Evidence map›Paper›PMID 38580642›Full record

ArticleNature communications2024

The recent rapid expansion of multidrug resistant Ural lineage Mycobacterium tuberculosis in Moldova.

Melanie H Chitwood, Caroline Colijn, Chongguang Yang, Valeriu Crudu, Nelly Ciobanu, Alexandru Codreanu, Jaehee Kim, Isabel Rancu, Kyu Rhee, Ted Cohen and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Variability in intrinsic drug tolerance inAntimicrobial agents and chemotherapy · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Reduced fitness and enhanced immunogenicity ofCurrent research in microbial sciences · 2025
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 5 countries.

Melanie H ChitwoodDepartment of Epidemiology of Microbial Disease, Yale School of Public Health, 60 College Street, New Haven, CT, USA. melanie.chitwood@yale.edu.ORCID http://orcid.org/0000-0002-9289-5694
Caroline ColijnDepartment of Mathematics, Simon Fraser University, 8888 University Drive West, Burnaby, BC, Canada.
Chongguang YangSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, No. 132 Outer Ring East Road, Guangzhou University Town Guangdong, Guangdong, PR China.
Valeriu CruduPhthisiopneumology Institute, Strada Constantin Vârnav 13, Chisinau, Republic of Moldova.ORCID http://orcid.org/0000-0001-5059-8002
Nelly CiobanuPhthisiopneumology Institute, Strada Constantin Vârnav 13, Chisinau, Republic of Moldova.
Alexandru CodreanuPhthisiopneumology Institute, Strada Constantin Vârnav 13, Chisinau, Republic of Moldova.
Jaehee KimDepartment of Computational Biology, Cornell University, 237 Tower Road, Ithaca, NY, USA.ORCID http://orcid.org/0000-0002-5210-2004
Isabel RancuDepartment of Epidemiology of Microbial Disease, Yale School of Public Health, 60 College Street, New Haven, CT, USA.
Kyu RheeDepartment of Medicine, Weill Cornell Medicine, 1300 York Ave, New York, NY, USA.ORCID http://orcid.org/0000-0003-4582-2895
Ted Cohen *Department of Epidemiology of Microbial Disease, Yale School of Public Health, 60 College Street, New Haven, CT, USA. theodore.cohen@yale.edu.ORCID http://orcid.org/0000-0002-8091-7198
Benjamin Sobkowiak *Department of Epidemiology of Microbial Disease, Yale School of Public Health, 60 College Street, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-1382-1137
Yale University · USPhthisiopneumology Institute "Chiril Draganiuc" · MDCornell University · USSimon Fraser University · CASun Yat-sen University · CN

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Transmission Aerobiology of M. tuberculosis: Genes and Metabolic Pathways That Sustain Mtb Across an Evolutionary BottleneckP01AI159402 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI BOUROUIBA, LYDIA · 2021 to 2025
$15.8M
Integrating genomic and spatial approaches for targeted control of HIV-associated tuberculosis epidemicsR01AI147854 · NIAID · YALE UNIVERSITY · PI COHEN, THEODORE H, SALOMON, JOSHUA A · 2020 to 2023
$3.1M
Evolution, transmission, and control of drug-resistant tuberculosisR01AI180209 · NIAID · YALE UNIVERSITY · PI Nathan Dale Grubaugh · 2024 to 2026
$2.2M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS P01 AI159402NIAID NIH HHS R01 AI147854NIAID NIH HHS R01 AI180209
6 · The paper itself

Abstract

The projected trajectory of multidrug resistant tuberculosis (MDR-TB) epidemics depends on the reproductive fitness of circulating strains of MDR M. tuberculosis (Mtb). Previous efforts to characterize the fitness of MDR Mtb have found that Mtb strains of the Beijing sublineage (Lineage 2.2.1) may be more prone to develop resistance and retain fitness in the presence of resistance-conferring mutations than other lineages. Using Mtb genome sequences from all culture-positive cases collected over two years in Moldova, we estimate the fitness of Ural (Lineage 4.2) and Beijing strains, the two lineages in which MDR is concentrated in the country. We estimate that the fitness of MDR Ural strains substantially exceeds that of other susceptible and MDR strains, and we identify several mutations specific to these MDR Ural strains. Our findings suggest that MDR Ural Mtb has been transmitting efficiently in Moldova and poses a substantial risk of spreading further in the region.

Indexed as

Mycobacterium tuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsDrug Resistance, Multiple, BacterialGenotypeHumansMoldovaAntitubercular Agents

Identifiers

PMID38580642
PMCPMC10997638
OpenAlexW4393972360

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.