A novel approach - the propensity to propagate (PTP) method for controlling for host factors in studying the transmission of Mycobacterium tuberculosis

Understanding the genetic variations among Mycobacterium tuberculosis (MTB) strains with differential ability to transmit would be a major step forward in preventing transmission. To describe a method to extend conventional proxy measures of transmissibility by adjusting for patient-related factors,...

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Veröffentlicht in:PloS one 2014-05, Vol.9 (5), p.e97816-e97816
Hauptverfasser: Nebenzahl-Guimaraes, Hanna, Borgdorff, Martien W, Murray, Megan B, van Soolingen, Dick
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Borgdorff, Martien W
Murray, Megan B
van Soolingen, Dick
description Understanding the genetic variations among Mycobacterium tuberculosis (MTB) strains with differential ability to transmit would be a major step forward in preventing transmission. To describe a method to extend conventional proxy measures of transmissibility by adjusting for patient-related factors, thus strengthening the causal association found with bacterial factors. Clinical, demographic and molecular fingerprinting data were obtained during routine surveillance of verified MTB cases reported in the Netherlands between 1993 and 2011, and the phylogenetic lineages of the isolates were inferred. Odds ratios for host risk factors for clustering were used to obtain a measure of each patient's and cluster's propensity to propagate (CPP). Mean and median cluster sizes across different categories of CPP were compared amongst four different phylogenetic lineages. Both mean and median cluster size grew with increasing CPP category. On average, CPP values from Euro-American lineage strains were higher than Beijing and EAI strains. There were no significant differences between the mean and median cluster sizes among the four phylogenetic lineages within each CPP category. Our finding that the distribution of CPP scores was unequal across four different phylogenetic lineages supports the notion that host-related factors should be controlled for to attain comparability in measuring the different phylogenetic lineages' ability to propagate. Although Euro-American strains were more likely to be in clusters in an unadjusted analysis, no significant differences among the four lineages persisted after we controlled for host factors.
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There were no significant differences between the mean and median cluster sizes among the four phylogenetic lineages within each CPP category. Our finding that the distribution of CPP scores was unequal across four different phylogenetic lineages supports the notion that host-related factors should be controlled for to attain comparability in measuring the different phylogenetic lineages' ability to propagate. Although Euro-American strains were more likely to be in clusters in an unadjusted analysis, no significant differences among the four lineages persisted after we controlled for host factors.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24849817</pmid><doi>10.1371/journal.pone.0097816</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biology and Life Sciences
Chemical fingerprinting
Child
Child, Preschool
Classification
Cluster Analysis
Clustering
Demographics
Deoxyribonucleic acid
DNA
Drug resistance
Epidemiologic Methods
Epidemiology
Female
Fingerprinting
Genetic diversity
Genetic Variation
Genetics
Genotype & phenotype
Health sciences
Homeless people
Humans
Identification
Infant
Infant, Newborn
Laboratories
Lineage
Male
Medical diagnosis
Medicine and Health Sciences
Methods
Middle Aged
Mycobacterium tuberculosis
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - physiology
Patients
Phylogenetics
Phylogeny
Public health
Risk analysis
Risk factors
Strains (organisms)
Surveillance
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - transmission
Young Adult
title A novel approach - the propensity to propagate (PTP) method for controlling for host factors in studying the transmission of Mycobacterium tuberculosis
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