Evidence map›Paper›PMID 24808238›Full record

ArticleJournal of clinical microbiology2014

Utility of rpoB gene sequencing for identification of nontuberculous mycobacteria in the Netherlands.

Rina de Zwaan, Jakko van Ingen, Dick van Soolingen

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Treatment of Nontuberculous Mycobacterial Pulmonary Disease: An Official ATS/ERS/ESCMID/IDSA Clinical Practice Guideline.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Guideline
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  4. Journal of clinical tuberculosis and other mycobacterial diseases · 2025
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  5. Heterogeneity amongMicrobiology spectrum · 2025
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  6. Series 1: The Use ofTropical medicine and infectious disease · 2025
    Article
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  8. Review
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  11. Review of methods for detection and characterization of non-tuberculous mycobacteria in aquatic organisms.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Non-Tuberculous MycobacteriaArchives of Razi Institute · 2022
    Article
  16. Article
  17. Article
  18. Culture-Independent PCR Detection and Differentiation ofPathogens (Basel, Switzerland) · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rina de ZwaanNational Mycobacteria Reference Laboratory, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Jakko van IngenDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Dick van SoolingenNational Mycobacteria Reference Laboratory, National Institute for Public Health and the Environment, Bilthoven, the Netherlands Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands Dick.van.Soolingen@rivm.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the Netherlands, clinical isolation of nontuberculous mycobacteria (NTM) has increased over the past decade. Proper identification of isolates is important, as NTM species differ strongly in clinical relevance. Most of the currently applied identification methods cannot distinguish between all different Mycobacterium species and complexes within species. rpoB gene sequencing exhibits a promising level of discrimination among rapidly and slowly growing mycobacteria, including the Mycobacterium avium complex. In this study, we prospectively compared rpoB gene sequencing with our routine algorithm of reverse line blot identification combined with partial 16S rRNA gene sequencing of 455 NTM isolates. rpoB gene sequencing identified 403 isolates to species level as 45 different known species and identified 44 isolates to complex level, and eight isolates remained unidentifiable to species level. In contrast, our reference reverse line blot assay with adjunctive 16S rRNA gene sequencing identified 390 isolates to species level (30 distinct species) and identified 56 isolates to complex level, and nine isolates remained unidentified. The higher discriminatory power of rpoB gene sequencing results largely from the distinction of separate species within complexes and subspecies. Also, Mycobacterium gordonae, Mycobacterium kansasii, and Mycobacterium interjectum were separated into multiple groupings with relatively low sequence similarity (98 to 94%), suggesting that these are complexes of closely related species. We conclude that rpoB gene sequencing is a more discriminative identification technique than the combination of reverse line blot and 16S rRNA gene sequencing and could introduce a major improvement in clinical care of NTM disease and the research on the epidemiology and clinical relevance of NTM.

Indexed as

Sequence Analysis, DNACluster AnalysisDNA, BacterialDNA-Directed RNA PolymerasesDNA, RibosomalHumansMolecular Sequence DataMycobacterium Infections, NontuberculousNetherlandsNontuberculous MycobacteriaPhylogenyRNA, Ribosomal, 16SDNA, BacterialDNA-Directed RNA PolymerasesDNA, RibosomalRNA polymerase beta subunitRNA, Ribosomal, 16S

Identifiers

PMID24808238
PMCPMC4097680

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.