4.7 Article

Natural Polymorphisms in Mycobacterium tuberculosis Conferring Resistance to Delamanid in Drug-Naive Patients

期刊

出版社

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.00513-20

关键词

Mycobacterium tuberculosis; delamanid; resistance; mutations; drug resistance; natural polymorphism

资金

  1. Swiss National Foundation [153442, 310030_166687, 310030_188888, IZRJZ3_164171, IZLSZ3_170834, CRSII5_177163]
  2. U.S. National Institutes of Health's National Institute of Allergy and Infectious Diseases
  3. Eunice Kennedy Shriver National Institute of Child Health and Human Development
  4. National Cancer Institute
  5. National Institute of Mental Health
  6. National Institute on Drug Abuse
  7. National Heart, Lung, and Blood Institute
  8. National Institute on Alcohol Abuse and Alcoholism
  9. National Institute of Diabetes and Digestive and Kidney Diseases
  10. Fogarty International Center
  11. National Library of Medicine [U01AI069907, U01AI069923, U01AI096299, U01AI069911, U01AI069918, U01AI069924, U01AI069919]
  12. Francis Crick Institute
  13. UKRI
  14. CRUK
  15. Wellcome Trust [FC0010218, 104803, 203135]
  16. Swiss National Science Foundation (SNF) [IZRJZ3_164171, IZLSZ3_170834, CRSII5_177163, 310030_188888, 310030_166687] Funding Source: Swiss National Science Foundation (SNF)

向作者/读者索取更多资源

Mutations in the genes of the F420 signaling pathway of Mycobacterium tuberculosis complex, including dnn, fgd1, fbiA, fbiB, fbiC, and fbiD, can lead to delamanid resistance. We searched for such mutations among 129 M. tuberculosis strains from Asia, South America, and Africa using whole-genome sequencing; 70 (54%) strains had at least one mutation in one of the genes. For 10 strains with mutations, we determined the MIC of delamanid. We found one strain from a delamanid-naive patient carrying the natural polymorphism Tyr29del (ddn) that was associated with a critical delamanid MIC.

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