Quantitative measurement of antibiotic resistance in Mycobacterium tuberculosis reveals genetic determinants of resistance and susceptibility in a target gene approach
Ivan Barilar
,
Simone Battaglia
,
Emanuele Borroni
,
Angela Pires Brandao
,
Alice Brankin
,
Andrea Maurizio Cabibbe
,
Joshua Carter
,
Darren Chetty
,
Daniela Maria Cirillo
,
Pauline Claxton
,
David Clifton
,
Ted Cohen
,
Jorge Coronel
,
Derrick Crook
,
Viola Dreyer
,
Sarah Earle
,
Vincent Escuyer
,
Lucilaine Ferrazoli
,
Philip Fowler
,
George Fu Gao
,
Jennifer Gardy
,
Saheer Gharbia
,
Kelen Teixeira Ghisi
,
Arash Ghodousi
,
Ana Luíza Gibertoni Cruz
,
Louis Grandjean
,
Clara Grazian
,
Ramona Groenheit
,
Jennifer Guthrie
,
Wencong He
,
Harald Hoffmann
,
Sarah Hoosdally
,
Martin Hunt
,
Zamin Iqbal
,
Nazir Ahmed Ismail
,
Lisa Jarrett
,
Lavania Joseph
,
Ruwen Jou
,
Priti Kambli
,
Rukhsar Khot
,
Jeff Knaggs
,
Anastasia Koch
,
Donna Kohlerschmidt
,
Samaneh Kouchaki
,
Alexander Lachapelle
,
Ajit Lalvani
,
Simon Grandjean Lapierre
,
Ian Laurenson
,
Brice Letcher
,
Wan-Hsuan Lin
,
Chunfa Liu
,
Dongxin Liu
,
Kerri Malone
,
Ayan Mandal
,
Mikael Mansjö
,
Daniela Vicente Lucena Calisto Matias
,
Graeme Meintjes
,
Flávia de Freitas Mendes
,
Matthias Merker
,
Marina Mihalic
,
James Millard
,
Paolo Miotto
,
Nerges Mistry
,
David Moore
,
Kimberlee Musser
,
Dumisani Ngcamu
,
Hoang Ngoc Nhung
,
Stefan Niemann
,
Kayzad Soli Nilgiriwala
,
Camus Nimmo
,
Max O’donnell
,
Nana Okozi
,
Rosangela Siqueira Oliveira
,
Shaheed Vally Omar
,
Nicholas Paton
,
Timothy Peto
,
Juliana Maira Watanabe Pinhata
,
Sara Plesnik
,
Zully Puyen
,
Marie Sylvianne Rabodoarivelo
,
Niaina Rakotosamimanana
,
Paola Rancoita
,
Priti Rathod
,
Esther Rhiannon Robinson
,
Gillian Rodger
,
Camilla Rodrigues
,
Timothy Rodwell
,
Aysha Roohi
,
David Santos-Lazaro
,
Sanchi Shah
,
Grace Smith
,
Thomas Andreas Kohl
,
Walter Solano
,
Andrea Spitaleri
,
Adrie Steyn
,
Philip Supply
(1)
,
Utkarsha Surve
,
Sabira Tahseen
,
Nguyen Thuy Thuong Thuong
,
Guy Thwaites
,
Katharina Todt
,
Alberto Trovato
,
Christian Utpatel
,
Annelies van Rie
,
Srinivasan Vijay
,
A. Sarah Walker
,
Timothy Walker
,
Robin Warren
,
Jim Werngren
,
Maria Wijkander
,
Robert Wilkinson
,
Daniel Wilson
,
Penelope Wintringer
,
Yu-Xin Xiao
,
Yang Yang
,
Zhao Yanlin
,
Shen-Yuan Yao
,
Baoli Zhu
Ivan Barilar
- Function : Author
Simone Battaglia
- Function : Author
Emanuele Borroni
- Function : Author
Angela Pires Brandao
- Function : Author
Alice Brankin
- Function : Author
Andrea Maurizio Cabibbe
- Function : Author
Joshua Carter
- Function : Author
- PersonId : 1354569
- ORCID : 0000-0002-9194-7966
Darren Chetty
- Function : Author
Daniela Maria Cirillo
- Function : Author
Pauline Claxton
- Function : Author
David Clifton
- Function : Author
Ted Cohen
- Function : Author
Jorge Coronel
- Function : Author
Derrick Crook
- Function : Author
Viola Dreyer
- Function : Author
Sarah Earle
- Function : Author
Vincent Escuyer
- Function : Author
Lucilaine Ferrazoli
- Function : Author
Philip Fowler
- Function : Author
George Fu Gao
- Function : Author
Jennifer Gardy
- Function : Author
Saheer Gharbia
- Function : Author
Kelen Teixeira Ghisi
- Function : Author
Arash Ghodousi
- Function : Author
Ana Luíza Gibertoni Cruz
- Function : Author
Louis Grandjean
- Function : Author
Clara Grazian
- Function : Author
Ramona Groenheit
- Function : Author
Jennifer Guthrie
- Function : Author
Wencong He
- Function : Author
Harald Hoffmann
- Function : Author
Sarah Hoosdally
- Function : Author
Martin Hunt
- Function : Author
Zamin Iqbal
- Function : Author
Nazir Ahmed Ismail
- Function : Author
Lisa Jarrett
- Function : Author
Lavania Joseph
- Function : Author
Ruwen Jou
- Function : Author
Priti Kambli
- Function : Author
Rukhsar Khot
- Function : Author
Jeff Knaggs
- Function : Author
Anastasia Koch
