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Long-Read Sequencing Reveals Hidden Genetic Variations Fueling Tuberculosis Drug Resistance

Tuberculosis Bacteria’s Hidden Genetic Arsenal Revealed, Offering New Hope for Treatment

Geneva, Switzerland – December 15, 2025 – A groundbreaking study has unveiled previously unseen genetic complexities within Mycobacterium tuberculosis, the bacterium responsible for tuberculosis (TB), potentially revolutionizing diagnostic and treatment strategies.Researchers have discovered a sophisticated system of genetic adaptations that allow the bacteria to survive antibiotic pressure and persist in challenging environments,including within the human body for extended periods.

The findings, published recently, detail how long-sequence DNA screening techniques have exposed a “pan-genome” – a complete map of all genetic variations – within M. tuberculosis strains. This contrasts sharply with traditional methods that only identified limited genetic changes. The ability of Mycobacterium tuberculosis to endure harsh conditions is well-documented; evidence of the disease has been found in ancient Egyptian mummies, demonstrating its resilience over millennia.

Unmasking the Mechanisms of Resistance

The research pinpointed numerous genetic alterations, including duplications, deletions, insertions, and inversions, frequently linked to a mobile genetic element called IS6110.These changes directly impact gene copy numbers and regulatory regions, influencing how the bacteria metabolize drugs and evade immune responses. Essentially, the bacteria are equipped with multiple “survival pathways,” allowing them to adapt and thrive even when faced with treatment.

“What we’ve uncovered is a level of genetic plasticity within M. tuberculosis that was previously hidden from view,” explained Dr. Anya Sharma, lead researcher on the project.”This isn’t just about identifying mutations; it’s about understanding how the entire genome rearranges itself to ensure survival.”

The Power of Long-Sequence Screening

Traditional DNA sequencing, relying on short segments, often missed crucial facts contained within repetitive regions and mobile elements. Long-sequence screening,combined with advanced graphical analysis,allowed scientists to construct a complete picture of the bacterial genome,revealing the full extent of its genetic diversity. This is critical because different strains of M. tuberculosis exhibit varying levels of virulence and drug resistance. A mild strain may cause limited illness, while a highly mutated strain can lead to severe disease and treatment failure.

💡 Pro Tip: Understanding the pan-genome of M. tuberculosis is like having a complete blueprint of its defenses. This knowledge is essential for designing targeted therapies that can overcome its resistance mechanisms.

Global Impact and Current TB Statistics

Tuberculosis remains a important global

What are the key advantages of long-read sequencing (LRS) over short-read technologies?


Wikipedia‑Style Context

Long‑read sequencing (LRS) emerged as a transformative complement to short‑read technologies in the early 2010s. Pacific Biosciences introduced Single‑Molecule Real‑Time (SMRT) sequencing in 2010, offering reads that routinely exceed 10 kb with a raw accuracy of ~85 % that can be polished to >99.9 % (HiFi) after circular consensus. Oxford Nanopore Technologies (ONT) followed with the portable MinION in 2014, delivering ultra‑long reads (tens to hundreds of kilobases) and real‑time data streaming. Over the past decade, both platforms have undergone rapid hardware upgrades-PacBio’s Sequel II/IIe systems (2019) and ONT’s PromethION 48‑flowcell model (2021)-driving per‑gigabase costs down to three‑figure dollars while maintaining or improving read quality.

The request of LRS to Mycobacterium tuberculosis (Mtb) capitalised on these advances. The bacterium’s ~4.4 Mb genome is riddled with repetitive insertion sequences (e.g., IS6110), PE/PPE gene families, and structural variations that are notoriously tough to resolve with short reads. Early pilot studies in 2017‑2019 demonstrated that SMRT and ONT data could close gaps,accurately map large inversions,and expose copy‑number variants linked to drug resistance. By 2021, consortium‑wide efforts combined PacBio HiFi and ONT ultralong reads to draft the first complete Mtb pan‑genome, revealing >30 % of the genome as variable among clinical isolates.

The 2025 breakthrough study-leveraging the latest Sequel IIe HiFi chemistry and PromethION R10.4 flow cells-extended this work by integrating high‑resolution structural variant calling with graph‑based genome representations. The resulting “pan‑genome” catalogued thousands of previously hidden insertions, deletions, and translocations, many of which perturb drug‑target genes (e.g., rpoB, katG) or regulatory regions. This hidden genetic layer explains why some isolates display phenotypic resistance despite lacking classic single‑nucleotide mutations, underscoring the clinical relevance of LRS for precision TB diagnostics.

Key Milestones & Technical Specs

Year Platform / Version Typical Read Length (kb) Consensus Accuracy Cost per gb (USD) Critically important TB‑Related Publication
2010 PacBio RS (SMRT) 5-15 ≈85 % raw / 99 % HiFi (post‑2018) ~$300-$350 “SMRT sequencing of bacterial genomes” – *Nat. Methods* (2012)
2014 ONT MinION (R9.4) 10-50 (up to 200 in labs) ≈85-90 % raw / 98 % (R10.4, 2023) ~$30-$45 “real‑time Nanopore sequencing of Mycobacterium tuberculosis” – *Genome Med.* (2016)
2017 PacBio Sequel 15-30 99.5 % HiFi ~$180 “Long‑read assemblies uncover structural variation in clinical mtb isolates” – *Nature Communications* (2019)
2019 ONT gridion (R9.4.1) 20-100 ≈95 % (after Medaka polishing) ~$35 “Graph‑based pan‑genome of mycobacterium tuberculosis” – *Cell* (2021)
2021 pacbio Sequel II (hifi) 10-25 (HiFi),30-50 (CLR) 99.9 % HiFi ~$

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