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HIV Coinfection Is Associated with low-fitness rpoB variants in rifampicin-resistant mycobacterium tuberculosis

  • Chloé Loiseau
  • , Daniela Brites
  • , Miriam Reinhard
  • , Kathrin Zürcher
  • , Sonia Borrell
  • , Marie Ballif
  • , Lukas Fenner
  • , Helen Cox
  • , Liliana K. Rutaihwa
  • , Robert J. Wilkinson
  • , Marcel Yotebieng
  • , E. Jane Carter
  • , Alashle Abimiku
  • , Olivier Marcy
  • , Eduardo Gotuzzo
  • , Anchalee Avihingsanon
  • , Nicola Zetola
  • , Basra Doulla
  • , Erik C. Böttger
  • , Matthias Egger
  • Sebastien Gagneux
  • Swiss Tropical and Public Health Institute Swiss TPH
  • University of Basel
  • Universität Bern
  • University of Cape Town
  • Ifakara Health Institute
  • Imperial College London
  • Francis Crick Institute
  • Albert Einstein College of Medicine
  • Moi Teaching and Referral Hospital
  • Institute of Human Virology Nigeria
  • Centre de Prise en Charge de Recherche et de Formation
  • University of Bordeaux
  • Chulalongkorn University
  • University of Pennsylvania
  • Central Tuberculosis Reference Laboratory, Dar-es-Salaam
  • National Tuberculosis and Leprosy Programme
  • University of Zurich
  • Swiss National Center for Mycobacteria
  • Faculty of Health Sciences, University of Cape Town

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

We analyzed 312 drug-resistant genomes of Mycobacterium tuberculosis isolates collected from HIV-coinfected and HIV-negative TB patients from nine countries with a high tuberculosis burden. We found that rifampicin-resistant M. tuberculosis strains isolated from HIV-coinfected patients carried disproportionally more resistance-conferring mutations in rpoB that are associated with a low fitness in the absence of the drug, suggesting these low-fitness rpoB variants can thrive in the context of reduced host immunity.

Original languageEnglish
Article numbere00782
JournalAntimicrobial Agents and Chemotherapy
Volume64
Issue number10
DOIs
StatePublished - Oct 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Drug resistance
  • Fitness cost
  • HIV-TB coinfection
  • Mycobacterium tuberculosis
  • Rifampicin

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