Evidence map›Paper›PMID 27872285›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis.

Vegard Eldholm, John H-O Pettersson, Ola B Brynildsrud, Andrew Kitchen, Erik Michael Rasmussen, Troels Lillebaek, Janne O Rønning, Valeriu Crudu, Anne Torunn Mengshoel, Nadia Debech and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
9.6field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. First insights into the genetic composition ofJournal of clinical tuberculosis and other mycobacterial diseases · 2025
    Article
  3. Dissecting rifampicin heteroresistance inJournal of medical microbiology · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Evolution ofFrontiers in cellular and infection microbiology · 2022
    Review
  13. Article
  14. Review
  15. Review
  16. Evolutionary Genetics ofMicroorganisms · 2021
    Review
  17. Article
  18. Review
  19. Article
  20. Deconstructing Syndemics: The Many Layers of Clustering Multi-Comorbidities in People Living with HIV.International journal of environmental research and public health · 2020
    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

14 authors at 5 institutions in 4 countries.

Vegard EldholmInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway; v.eldholm@gmail.com.ORCID 0000-0001-6721-3375
John H-O PetterssonInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Ola B BrynildsrudInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Andrew KitchenDepartment of Anthropology, University of Iowa, Iowa City, IA 52242.
Erik Michael RasmussenInternational Reference Laboratory of Mycobacteriology, Statens Serum Institute, DK-2300 Copenhagen, Denmark.
Troels LillebaekInternational Reference Laboratory of Mycobacteriology, Statens Serum Institute, DK-2300 Copenhagen, Denmark.
Janne O RønningInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Valeriu CruduMicrobiology and Morphology Laboratory, Phthisiopneumology Institute, MD 2025 Chisinau, Moldova.
Anne Torunn MengshoelInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Nadia DebechInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Kristian AlfsnesInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Jon BohlinInfection Control and Environmental Health, Norwegian Institute of Public Health, 0456 Oslo, Norway.
Caitlin S PepperellDivision of Infectious Disease, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI 53706.
Francois BallouxUCL Genetics Institute, University College London, London WC1E 6BT, United Kingdom.
Norwegian Institute of Public Health · NOStatens Serum Institut · DKUniversity College London · GBUniversity of Iowa · USUniversity of Wisconsin–Madison · US

Funding

Drifting to victory: resolving the paradox of M.tuberculosis evolutionR01AI113287 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI Caitlin S Pepperell · 2015 to 2026
$6.5M
NIAID NIH HHS R01 AI113287
6 · The paper itself

Abstract

The "Beijing" Mycobacterium tuberculosis (Mtb) lineage 2 (L2) is spreading globally and has been associated with accelerated disease progression and increased antibiotic resistance. Here we performed a phylodynamic reconstruction of one of the L2 sublineages, the central Asian clade (CAC), which has recently spread to western Europe. We find that recent historical events have contributed to the evolution and dispersal of the CAC. Our timing estimates indicate that the clade was likely introduced to Afghanistan during the 1979-1989 Soviet-Afghan war and spread further after population displacement in the wake of the American invasion in 2001. We also find that drug resistance mutations accumulated on a massive scale in Mtb isolates from former Soviet republics after the fall of the Soviet Union, a pattern that was not observed in CAC isolates from Afghanistan. Our results underscore the detrimental effects of political instability and population displacement on tuberculosis control and demonstrate the power of phylodynamic methods in exploring bacterial evolution in space and time.

Indexed as

Armed ConflictsPhylogenyAfghanistanDrug Resistance, BacterialEuropeEvolution, MolecularGenotypeHumansMycobacterium tuberculosisTuberculosisUnited StatesUSSRantimicrobial resistanceevolutionMycobacterium tuberculosisphylodynamic analysistip-dating

Identifiers

PMID27872285
PMCPMC5137683
OpenAlexW2550988438

What OpenQuestion holds

Textmetadata
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.