Evidence map›Paper›PMID 27393546›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2016

Detection of katG and inhA mutations to guide isoniazid and ethionamide use for drug-resistant tuberculosis.

V R Bollela, E I Namburete, C S Feliciano, D Macheque, L H Harrison, J A Caminero

Abstract readMulticenter Study
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

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

  1. Pooled it
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  7. Computational and structural biotechnology journal · 2025
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  8. Culture-Free Whole Genome Sequencing ofOpen forum infectious diseases · 2024
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  9. Rapid, antibiotic incubation-free determination of tuberculosis drug resistance using machine learning and Raman spectroscopy.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  16. Isoniazid resistance-conferring mutations are associated with highly variable phenotypic resistance.Journal of clinical tuberculosis and other mycobacterial diseases · 2023
    Article
  17. OvercomingACS omega · 2023
    Review
  18. Prevalence ofJournal of clinical tuberculosis and other mycobacterial diseases · 2023
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  19. Article
  20. Heteroresistance ofBiology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

V R BollelaFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
E I NambureteFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
C S FelicianoFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
D MachequeLaboratório Nacional de Referencia da Tuberculose, Instituto Nacional de Saúde-Moçambique, Maputo, Mozambique.
L H HarrisonGraduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J A CamineroServicio de Neumología, Hospital General de Gran Canaria Dr Negrin, Las Palmas, Spain; International Union Against Tuberculosis and Lung Disease, Paris, France.

Funding

Training and Research on Effectiveness of Antiretroviral TherapyD43TW001038 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRISON, LEE H · 1998 to 2013
$4.7M
Fogarty HIV Research Training Program (Mozambique)D43TW009753 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRISON, LEE H · 2014 to 2018
$1.2M
FIC NIH HHS D43 TW001038FIC NIH HHS D43 TW009753
6 · The paper itself

Abstract

backgroundDepending on the presence of mutations that determine isoniazid (INH) susceptibility (katG and inhA), Mycobacterium tuberculosis may be susceptible to high doses of INH or ethionamide (ETH).

objectiveTo describe the INH resistance profile and association of katG mutation with previous INH treatment and level of drug resistance based on rapid molecular drug susceptibility testing (DST) in southern Brazil and central Mozambique.

designDescriptive study of 311 isolates from Ribeirão Preto, São Paulo, Brazil (2011-2014) and 155 isolates from Beira, Mozambique (2014-2015). Drug resistance patterns and specific gene mutations were determined using GenoType(®) MTBDRplus.

resultskatG gene mutations were detected in 12/22 (54.5%) Brazilian and 32/38 (84.2%) Mozambican isolates. inhA mutations were observed in 9/22 (40.9%) isolates in Brazil and in 4/38 (10.5%) in Mozambique. Both katG and inhA mutations were detected in respectively 1/22 (5%) and 2/38 (5.2%). The difference in the frequency of katG mutations in Brazil and Mozambique was statistically significant (P = 0.04). katG mutations were present in 68.8% (33/48) of patients previously treated with INH and 31.2% (15/48) of patients without previous INH. This difference was not statistically significant (P = 0.223).

conclusionINH mutations varied geographically; molecular DST can be used to guide and accelerate decision making in the use of ETH or high doses of INH.

Indexed as

DNA Mutational AnalysisMutationAntitubercular AgentsBacterial ProteinsBrazilCatalaseClinical Decision-MakingDrug Resistance, Multiple, BacterialEthionamideHumansIsoniazidMicrobial Sensitivity TestsMozambiqueMycobacterium tuberculosisOxidoreductasesPatient SelectionAntitubercular AgentsBacterial ProteinsCatalaseEthionamideInhA protein, MycobacteriumIsoniazidkatG protein, Mycobacterium tuberculosisOxidoreductases

Identifiers

PMID27393546
PMCPMC5310937

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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.