Mycobacterium africanum Is Associated with Patient Ethnicity in Ghana

dc.contributor.authorAsante-Poku, A.
dc.contributor.authorYeboah-Manu, D.
dc.contributor.authorOtchere, I.D.
dc.contributor.authorAboagye, S.Y.
dc.contributor.authorStucki, D.
dc.contributor.authorHattendorf, J.
dc.contributor.authorBorrell, S.
dc.contributor.authorFeldmann, J.
dc.contributor.authorDanso, E.
dc.contributor.authorGagneux, S.
dc.date.accessioned2017-11-01T13:15:35Z
dc.date.available2017-11-01T13:15:35Z
dc.date.issued2015
dc.description.abstractMycobacterium africanum is a member of the Mycobacterium tuberculosis complex (MTBC) and an important cause of human tuberculosis in West Africa that is rarely observed elsewhere. Here we genotyped 613 MTBC clinical isolates from Ghana, and searched for associations between the different phylogenetic lineages of MTBC and patient variables. We found that 17.1% (105/613) of the MTBC isolates belonged to M. africanum, with the remaining belonging to M. tuberculosis sensu stricto. No M. bovis was identified in this sample. M. africanum was significantly more common in tuberculosis patients belonging to the Ewe ethnic group (adjusted odds ratio: 3.02; 95% confidence interval: 1.67–5.47, p<0.001). Stratifying our analysis by the two phylogenetic lineages of M. africanum (i.e. MTBC Lineages 5 and 6) revealed that this association was mainly driven by Lineage 5 (also known as M. africanum West Africa 1). Our findings suggest interactions between the genetic diversity of MTBC and human diversity, and offer a possible explanation for the geographical restriction of M. africanum to parts of West Africa. © 2015 Asante-Poku et al.en_US
dc.identifier.issn19352727
dc.identifier.other10.1371/journal.pntd.0003370
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/22406
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.titleMycobacterium africanum Is Associated with Patient Ethnicity in Ghanaen_US
dc.typeArticleen_US

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