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Whole genome sequencing and prediction of antimicrobial susceptibilities in non-tuberculous mycobacteria

Solanki, P; Lipman, M; McHugh, TD; Satta, G; (2022) Whole genome sequencing and prediction of antimicrobial susceptibilities in non-tuberculous mycobacteria. Frontiers in Microbiology , 13 , Article 1044515. 10.3389/fmicb.2022.1044515. Green open access

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Abstract

Non-tuberculous mycobacteria (NTM) are opportunistic pathogens commonly causing chronic, pulmonary disease which is notoriously hard to treat. Current treatment for NTM infections involves at least three active drugs (including one macrolide: clarithromycin or azithromycin) over 12 months or longer. At present there are limited phenotypic in vitro drug susceptibility testing options for NTM which are standardised globally. As seen with tuberculosis, whole genome sequencing has the potential to transform drug susceptibility testing in NTM, by utilising a genotypic approach. The Comprehensive Resistance Prediction for Tuberculosis is a database used to predict Mycobacterium tuberculosis resistance: at present there are no similar databases available to accurately predict NTM resistance. Recent studies have shown concordance between phenotypic and genotypic NTM resistance results. To benefit from the advantages of whole genome sequencing, further advances in resistance prediction need to take place, as well as there being better information on novel drug mutations and an understanding of the impact of whole genome sequencing on NTM treatment outcomes.

Type: Article
Title: Whole genome sequencing and prediction of antimicrobial susceptibilities in non-tuberculous mycobacteria
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fmicb.2022.1044515
Publisher version: https://doi.org/10.3389/fmicb.2022.1044515
Language: English
Additional information: © 2022 Solanki, Lipman, McHugh and Satta. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: Mycobacterium, mutations, non-tuberculous mycobacteria, resistance, sequencing
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Respiratory Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10162373
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