The Next Frontier in Tuberculosis Investigation: Automated Whole Genome Sequencing for Mycobacterium tuberculosis Analysis

Author:

Ng Justin H. J.1ORCID,Castro Lina2,Gorzalski Andrew3,Allred Adam1,Siao Danielle3,Wong Edwina2,Lin Andrew1,Shokralla Shadi1,Pandori Mark3,Masinde Godfred2,Khaksar Ramin1

Affiliation:

1. Clear Labs, Inc., 1559 Industrial Road, San Carlos, CA 94070, USA

2. San Francisco Public Health Laboratories, 101 Grove Street, Room 419, San Francisco, CA 94102, USA

3. Nevada State Public Health Laboratory, 1664 North Virginia Street, Reno, NV 89557, USA

Abstract

A fully automated bacteria whole genome sequencing (WGS) assay was evaluated to characterize Mycobacterium tuberculosis (MTB) and non-tuberculosis Mycobacterium (NTM) clinical isolates. The results generated were highly reproducible, with 100% concordance in species and sub-lineage classification and 92% concordance between antimicrobial resistance (AMR) genotypic and phenotypic profiles. Using extracted deoxyribonucleic acid (DNA) from MTB clinical isolates as starting material, these findings demonstrate that a fully automated WGS assay, with a short turnaround time of 24.5 hours, provides timely and valuable insights into MTB outbreak investigation while providing reliable genotypic AMR profiling consistent with traditional antimicrobial susceptibility tests (AST). This study establishes a favorable proposition for the adoption of end-to-end fully automated WGS solutions for decentralized MTB diagnostics, thereby aiding in World Health Organization’s (WHO) vision of tuberculosis eradication.

Publisher

MDPI AG

Reference27 articles.

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3. Dohál, M., Porvazník, I., Solovič, I., and Mokrý, J. (2023). Advancing tuberculosis management: The role of predictive, preventive, and personalized medicine. Front. Microbiol., 14.

4. Pongpeeradech, N., Kasetchareo, Y., Chuchottaworn, C., Lawpoolsri, S., Silachamroon, U., and Kaewkungwal, J. (2022). Evaluation of the use of GeneXpert MTB/RIF in a zone with high burden of tuberculosis in Thailand. PLoS ONE, 17.

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