Evidence map›Paper›PMID 33446475›Full record

ArticleEBioMedicine2021

A novel DNA chromatography method to discriminate Mycobacterium abscessus subspecies and macrolide susceptibility.

Mitsunori Yoshida, Sotaro Sano, Jung-Yien Chien, Hanako Fukano, Masato Suzuki, Takanori Asakura, Kozo Morimoto, Yoshiro Murase, Shigehiko Miyamoto, Atsuyuki Kurashima and 5 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

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

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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

15 authors at 5 institutions in 2 countries.

Mitsunori YoshidaDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Toyko, Japan.
Sotaro SanoMedical Solutions Vehicle, Kaneka Co. Ltd., Hyogo, Japan.
Jung-Yien ChienDepartment of Internal Medicine, Pulmonary and Critical Care Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: jychien@ntu.edu.tw.
Hanako FukanoDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Toyko, Japan.
Masato SuzukiAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.
Takanori AsakuraDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Toyko, Japan; Center for Infectious Diseases and Infection Control, School of Medicine, Keio University, Tokyo, Japan.
Kozo MorimotoRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Yoshiro MuraseDepartment of Mycobacterium Reference and Research, the Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Shigehiko MiyamotoMedical Solutions Vehicle, Kaneka Co. Ltd., Hyogo, Japan.
Atsuyuki KurashimaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Naoki HasegawaCenter for Infectious Diseases and Infection Control, School of Medicine, Keio University, Tokyo, Japan.
Po-Ren HsuehDepartments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Satoshi MitaraiDepartment of Mycobacterium Reference and Research, the Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Manabu AtoDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Toyko, Japan.
Yoshihiko HoshinoDepartment of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Toyko, Japan. Electronic address: yhoshino@niid.go.jp.
National Institute of Infectious Diseases · JPJapan Anti Tuberculosis Association · JPKaneka (Japan) · JPKeio University · JPNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical impact of infection with Mycobacterium (M.) abscessus complex (MABC), a group of emerging non-tuberculosis mycobacteria (NTM), is increasing. M. abscessus subsp. abscessus/bolletii frequently shows natural resistance to macrolide antibiotics, whereas M. abscessus subsp. massiliense is generally susceptible. Therefore, rapid and accurate discrimination of macrolide-susceptible MABC subgroups is required for effective clinical decisions about macrolide treatments for MABC infection. We aimed to develop a simple and rapid diagnostic that can identify MABC isolates showing macrolide susceptibility.

methodsWhole genome sequencing (WGS) was performed for 148 clinical or environmental MABC isolates from Japan to identify genetic markers that can discriminate three MABC subspecies and the macrolide-susceptible erm(41) T28C sequevar. Using the identified genetic markers, we established PCR based- or DNA chromatography-based assays. Validation testing was performed using MABC isolates from Taiwan. FINDING: We identified unique sequence regions that could be used to differentiate the three subspecies. Our WGS-based phylogenetic analysis indicated that M. abscessus carrying the macrolide-susceptible erm(41) T28C sequevar were tightly clustered, and identified 11 genes that were significantly associated with the lineage for use as genetic markers. To detect these genetic markers and the erm(41) locus, we developed a DNA chromatography method that identified three subspecies, the erm(41) T28C sequevar and intact erm(41) for MABC in a single assay within one hour. The agreement rate between the DNA chromatography-based and WGS-based identification was 99·7%.

interpretationWe developed a novel, rapid and simple DNA chromatography method for identification of MABC macrolide susceptibility with high accuracy.

fundingAMED, JSPS KAKENHI.

Indexed as

Anti-Bacterial AgentsChromatographyDNADrug Resistance, BacterialGenes, BacterialHumansMacrolidesMicrobial Sensitivity TestsMycobacterium abscessusPhylogenyPolymerase Chain ReactionAnti-Bacterial AgentsDNAMacrolidesATS/ERS/ESCMID/IDSA guidelineDNA chromatographyDrug susceptibilityNon-tuberculosis mycobacteriaSubspecies discriminationWhole genome sequencing

Identifiers

PMID33446475
PMCPMC7910664
OpenAlexW3119273266

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LicenceCC BY-NC-ND
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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.