s41598-022-11795-4.pdf (2.27 MB)
Characterisation of drug-resistant Mycobacterium tuberculosis mutations and transmission in Pakistan
journal contribution
posted on 2023-06-10, 03:34 authored by Gary Napier, Anwar Sheed Khan, Abdul Jabbar, Muhammad Tahir Khan, Sajid Ali, Muhammad Qasim, Noor Mohammad, Rumina Hasan, Zahra Hasan, Susana Campino, Sajjad Ahmad, Baharullah Khattak, Simon WaddellSimon Waddell, Taj Ali Khan, Jody E Phelan, Taane G ClarkTuberculosis, caused by Mycobacterium tuberculosis, is a high-burden disease in Pakistan, with multi-drug (MDR) and extensive-drug (XDR) resistance, complicating infection control. Whole genome sequencing (WGS) of M. tuberculosis is being used to infer lineages (strain-types), drug resistance mutations, and transmission patterns—all informing infection control and clinical decision making. Here we analyse WGS data on 535 M. tuberculosis isolates sourced across Pakistan between years 2003 and 2020, to understand the circulating strain-types and mutations related to 12 anti-TB drugs, as well as identify transmission clusters. Most isolates belonged to lineage 3 (n?=?397; 74.2%) strain-types, and were MDR (n?=?328; 61.3%) and (pre-)XDR (n?=?113; 21.1%). By inferring close genomic relatedness between isolates (
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Publication status
- Published
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- Published version
Journal
Scientific ReportsISSN
2045-2322Publisher
Nature ResearchExternal DOI
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1Volume
12Page range
1-10Article number
a7703Department affiliated with
- Global Health and Infection Publications
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- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2022-05-17First Open Access (FOA) Date
2022-05-17First Compliant Deposit (FCD) Date
2022-05-17Usage metrics
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