Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients
Abstract Effective treatment reduces a tuberculosis patient's ability to infect others even before they test negative in sputum or culture. Currently, the basis of reduced infectiousness of the Mycobacterium tuberculosis (Mtb) with effective treatment is unclear. We evaluated changes in aerosol...
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Nature Portfolio
2021
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oai:doaj.org-article:beab20d1eaca48a0b78c4747b319a14a2021-12-02T17:41:18ZEarly phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients10.1038/s41598-021-96902-72045-2322https://doaj.org/article/beab20d1eaca48a0b78c4747b319a14a2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96902-7https://doaj.org/toc/2045-2322Abstract Effective treatment reduces a tuberculosis patient's ability to infect others even before they test negative in sputum or culture. Currently, the basis of reduced infectiousness of the Mycobacterium tuberculosis (Mtb) with effective treatment is unclear. We evaluated changes in aerosolized bacteria expelled by patients through a transcriptomic approach before and after treatment initiation (up to 14 days) by RNA sequencing. A distinct change in the overall transcriptional profile was seen post-treatment initiation compared to pretreatment, only when patients received effective treatment. This also led to the downregulation of genes associated with cellular activities, cell wall assembly, virulence factors indicating loss of pathogenicity, and a diminished ability to infect and survive in new host cells. Based on this, we identified genes whose expression levels changed with effective treatment. The observations of the study open up avenues for further evaluating the changes in bacterial gene expression during the early phase of treatment as biomarkers for monitoring response to tuberculosis treatment regimens and provide means of identifying better correlates of Mtb transmission.Ambreen ShaikhKalpana SriramanSmriti VaswaniVikas OswalSudha RaoNerges MistryNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021) |
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Medicine R Science Q Ambreen Shaikh Kalpana Sriraman Smriti Vaswani Vikas Oswal Sudha Rao Nerges Mistry Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
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Abstract Effective treatment reduces a tuberculosis patient's ability to infect others even before they test negative in sputum or culture. Currently, the basis of reduced infectiousness of the Mycobacterium tuberculosis (Mtb) with effective treatment is unclear. We evaluated changes in aerosolized bacteria expelled by patients through a transcriptomic approach before and after treatment initiation (up to 14 days) by RNA sequencing. A distinct change in the overall transcriptional profile was seen post-treatment initiation compared to pretreatment, only when patients received effective treatment. This also led to the downregulation of genes associated with cellular activities, cell wall assembly, virulence factors indicating loss of pathogenicity, and a diminished ability to infect and survive in new host cells. Based on this, we identified genes whose expression levels changed with effective treatment. The observations of the study open up avenues for further evaluating the changes in bacterial gene expression during the early phase of treatment as biomarkers for monitoring response to tuberculosis treatment regimens and provide means of identifying better correlates of Mtb transmission. |
format |
article |
author |
Ambreen Shaikh Kalpana Sriraman Smriti Vaswani Vikas Oswal Sudha Rao Nerges Mistry |
author_facet |
Ambreen Shaikh Kalpana Sriraman Smriti Vaswani Vikas Oswal Sudha Rao Nerges Mistry |
author_sort |
Ambreen Shaikh |
title |
Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
title_short |
Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
title_full |
Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
title_fullStr |
Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
title_full_unstemmed |
Early phase of effective treatment induces distinct transcriptional changes in Mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
title_sort |
early phase of effective treatment induces distinct transcriptional changes in mycobacterium tuberculosis expelled by pulmonary tuberculosis patients |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/beab20d1eaca48a0b78c4747b319a14a |
work_keys_str_mv |
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1718379726746157056 |