Evidence map›Paper›PMID 31532767›Full record

ArticlePLoS neglected tropical diseases2019

A first insight into genetic diversity of Mycobacterium bovis isolated from extrapulmonary tuberculosis patients in South Tunisia assessed by spoligotyping and MIRU VNTR.

Mariam Siala, Cécile Cassan, Salma Smaoui, Sana Kammoun, Chema Marouane, Sylvain Godreuil, Salma Hachicha, Emna Mhiri, Leila Slim, Dhikrayet Gamara and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  4. First Insight into Diversity of Minisatellite Loci inDiagnostics (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Genotypic Characterization ofFrontiers in veterinary science · 2021
    Article
  7. 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

12 authors at 3 institutions in 2 countries.

Mariam SialaDepartment of Biology, Preparatory Institute for Engineering Studies, Sfax, University of Sfax-Tunisia.ORCID 0000-0002-8823-771X
Cécile CassanMIVEGEC, UMR IRD-CNRS-Université de Montpellier, Montpellier, France.
Salma SmaouiDepartment of Mycobacteriology, Regional hygiene care laboratory, Hedi-Chaker University Hospital, Sfax, Tunisia.
Sana KammounDepartment of Mycobacteriology, Regional hygiene care laboratory, Hedi-Chaker University Hospital, Sfax, Tunisia.
Chema MarouaneDepartment of Mycobacteriology, Regional hygiene care laboratory, Hedi-Chaker University Hospital, Sfax, Tunisia.
Sylvain GodreuilMIVEGEC, UMR IRD-CNRS-Université de Montpellier, Montpellier, France.
Salma HachichaDepartment of Mycobacteriology, Regional hygiene care laboratory, Hedi-Chaker University Hospital, Sfax, Tunisia.
Emna MhiriDepartment of Biology B, Faculty of pharmacy, Monastir, University of Monastir, Monastir, Tunisia.
Leila SlimDepartment of Biology B, Faculty of pharmacy, Monastir, University of Monastir, Monastir, Tunisia.
Dhikrayet GamaraBasic Health Care Management, Ministry of Health, Tunis, Tunisia.
Férièle Messadi-AkroutDepartment of Mycobacteriology, Regional hygiene care laboratory, Hedi-Chaker University Hospital, Sfax, Tunisia.
Anne-Laure BañulsMIVEGEC, UMR IRD-CNRS-Université de Montpellier, Montpellier, France.
University of Monastir · TNCentre National de la Recherche Scientifique · FRUniversity of Sfax · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Tunisia, almost 77% of clinically and bacteriologically diagnosed cases of extrapulmonary tuberculosis (EPTB) are zoonotic TB, caused by M. bovis. Although several studies have analyzed bovine TB in cattle in Tunisia, no study has evaluated the risk of transmission to humans in such an endemic country. We aimed to study the genetic diversity of M. bovis human isolates, to ascertain the causes of human EPTB infection by M. bovis and to investigate the distribution and population structure of this species in Tunisia. MATERIALS AND

methodsA total of 110 M. bovis isolates taken from patients with confirmed EPTB were characterized by spoligotyping and MIRU-VNTR typing methods.

resultsAmong the 15 spoligotypes detected in our study, 6 (SB0120, SB0121, SB2025, SB1200, SB1003 and SB0134) were the most prevalent (83.5%) of which SB0120, SB0121 and SB2025 were the most prevailing. MIRU-VNTR typing method showed a high genotypic and genetic diversity. The genetic differentiation based on MIRU-VNTR was significant between populations from South East (Tataouine, Medenine) and Central West (Gafsa, Sidi Bouzid, Kasserine) regions. Of note, 13/15 (86.7%) spoligotypes detected in our study were previously identified in cattle in Tunisia with different frequencies suggesting a peculiar ability of some genotypes to infect humans. Using combined spoligotyping and MIRU-VNTR method, a high clustering rate of 43.9% was obtained. Our results underlined that human EPTB due to M. bovis was more commonly found in female gender and in young patients. Most of our patients, 66.4% (73/110) were raw milk or derivatives consumers, whereas 30.9% (34/110) patients would have contracted EPTB through contact with livestock. The findings suggest that the transmission of Zoonotic TB caused by M. bovis to humans mainly occurred by oral route through raw milk or derivatives.

conclusionOur study showed the urgent need of a better veterinary control with the implementation of effective and comprehensive strategies in order to reach a good protection of animals as well as human health.

Indexed as

AdolescentAdultAgedAnimalsChildChild, PreschoolFemaleGenetic VariationGenotypeGenotyping TechniquesHumansInfantLibyaLivestockMaleMiddle Aged

Identifiers

PMID31532767
PMCPMC6750577
OpenAlexW2973863675

What OpenQuestion holds

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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.