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Journal ArticleDOI

The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis

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TLDR
Several lines of evidence suggest that alternative mechanisms-including pharmacokinetic variability, induction of efflux pumps that transport the drug out of cells, and suboptimal drug penetration into tuberculosis lesions-are likely crucial to the pathogenesis of drug-resistant tuberculosis.
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This article is published in The Lancet Respiratory Medicine.The article was published on 2017-04-01. It has received 461 citations till now. The article focuses on the topics: Bedaquiline & Delamanid.

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Citations
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A Peptidomic Approach to Identify Novel Antigen Biomarkers for the Diagnosis of Tuberculosis

TL;DR: An effective approach to identify new antigen biomarkers via LC-MS/MS-based peptidomics is developed and multiple peptides exhibit promising efficacy in diagnosis of active TB patients.
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Radiologist observations of chest X-rays (CXR) predict sputum smear microscopy status in TB Portals, a real-world database of tuberculosis (TB) cases

TL;DR: Testing of Timika Score is reported on the largest, openly available real-world dataset of TB cases that can serve as a reference to explore extant and new TB disease severity scores bridging radiological, microbiological, and clinical data.
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Editorial: Reassessing Twenty Years of Vaccine Development against Tuberculosis

TL;DR: Despite the glimmer of hope provided by the recent introduction into the clinics of two new antimycobacterial drugs, patients with strains resistant to these new drugs have already been reported, and the rate of MDR tuberculosis cases already exceeds 50%, tuberculosis has finally gotten on the agenda of political decision makers at highest level.
Posted ContentDOI

WNT6-ACC2-induced accumulation of triacylglycerol rich lipid droplets is exploited by Mycobacterium tuberculosis

TL;DR: Evidence is provided that WNT6, a member of the evolutionary conserved WNT signaling pathway, promotes foam cell formation by regulating key lipid metabolic genes including acetyl-CoA carboxylase-2 (ACC2) during pulmonary TB, and the WNT-ACC2 signaling pathway is proposed as a promising target for a host-directed therapy to reduce intracellular replication of Mtb by modulating neutral lipid metabolism.
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Time to appropriate treatment in patients with multidrug-resistant tuberculosis in South Korea: Are we still in 2010?

TL;DR: The time to appropriate treatment in patients with MDR-TB in South Korea was not acceptable, particularly for patients diagnosed outside of PNUH and for patients with pre-XDR- or XDR- TB, and the use of rapid molecular drug susceptibility tests in various healthcare settings and introduction of second-line LPAs are required.
References
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Journal ArticleDOI

Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology.

TL;DR: A novel method based on strain-dependent hybridization patterns of in vitro-amplified DNA with multiple spacer oligonucleotides was found to differentiate M. bovis from M. tuberculosis, a distinction which is often difficult to make by traditional methods.
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Strain identification of Mycobacterium tuberculosis by DNA fingerprinting: recommendations for a standardized methodology.

TL;DR: In this article, the authors proposed a standardized technique which exploits variability in both the number and genomic position of IS6110 to generate strain-specific patterns for DNA fingerprinting of Mycobacterium tuberculosis.
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Developmental Pharmacology — Drug Disposition, Action, and Therapy in Infants and Children

TL;DR: This review examines the developmental changes that profoundly affect the responses of children to medications and related therapies in the very young.
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Extensively drug-resistant tuberculosis as a cause of death in patients co-infected with tuberculosis and HIV in a rural area of South Africa

TL;DR: MDR tuberculosis is more prevalent than previously realised in a rural area in KwaZulu Natal, South Africa and has been transmitted to HIV co-infected patients and is associated with high mortality.
Journal ArticleDOI

Detection of rifampicin-resistance mutations in Mycobacterium tuberculosis

TL;DR: Substitution of a limited number of highly conserved aminoacids encoded by the rpoB gene appears to be the molecular mechanism responsible for "single step" high-level resistance to rifampicin in M tuberculosis, a marker of multidrug-resistant tuberculosis.
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How to cure tuberculosis without medicine?

This poses several challenges similar to those encountered in the pre-chemotherapy era, including the inability to cure tuberculosis, high mortality, and the need for alternative methods to prevent disease transmission.