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Reference-based alignment of short-reads is a widely used technique in genomic analysis of the complex (MTBC) and the choice of reference sequence impacts the interpretation of analyses. The most widely used reference genomes include the ATCC type strain (H37Rv) and the putative MTBC ancestral sequence of Comas both of which are based on a lineage 4 sequence. As such, these reference sequences do not capture all of the structural variation known to be present in the ancestor of the MTBC. To better represent the base of the MTBC, we generated an imputed ancestral genomic sequence, termed MTBC from reference-free alignments of closed MTBC genomes. When used as a reference sequence in alignment workflows, MTBC mapped more short sequencing reads and called more pairwise SNPs relative to the Comas sequence while exhibiting minimal impact on the overall phylogeny of MTBC. The results also show that MTBC provides greater fidelity in capturing genomic variation and allows for the inclusion of regions absent from H37Rv in standard MTBC workflows without additional steps. The use of MTBC as an ancestral reference sequence in standard workflows modestly improved read mapping, SNP calling and intuitively facilitates the study of structural variation and evolution in MTBC.
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http://dx.doi.org/10.1099/mgen.0.001165 | DOI Listing |
Elife
September 2025
Department of Biosciences, Nottingham Trent University, Nottingham, United Kingdom.
The complex (MTBC) is a group of bacteria causing tuberculosis (TB) in humans and animals. Understanding MTBC genetic diversity is crucial for insights into its adaptation and traits related to survival, virulence, and antibiotic resistance. While it is known that within-MTBC diversity is characterised by large deletions found only in certain lineages (regions of difference [RDs]), a comprehensive pangenomic analysis incorporating both coding and non-coding regions remains unexplored.
View Article and Find Full Text PDFInt J Antimicrob Agents
September 2025
Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, China Medical University Hospital, China Medical University, Taichung, Taiwan; Department of Laboratory Medicine, National Taiwan U
Objectives: To evaluate the diagnostic performance of Roche cobas MTB and MTB-RIF/INH assays for detecting Mycobacterium tuberculosis complex (MTBC) and resistance to isoniazid (INH) and rifampicin (RIF).
Methods: This multicenter study was conducted in Taiwan between September 2023 and June 2024. Clinical specimens were collected from adult patients with presumptive tuberculosis (TB).
J Clin Microbiol
September 2025
The Johns Hopkins Medical SystemsBaltimore, Maryland, USA.
Rapid diagnosis of resistance-conferring mutations to antibiotics used for the treatment of tuberculosis (TB) is critical for patient care and public health control efforts. Prior guidelines included the use of fluoroquinolones (FQs) for the treatment of drug-resistant TB, including multidrug-resistant TB, pre-extensively drug-resistant TB, and extensively drug-resistant TB. More recently, a short-course regimen for antibiotic-susceptible TB was introduced, which includes the use of a FQ, a drug class that diagnostic algorithms in the United States (US) typically do not test for if all first-line agents are susceptible.
View Article and Find Full Text PDFFront Cell Infect Microbiol
August 2025
Department of Laboratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Objective: This study aimed to establish a multiplex molecular point-of-care assay called incorporating an ultra-fast sample pre-treatment for direct identification of complex (MTBC) and 8 non-tuberculous Mycobacteria (NTM) commonly prioritized in clinical settings, and to evaluate its performance in 149 clinical confirmed mycobacterial-positive samples.
Methods: The study was divided into two stages: a pilot study to establish the methodology and a clinical validation study to evaluate its performance. In the pilot study, we established the and analyzed its performance regarding limits of detection, reproducibility, specificity and efficiency.
Clin Microbiol Infect
August 2025
National Tuberculosis Center, National TB Programm, Bishkek, Kyrgyz Republic.
Objectives: Controlling tuberculosis (TB) transmission is of paramount importance for combating the TB pandemic. Although TB hospitals are considered hotspots of transmission, systematic longitudinal studies examining the underlying incidence and possible risk factors of nosocomial TB transmission are lacking. The objectives of this study were to detect nosocomial transmission events over a 20 month period using whole genome sequencing (WGS) of Mycobacterium tuberculosis complex (MTBC) isolates collected from 563 patients with pulmonary TB hospitalized in the Kyrgyz Republic.
View Article and Find Full Text PDF