Evidence map›Paper›PMID 40696396›Full record

ArticleAnnals of clinical microbiology and antimicrobials2025

Whole-genome recombination and dynamic accessory genomes drive the phenotypic diversity of Mycobacterium abscessus subspecies.

Yu Chen, Rong Bao, Na Li, Tingting Fang, Xiaoyu Yin, Le Qin, Bijie Hu, Qing Miao

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

8 authors.

Yu Chen *Shanghai Institute of Infectious Disease and Biosecurity, Zhongshan Hospital, Fudan University, Shanghai, China.
Rong Bao *Department of Laboratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Na LiDepartment of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Tingting FangDepartment of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Xiaoyu YinDepartment of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Le QinDepartment of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Bijie HuShanghai Institute of Infectious Disease and Biosecurity, Zhongshan Hospital, Fudan University, Shanghai, China. hu.bijie@zs-hospital.sh.cn.
Qing MiaoDepartment of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai, China. miao.qing@zs-hospital.sh.cn.

Funding

Natural Science Foundation of Fujian Province 2024J08352Zhongshan Hospital 2024ZSFZ39
6 · The paper itself

Abstract

backgroundMycobacterium abscessus (Mab) is a multidrug-resistant bacterial pathogen capable of causing widespread infections, often with a poor prognosis in susceptible populations. Mab comprises three distinct subspecies that exhibit phenotypic diversity and genetic heterogeneity.

methodsWe performed whole-genome sequencing and phenotypic antimicrobial susceptibility testing on 109 Mab isolates collected at zhongshan hospital from 2018 to 2023.

resultsThe results indicate that recombination, especially distributed conjugation transfer, promotes the formation and sustained diversity of Mab subspecies. Through pangenome analysis, the synergistic gain/loss of accessory genes was found to contribute to different metabolic profiles and the ability to adapt to oxidative stress, facilitating strain adaptation to host environments. We conducted phenotypic antimicrobial susceptibility testing, revealing resistance to macrolide antibiotics differed among subspecies. We identified 24 genes whose gain or loss may increase the likelihood of macrolide resistance, including those involved in biofilm formation, the stress response, virulence, biotin synthesis, and fatty acid metabolism. Genomic variations within Mab species may have significant implications for disease epidemiology, infection pathogenesis, and host interactions.

conclusionsOur findings provide a valuable genetic basis for the success of Mab as a highly adaptive and drug-resistant pathogen, informing current efforts to control and treat Mab infections, including strategies targeting specific sequence types or lineages.

Indexed as

Genome, BacterialMycobacterium abscessusRecombination, GeneticAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialGenetic VariationHumansMacrolidesMicrobial Sensitivity TestsMycobacterium Infections, NontuberculousPhenotypeWhole Genome SequencingAnti-Bacterial AgentsMacrolidesAntimicrobial resistanceMycobacterium abscessusPangenomeRecombination

Identifiers

PMID40696396
PMCPMC12285043

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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.