce Aldy 4, a fast and efficient tool for genotyping pharmacogenes that uses combinatorial optimization for accurate star-allele calling across different sequencing technologies. Aldy 4 adds support for long reads and uses a novel phasing model and improved copy number and variant calling models. We compare Aldy 4 against the current state-of-the-art star-allele callers on a large and diverse set of samples and genes sequenced by various sequencing technologies, such as whole-genome and targeted Illumina sequencing, barcoded 10x Genomics, and Pacific Biosciences (PacBio) HiFi. We show that Aldy 4 is the most accurate star-allele caller with near-perfect accuracy in all evaluated contexts, and hope that Aldy remains an invaluable tool in the clinical toolbox even with the advent of long-read sequencing technologies. ER -