- Function : Author
Donna Kohlerschmidt
- Function : Author
Samaneh Kouchaki
- Function : Author
Alexander Lachapelle
- Function : Author
Ajit Lalvani
- Function : Author
Simon Grandjean Lapierre
- Function : Author
Ian Laurenson
- Function : Author
Brice Letcher
- Function : Author
Wan-Hsuan Lin
- Function : Author
Chunfa Liu
- Function : Author
Dongxin Liu
- Function : Author
Kerri Malone
- Function : Author
Ayan Mandal
- Function : Author
Mikael Mansjö
- Function : Author
Daniela Vicente Lucena Calisto Matias
- Function : Author
Graeme Meintjes
- Function : Author
Flávia de Freitas Mendes
- Function : Author
Matthias Merker
- Function : Author
Marina Mihalic
- Function : Author
James Millard
- Function : Author
Paolo Miotto
- Function : Author
Nerges Mistry
- Function : Author
David Moore
- Function : Author
Kimberlee Musser
- Function : Author
Dumisani Ngcamu
- Function : Author
Hoang Ngoc Nhung
- Function : Author
Stefan Niemann
- Function : Author
Kayzad Soli Nilgiriwala
- Function : Author
Camus Nimmo
- Function : Author
Max O’donnell
- Function : Author
Nana Okozi
- Function : Author
Rosangela Siqueira Oliveira
- Function : Author
Shaheed Vally Omar
- Function : Author
Nicholas Paton
- Function : Author
Timothy Peto
- Function : Author
Juliana Maira Watanabe Pinhata
- Function : Author
Sara Plesnik
- Function : Author
Zully Puyen
- Function : Author
Marie Sylvianne Rabodoarivelo
- Function : Author
Niaina Rakotosamimanana
- Function : Author
Paola Rancoita
- Function : Author
Priti Rathod
- Function : Author
Esther Rhiannon Robinson
- Function : Author
Gillian Rodger
- Function : Author
Camilla Rodrigues
- Function : Author
Timothy Rodwell
- Function : Author
Aysha Roohi
- Function : Author
David Santos-Lazaro
- Function : Author
Sanchi Shah
- Function : Author
Grace Smith
- Function : Author
Thomas Andreas Kohl
- Function : Author
Walter Solano
- Function : Author
Andrea Spitaleri
- Function : Author
Adrie Steyn
- Function : Author
Philip Supply
- Function : Author
- PersonId : 741536
- IdHAL : philip-supply
- ORCID : 0000-0003-3690-3853
- IdRef : 077084977
Utkarsha Surve
- Function : Author
Sabira Tahseen
- Function : Author
Nguyen Thuy Thuong Thuong
- Function : Author
Guy Thwaites
- Function : Author
Katharina Todt
- Function : Author
Alberto Trovato
- Function : Author
Christian Utpatel
- Function : Author
Annelies van Rie
- Function : Author
Srinivasan Vijay
- Function : Author
A. Sarah Walker
- Function : Author
Timothy Walker
- Function : Author
Robin Warren
- Function : Author
Jim Werngren
- Function : Author
Maria Wijkander
- Function : Author
Robert Wilkinson
- Function : Author
Daniel Wilson
- Function : Author
Penelope Wintringer
- Function : Author
Yu-Xin Xiao
- Function : Author
Yang Yang
- Function : Author
Zhao Yanlin
- Function : Author
Shen-Yuan Yao
- Function : Author
Baoli Zhu
- Function : Author
Abstract
The World Health Organization has a goal of universal drug susceptibility testing for patients with tuberculosis. However, molecular diagnostics to date have focused largely on first-line drugs and predicting susceptibilities in a binary manner (classifying strains as either susceptible or resistant). Here, we used a multivariable linear mixed model alongside whole genome sequencing and a quantitative microtiter plate assay to relate genomic mutations to minimum inhibitory concentration (MIC) in 15,211 Mycobacterium tuberculosis clinical isolates from 23 countries across five continents. We identified 492 unique MIC-elevating variants across 13 drugs, as well as 91 mutations likely linked to hypersensitivity. Our results advance genetics-based diagnostics for tuberculosis and serve as a curated training/testing dataset for development of drug resistance prediction algorithms.
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