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2015 ; 28
(2
): 523-39
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A microbiological revolution meets an ancient disease: improving the management
of tuberculosis with genomics
#MMPMID25810419
Wlodarska M
; Johnston JC
; Gardy JL
; Tang P
Clin Microbiol Rev
2015[Apr]; 28
(2
): 523-39
PMID25810419
show ga
Tuberculosis (TB) is an ancient disease with an enormous global impact. Despite
declining global incidence, the diagnosis, phenotyping, and epidemiological
investigation of TB require significant clinical microbiology laboratory
resources. Current methods for the detection and characterization of
Mycobacterium tuberculosis consist of a series of laboratory tests varying in
speed and performance, each of which yields incremental information about the
disease. Since the sequencing of the first M. tuberculosis genome in 1998,
genomic tools have aided in the diagnosis, treatment, and control of TB. Here we
summarize genomics-based methods that are positioned to be introduced in the
modern clinical TB laboratory, and we highlight how recent advances in genomics
will improve the detection of antibiotic resistance-conferring mutations and the
understanding of M. tuberculosis transmission dynamics and epidemiology. We
imagine the future TB clinic as one that relies heavily on genomic interrogation
of the M. tuberculosis isolate, allowing for more rapid diagnosis of TB and
real-time monitoring of outbreak emergence.