Applications across healthcare, environmental science, agriculture, biotechnology, and industry are reviewed with particular emphasis on clinical metagenomic next-generation sequencing (mNGS) for infectious disease diagnostics, antimicrobial resistance (AMR) surveillance, gut microbiome research, and precision medicine.
Abstract
Conventional culture-dependent microbiological methods cannot characterize the vast majority of microbial diversity encountered in complex environmental and clinical samples. Metagenomics, the culture-independent, sequencing-based analysis of all genetic material recovered directly from a microbial community, has emerged as a transformative discipline that bridges this fundamental gap. By enabling simultaneous profiling of thousands of microbial genomes within a single assay, metagenomics provides unprecedented insights into microbial diversity, community structure, functional potential, and evolutionary relationships across diverse ecological niches. This narrative review discusses the conceptual foundations of metagenomics, its major methodological workflows, including total DNA extraction, metagenomic library construction, and screening strategies, and the evolution of sequencing platforms from first-generation Sanger sequencing through next-generation sequencing (NGS) to current long-read third-generation platforms such as Oxford Nanopore Technologies (ONT) and Pacific Biosciences (PacBio). The growing integration of artificial intelligence (AI) and machine learning (ML) into metagenomic bioinformatics pipelines is examined. Applications across healthcare, environmental science, agriculture, biotechnology, and industry are reviewed with particular emphasis on clinical metagenomic next-generation sequencing (mNGS) for infectious disease diagnostics, antimicrobial resistance (AMR) surveillance, gut microbiome research, and precision medicine. Key technical and translational challenges, including host DNA contamination, bioinformatic complexity, database incompleteness, absence of clinical standardization, and ethical considerations, are critically evaluated. The review concludes by identifying priority areas for future research and translational implementation.
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