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Insight into Population Structure and Drug Resistance of Pediatric Tuberculosis Strains from China and Russia Gained through Whole-Genome Sequencing.


ABSTRACT: This study aimed to determine phenotypic and genotypic drug resistance patterns of Mycobacterium tuberculosis strains from children with tuberculosis (TB) in China and Russia, two high-burden countries for multi/extensively-drug resistant (MDR/XDR) TB. Whole-genome sequencing data of M. tuberculosis isolates from China (n = 137) and Russia (n = 60) were analyzed for phylogenetic markers and drug-resistance mutations, followed by comparison with phenotypic susceptibility data. The Beijing genotype was detected in 126 Chinese and 50 Russian isolates. The Euro-American lineage was detected in 10 Russian and 11 Chinese isolates. In the Russian collection, the Beijing genotype and Beijing B0/W148-cluster were dominated by MDR strains (68% and 94%, respectively). Ninety percent of B0/W148 strains were phenotypically pre-XDR. In the Chinese collection, neither of the Beijing sublineages was associated with MDR/pre-XDR status. MDR was mostly caused by low fitness cost mutations (rpoB S450L, katG S315T, rpsL K43R). Chinese rifampicin-resistant strains demonstrated a higher diversity of resistance mutations than Russian isolates (p = 0.003). The rifampicin and isoniazid resistance compensatory mutations were detected in some MDR strains, but they were not widespread. The molecular mechanisms of M. tuberculosis adaptation to anti-TB treatment are not unique to the pediatric strains, but they reflect the general situation with TB in Russia and China.

SUBMITTER: Zhdanova S 

PROVIDER: S-EPMC10299545 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Insight into Population Structure and Drug Resistance of Pediatric Tuberculosis Strains from China and Russia Gained through Whole-Genome Sequencing.

Zhdanova Svetlana S   Jiao Wei-Wei WW   Sinkov Viacheslav V   Khromova Polina P   Solovieva Natalia N   Mushkin Alexander A   Mokrousov Igor I   Belopolskaya Olesya O   Masharsky Aleksey A   Vyazovaya Anna A   Rychkova Lubov L   Kolesnikova Lubov L   Zhuravlev Viacheslav V   Shen A-Dong AD   Ogarkov Oleg O  

International journal of molecular sciences 20230618 12


This study aimed to determine phenotypic and genotypic drug resistance patterns of <i>Mycobacterium tuberculosis</i> strains from children with tuberculosis (TB) in China and Russia, two high-burden countries for multi/extensively-drug resistant (MDR/XDR) TB. Whole-genome sequencing data of <i>M. tuberculosis</i> isolates from China (<i>n</i> = 137) and Russia (<i>n</i> = 60) were analyzed for phylogenetic markers and drug-resistance mutations, followed by comparison with phenotypic susceptibili  ...[more]

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