Evidence map›Paper›PMID 27530812›Full record

ArticleBMC medicine2016

Genetic variation in Mycobacterium tuberculosis isolates from a London outbreak associated with isoniazid resistance.

Giovanni Satta, Adam A Witney, Robert J Shorten, Magdalena Karlikowska, Marc Lipman, Timothy D McHugh

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  6. Cloning and Protein Expression ofBioResearch open access · 2020
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  9. SINGLE NUCLEOTIDE POLYMORPHISM OFAfrican journal of infectious diseases · 2018
    Article
  10. Article
  11. Twenty years and counting: epidemiology of an outbreak of isoniazid-resistant tuberculosis in England and Wales, 1995 to 2014.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  12. Comparative Genomic Analysis of Two Clonally Related Multidrug ResistantFrontiers in cellular and infection microbiology · 2017
    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

6 authors at 3 institutions in 1 country.

Giovanni SattaDepartment of Infection, Centre for Clinical Microbiology, University College London, London, UK. Giovanni.satta@nhs.net.
Adam A WitneyInstitute of Infection and Immunity, St George's, University of London, London, UK.
Robert J ShortenDepartment of Infection, Centre for Clinical Microbiology, University College London, London, UK.
Magdalena KarlikowskaDepartment of Infection, Centre for Clinical Microbiology, University College London, London, UK.
Marc LipmanRoyal Free London NHS Foundation Trust, London, UK.
Timothy D McHughDepartment of Infection, Centre for Clinical Microbiology, University College London, London, UK.
University College London · GBRoyal Free London NHS Foundation Trust · GBSt George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe largest outbreak of isoniazid-resistant (INH-R) Mycobacterium tuberculosis in Western Europe is centred in North London, with over 400 cases diagnosed since 1995. In the current study, we evaluated the genetic variation in a subset of clinical samples from the outbreak with the hypothesis that these isolates have unique biological characteristics that have served to prolong the outbreak.

methodsFitness assays, mutation rate estimation, and whole-genome sequencing were performed to test for selective advantage and compensatory mutations.

resultsThis detailed analysis of the genetic variation of these INH-R samples suggests that this outbreak consists of successful, closely related, circulating strains with heterogeneous resistance profiles and little or no associated fitness cost or impact on their mutation rate.

conclusionsSpecific deletions and SNPs could be a peculiar feature of these INH-R M. tuberculosis isolates, and could potentially explain their persistence over the years.

Indexed as

Disease OutbreaksAntitubercular AgentsDrug Resistance, BacterialEuropeGenetic VariationHumansIsoniazidLondonMicrobial Sensitivity TestsMutationMycobacterium tuberculosisPolymorphism, Single NucleotideTuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsIsoniazidFitnessMutation rateMycobacterium tuberculosisWhole-genome sequencing

Identifiers

PMID27530812
PMCPMC4988016
OpenAlexW2517288272

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.