This large-scale in silico analysis reveals a highly skewed global sequence-type distribution of M. tuberculosis, with pronounced geographic structuring and widespread presence of conserved, intrinsic chromosomal resistance-associated genes. The findings emphasize the importance of cautious interpretation of resistance gene prevalence and phenotypic non-susceptibility patterns derived from heterogeneous public datasets, and highlight key methodological considerations for global genomic analyses of M. tuberculosis.
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Laith B. Alhusseini
Taif H. Hassan
Firas Nabeeh Jaafar
Infection Genetics and Evolution
Golestan University
Pasteur Institute of Iran
Golestan University of Medical Sciences
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Alhusseini et al. (Sun,) studied this question.
www.synapsesocial.com/papers/698d6d445be6419ac0d52265 — DOI: https://doi.org/10.1016/j.meegid.2026.105894