Evidence map›Paper›PMID 25367911›Full record

ArticleAntimicrobial agents and chemotherapy2015

Evaluation of pyrosequencing for detecting extensively drug-resistant Mycobacterium tuberculosis among clinical isolates from four high-burden countries.

Kanchan Ajbani, Shou-Yean Grace Lin, Camilla Rodrigues, Duylinh Nguyen, Francine Arroyo, Janice Kaping, Lynn Jackson, Richard S Garfein, Donald Catanzaro, Kathleen Eisenach and 7 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Tuberculosis challenges: Resistance, co-infection, diagnosis, and treatment.European journal of microbiology & immunology · 2022
    Review
  3. Review
  4. Review
  5. Article
  6. Tale of compounding oddities.BMJ case reports · 2021
    Article
  7. Rapid Methods for Antimicrobial Resistance Diagnostics.Antibiotics (Basel, Switzerland) · 2021
    Review
  8. Clinical and bacteriological characteristics associated with clustering of multidrug-resistant tuberculosis.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2017
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Performance of a pyrosequencing platform in diagnosing drug-resistant extra-pulmonary tuberculosis in India.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Phenotypic and genotypic diversity in a multinational sample of drug-resistant Mycobacterium tuberculosis isolates.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015
    Article
  18. Article
  19. 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

17 authors.

Kanchan AjbaniP. D. Hinduja National Hospital & Medical Research Centre, Department of Microbiology, Veer Sarvarkar Marg, Mahim, Mumbai, India k.ajbani03@gmail.com.
Shou-Yean Grace LinCalifornia Department of Public Health, Microbial Diseases Laboratory, Richmond, California, USA.
Camilla RodriguesP. D. Hinduja National Hospital & Medical Research Centre, Department of Microbiology, Veer Sarvarkar Marg, Mahim, Mumbai, India.
Duylinh NguyenCalifornia Department of Public Health, Microbial Diseases Laboratory, Richmond, California, USA.
Francine ArroyoCalifornia Department of Public Health, Microbial Diseases Laboratory, Richmond, California, USA.
Janice KapingDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.
Lynn JacksonDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.
Richard S GarfeinDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.
Donald CatanzaroDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.
Kathleen EisenachDepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Thomas C VictorDivision of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Valeru CruduMicrobiology and Morphology Laboratory, Institute of Phthisiopneumology, Chisinau, Moldova.
Maria Tarcela GlerTropical Disease Foundation/Makati Medical Center, Makati City, Philippines.
Nazir IsmailNational Tuberculosis Reference Laboratory, Johannesburg, South Africa.
Edward DesmondCalifornia Department of Public Health, Microbial Diseases Laboratory, Richmond, California, USA.
Antonino CatanzaroDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.
Timothy C RodwellDepartment of Medicine, University of California, San Diego, La Jolla, California, USA.

Funding

Rapid Tests for Drug Resistance to Detect Extensively Drug-Resistant TuberculosisU01AI082229 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CATANZARO, ANTONINO · 2009 to 2013
$10.9M
An Integrated Tabletop Platform for Rapid Detection of XDR-TB in Clinical SamplesR01AI111435 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RODWELL, TIMOTHY CHARLES · 2014 to 2018
$5.4M
Binational Transmission of Multidrug-Resistant Tuberculosis, California & MexicoK01AI083784 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RODWELL, TIMOTHY CHARLES · 2009 to 2012
$487k
NIAID NIH HHS K01 AI083784NIAID NIH HHS K01-AI083784NIAID NIH HHS R01 AI111435NIAID NIH HHS R01-AI111435NIAID NIH HHS U01 AI082229NIAID NIH HHS U01-AI082229
6 · The paper itself

Abstract

Reliable molecular diagnostics, which detect specific mutations associated with drug resistance, are promising technologies for the rapid identification and monitoring of drug resistance in Mycobacterium tuberculosis isolates. Pyrosequencing (PSQ) has the ability to detect mutations associated with first- and second-line anti-tuberculosis (TB) drugs, with the additional advantage of being rapidly adaptable for the identification of new mutations. The aim of this project was to evaluate the performance of PSQ in predicting phenotypic drug resistance in multidrug- and extensively drug-resistant tuberculosis (M/XDR-TB) clinical isolates from India, South Africa, Moldova, and the Philippines. A total of 187 archived isolates were run through a PSQ assay in order to identify M. tuberculosis (via the IS6110 marker), and to detect mutations associated with M/XDR-TB within small stretches of nucleotides in selected loci. The molecular targets included katG, the inhA promoter and the ahpC-oxyR intergenic region for isoniazid (INH) resistance; the rpoB core region for rifampin (RIF) resistance; gyrA for fluoroquinolone (FQ) resistance; and rrs for amikacin (AMK), capreomycin (CAP), and kanamycin (KAN) resistance. PSQ data were compared to phenotypic mycobacterial growth indicator tube (MGIT) 960 drug susceptibility testing results for performance analysis. The PSQ assay illustrated good sensitivity for the detection of resistance to INH (94%), RIF (96%), FQ (93%), AMK (84%), CAP (88%), and KAN (68%). The specificities of the assay were 96% for INH, 100% for RIF, FQ, AMK, and KAN, and 97% for CAP. PSQ is a highly efficient diagnostic tool that reveals specific nucleotide changes associated with resistance to the first- and second-line anti-TB drug medications. This methodology has the potential to be linked to mutation-specific clinical interpretation algorithms for rapid treatment decisions.

Indexed as

Antitubercular AgentsBacterial ProteinsBase SequenceCatalaseDNA, BacterialDNA-Directed RNA PolymerasesDNA GyraseDrug Resistance, Multiple, BacterialExtensively Drug-Resistant TuberculosisHumansIsoniazidMicrobial Sensitivity TestsMycobacterium tuberculosisOxidoreductasesPromoter Regions, GeneticSequence Analysis, DNAAntitubercular AgentsBacterial ProteinsCatalaseDNA, BacterialDNA-Directed RNA PolymerasesDNA GyraseInhA protein, MycobacteriumIsoniazidkatG protein, Mycobacterium tuberculosisOxidoreductasesrpoB protein, Mycobacterium tuberculosis

Identifiers

PMID25367911
PMCPMC4291380

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.