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Genome graphs reveal the importance of structural variation in Mycobacterium tuberculosis evolution and drug resistance

Aleix Canalda-Baltrons, Matthew Silcocks, Michael B. Hall, Derrick Theys, Xuling Chang 常戌灵, Linda T. Viberg, Norelle L. Sherry, Lachlan Coin and Sarah J. Dunstan ()
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Aleix Canalda-Baltrons: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Infectious Diseases
Matthew Silcocks: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Infectious Diseases
Michael B. Hall: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Microbiology and Immunology
Derrick Theys: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Infectious Diseases
Xuling Chang 常戌灵: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Infectious Diseases
Linda T. Viberg: Melbourne Health at the Peter Doherty Institute for Infection and Immunity, Victorian Infectious Diseases Reference Laboratory
Norelle L. Sherry: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Microbiological Diagnostic Unit Public Health Laboratory (MDU PHL)
Lachlan Coin: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Microbiology and Immunology
Sarah J. Dunstan: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Department of Infectious Diseases

Nature Communications, 2025, vol. 16, issue 1, 1-17

Abstract: Abstract Structural variants (SVs) are increasingly recognized as key drivers of bacterial evolution, yet their role has not been explored thoroughly. This is due to limitations in traditional short-read sequencing and linear reference-based analyses, which can miss complex structural changes. Tuberculosis (TB), a disease caused by Mycobacterium tuberculosis (Mtb), remains a major global health concern. In this study, we harness long-read sequencing technologies and genome graph tools to construct a Mtb pangenome reference graph (PRG) from 859 high-quality, diverse, long-read assemblies. To enable accurate genotyping of SVs leveraging the PRG, we developed miniwalk, a tool that outperforms a traditional linear genome-based approach in precision for SV detection. We characterize patterns of structural variation genome-wide, revealing a virulence-associated ESX-5 deletion to be recurrent across the phylogeny, and fixed in a sub-lineage of L4. Systematic screens for additional genes that are recurrently affected by SVs implicated those related to metal homeostasis, including a copper exporter fixed in the widely distributed L1.2.1 sub-lineage. Lastly, we genotyped 41,134 isolates and found SVs putatively associated with resistance to various first and second-line drugs. These findings underscore the broader role of SVs in shaping Mtb diversity, highlighting their importance in both understanding evolution and designing strategies to combat drug-resistant TB.

Date: 2025
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DOI: 10.1038/s41467-025-65779-9

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