Natural Polymorphisms in Mycobacterium tuberculosis Conferring Resistance to Delamanid in Drug-Naive Patients

Author:

Reichmuth Martina L.1ORCID,Hömke Rico23,Zürcher Kathrin1,Sander Peter23ORCID,Avihingsanon Anchalee4,Collantes Jimena5,Loiseau Chloé67,Borrell Sonia67,Reinhard Miriam67,Wilkinson Robert J.8910,Yotebieng Marcel1112,Fenner Lukas1ORCID,Böttger Erik C.23,Gagneux Sebastien67,Egger Matthias113,Keller Peter M.2314ORCID

Affiliation:

1. Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland

2. Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland

3. Swiss National Center for Mycobacteria, Zurich, Switzerland

4. The HIV Netherlands Australia Thailand (HIV-NAT) Research Collaboration, Thai Red Cross AIDS Research Centre and Tuberculosis Research Unit, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

5. Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru

6. Swiss Tropical and Public Health Institute, Basel, Switzerland

7. University of Basel, Basel, Switzerland

8. Wellcome Centre for Infectious Diseases Research in Africa, University of Cape Town, Cape Town, Republic of South Africa

9. Department of Infectious Diseases, Imperial College, London, United Kingdom

10. The Francis Crick Institute, London, United Kingdom

11. National TB Lab, Kinshasa, Democratic Republic of the Congo

12. Albert Einstein College of Medicine, New York, New York, USA

13. Centre for Infectious Disease Epidemiology and Research, Faculty of Health Sciences, University of Cape Town, Cape Town, Republic of South Africa

14. Institute for Infectious Diseases, University of Bern, Bern, Switzerland

Abstract

Mutations in the genes of the F 420 signaling pathway of Mycobacterium tuberculosis complex, including dnn , fgd1 , fbiA , fbiB , fbiC , and fbiD , can lead to delamanid resistance. We searched for such mutations among 129 M. tuberculosis strains from Asia, South America, and Africa using whole-genome sequencing; 70 (54%) strains had at least one mutation in one of the genes.

Funder

Foundation for the National Institutes of Health

Wellcome Trust

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference36 articles.

1. Delamanid: From discovery to its use for pulmonary multidrug-resistant tuberculosis (MDR-TB)

2. Management of drug-resistant tuberculosis in special sub-populations including those with HIV co-infection, pregnancy, diabetes, organ-specific dysfunction, and in the critically ill

3. WHO. 2019. Consolidated guidelines on drug-resistant tuberculosis treatment. World Health Organization, Geneva, Switzerland.

4. EMA. 2018. Deltyba (delamanid): an overview of Deltyba and why it is authorised in the EU. European Medicines Agency, London, United Kingdom.

5. ‘Those who cannot remember the past are condemned to repeat it’: Drug-susceptibility testing for bedaquiline and delamanid

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