Evidence map›Paper›PMID 34545208›Full record

ArticleNature microbiology2021

Dissemination of Mycobacterium abscessus via global transmission networks.

Christopher Ruis, Josephine M Bryant, Scott C Bell, Rachel Thomson, Rebecca M Davidson, Nabeeh A Hasan, Jakko van Ingen, Michael Strong, R Andres Floto, Julian Parkhill

Open access · hybridAbstract read
In one paragraph

Article in Nature microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
10.4field-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

57 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
  2. Article
  3. Novel Hawai'i and Pacific Island circulating clusters ofApplied and environmental microbiology · 2026
    Article
  4. Documenting Environmentally Acquired Mycobacterium intracellulare subsp. chimaera Pulmonary Disease Soon After Bronchiectasis Onset.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. From colonisation to chronicity: adaptation ofMicrobiology (Reading, England) · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Expanding the scope ofbioRxiv : the preprint server for biology · 2025
    Article
  13. The role of colony morphotype in shaping gene essentiality inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Review
  15. Article
  16. Disinfectant and antibiotic resistance inMicrobiology spectrum · 2025
    Article
  17. Article
  18. Infection by Clonally RelatedAmerican journal of respiratory and critical care medicine · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Christopher RuisMolecular Immunity Unit, University of Cambridge Department of Medicine, MRC-Laboratory of Molecular Biology, Cambridge, UK.ORCID http://orcid.org/0000-0003-0977-5534
Josephine M BryantMolecular Immunity Unit, University of Cambridge Department of Medicine, MRC-Laboratory of Molecular Biology, Cambridge, UK.
Scott C BellChildren's Health Research Institute, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0001-8651-7139
Rachel ThomsonGallipoli Medical Research Institute, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-0686-171X
Rebecca M DavidsonCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA.ORCID http://orcid.org/0000-0001-7091-7963
Nabeeh A HasanCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA.ORCID http://orcid.org/0000-0001-7359-5680
Jakko van IngenCenter for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, Netherlands.
Michael StrongCenter for Genes, Environment and Health, National Jewish Health, Denver, CO, USA.ORCID http://orcid.org/0000-0002-3247-6260
R Andres FlotoMolecular Immunity Unit, University of Cambridge Department of Medicine, MRC-Laboratory of Molecular Biology, Cambridge, UK. arf27@cam.ac.uk.ORCID http://orcid.org/0000-0002-2188-5659
Julian ParkhillDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK. jp369@cam.ac.uk.ORCID http://orcid.org/0000-0002-7069-5958
MRC Laboratory of Molecular Biology · GBNational Jewish Health · USChildren's Medical Research Institute · AURadboud University Nijmegen · NLThe University of Queensland · AUUniversity of Cambridge · GB

Funding

Wellcome TrustWellcome Trust 107032/Z/15/Z
6 · The paper itself

Abstract

Mycobacterium abscessus, a multidrug-resistant nontuberculous mycobacterium, has emerged as a major pathogen affecting people with cystic fibrosis (CF). Although originally thought to be acquired independently from the environment, most individuals are infected with one of several dominant circulating clones (DCCs), indicating the presence of global transmission networks of M. abscessus. How and when these clones emerged and spread globally is unclear. Here, we use evolutionary analyses of isolates from individuals both with and without CF to reconstruct the population history, spatiotemporal spread and recent transmission networks of the DCCs. We demonstrate synchronous expansion of six unrelated DCCs in the 1960s, a period associated with major changes in CF care and survival. Each of these clones has spread globally as a result of rare intercontinental transmission events. We show that the DCCs, but not environmentally acquired isolates, exhibit a specific smoking-associated mutational signature and that current transmission networks include individuals both with and without CF. We therefore propose that the DCCs initially emerged in non-CF populations but were then amplified and spread through the CF community. While individuals with CF are probably the most permissive host, non-CF individuals continue to play a key role in transmission networks and may facilitate long-distance transmission.

Indexed as

Cystic FibrosisGenome, BacterialGlobal HealthHumansLungMutationMycobacterium abscessusMycobacterium Infections, NontuberculousPhylogenySmokers

Identifiers

PMID34545208
PMCPMC8478660
OpenAlexW3199727644

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.