Evidence map›Paper›PMID 41033311›Full record

ArticleCell2025

Evolution of Mycobacterium tuberculosis transcription regulation is associated with increased transmission and drug resistance.

Peter H Culviner, Abigail M Frey, Qingyun Liu, Dang Thi Minh Ha, Phan Vuong Khac Thai, Do Dang Anh Thu, Nguyen Le Quang, Roger Calderon, Leonid Lecca, Maxine Caws and 4 more

Abstract read
In one paragraph

Article in Cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Isotopic tracing inVirulence · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Molecular Mechanisms Underlying Antimicrobial Resistance in Mycobacteria.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Article
  10. HowVaccines · 2026
    Review
  11. Genetic analysis ofiScience · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Peter H CulvinerDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Abigail M FreyDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Qingyun LiuDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Dang Thi Minh HaPham Ngoc Thach Hospital for TB and Lung Disease, District 5, Ho Chi Minh City, Vietnam.
Phan Vuong Khac ThaiPham Ngoc Thach Hospital for TB and Lung Disease, District 5, Ho Chi Minh City, Vietnam.
Do Dang Anh ThuOxford University Clinical Research Unit, Hospital for Tropical Diseases, District 5, Ho Chi Minh City, Vietnam.
Nguyen Le QuangOxford University Clinical Research Unit, Hospital for Tropical Diseases, District 5, Ho Chi Minh City, Vietnam.
Roger CalderonAdvanced Research and Health, Lima 15024, Peru; Facultad de Medicina, Universidad de San Martin de Porres, Lima 15024, Peru.
Leonid LeccaSocios En Salud Sucursal Peru, Lima 15046, Peru.
Maxine CawsDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK; Birat Nepal Medical Trust, Kathmandu, Nepal.
Sarah J DunstanDepartment of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Parkville, VIC 3010, Australia.
Megan B MurrayDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA.
Nguyen Thuy Thuong ThuongOxford University Clinical Research Unit, Hospital for Tropical Diseases, District 5, Ho Chi Minh City, Vietnam; Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford OX3 7BN, UK.
Sarah M FortuneDepartment of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. Electronic address: sfortune@hsph.harvard.edu.

Funding

Surviving evolution: Short-term adaptations for fitnessP01AI143575 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Kyu Y Rhee · 2020 to 2026
$18.2M
Gerome Wide Association Study of Bacterial Determinants of Clinical Response in TuberculosisU19AI142793 · NIAID · HARVARD MEDICAL SCHOOL · PI MURRAY, MEGAN B · 2019 to 2023
$14.6M
The Graduate Program in Tropical Infectious Diseases (GPiTID)T32AI049928 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Flaminia Catteruccia, Phyllis J. Kanki · 2001 to 2026
$5.0M
Molecular basis of antibiotic resilience in Mycobacterium tuberculosisR01AI184469 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI SARAH FORTUNE · 2024 to 2026
$2.5M
Identifying the drivers of ESX1 evolution in Mycobacterium tuberculosisR21AI187884 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI SARAH FORTUNE · 2025 to 2026
$425k
Dissecting virulence gene regulatory pathways in M. tuberculosis clinical isolatesF32AI174653 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Peter H Culviner · 2024 to 2026
$248k
NIAID NIH HHS F32 AI174653NIAID NIH HHS P01 AI143575NIAID NIH HHS R01 AI184469NIAID NIH HHS R21 AI187884NIAID NIH HHS T32 AI049928NIAID NIH HHS U19 AI142793
6 · The paper itself

Abstract

Mycobacterium tuberculosis (Mtb) has co-evolved with humans for thousands of years and is characterized by variation in virulence, transmissibility, and disease phenotypes. To identify bacterial contributors to phenotypic diversity, we developed new RNA sequencing (RNA-seq) and phylogenomic tools to capture hundreds of Mtb isolate transcriptomes, link transcriptional and genetic variation, and find associations between variants and epidemiologic traits. Across 274 Mtb clinical isolates, we uncovered unexpected diversity in virulence gene expression, which we linked to known and unknown regulators. Surprisingly, we found that many isolates harbor variants associated with decreased expression of EsxA (Esat6) and EsxB (Cfp10), which are virulence effectors, dominant T cell antigens, and immunodiagnostic targets. Across >55,000 isolates, these variants associate with increased transmissibility, especially in drug-resistant Mtb strains. Our data suggest expression of Mtb virulence genes is evolving in response to drug-linked pressure, raising concerns about use of these targets in immunodiagnostics and next-generation vaccines.

Indexed as

Drug Resistance, BacterialGene Expression Regulation, BacterialMycobacterium tuberculosisTuberculosisAntigens, BacterialBacterial ProteinsEvolution, MolecularGenetic VariationHumansPhylogenyTranscription, GeneticTranscriptomeVirulenceAntigens, BacterialBacterial Proteinsantibiotic resistanceevolutiongenome-wide association studyRNA-seqtransmissiontuberculosisvirulence system

Identifiers

PMID41033311
PMCPMC12624571

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.