2016
DOI: 10.1186/s12879-016-1725-6
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Molecular epidemiology of Mycobacterium africanum in Ghana

Abstract: BackgroundMycobacterium africanum comprises two phylogenetic lineages within the M. tuberculosis complex (MTBC) and is an important cause of human tuberculosis (TB) in West Africa. The reasons for this geographic restriction of M. africanum remain unclear. Here, we performed a prospective study to explore associations between the characteristics of TB patients and the MTBC lineages circulating in Ghana.MethodWe genotyped 1,211 MTBC isolates recovered from pulmonary TB patients recruited between 2012 and 2014 u… Show more

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Cited by 42 publications
(57 citation statements)
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“…Notably, a Swiss cohort study found that MTBC lineages tend to transmit preferentially among sympatric host populations[34]. Two other studies in Ghana offered a potential explanation for the geographical restriction of lineage 5 in West Africa, by showing association between these lineages and specific human ethnicities[35, 36]. A dominant lineage model of evolution can also help explain the various clinical outcomes resulting from infections with strains from distinct lineages of the MTBC.…”
Section: Discussionmentioning
confidence: 99%
“…Notably, a Swiss cohort study found that MTBC lineages tend to transmit preferentially among sympatric host populations[34]. Two other studies in Ghana offered a potential explanation for the geographical restriction of lineage 5 in West Africa, by showing association between these lineages and specific human ethnicities[35, 36]. A dominant lineage model of evolution can also help explain the various clinical outcomes resulting from infections with strains from distinct lineages of the MTBC.…”
Section: Discussionmentioning
confidence: 99%
“…We previously reported an association between L5 and Ewe patient ethnicity 9,12 . Hence to test if conservation of T cell epitopes and/or the diversity of regulatory proteins in L5 was influenced by patient ethnicity, we estimated pairwise dN/dS for sequences encoding T cell epitopes and regulatory proteins of L5 genomes stratified by patient ethnicity (Fig 7).…”
Section: Resultsmentioning
confidence: 95%
“…The delayed pro-inflammatory immune response in the “modern” MTBC lineages might allow for more rapid disease progression and transmission 17 . The second hypothesis is supported by the statistical association of L5 with the native West African ethnic group known as “Ewe” reported by two independent studies in Ghana 9,12 . The third hypothesis is mainly supported by the phylogenetic placement of Maf (L6) amidst the cluster of the animal-adapted members of the MTBC in the various phylogenies of the MTBC 5,7,18 .…”
Section: Introductionmentioning
confidence: 84%
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