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Islam, R. M.

Publications and source records attributed to Islam, R. M..

2 recordsLinked to original sources

Challenges of Whole Genome Sequencing based Molecular Identification of Zoonotic Tuberculosis caused by Mycobacterium orygis

A recently described member of the Mycobacterium tuberculosis complex (MTBC) is Mycobacterium orygis, which can cause disease primarily in animals but also in humans. Although M. orygis has been reported from different geographic regions around the world, due to a lack of proper identification techniques, the contribution of this emerging pathogen to the global burden of zoonotic tuberculosis is not fully understood. In the present work, we report single nucleotide polymorphisms (SNPs) analysis using whole genome sequencing (WGS) that can accurately identify M. orygis and differentiate it from other members of MTBC species. WGS-based SNPs analysis was performed for 61 isolates from different Provinces in Canada that were identified as M. orygis. A total of 56 M. orygis sequences from the public databases were also included in the analysis. Several unique SNPs in gyrB, PPE55, Rv2042c, leuS, mmpL6, and mmpS6 genes were used to determine their effectiveness as genetic markers for the identification of M. orygis. To the best of our knowledge, five of these SNPs, viz., gyrB277 (A[->]G), gyrB1478 (T[->]C), leuS1064 (A[->]T), mmpL6486 (T[->]C), and mmpS6334 (C[->]G) are reported for the first time in this study. Our results also revealed several SNPs specific to other species within MTBC. The phylogenetic analysis shows that studied genomes were genetically diverse and clustered with M. orygis sequences of human and animal origin reported from different geographic locations. Therefore, the present study provides a new insight into the high confidence identification of M. orygis from MTBC species based on WGS data, which can be useful for reference and diagnostic laboratories.

microbiology↗

Socioeconomic Differentials in Hypertension based on JNC7 and ACC/AHA 2017 Guidelines Mediated by Body Mass Index: Evidence from Nepal Demographic and Health Survey

BackgroundUnlike developed countries; higher socioeconomic status (SES, education, and wealth) is associated with hypertension in low and middle-income countries (LMICs) with limited evidence. We examined the associations between SES and hypertension in Nepal and the extent to which these associations vary by sex and urbanity. The body mass index (BMI) was examined as a secondary outcome and assessed as a potential mediator.\n\nMaterials and methodsWe analyzed the latest Nepal Demographic and Health Survey data (N=13,436) collected between June 2016 and January 2017, using a multistage stratified sampling technique. Participants aged 15 years or older from selected households were interviewed with an overall response rate of 97%. Main outcomes were hypertension and normal blood pressure defined by the widely used Seventh Report of the Joint National Committee (JNC 7), and the American College of Cardiology/American Heart Association (ACC/AHA) 2017.\n\nResultsThe prevalence of hypertension was higher in Nepalese men than women. The likelihood of having hypertension was more than double for individuals in the highest versus lowest wealth quintiles [men: OR 2.13, 95% CI 1.60-2.85); women: OR 2.54, 95% CI 2.00- 3.24] and for individuals with the higher education versus no education [men: OR 2.38, 95% CI 1.75-3.23; women: OR 1.63, 95% CI 1.18-2.25]. The associations between SES and hypertension were different by sex and urbanity. These associations were mediated by BMI.\n\nConclusionsHigher SES was positively associated with the higher likelihood of having hypertension in Nepal according to both JNC 7 and ACC/AHA 2017 guidelines. These associations were mediated by BMI, which may help to explain broader socioeconomic differentials in CVD and related risk factors, particularly in terms of education and wealth. Our study suggests that the mediating factor of BMI should be tackled to diminish the risk of CVD in people with higher SES in LMICs.

epidemiology↗