Evidence map›Paper›PMID 31086182›Full record

ArticleNature communications2019

GWAS for quantitative resistance phenotypes in Mycobacterium tuberculosis reveals resistance genes and regulatory regions.

Maha R Farhat, Luca Freschi, Roger Calderon, Thomas Ioerger, Matthew Snyder, Conor J Meehan, Bouke de Jong, Leen Rigouts, Alex Sloutsky, Devinder Kaur and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
14.5field-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

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A Case of Transmission of Bedaquiline- and Linezolid-Resistant Tuberculosis.International journal of molecular sciences · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Applied and environmental microbiology · 2026
    Article
  11. Article
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  13. Review
  14. Variability in intrinsic drug tolerance inAntimicrobial agents and chemotherapy · 2025
    Article
  15. Article
  16. Genomic landscape ofNew microbes and new infections · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

59 more citing papers are in PubMed but not listed here.

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

15 authors at 9 institutions in 4 countries.

Maha R FarhatDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. Maha_Farhat@hms.harvard.edu.
Luca FreschiDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Roger CalderonSocios en Salud, Lima, Peru.
Thomas IoergerTexas A and M University, College Station, TX, USA.
Matthew SnyderDepartment of Genome Sciences, University of Washington, Seattle, WA, USA.
Conor J MeehanDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Bouke de JongDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Leen RigoutsDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-3301-9480
Alex SloutskyMassachusetts Supranational TB Reference Laboratory, University of Massachusetts Medical School, Boston, MA, USA.
Devinder KaurNew England Newborn Screening Program, University of Massachusetts Medical School, Worcester, MA, USA.
Shamil SunyaevDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5715-5677
Dick van SoolingenNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Jay ShendureDepartment of Genome Sciences, University of Washington, Seattle, WA, USA.
Jim SacchettiniTexas A and M University, College Station, TX, USA.
Megan MurrayDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Harvard University · USInstituut voor Tropische Geneeskunde · BETexas A&M University · USUniversity of Massachusetts Chan Medical School · USBrigham and Women's Hospital · USEsSALUD · PEHoward Hughes Medical Institute · USNational Institute for Public Health and the Environment · NLUniversity of Washington · US

Funding

Sequencing CoreU19AI109755 · NIAID · HARVARD MEDICAL SCHOOL · PI CHANDLER, DARRELL P, CULHANE, AEDIN C · 2014 to 2018
$29.1M
New Tools for the interpretation of Pathogen Genomic Data with a focus on Mycobacterium tuberculosisK01ES026835 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI FARHAT, MAHA · 2015 to 2019
$1.1M
NIAID NIH HHS U19 AI109755NIEHS NIH HHS K01 ES026835
6 · The paper itself

Abstract

Drug resistance diagnostics that rely on the detection of resistance-related mutations could expedite patient care and TB eradication. We perform minimum inhibitory concentration testing for 12 anti-TB drugs together with Illumina whole-genome sequencing on 1452 clinical Mycobacterium tuberculosis (MTB) isolates. We evaluate genome-wide associations between mutations in MTB genes or non-coding regions and resistance, followed by validation in an independent data set of 792 patient isolates. We confirm associations at 13 non-canonical loci, with two involving non-coding regions. Promoter mutations are measured to have smaller average effects on resistance than gene body mutations. We estimate the heritability of the resistance phenotype to 11 anti-TB drugs and identify a lower than expected contribution from known resistance genes. This study highlights the complexity of the genomic mechanisms associated with the MTB resistance phenotype, including the relatively large number of potentially causal loci, and emphasizes the contribution of the non-coding portion of the genome.

Indexed as

Antitubercular AgentsDNA Mutational AnalysisDrug Resistance, Multiple, BacterialGenetic LociGenome, BacterialGenome-Wide Association StudyHumansMicrobial Sensitivity TestsMutationMycobacterium tuberculosisPromoter Regions, GeneticSputumTuberculosis, Multidrug-ResistantWhole Genome SequencingAntitubercular Agents

Identifiers

PMID31086182
PMCPMC6513847
OpenAlexW2943862789

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.