# Nanopore direct RNA sequencing for RNA modification analysis: workflow assessment and computational tool benchmarking

**Authors:** Zhixing Wu, Jiayi Li, Rong Xia, Jiayin Dai, Jionglong Su, Jia Meng, Yuxin Zhang

PMC · DOI: 10.1007/s44307-025-00093-5 · 2026-03-10

## TL;DR

This paper reviews the use of Nanopore sequencing for RNA modification analysis, comparing tools and methods while highlighting challenges and future directions.

## Contribution

A comprehensive benchmark of computational tools for RNA modification detection using Nanopore sequencing, with insights into methodological variability and limitations.

## Key findings

- Significant variability exists in the performance of tools for detecting RNA modifications like m6A and pseudouridine.
- ONT-based methods face challenges such as high error rates and computational demands.
- Current approaches struggle with reliable multi-modification inference and biological interpretability.

## Abstract

Recent advancements in sequencing technologies have transformed the characterization of genomic and transcriptomic complexity. In this review, we present a comprehensive overview of Oxford Nanopore Technologies (ONT), emphasizing its unique capability for real-time, long-read, and direct RNA sequencing. We begin by outlining the core ONT analytical workflow—base calling, alignment, re-squiggling, and quality control—and summarize the major computational tools applied at each stage. Then extensive illustrations of various RNA modification detection techniques are provided, spanning from statistical models, machine learning and deep learning frameworks to advanced strategies incorporating large language models. To assess methodological performance, additional benchmark analyses of m6A and pseudouridine (Ψ) are carried out across two publicly available datasets. These results demonstrate substantial variability across different tools, underscoring the inherent difficulties in reliably detecting modifications from ONT signals. We further examine the biological roles of key RNA modifications and contrast ONT-based approaches with conventional detection technologies. Finally, we discuss persistent limitations such as sequencing error rates, data and computational demands, and the complexity of multi-modification inference, and further propose future directions aimed at improving accuracy, robustness, and biological interpretability in ONT-based epitranscriptomic research.

The online version contains supplementary material available at 10.1007/s44307-025-00093-5.

## Full-text entities

- **Genes:** GNE (glucosamine (UDP-N-acetyl)-2-epimerase/N-acetylmannosamine kinase) [NCBI Gene 10020] {aka DMRV, GLCNE, IBM2, NM, THC12, Uae1}
- **Diseases:** cancers (MESH:D009369), nonalcoholic fatty liver disease (MESH:D065626), HMEC_WT (MESH:D009396), Re-squiggle (MESH:D000084063), azoospermia (MESH:D053713), AML (MESH:D015470), brain tumor (MESH:D001932), heart failure (MESH:D006333), tumorigenesis (MESH:D063646)
- **Chemicals:** Pseudouridine (MESH:D011560), nitrite (MESH:D009573), N1-methylpseudouridine (MESH:C013608), Psi Pseudouridine (-), Inosine (MESH:D007288), N6-methyladenosine (MESH:C010223), adenosines (MESH:D000241), m7G (MESH:C016578), adenine (MESH:D000225), poly(A) (MESH:D011061), glyoxal (MESH:D006037), 5-methylcytosine (MESH:D044503), Nm (MESH:D008466), m6A (MESH:C005955)
- **Species:** Adenoviridae (family) [taxon 10508], Homo sapiens (human, species) [taxon 9606], Solanum lycopersicum (tomato, species) [taxon 4081], Arabidopsis thaliana (mouse-ear cress, species) [taxon 3702], Oryza sativa (Asian cultivated rice, species) [taxon 4530]
- **Cell lines:** HEK293 — Homo sapiens (Human), Transformed cell line (CVCL_0045), HEK_WT — Homo sapiens (Human), Kidney Wilms tumor, Cancer cell line (CVCL_6D82), HMEC_WT — Homo sapiens (Human), Transformed cell line (CVCL_0307)

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12976157/full.md

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Source: https://tomesphere.com/paper/PMC12976157