Evidence map›Paper›PMID 40133304›Full record

ArticleNature communications2025

Enhanced diagnosis of multi-drug-resistant microbes using group association modeling and machine learning.

Julian G Saliba, Wenshu Zheng, Qingbo Shu, Liqiang Li, Chi Wu, Yi Xie, Christopher J Lyon, Jiuxin Qu, Hairong Huang, Binwu Ying and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Predicting VRE Infection After Liver Transplantation With a Time-Updated Colonization Score.Transplant infectious disease : an official journal of the Transplantation Society
    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

11 authors.

Julian G SalibaCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.
Wenshu ZhengCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA. wzheng5@tulane.edu.ORCID http://orcid.org/0000-0001-6726-1326
Qingbo ShuCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.
Liqiang LiDepartment of Clinical Laboratory, Shenzhen Third People's Hospital, Shenzhen, Guangdong, China.ORCID http://orcid.org/0000-0003-0180-7052
Chi WuDepartment of Clinical Laboratory, Shenzhen Third People's Hospital, Shenzhen, Guangdong, China.
Yi XieDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Christopher J LyonCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.
Jiuxin QuDepartment of Clinical Laboratory, Shenzhen Third People's Hospital, Shenzhen, Guangdong, China.
Hairong HuangNational Clinical Laboratory on Tuberculosis, Beijing Chest Hospital of Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0002-4295-4262
Binwu YingDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Tony Ye HuCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA. tonyhu@tulane.edu.ORCID http://orcid.org/0000-0001-7255-5409

Funding

Direct quantitation of the circulating Mtb-peptidome for pediatric TB managementR01HD090927 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI Christopher J Lyon, Charles DeBeaux Mitchell · 2017 to 2026
$4.5M
Mtb and HIV/SIV antigen peptide signatures as blood biomarkers to detect early infection to active disease in young children and NHPR01HD103511 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI LYON, CHRISTOPHER J · 2021 to 2025
$3.7M
Digital Nanoplasmonic Quantification of Tumor-derived Extracellular Vesicles in Plasma MicrosamplesU01CA252965 · NCI · TULANE UNIVERSITY OF LOUISIANA · PI HU, TONY Y., LU, HUA · 2020 to 2024
$3.0M
A nanopore biosensor for leveling Mtb antigens in bloodR01AI144168 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI Christopher J Lyon · 2022 to 2026
$3.0M
Multiplexed detection of cell-free M. Tuberculosis DNA and its drug-resistant variants in bloodR01AI175618 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI Zhen Huang, Jeffrey Tornheim · 2023 to 2026
$2.9M
Quantification of brain-derived extracellular vesicle microRNAs in blood by a liposome-mediated CRISPR assay for traumatic brain injury detectionR21NS130542 · NINDS · TULANE UNIVERSITY OF LOUISIANA · PI HU, TONY Y. · 2022 to 2022
$437k
NCI NIH HHS U01 CA252965NIAID NIH HHS R01 AI144168NIAID NIH HHS R01 AI175618NICHD NIH HHS R01 HD090927NICHD NIH HHS R01 HD103511NINDS NIH HHS R21 NS130542
6 · The paper itself

Abstract

New solutions are needed to detect genotype-phenotype associations involved in microbial drug resistance. Herein, we describe a Group Association Model (GAM) that accurately identifies genetic variants linked to drug resistance and mitigates false-positive cross-resistance artifacts without prior knowledge. GAM analysis of 7,179 Mycobacterium tuberculosis (Mtb) isolates identifies gene targets for all analyzed drugs, revealing comparable performance but fewer cross-resistance artifacts than World Health Organization (WHO) mutation catalogue approach, which requires expert rules and precedents. GAM also reveals generalizability, demonstrating high predictive accuracy with 3,942 S. aureus isolates. GAM refinement by machine learning (ML) improves predictive accuracy with small or incomplete datasets. These findings were validated using 427 Mtb isolates from three sites, where GAM inputs are also found to be more suitable in ML prediction models than WHO inputs. GAM + ML could thus address the limitations of current drug resistance prediction methods to improve treatment decisions for drug-resistant microbial infections.

Indexed as

Drug Resistance, Multiple, BacterialMachine LearningMycobacterium tuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsGenotypeHumansMicrobial Sensitivity TestsMutationStaphylococcus aureusAntitubercular Agents

Identifiers

PMID40133304
PMCPMC11937555

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.