<abstract xmlns="http://www.w3.org/1999/xhtml">

Tuberculosis, a disease caused by <italic>Mycobacterium tuberculosis,</italic> represents one of the deadliest infections worldwide. The incidence of resistant forms is increasing year by year; therefore, it is necessary to involve new methods for rapid diagnostics and treatment. One of the possible solutions is the use of whole-genome sequencing (WGS).
The WGS provides an identification of complete genome of the microorganism, including all genes responsible for resistance, in comparison with other genotypic methods (eg. Xpert MTB / RIF or Hain line-probes) that are capable to detect only basic genes. WGS data are available in 1-9 days and several online software tools (TBProfiler, CASTB, Mykrobe PredictorTB) are used for their interpretation and analysis, compared to 3-8 weeks in the case of classic phenotypic evaluation.
Furthermore, WGS predicts resistance to the first-line antituberculotics with a sensitivity of 85-100% and a specificity of 85-100%.
This review elucidates the importance and summarizes the current knowledge about the possible use of WGS in diagnosis and treatment of resistant forms of tuberculosis elucidates.
WGS of <italic>M. tuberculosis</italic> brings new possibilities for rapid and accurate diagnostics of resistant forms of tuberculosis. Introducing WGS into routine practice can help to reduce the spread of resistant forms of tuberculosis as well as to increase the success rate of the treatment, especially through an appropriate combination of antituberculotics ATs. Introduction of WGS into routine diagnostics can, in spite of the financial difficulty, significantly improve patient care.
</abstract>

Tuberculosis, a disease caused by Mycobacterium tuberculosis, represents one of the deadliest infections worldwide. The incidence of resistant forms is increasing year by year; therefore, it is necessary to involve new methods for rapid diagnostics and treatment. One of the possible solutions is the use of whole-genome sequencing (WGS).
The WGS provides an identification of complete genome of the microorganism, including all genes responsible for resistance, in comparison with other genotypic methods (eg. Xpert MTB / RIF or Hain line-probes) that are capable to detect only basic genes. WGS data are available in 1-9 days and several online software tools (TBProfiler, CASTB, Mykrobe PredictorTB) are used for their interpretation and analysis, compared to 3-8 weeks in the case of classic phenotypic evaluation.
Furthermore, WGS predicts resistance to the first-line antituberculotics with a sensitivity of 85-100% and a specificity of 85-100%.
This review elucidates the importance and summarizes the current knowledge about the possible use of WGS in diagnosis and treatment of resistant forms of tuberculosis elucidates.
WGS of M. tuberculosis brings new possibilities for rapid and accurate diagnostics of resistant forms of tuberculosis. Introducing WGS into routine practice can help to reduce the spread of resistant forms of tuberculosis as well as to increase the success rate of the treatment, especially through an appropriate combination of antituberculotics ATs. Introduction of WGS into routine diagnostics can, in spite of the financial difficulty, significantly improve patient care.

Whole-Genome Sequencing in Relation to Resistance of <italic>Mycobacterium Tuberculosis</italic>

Department of Pharmacology and Biomedical Center Martin, Jessenius Faculty of Medicine in Martin

Department of Clinical Microbiology, National Institute for Tuberculosis, Lung Diseases and Thoracic Surgery

Acta Medica Martiniana

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Whole-Genome Sequencing in Relation to Resistance of 

Tuberculosis, a disease caused by Mycobacterium tuberculosis, represents one of the deadliest infections worldwide. The incidence of resistant forms is...

Whole-Genome Sequencing in Relation to Resistance of Mycobacterium Tuberculosis

Published Online: May 09, 2019

Page range: 12 - 21

Received: Jan 14, 2019

Accepted: Mar 03, 2019

DOI: https://doi.org/10.2478/acm-2019-0002

Keywords
whole-genome sequencing, mycobacterium tuberculosis, drug resistance

© 2019 Dohal M et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Whole-Genome Sequencing in Relation to Resistance of Mycobacterium Tuberculosis

Published Online: May 09, 2019

Page range: 12 - 21

Received: Jan 14, 2019

Accepted: Mar 03, 2019

DOI: https://doi.org/10.2478/acm-2019-0002

Keywordswhole-genome sequencing, mycobacterium tuberculosis, drug resistance

© 2019 Dohal M et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
whole-genome sequencing, mycobacterium tuberculosis, drug resistance