Whole genome sequencing reveals genomic heterogeneity and antibiotic purification in Mycobacterium tuberculosis isolates

dc.contributor.authorBlack, P. A.en_ZA
dc.contributor.authorDe Vos, M.en_ZA
dc.contributor.authorLouw, G. E.en_ZA
dc.contributor.authorVan der Merwe, R. G.en_ZA
dc.contributor.authorDippenaar, A.en_ZA
dc.contributor.authorStreicher, Elizabeth M.en_ZA
dc.contributor.authorAbdallah, A. M.en_ZA
dc.contributor.authorSampson, S. L.en_ZA
dc.contributor.authorVictor, T. C.en_ZA
dc.contributor.authorDolby, T.en_ZA
dc.contributor.authorSimpson, J. A.en_ZA
dc.contributor.authorVan Helden, P. D.en_ZA
dc.contributor.authorWarren, Robin M.en_ZA
dc.contributor.authorPain, A.en_ZA
dc.date.accessioned2016-05-11T12:16:43Z
dc.date.available2016-05-11T12:16:43Z
dc.date.issued2015-10
dc.descriptionCITATION: Black, P. A., et al. 2015. Whole genome sequencing reveals genomic heterogeneity and antibiotic purification in Mycobacterium tuberculosis isolates. BMC Genomics, 16(1): 857, doi: 10.1186/s12864-015-2067-2.
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.descriptionThe original publication is available at http://bmcmusculoskeletdisord.biomedcentral.com
dc.description.abstractBackground: Whole genome sequencing has revolutionised the interrogation of mycobacterial genomes. Recent studies have reported conflicting findings on the genomic stability of Mycobacterium tuberculosis during the evolution of drug resistance. In an age where whole genome sequencing is increasingly relied upon for defining the structure of bacterial genomes, it is important to investigate the reliability of next generation sequencing to identify clonal variants present in a minor percentage of the population. This study aimed to define a reliable cut-off for identification of low frequency sequence variants and to subsequently investigate genetic heterogeneity and the evolution of drug resistance in M. tuberculosis. Methods: Genomic DNA was isolated from single colonies from 14 rifampicin mono-resistant M. tuberculosis isolates, as well as the primary cultures and follow up MDR cultures from two of these patients. The whole genomes of the M. tuberculosis isolates were sequenced using either the Illumina MiSeq or Illumina HiSeq platforms. Sequences were analysed with an in-house pipeline. Results: Using next-generation sequencing in combination with Sanger sequencing and statistical analysis we defined a read frequency cut-off of 30 % to identify low frequency M. tuberculosis variants with high confidence. Using this cut-off we demonstrated a high rate of genetic diversity between single colonies isolated from one population, showing that by using the current sequencing technology, single colonies are not a true reflection of the genetic diversity within a whole population and vice versa. We further showed that numerous heterogeneous variants emerge and then disappear during the evolution of isoniazid resistance within individual patients. Our findings allowed us to formulate a model for the selective bottleneck which occurs during the course of infection, acting as a genomic purification event. Conclusions: Our study demonstrated true levels of genetic diversity within an M. tuberculosis population and showed that genetic diversity may be re-defined when a selective pressure, such as drug exposure, is imposed on M. tuberculosis populations during the course of infection. This suggests that the genome of M. tuberculosis is more dynamic than previously thought, suggesting preparedness to respond to a changing environment.en_ZA
dc.description.urihttp://bmcgenomics.biomedcentral.com/articles/10.1186/s12864-015-2067-2
dc.description.versionPublisher's version
dc.format.extent14 pages
dc.identifier.citationBlack, P. A., et al. 2015. Whole genome sequencing reveals genomic heterogeneity and antibiotic purification in Mycobacterium tuberculosis isolates. BMC Genomics, 16(1): 857, doi: 10.1186/s12864-015-2067-2
dc.identifier.issn1471-2164 (online)
dc.identifier.issn1471-2164 (print)
dc.identifier.otherdoi: 10.1186/s12864-015-2067-2
dc.identifier.urihttp://hdl.handle.net/10019.1/98998
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectGenetic complexityen_ZA
dc.subjectDrug resistance in microorganismsen_ZA
dc.subjectMycobacterium tuberculosis -- Genetic aspectsen_ZA
dc.subjectGenomic heterogeneityen_ZA
dc.subjectWhole genome sequencingen_ZA
dc.subjectGenomes -- Effect of drugs onen_ZA
dc.titleWhole genome sequencing reveals genomic heterogeneity and antibiotic purification in Mycobacterium tuberculosis isolatesen_ZA
dc.typeArticleen_ZA
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