Evidence map›Paper›PMID 41917024›Full record

ArticleNature communications2026

The global phylogeography of rapidly expanding multidrug resistant Ural lineage 4.2 Mycobacterium tuberculosis.

Melanie H Chitwood, Isabel Rancu, Yexuan Song, Barney I Potter, Yi Ting Chew, Nelly Ciobanu, Valeriu Crudu, Caroline Colijn, Ted Cohen, Benjamin Sobkowiak

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Mce transport systems inJournal of bacteriology · 2026
    Review
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

10 authors.

Melanie H ChitwoodDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA. melanie.chitwood@yale.edu.ORCID 0000-0002-9289-5694
Isabel RancuDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Yexuan SongDepartment of Mathematics, Simon Fraser University, Burnaby, BC, Canada.ORCID 0009-0004-8316-4293
Barney I PotterDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Yi Ting ChewDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID 0000-0002-8630-6910
Nelly CiobanuPhthisiopneumology Institute, Chisinau, Republic of Moldova.
Valeriu CruduPhthisiopneumology Institute, Chisinau, Republic of Moldova.ORCID 0000-0001-5059-8002
Caroline ColijnDepartment of Mathematics, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0001-6097-6708
Ted Cohen *Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA. theodore.cohen@yale.edu.ORCID 0000-0002-8091-7198
Benjamin Sobkowiak *Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID 0000-0002-1382-1137

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 NATHAN, CARL FRANCIS, RHEE, KYU Y · 2021 to 2025
$15.8M
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 R01 AI180209RCUK | Medical Research Council (MRC) UKRI1414U.S. Department of Health & Human Services | National Institutes of Health (NIH) P01AI159402U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI180209
6 · The paper itself

Abstract

Multidrug resistant tuberculosis (MDR-TB) epidemics are sustained by transmission of reproductively fit MDR M. tuberculosis (Mtb) strains. We search a large publicly available dataset of ~200,000 Mtb whole genome sequences to identify strains related to a highly successful MDR clade circulating in Moldova belonging to lineage 4.2.1/Ural. We characterize a clade of 1604 drug-resistant Mtb sequences harboring conserved resistance-conferring mutations. We identify the Russian Federation as the most likely country of origin for this clade and infer several independent migration events from Russia and Moldova to other European and Asian countries. We estimate that this clade is expanding more rapidly than comparable clades of lineage 4.2.1/Ural. The broad dispersal of this highly successful clade is an urgent global health threat. Genomic surveillance is essential to track the evolution and spread of this and other strains of concern.

Indexed as

Drug Resistance, Multiple, BacterialMycobacterium tuberculosisTuberculosis, Multidrug-ResistantGenome, BacterialHumansMoldovaMutationPhylogenyPhylogeographyRussia

Identifiers

PMID41917024
PMCPMC13201588

What OpenQuestion holds

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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.