Recent Developments in Mycobacterial Research

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Microbiology in Human Health and Disease".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 1511

Special Issue Editor

Special Issue Information

Dear Colleagues,

Mycobacterium tuberculosis (Mtb), the etiological agent for tuberculosis (TB), causes significant morbidity and mortality to human health. TB is considered one of the oldest diseases recorded in the history of mankind, dating back thousands of years. It is estimated that approximately one-quarter of the world's population is infected with latent Mycobacterium tuberculosis (LTBI). Until 2019, TB was one of the top 10 causes of death worldwide and the number one cause of infectious disease deaths worldwide with a rising mortality. Documented incidence in 2020 showed a 20% decrease in TB diagnoses, which is suspected to be the product of many factors. Some of these factors may include reduced access to diagnostic, treatment, and preventative services and misdiagnosis due to the COVID-19 pandemic. The World Health Organization’s (WHO) Global Tuberculosis Report 2021 has speculated that the COVID-19 pandemic has reversed years of progress in the effort to globally eradicate TB. Drug-resistant TB continues to be a threat, making up a statistically significant number of cases. For instance, 132,222 multidrug- and rifampicin-resistant tuberculosis (MDR/RR-TB) and 25,681 extensive and pre-extensively drug-resistant tuberculosis (XDR-TB and pre-XDR-TB, respectively) were reported globally in 2020, and 150,359 people in total were enrolled in MDR/RR-TB treatment worldwide. TB leads to structural and immunological lung complications, including granuloma formation, fibrosis, and T cell exhaustion; less is known about the disease course when coinfection with SARS-CoV-2 is present. Past and present research demonstrates that IL-10, TNF-α, IFN class I–III, TGF-β, IL-35, and regulatory T cells (T-regs) are all important contributors of the characteristics of the host response to Mtb infection.

This Special Issue invites cutting-edge research findings and reviews on the following:

  • Recent advances in the understanding of the host immune responses against tuberculosis infection;
  • The pathogenesis of tuberculosis;
  • Novel therapies for tuberculosis;
  • The prevention of tuberculosis;
  • Novel diagnosis for tuberculosis;
  • COVID-related disruptions in managing tuberculosis.

We look forward to receiving your submissions.

Prof. Dr. Vishwanath Venketaraman
Guest Editor

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Keywords

  • Mycobacterium tuberculosis
  • mycobacterial
  • host immune responses

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Published Papers (2 papers)

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Research

18 pages, 9204 KiB  
Article
Lung Microenvironment Among Patients with Nontuberculous Mycobacterial Pulmonary Disease by Metagenomic Sequencing Technique
by Le Qin, Yu Chen, Sichun Luan, Xiaoyu Yin, Jue Pan, Leilei Wang, Yumeng Yao, Chunmei Zhou, Rong Bao, Jiajin Shen, Qing Miao and Bijie Hu
Biomedicines 2025, 13(4), 818; https://doi.org/10.3390/biomedicines13040818 - 28 Mar 2025
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Abstract
Background: Nontuberculous mycobacterial pulmonary disease (NTM-PD) is an increasingly prevalent chronic infection, where the host immune status plays a crucial role in disease susceptibility and progression. The complex pulmonary microenvironment, characterized by diverse microbial communities and host immune interactions, exhibits distinct features [...] Read more.
Background: Nontuberculous mycobacterial pulmonary disease (NTM-PD) is an increasingly prevalent chronic infection, where the host immune status plays a crucial role in disease susceptibility and progression. The complex pulmonary microenvironment, characterized by diverse microbial communities and host immune interactions, exhibits distinct features that may be fundamentally altered by the patient’s underlying immune state. Methods: A total of 111 sputum specimens and 64 bronchoalveolar lavage fluid (BALF) specimens were collected from 143 patients diagnosed with NTM-PD under different immune states. Metagenomic sequencing was performed on these specimens to characterize and compare the pulmonary microenvironmental features among NTM-PD patients with a distinct immune status through comprehensive bioinformatic analyses. Results: The immunosuppressed group exhibited a lower α-diversity in sputum specimens (p < 0.05). Principal Coordinates Analysis (PCoA) of β-diversity for sputum and BALF specimens revealed significant differences between the groups (p < 0.05). Linear discriminant analysis Effect Size (LEfSe) analysis identified species enriched in the immunosuppressed group. A co-occurrence network analysis indicated that the immunosuppressed group had more structured and actively connected networks compared to the control group. The Mantel test confirmed that the abundance of these species enriched was associated with clinical immune–inflammation-related indicators in patients. Conclusions: Our study reveals the pulmonary microenvironment in immunosuppressed patients with NTM-PD. Further work is required to explore the two-way relationship between micro-organisms and immune and inflammatory responses, with the influence on patient outcomes. Full article
(This article belongs to the Special Issue Recent Developments in Mycobacterial Research)
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16 pages, 1617 KiB  
Article
Decoding Ecuadorian Mycobacterium tuberculosis Isolates: Unveiling Lineage-Associated Signatures in Beta-Lactamase Resistance via Pangenome Analysis
by Gabriel Morey-León, Juan Carlos Fernández-Cadena, Derly Andrade-Molina and Luisa Berná
Biomedicines 2025, 13(2), 313; https://doi.org/10.3390/biomedicines13020313 - 28 Jan 2025
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Abstract
Background: Tuberculosis is the second largest public health threat caused by pathogens. Understanding Mycobacterium tuberculosis’s transmission, virulence, and resistance profile is crucial for outbreak control. This study aimed to investigate the pangenome composition of Mycobacterium tuberculosis clinical isolates classified as L4 derived [...] Read more.
Background: Tuberculosis is the second largest public health threat caused by pathogens. Understanding Mycobacterium tuberculosis’s transmission, virulence, and resistance profile is crucial for outbreak control. This study aimed to investigate the pangenome composition of Mycobacterium tuberculosis clinical isolates classified as L4 derived from Ecuador. Methods: We analyzed 88 clinical isolates of Mycobacterium tuberculosis by whole-genome sequencing (WGS) and bioinformatic tools for Lineage, Drug-resistance and Pangenome analysis. Results: In our analysis, we identified the dominance of the LAM lineage (44.3%). The pangenomic analysis revealed a core genome of approximately 3200 genes and a pangenome that differed in accessory and unique genes. According to the COG database, metabolism-related genes were the most representative of all partitions. However, differences were found within all lineages analyzed in the metabolic pathways described by KEGG. Isolates from Ecuador showed variations in genomic regions associated with beta-lactamase susceptibility, potentially leading to epistatic resistance to other drugs commonly used in TB treatment, warranting further investigation. Conclusions: Our findings provide valuable insights into the genetic diversity of Mycobacterium tuberculosis populations in Ecuador. These insights may be associated with increasing adaptation within host heterogeneity, variable latency periods, and reduced host damage, collectively contributing to disease spread. The application of WGS is essential to elucidating the epidemiology of TB in the country Full article
(This article belongs to the Special Issue Recent Developments in Mycobacterial Research)
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