Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India
INTRODUCTION:Rapid diagnosis of drug resistant tuberculosis is required for better patient management and treatment outcome. Whole-genome sequencing (WGS) can detect single nucleotide polymorphisms (SNPs) and deletions/insertions which are responsible for mostMycobacterium tuberculosis drug resistan...
Main Authors: | , , , , , , , |
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Format: | Journal article |
Language: | English |
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Elsevier
2019
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_version_ | 1826270886104137728 |
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author | Sethi, S Hao, Y Brown, S Walker, T Yadav, R Zaman, K Aggarwal, A Behera, D |
author_facet | Sethi, S Hao, Y Brown, S Walker, T Yadav, R Zaman, K Aggarwal, A Behera, D |
author_sort | Sethi, S |
collection | OXFORD |
description | INTRODUCTION:Rapid diagnosis of drug resistant tuberculosis is required for better patient management and treatment outcome. Whole-genome sequencing (WGS) can detect single nucleotide polymorphisms (SNPs) and deletions/insertions which are responsible for mostMycobacterium tuberculosis drug resistance. WGS is being performed at scale in high-income countries but there are still limited reports of its use in India. METHOD:In this study, 33 clinicalM. tuberculosis isolates were taken from Mycobacterial repository in Chandigarh and were whole-genome sequenced. Phenotypic drug susceptibility testing was performed according to WHO recommendations. Four were considered culture contaminated. RESULTS:Among the other 29 isolates, 21(72.4%) were multi-drug resistance (MDR-TB) and one was extensively-drug resistant (XDR-TB). The most common mutations observed for isoniazid, rifampicin, ofloxacin and kanamycin werekatG_S315 T, rpoB_S450 L, gyrA_A90 V and rrs_A1401 G respectively. The isolates belonged to lineage 2 and 3, with most MDR-TB among lineage 2 isolates. CONCLUSION:Whole-Genome Sequencing ofMycobacterium tuberculosis offers the detection of drug resistance to all drugs in a single test and also provides insight into the evolution and drug-resistant tuberculosis. |
first_indexed | 2024-03-06T21:47:53Z |
format | Journal article |
id | oxford-uuid:4a3af22d-810c-4bfd-b80d-17ca2c694438 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T21:47:53Z |
publishDate | 2019 |
publisher | Elsevier |
record_format | dspace |
spelling | oxford-uuid:4a3af22d-810c-4bfd-b80d-17ca2c6944382022-03-26T15:36:19ZElucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North IndiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4a3af22d-810c-4bfd-b80d-17ca2c694438EnglishSymplectic Elements at OxfordElsevier2019Sethi, SHao, YBrown, SWalker, TYadav, RZaman, KAggarwal, ABehera, DINTRODUCTION:Rapid diagnosis of drug resistant tuberculosis is required for better patient management and treatment outcome. Whole-genome sequencing (WGS) can detect single nucleotide polymorphisms (SNPs) and deletions/insertions which are responsible for mostMycobacterium tuberculosis drug resistance. WGS is being performed at scale in high-income countries but there are still limited reports of its use in India. METHOD:In this study, 33 clinicalM. tuberculosis isolates were taken from Mycobacterial repository in Chandigarh and were whole-genome sequenced. Phenotypic drug susceptibility testing was performed according to WHO recommendations. Four were considered culture contaminated. RESULTS:Among the other 29 isolates, 21(72.4%) were multi-drug resistance (MDR-TB) and one was extensively-drug resistant (XDR-TB). The most common mutations observed for isoniazid, rifampicin, ofloxacin and kanamycin werekatG_S315 T, rpoB_S450 L, gyrA_A90 V and rrs_A1401 G respectively. The isolates belonged to lineage 2 and 3, with most MDR-TB among lineage 2 isolates. CONCLUSION:Whole-Genome Sequencing ofMycobacterium tuberculosis offers the detection of drug resistance to all drugs in a single test and also provides insight into the evolution and drug-resistant tuberculosis. |
spellingShingle | Sethi, S Hao, Y Brown, S Walker, T Yadav, R Zaman, K Aggarwal, A Behera, D Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title | Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title_full | Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title_fullStr | Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title_full_unstemmed | Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title_short | Elucidation of drug resistant mutations of Mycobacterium tuberculosis by whole genome sequencing from North India |
title_sort | elucidation of drug resistant mutations of mycobacterium tuberculosis by whole genome sequencing from north india |
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