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 language | English (US) |
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Article number | e00782 |
Journal | Antimicrobial agents and chemotherapy |
Volume | 64 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2020 |
Keywords
- Drug resistance
- Fitness cost
- HIV-TB coinfection
- Mycobacterium tuberculosis
- Rifampicin
ASJC Scopus subject areas
- Pharmacology
- Pharmacology (medical)
- Infectious Diseases