Evidence map›Paper›PMID 33320947›Full record

ReviewFEMS microbiology reviews2021

The within-host evolution of antimicrobial resistance in Mycobacterium tuberculosis.

Rhastin A D Castro, Sonia Borrell, Sebastien Gagneux

Open access · hybridAbstract readReview
In one paragraph

Review in FEMS microbiology reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
0.7field-weighted citation impact, top 18% 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

39 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Heteroresistance inFrontiers in cellular and infection microbiology · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Coinfection by multipleMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Frontiers in tuberculosis · 2025
    Review
  18. Review
  19. Article
  20. Within-host population dynamics of extensively drug-resistantEvolution, medicine, and public health · 2025
    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

3 authors at 2 institutions in 1 country.

Rhastin A D CastroSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051 Basel, Basel, Switzerland.
Sonia BorrellSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051 Basel, Basel, Switzerland.
Sebastien GagneuxSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051 Basel, Basel, Switzerland.
Swiss Tropical and Public Health Institute · CHUniversity of Basel · CH

Funding

European Research Council 309540-EVODRTBSwiss National Science Foundation 310030_188888
6 · The paper itself

Abstract

Tuberculosis (TB) has been responsible for the greatest number of human deaths due to an infectious disease in general, and due to antimicrobial resistance (AMR) in particular. The etiological agents of human TB are a closely-related group of human-adapted bacteria that belong to the Mycobacterium tuberculosis complex (MTBC). Understanding how MTBC populations evolve within-host may allow for improved TB treatment and control strategies. In this review, we highlight recent works that have shed light on how AMR evolves in MTBC populations within individual patients. We discuss the role of heteroresistance in AMR evolution, and review the bacterial, patient and environmental factors that likely modulate the magnitude of heteroresistance within-host. We further highlight recent works on the dynamics of MTBC genetic diversity within-host, and discuss how spatial substructures in patients' lungs, spatiotemporal heterogeneity in antimicrobial concentrations and phenotypic drug tolerance likely modulates the dynamics of MTBC genetic diversity in patients during treatment. We note the general characteristics that are shared between how the MTBC and other bacterial pathogens evolve in humans, and highlight the characteristics unique to the MTBC.

Indexed as

Mycobacterium tuberculosisTuberculosisAdaptation, PhysiologicalAnti-Bacterial AgentsDrug Resistance, BacterialHumansAnti-Bacterial Agentsantimicrobial resistanceevolutiongenetic diversityMycobacterium tuberculosispopulation dynamicsvirulencewithin-host

Identifiers

PMID33320947
PMCPMC8371278
OpenAlexW3112994300

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.