“…Surprisingly, NGS mapping of proviral integration sites of ATL 2 revealed two major HTLV-1 insertions in chr5 and chr16 with a relative abundance of 49.5 and 36.3%, respectively, and a third minor integration site in chr1 representing 13.6% ( Figure 5A). In contrast, the application of PCIP-seq, an Oxford Nanopore-based long-read sequencing method developed by us to capture proviral integration sites and simultaneously sequence the viral genome associated with each site (Artesi et al, 2019), revealed three major proviruses located on chr5, chr16, and chr1 in ATL 2, each responsible for 33.7, 34.5, and 31.8% of the HTLV-1/host hybrid reads, respectively. These data suggested the presence of three proviral integrations in a single T-cell clone.…”