A new study demonstrates that bacterial mutation rates associated with the Mycobacterium tuberculosis lineage most commonly linked to multidrug-resistant tuberculosis are multifold higher than shown in previous studies. This discovery, when considered together with recent findings on pharmacokinetic variability in patients, leads to new models of how multidrug-resistant tuberculosis arises, with direct therapeutic implications.
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Gumbo, T. Biological variability and the emergence of multidrug-resistant tuberculosis. Nat Genet 45, 720–721 (2013). https://doi.org/10.1038/ng.2675
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DOI: https://doi.org/10.1038/ng.2675