Nanopore sequencing has emerged as a transformative technology in the study of the central nervous system (CNS), particularly in understanding complex diseases such as epilepsy and multiple sclerosis. One significant study utilized nanopore long-read RNA sequencing to investigate telomeric repeat-containing RNA (TERRA) in aged human cells, revealing that TERRA transcripts can be extensive, ranging from hundreds to over a thousand nucleotides, and are associated with specific epigenetic markers such as H3K4me3 and RNA Pol II (ref: Hsieh doi.org/10.1093/nar/). In the context of epilepsy, a study employing single-nucleus RNA sequencing (snRNA-seq) combined with nanopore sequencing (termed GO-TEN) analyzed samples from patients with focal cortical dysplasia type 2. This approach allowed for the identification of cell-autonomous and non-cell-autonomous transcriptional programs associated with drug-resistant epilepsy, highlighting the importance of single-cell resolution in understanding the genetic underpinnings of the disease (ref: Bizzotto doi.org/10.1073/pnas.2509622122/). Furthermore, research into the gut microbiota's role in multiple sclerosis utilized nanopore sequencing to uncover links between microbiota dysbiosis and disease severity, emphasizing the need for region-specific studies to better understand the interplay between genetics, environment, and CNS disorders (ref: Alshinnawy doi.org/10.1007/s12035-025-05194-9/). Overall, these studies illustrate the versatility of nanopore sequencing in elucidating the molecular mechanisms underlying CNS diseases, providing insights into transcript diversity and disease-associated pathways.