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National Scale Genomic Engine for Precision Medicine: Singapore PRECISE-SG100K Experience

Bellis, C.; Kolle, G.; Yong, J.; Hebrard, M.; Bertin, N.; Lin, C.; Koh, J.; Cheng, P.; Sunmugam, S.; Heng, K. K.; Xie, Z.; Meah, W. Y.; Chen, X. Y.; Lim, E.; Alberts, R.; Lim, S.; Leong, S. H.; Ow, J. L.; Toro Jimenez, R.; Wong, E.; Tong, T.; Kerk, S. K.; Yao, J.; Chee, M. L.; PRECISE Genomic Engine Consortium, ; Yeo, K. K.; Cheng, C.-Y.; Sim, X.; Zheng, W.; Khor, C. C.; Tai, E. S.; Chambers, J. C.; Tan, P.

2025-03-15 genomics
10.1101/2025.03.13.642552 bioRxiv
Show abstract

Precision medicine (PM) research in recent years has witnessed a remarkable surge in large-scale population genomics programs. In 2017, Singapore initiated the National Precision Medicine (NPM) program, a three-phase national strategy driving PM research, innovation, and enterprise capitalizing on Singapores unique multi-ancestral Asian population. Coordinated by Precision Health Research, Singapore (PRECISE), NPM Phase I assembled an Asian reference genome of 10,000 individuals completed using highly manual and laborious laboratory sample workflows. NPM Phase II, targeting a 100,000 population cohort (PRECISE-SG100K), required the transformation of the genome sequencing workflow to a production-scale operation leveraging high-throughput automation and robotics. Here we share detailed technical blueprints for implementing and maintaining Singapores PRECISE-SG100K Genomic Engine, learning from and overcoming Phase Is pain-points and bottlenecks. The Genomic Engine allowed the successful scale up of genomic sequencing and throughput, enabling the anticipated completion of sequencing of 100,000 whole genomes in three years.

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