Evidence map›Paper›PMID 37831695›Full record

ArticlePloS one2023

Genomic epidemiology analysis of drug-resistant Mycobacterium tuberculosis distributed in Mexico.

Paulina M Mejía-Ponce, Elsy J Ramos-González, Axel A Ramos-García, Edgar E Lara-Ramírez, Alma R Soriano-Herrera, Mitzy F Medellín-Luna, Fernando Valdez-Salazar, Claudia Y Castro-Garay, José J Núñez-Contreras, Marcos De Donato-Capote and 5 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Molecular Epidemiology ofMicroorganisms · 2025
    Review
  7. Whole-Genome Sequence-Based Diversity ofPathogens (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Frontiers in microbiology · 2025
    Article
  12. Article
  13. Drug-Resistant Profiles and Genetic Diversity ofInfection and drug resistance · 2024
    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

15 authors.

Paulina M Mejía-PonceCentro de Biotecnología FEMSA, Escuela de Ingeniería y Ciencias, Tecnológico de Monterrey, Nuevo León, México.
Elsy J Ramos-GonzálezUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Axel A Ramos-GarcíaCentro de Biotecnología FEMSA, Escuela de Ingeniería y Ciencias, Tecnológico de Monterrey, Nuevo León, México.
Edgar E Lara-RamírezUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Alma R Soriano-HerreraUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Mitzy F Medellín-LunaUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Fernando Valdez-SalazarUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.ORCID 0009-0004-9116-4015
Claudia Y Castro-GarayUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
José J Núñez-ContrerasUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Marcos De Donato-CapoteEscuela de Ingeniería y Ciencias, Tecnológico de Monterrey, Querétaro, México.ORCID 0000-0001-8860-6020
Ashutosh SharmaEscuela de Ingeniería y Ciencias, Tecnológico de Monterrey, Querétaro, México.
Julio E Castañeda-DelgadoUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Roberto Zenteno-CuevasInstituto de Salud Pública, Universidad Veracruzana, Veracruz, México.
Jose Antonio Enciso-MorenoUnidad de Investigación Biomédica de Zacatecas, Instituto Mexicano Del Seguro Social, Zacatecas, México.
Cuauhtémoc Licona-CassaniCentro de Biotecnología FEMSA, Escuela de Ingeniería y Ciencias, Tecnológico de Monterrey, Nuevo León, México.ORCID 0000-0002-0360-3945

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genomics has significantly revolutionized pathogen surveillance, particularly in epidemiological studies, the detection of drug-resistant strains, and disease control. Despite its potential, the representation of Latin American countries in the genomic catalogues of Mycobacterium tuberculosis (Mtb), the bacteria responsible for Tuberculosis (TB), remains limited. In this study, we present a whole genome sequencing (WGS)-based analysis of 85 Mtb clinical strains from 17 Mexican states, providing insights into local adaptations and drug resistance signatures in the region. Our results reveal that the Euro-American lineage (L4) accounts for 94% of our dataset, showing 4.1.2.1 (Haarlem, n = 32), and 4.1.1.3 (X-type, n = 34) sublineages as the most prevalent. We report the presence of the 4.1.1.3 sublineage, which is endemic to Mexico, in six additional locations beyond previous reports. Phenotypic drug resistance tests showed that 34 out of 85 Mtb samples were resistant, exhibiting a variety of resistance profiles to the first-line antibiotics tested. We observed high levels of discrepancy between phenotype and genotype associated with drug resistance in our dataset, including pyrazinamide-monoresistant Mtb strains lacking canonical variants of drug resistance. Expanding the Latin American Mtb genome databases will enhance our understanding of TB epidemiology and potentially provide new avenues for controlling the disease in the region.

Indexed as

Mycobacterium tuberculosisTuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsDrug Resistance, Multiple, BacterialGenomicsGenotypeHumansMexicoMicrobial Sensitivity TestsAntitubercular Agents

Identifiers

PMID37831695
PMCPMC10575498

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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.