Evidence map›Paper›PMID 34911948›Full record

ArticleNature communications2021

Genomic signatures of pre-resistance in Mycobacterium tuberculosis.

Arturo Torres Ortiz, Jorge Coronel, Julia Rios Vidal, Cesar Bonilla, David A J Moore, Robert H Gilman, Francois Balloux, Onn Min Kon, Xavier Didelot, Louis Grandjean

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.7field-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

47 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  4. A Case of Transmission of Bedaquiline- and Linezolid-Resistant Tuberculosis.International journal of molecular sciences · 2026
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  18. Decoding EcuadorianBiomedicines · 2025
    Article
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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

10 authors at 9 institutions in 5 countries.

Arturo Torres OrtizImperial College London, Department of Infectious Diseases, London, UK.ORCID http://orcid.org/0000-0002-2492-0958
Jorge CoronelUniversidad Peruana Cayetano Heredia, Lima, Perú.
Julia Rios VidalUnidad Técnica de Tuberculosis MDR, Ministerio de Salud, Lima, Perú.
Cesar BonillaUnidad Técnica de Tuberculosis MDR, Ministerio de Salud, Lima, Perú.
David A J MooreLondon School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-3748-0154
Robert H GilmanJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Francois BallouxUCL Genetics Institute, London, UK.ORCID http://orcid.org/0000-0003-1978-7715
Onn Min KonRespiratory Medicine, National Heart and Lung Institute, Imperial College London, London, UK.
Xavier DidelotUniversity of Warwick, School of Life Sciences and Department of Statistics, Warwick, UK.ORCID http://orcid.org/0000-0003-1885-500X
Louis GrandjeanImperial College London, Department of Infectious Diseases, London, UK. l.grandjean@ucl.ac.uk.ORCID http://orcid.org/0000-0002-1457-8327
Imperial College London · GBInstitute of Child Health · INJohns Hopkins University · USLondon School of Hygiene & Tropical Medicine · GBMinisterio de Salud · NIUniversidad Peruana Cayetano Heredia · PEUniversidad Privada San Juan Bautista · PEUniversity College London · GBUniversity of Warwick · GB

Funding

Using the Mycobacterium tuberculosis Genome to Predict Tuberculosis Pathology, Drug Resistance Acquisition and Identify Community Transmission SitesR01AI146338 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2020 to 2024
$3.3M
NIAID NIH HHS R01 AI146338Wellcome TrustWellcome Trust (Wellcome) 201470/Z/16/Z
6 · The paper itself

Abstract

Recent advances in bacterial whole-genome sequencing have resulted in a comprehensive catalog of antibiotic resistance genomic signatures in Mycobacterium tuberculosis. With a view to pre-empt the emergence of resistance, we hypothesized that pre-existing polymorphisms in susceptible genotypes (pre-resistance mutations) could increase the risk of becoming resistant in the future. We sequenced whole genomes from 3135 isolates sampled over a 17-year period. After reconstructing ancestral genomes on time-calibrated phylogenetic trees, we developed and applied a genome-wide survival analysis to determine the hazard of resistance acquisition. We demonstrate that M. tuberculosis lineage 2 has a higher risk of acquiring resistance than lineage 4, and estimate a higher hazard of rifampicin resistance evolution following isoniazid mono-resistance. Furthermore, we describe loci and genomic polymorphisms associated with a higher risk of resistance acquisition. Identifying markers of future antibiotic resistance could enable targeted therapy to prevent resistance emergence in M. tuberculosis and other pathogens.

Indexed as

Drug Resistance, Multiple, BacterialAntitubercular AgentsGenome, BacterialGenomicsHumansIsoniazidMicrobial Sensitivity TestsMycobacterium tuberculosisPhylogenyRifampinTuberculosisAntitubercular AgentsIsoniazidRifampin

Identifiers

PMID34911948
PMCPMC8674244
OpenAlexW4225987435

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.