We have located links that may give you full text access.
Genomic Analyses of Longitudinal Mycobacterium abscessus Isolates in a Multi-Center Cohort Reveal Parallel Signatures of In-Host Adaptation.
Journal of Infectious Diseases 2023 May 32
BACKGROUND: Nontuberculous mycobacteria (NTM) are ubiquitous in the environment and an increasingly frequent cause of opportunistic infections. Mycobacterium abscessus complex (MAB) is one of the major NTM lung pathogens which disproportionately colonize and infect the lungs of individuals with cystic fibrosis (CF). MAB infection can persist for years, and antimicrobial treatment is frequently ineffective.
METHODS: We sequence the genomes of 175 isolates longitudinally collected from 30 patients with MAB lung infection. We contextualize our cohort amidst the broader MAB phylogeny and investigate genes undergoing parallel adaptation across patients. Finally, we test the phenotypic consequences of parallel mutations by conducting antimicrobial resistance and mercury resistance assays.
RESULTS: We identify highly related isolate pairs across hospital centers with low likelihood of transmission. We further annotate non-random parallel mutations in 22 genes and demonstrate altered macrolide susceptibility co-occurring with a nonsynonymous whiB1 mutation. Finally, we highlight a 23 kb mercury resistance plasmid whose loss during chronic infection confers phenotypic susceptibility to organic and non-organic mercury compounds.
CONCLUSIONS: We characterize parallel genomic processes through which MAB is adapting to promote survival within the host. The within-lineage polymorphisms we observe have phenotypic effects, potentially benefiting fitness in the host at the putative detriment of environmental survival.
METHODS: We sequence the genomes of 175 isolates longitudinally collected from 30 patients with MAB lung infection. We contextualize our cohort amidst the broader MAB phylogeny and investigate genes undergoing parallel adaptation across patients. Finally, we test the phenotypic consequences of parallel mutations by conducting antimicrobial resistance and mercury resistance assays.
RESULTS: We identify highly related isolate pairs across hospital centers with low likelihood of transmission. We further annotate non-random parallel mutations in 22 genes and demonstrate altered macrolide susceptibility co-occurring with a nonsynonymous whiB1 mutation. Finally, we highlight a 23 kb mercury resistance plasmid whose loss during chronic infection confers phenotypic susceptibility to organic and non-organic mercury compounds.
CONCLUSIONS: We characterize parallel genomic processes through which MAB is adapting to promote survival within the host. The within-lineage polymorphisms we observe have phenotypic effects, potentially benefiting fitness in the host at the putative detriment of environmental survival.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app