Evidence map›Paper›PMID 30606210›Full record

ArticleAnnals of clinical microbiology and antimicrobials2019

Application of next-generation sequencing to detect variants of drug-resistant Mycobacterium tuberculosis: genotype-phenotype correlation.

Dae-Hyun Ko, Eun Jin Lee, Su-Kyung Lee, Han-Sung Kim, So Youn Shin, Jungwon Hyun, Jae-Seok Kim, Wonkeun Song, Hyun Soo Kim

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. High-Throughput Variant Detection Using a Color-Mixing Strategy.The Journal of molecular diagnostics : JMD · 2022
    Article
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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

9 authors at 2 institutions in 2 countries.

Dae-Hyun KoDepartment of Laboratory Medicine, University of Ulsan College of Medicine and Asan Medical Center, Seoul, South Korea.
Eun Jin LeeDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Su-Kyung LeeDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Han-Sung KimDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
So Youn ShinKorean Institute of Tuberculosis, Cheongju, South Korea.
Jungwon HyunDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Jae-Seok KimDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Wonkeun SongDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Hyun Soo KimDepartment of Laboratory Medicine, Hallym University College of Medicine, Chuncheon, South Korea. hskim0901@empas.com.ORCID http://orcid.org/0000-0002-7026-6715
Hallym University · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug resistance in Mycobacterium tuberculosis (MTB) is a major health issue worldwide. Recently, next-generation sequencing (NGS) technology has begun to be used to detect resistance genes of MTB. We aimed to assess the clinical usefulness of Ion S5 NGS TB research panel for detecting MTB resistance in Korean tuberculosis patients.

methodsMycobacterium tuberculosis with various drug resistance profiles including susceptible strains (N = 36) were isolated from clinical specimens. Nucleic acids were extracted from inactivated culture medium and underwent amplicon-based NGS to detect resistance variants in eight genes (gyrA, rpoB, pncA, katG, eis, rpsL, embB, and inhA). Data from previous studies using the same panel were merged to yield pooled sensitivity and specificity values for detecting drug resistance compared to phenotype-based methods.

resultsThe sequencing reactions were successful for all samples. A total of 24 variants were considered to be related to resistance, and 6 of them were novel. Agreement between the phenotypic and genotypic results was excellent for isoniazid, rifampicin, and ethambutol, and was poor for streptomycin, amikacin, and kanamycin. The negative predictive values were greater than 97% for all drug classes, while the positive predictive values varied (44% to 100%). There was a possibility that common mutations could not be detected owing to the low coverage.

conclusionsWe successfully applied NGS for genetic analysis of drug resistances in MTB, as well as for susceptible strains. We obtained lists of polymorphisms and possible polymorphisms, which could be used as a guide for future tests applying NGS in mycobacteriology laboratories. When analyzing the results of NGS, coverage analysis of each samples for each gene and benign polymorphisms not related to drug resistance should be considered.

Indexed as

AcetyltransferasesAmidohydrolasesAntitubercular AgentsBacterial ProteinsCatalaseDNA, BacterialDNA-Directed RNA PolymerasesDNA GyraseDrug Resistance, Multiple, BacterialGenetic Association StudiesGenotypeHigh-Throughput Nucleotide SequencingHumansMicrobial Sensitivity TestsMutationMycobacterium tuberculosisAcetyltransferasesAmidohydrolasesAntitubercular AgentsBacterial ProteinsCatalaseDNA, BacterialDNA-Directed RNA PolymerasesDNA GyraseEis protein, Mycobacterium tuberculosisEmbB protein, Mycobacterium tuberculosisInhA protein, MycobacteriumkatG protein, Mycobacterium tuberculosisOxidoreductasesPentosyltransferasesPncA protein, Mycobacterium tuberculosisrpoB protein, Mycobacterium tuberculosisDrug resistanceMycobacterium tuberculosisNext-generation sequencing

Identifiers

PMID30606210
PMCPMC6317249
OpenAlexW2912771453

What OpenQuestion holds

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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.