Evidence map›Paper›PMID 42889092›Full record

ArticleFrontiers in cellular and infection microbiology2026

Bertin C Bisimwa, Esto Bahizire, Isabel Cuella Martin, Leen Rigouts, Wim Mulders, François Hakizayezu, Valery Byela, Hosee Niyompano, Eliane Kamanzi, Freddy Birembano and 4 more

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Bertin C BisimwaCentre for tropical diseases and global health, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.
Esto BahizireCentre for tropical diseases and global health, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.
Isabel Cuella MartinMycobacteriology unit, Institute of tropical medicine, Antwerp, Belgium.
Leen RigoutsMycobacteriology unit, Institute of tropical medicine, Antwerp, Belgium.
Wim MuldersMycobacteriology unit, Institute of tropical medicine, Antwerp, Belgium.
François HakizayezuNational Reference Laboratory Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Valery ByelaCentre for tropical diseases and global health, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.
Hosee NiyompanoNational Reference Laboratory Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Eliane KamanziNational Reference Laboratory Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Freddy BirembanoNational Tuberculosis Program, Kinshasa, Democratic Republic of Congo.
Steven CallensFaculty of medicine and health sciences, Ghent University, Ghent, Belgium.
Jean Claude S NgabonzizaResearch, Innovation and Data Science Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Conor J MeehanMycobacteriology unit, Institute of tropical medicine, Antwerp, Belgium.
Bouke C de JongMycobacteriology unit, Institute of tropical medicine, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lineage 8 (L8) occupies a unique phylogenetic position as a sister clade to all other known Methods: We performed whole genome sequencing (WGS) on MTBC isolates from rifampicin-resistant tuberculosis (TB) patients' sputum in Bukavu, South Kivu province, eastern Democratic Republic of Congo (DRC). Lineage assignment was performed using TBProfiler with classification based on single nucleotide polymporphisms (SNPs). Phylogenetic reconstruction was conducted using maximum likelihood analysis against publicly available L8 reference genomes from Rwanda and Uganda. Drug-resistance profiles were determined through both genotypic prediction from WGS data and phenotypic drug-susceptibility testing. Clinical and epidemiologic data were extracted from programmatic records. Results: We identified three clinical isolates belonging to MTBC L8 among fifteen sequenced isolates collected in Bukavu between January and December 2023 enriched for rifampicin resistant TB as determined by Xpert Ultra. Phylogenetic analysis confirmed placement within the L8 clade while revealing unique SNP profiles distinct from previously published Rwandan and Ugandan L8 strains by 16-20 to >200 SNPs, respectively, consistent with local diversification rather than recent cross-border importation. Ancestral genomic features characteristic of L8 were preserved, including the intact Conclusions: This report extends the known geographic distribution of MTBC L8 to eastern DRC, supporting the hypothesis that the African Great Lakes region harbors under-characterized ancestral diversity of the tubercle bacillus. Systematic genomic surveillance across the DRC-Uganda-Rwanda-Burundi corridor, including rifampicin-susceptible isolates, is needed to determine whether L8 represents a rare relict lineage or an under-detected endemic variant circulating through regional transmission networks.

Indexed as

Mycobacterium tuberculosisTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAntitubercular AgentsDemocratic Republic of the CongoDrug Resistance, Multiple, BacterialGenome, BacterialGenotypeHumansMicrobial Sensitivity TestsPhylogenyPolymorphism, Single NucleotideRifampinSputumWhole Genome SequencingAntitubercular AgentsRifampinAfrican Great Lakes regiondrug-resistant tuberculosisLineage 8M. tuberculosisSouth Kivu

Identifiers

PMID42889092
PMCPMC13668578

What OpenQuestion holds

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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.